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For the purposes of numbering, there are 5 lumbar type vertebral bodies with transitional morphology of L5. Vertebral body heights are maintained. There is no acute fracture. Postoperative changes are demonstrated with pedicle screw and rod fixation of the L4 and L5 vertebrae bilaterally as well as partial L4 laminectomy without apparent complication. Amorphous bone graft is visualized along the posterior elements at these levels. There is redemonstration of grade 1 L4 on L5 anterolisthesis and T11 hemangioma, unchanged from prior. The previously described conus lipoma is redemonstrated but incompletely visualized with streak artifact. Incidentally noted left thyroid nodule. At L1-2 there is no significant compromise to spinal canal or neural foramina. At L2-3 there is no significant compromise to spinal canal or neural foramina. At L3-4 there is no significant compromise to spinal canal or neural foramina. At L4-5 Mild diffuse disk bulge with uncovering. Severe right and moderate left facet arthropathy. Streak artifact limits assessment of spinal canal. Moderate to severe right and minimal left neural foraminal stenosis. At L5-S1 there is no significant compromise to spinal canal or neural foramina. Paraspinous soft tissues are within normal limits.

anatomical entity_fin: {'vertebral bodies': {}}clinical findings_fin: {'transitional morphology': {'clinical finding': 'transitional morphology', 'existence': 'pos_dx', 'descriptive_term': 'transitional', 'observation': 'morphology'}}anatomical entity_fin: {'vertebral body': {}}clinical findings_fin: {'maintained': {'clinical finding': 'maintained', 'existence': 'pos_dx', 'observation': 'maintain'}}clinical findings_fin: {'acute fracture': {'clinical finding': 'acute fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'vertebrae': {}}object_fin: ['pedicle screw']clinical findings_fin: {'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}, 'pedicle screw and rod fixation': {'clinical finding': 'pedicle screw and rod fixation', 'existence': 'pos_dx', 'descriptive_term': 'pedicle screw and rod', 'observation': 'fixation'}, 'apparent complication': {'clinical finding': 'apparent complication', 'existence': 'pos_dx', 'descriptive_term': 'apparent', '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'}}clinical findings_fin: {'l5 anterolisthesis': {'clinical finding': 'l5 anterolisthesis', 'existence': 'pos_dx', 'descriptive_term': 'l5', 'observation': 'anterolisthesis'}, 't11 hemangioma': {'clinical finding': 't11 hemangioma', 'cf_snomed': {'hemangioma': 400210000}, 'existence': 'pos_dx', 'descriptive_term': 't11', 'observation': 'hemangioma'}}clinical findings_fin: {'previously described conus lipoma': {'clinical finding': 'previously described conus lipoma', 'cf_snomed': {'lipoma': 134328007}, 'existence': 'pos_dx', 'descriptive_term': 'previously described conus', 'observation': 'lipoma'}, 'streak artifact': {'clinical finding': 'streak artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'streak', 'observation': 'artifact'}}location descriptor_fin: ['left']clinical findings_fin: {'incidentally noted left thyroid nodule': {'clinical finding': 'incidentally noted left thyroid nodule', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'incidentally noted left thyroid', 'observation': 'nodule'}}anatomical entity_fin: {'spinal canal': {}, 'neural foramina': {}}clinical findings_fin: {'l1 - 2 there is no significant compromise to spinal canal or neural foramina': {'clinical finding': 'l1 - 2 there is no significant compromise to spinal canal or neural foramina'}}anatomical entity_fin: {'spinal canal': {}, 'neural foramina': {}}clinical findings_fin: {'l2 - 3 there is no significant compromise to spinal canal or neural foramina': {'clinical finding': 'l2 - 3 there is no significant compromise to spinal canal or neural foramina'}}anatomical entity_fin: {'spinal canal': {}, 'neural foramina': {}}clinical findings_fin: {'l3 - 4 there is no significant compromise to spinal canal or neural foramina': {'clinical finding': 'l3 - 4 there is no significant compromise to spinal canal or neural foramina'}}clinical findings_fin: {'mild diffuse disk bulge with uncovering': {'clinical finding': 'mild diffuse disk bulge with uncovering'}}anatomical entity_fin: {'facet': {'location descriptor': 'left'}}location descriptor_fin: ['right', 'left']anatomical entity_fin: {'spinal canal': {}}imaging observation_fin: ['assessment']clinical findings_fin: {'streak artifact': {'clinical finding': 'streak artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'streak', 'observation': 'artifact'}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'moderate to severe right and minimal left neural foraminal stenosis': {'clinical finding': 'moderate to severe right and minimal left neural foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate to severe right and minimal left neural foraminal', 'observation': 'stenosis', 'strength_term': 'moderate - severe - minimal', 'quantity_term': 'minimal'}}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'}}clinical findings_fin: {'paraspinous soft tissues are within normal limits': {'clinical finding': 'paraspinous soft tissues are 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: {'vertebral bodies': {}}clinical findings_fin: {'transitional morphology': {'clinical finding': 'transitional morphology', 'existence': 'pos_dx', 'descriptive_term': 'transitional', 'observation': 'morphology'}}anatomical entity_fin: {'vertebral body': {}}clinical findings_fin: {'maintained': {'clinical finding': 'maintained', 'existence': 'pos_dx', 'observation': 'maintain'}}clinical findings_fin: {'acute fracture': {'clinical finding': 'acute fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'vertebrae': {}}object_fin: ['pedicle screw']clinical findings_fin: {'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}, 'pedicle screw and rod fixation': {'clinical finding': 'pedicle screw and rod fixation', 'existence': 'pos_dx', 'descriptive_term': 'pedicle screw and rod', 'observation': 'fixation'}, 'apparent complication': {'clinical finding': 'apparent complication', 'existence': 'pos_dx', 'descriptive_term': 'apparent', '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'}}clinical findings_fin: {'l5 anterolisthesis': {'clinical finding': 'l5 anterolisthesis', 'existence': 'pos_dx', 'descriptive_term': 'l5', 'observation': 'anterolisthesis'}, 't11 hemangioma': {'clinical finding': 't11 hemangioma', 'cf_snomed': {'hemangioma': 400210000}, 'existence': 'pos_dx', 'descriptive_term': 't11', 'observation': 'hemangioma'}}clinical findings_fin: {'previously described conus lipoma': {'clinical finding': 'previously described conus lipoma', 'cf_snomed': {'lipoma': 134328007}, 'existence': 'pos_dx', 'descriptive_term': 'previously described conus', 'observation': 'lipoma'}, 'streak artifact': {'clinical finding': 'streak artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'streak', 'observation': 'artifact'}}location descriptor_fin: ['left']clinical findings_fin: {'incidentally noted left thyroid nodule': {'clinical finding': 'incidentally noted left thyroid nodule', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'incidentally noted left thyroid', 'observation': 'nodule'}}anatomical entity_fin: {'spinal canal': {}, 'neural foramina': {}}clinical findings_fin: {'l1 - 2 there is no significant compromise to spinal canal or neural foramina': {'clinical finding': 'l1 - 2 there is no significant compromise to spinal canal or neural foramina'}}anatomical entity_fin: {'spinal canal': {}, 'neural foramina': {}}clinical findings_fin: {'l2 - 3 there is no significant compromise to spinal canal or neural foramina': {'clinical finding': 'l2 - 3 there is no significant compromise to spinal canal or neural foramina'}}anatomical entity_fin: {'spinal canal': {}, 'neural foramina': {}}clinical findings_fin: {'l3 - 4 there is no significant compromise to spinal canal or neural foramina': {'clinical finding': 'l3 - 4 there is no significant compromise to spinal canal or neural foramina'}}clinical findings_fin: {'mild diffuse disk bulge with uncovering': {'clinical finding': 'mild diffuse disk bulge with uncovering'}}anatomical entity_fin: {'facet': {'location descriptor': 'left'}}location descriptor_fin: ['right', 'left']anatomical entity_fin: {'spinal canal': {}}imaging observation_fin: ['assessment']clinical findings_fin: {'streak artifact': {'clinical finding': 'streak artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'streak', 'observation': 'artifact'}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'moderate to severe right and minimal left neural foraminal stenosis': {'clinical finding': 'moderate to severe right and minimal left neural foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate to severe right and minimal left neural foraminal', 'observation': 'stenosis', 'strength_term': 'moderate - severe - minimal', 'quantity_term': 'minimal'}}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'}}clinical findings_fin: {'paraspinous soft tissues are within normal limits': {'clinical finding': 'paraspinous soft tissues are within normal limits'}} [/INST] For the purposes of numbering, there are 5 lumbar type vertebral bodies with transitional morphology of L5. Vertebral body heights are maintained. There is no acute fracture. Postoperative changes are demonstrated with pedicle screw and rod fixation of the L4 and L5 vertebrae bilaterally as well as partial L4 laminectomy without apparent complication. Amorphous bone graft is visualized along the posterior elements at these levels. There is redemonstration of grade 1 L4 on L5 anterolisthesis and T11 hemangioma, unchanged from prior. The previously described conus lipoma is redemonstrated but incompletely visualized with streak artifact. Incidentally noted left thyroid nodule. At L1-2 there is no significant compromise to spinal canal or neural foramina. At L2-3 there is no significant compromise to spinal canal or neural foramina. At L3-4 there is no significant compromise to spinal canal or neural foramina. At L4-5 Mild diffuse disk bulge with uncovering. Severe right and moderate left facet arthropathy. Streak artifact limits assessment of spinal canal. Moderate to severe right and minimal left neural foraminal stenosis. At L5-S1 there is no significant compromise to spinal canal or neural foramina. Paraspinous soft tissues are within normal limits. </s>

. Stable nonspecific scattered pulmonary micronodules. No new suspicious pulmonary mass or nodule. No focal consolidation, pleural effusions or pneumothorax. Mild right basilar atelectasis. Persistent elevation of right hemidiaphragm. No mediastinal or hilar lymphadenopathy. Stable subcentimeter lymph nodes. Normal cardiac size without pericardial effusion. Mild. No axillary lymphadenopathy. Hypoattenuating liver parenchyma compatible with diffuse fatty infiltration. No focal suspicious lesion, biliary ductal dilatation or vascular abnormality. Status post cholecystectomy. Small splenule adjacent to the inferior splenic margin. No significant abnormality noted. No significant abnormality noted. Postsurgical changes from a right renal superior pole partial nephrectomy. Fluid and soft tissue stranding likely reflects scarring and is unchanged. No hydroureteronephrosis. No focal suspicious renal lesion. No retroperitoneal lymphadenopathy by size criteria. Stable portacaval lymph node. None. No significant abnormality noted. Expansile lytic lesion affecting the posterior aspect of the right fifth rib, slightly increased from the prior study. Mild degenerative changes of the thoracic spine. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Mild degenerative changes of the lumbar spine. Stable small lucent lesion of the right ischium. Stable punctate sacral lucencies. Stable right femoral neck probable benign bone islands. No significant abnormality noted

clinical findings_fin: {'stable nonspecific scattered pulmonary micronodules': {'clinical finding': 'stable nonspecific scattered pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'stable nonspecific scattered pulmonary', 'observation': 'micronodule', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'new suspicious pulmonary mass': {'clinical finding': 'new suspicious pulmonary mass', 'existence': 'neg_dx', 'descriptive_term': 'new suspicious pulmonary', 'observation': 'mass', 'temporal_term': 'new'}, 'nodule': {'clinical finding': 'nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'observation': 'nodule'}}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'}}location descriptor_fin: ['right']clinical findings_fin: {'mild right basilar atelectasis': {'clinical finding': 'mild right basilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'mild right basilar', 'observation': 'atelectasis', 'strength_term': 'mild'}}anatomical entity_fin: {'right hemidiaphragm': {}}clinical findings_fin: {'persistent elevation of right hemidiaphragm': {'clinical finding': 'persistent elevation of right hemidiaphragm'}}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: {'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: {'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: {'liver parenchyma': {}}clinical findings_fin: {'diffuse fatty infiltration': {'clinical finding': 'diffuse fatty infiltration', 'cf_snomed': {'fatty infiltration': 45752008}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse fatty', 'observation': 'infiltration'}}clinical findings_fin: {'focal suspicious lesion': {'clinical finding': 'focal suspicious lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal suspicious', 'observation': 'lesion'}, 'vascular abnormality': {'clinical finding': 'vascular abnormality', 'existence': 'neg_dx', 'descriptive_term': 'vascular', 'observation': 'abnormality'}}procedure_fin: ['cholecystectomy']imaging observation_fin: ['margin']location descriptor_fin: ['adjacent', 'inferior']clinical findings_fin: {'small splenule adjacent to the inferior splenic margin': {'clinical finding': 'small splenule adjacent to the inferior splenic margin'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'pole': {'location descriptor': 'superior'}}location descriptor_fin: ['right', 'superior']procedure_fin: ['nephrectomy']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'fluid and soft tissue stranding': {'clinical finding': 'fluid and soft tissue stranding', 'existence': 'unc_dx', 'descriptive_term': 'fluid and soft tissue', 'observation': 'strand'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'}}clinical findings_fin: {'hydroureteronephrosis': {'clinical finding': 'hydroureteronephrosis', 'cf_snomed': {'hydroureteronephrosis': 40068008}, 'existence': 'neg_dx', 'observation': 'hydroureteronephrosis'}}clinical findings_fin: {'focal suspicious renal lesion': {'clinical finding': 'focal suspicious renal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal suspicious renal', 'observation': 'lesion'}}clinical findings_fin: {'retroperitoneal lymphadenopathy': {'clinical finding': 'retroperitoneal lymphadenopathy', 'cf_snomed': {'retroperitoneal lymphadenopathy': 127154008}, 'existence': 'neg_dx', 'descriptive_term': 'retroperitoneal', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'stable portacaval lymph node': {'clinical finding': 'stable portacaval lymph node', 'existence': 'pos_dx', 'descriptive_term': 'stable portacaval lymph', 'observation': 'node', '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: {'rib': {}}location descriptor_fin: ['posterior', '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'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'mild degenerative changes': {'clinical finding': 'mild degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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'}}anatomical entity_fin: {'ischium': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'stable small lucent lesion': {'clinical finding': 'stable small lucent lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'stable small lucent', 'observation': 'lesion', 'strength_term': 'stable - small', 'change_term': 'stable'}}clinical findings_fin: {'stable punctate sacral lucencies': {'clinical finding': 'stable punctate sacral lucencies', 'change_term': 'stable'}}anatomical entity_fin: {'femoral neck': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'stable right femoral neck probable benign bone islands': {'clinical finding': 'stable right femoral neck probable benign bone islands', '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: clinical findings_fin: {'stable nonspecific scattered pulmonary micronodules': {'clinical finding': 'stable nonspecific scattered pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'stable nonspecific scattered pulmonary', 'observation': 'micronodule', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'new suspicious pulmonary mass': {'clinical finding': 'new suspicious pulmonary mass', 'existence': 'neg_dx', 'descriptive_term': 'new suspicious pulmonary', 'observation': 'mass', 'temporal_term': 'new'}, 'nodule': {'clinical finding': 'nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'observation': 'nodule'}}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'}}location descriptor_fin: ['right']clinical findings_fin: {'mild right basilar atelectasis': {'clinical finding': 'mild right basilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'mild right basilar', 'observation': 'atelectasis', 'strength_term': 'mild'}}anatomical entity_fin: {'right hemidiaphragm': {}}clinical findings_fin: {'persistent elevation of right hemidiaphragm': {'clinical finding': 'persistent elevation of right hemidiaphragm'}}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: {'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: {'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: {'liver parenchyma': {}}clinical findings_fin: {'diffuse fatty infiltration': {'clinical finding': 'diffuse fatty infiltration', 'cf_snomed': {'fatty infiltration': 45752008}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse fatty', 'observation': 'infiltration'}}clinical findings_fin: {'focal suspicious lesion': {'clinical finding': 'focal suspicious lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal suspicious', 'observation': 'lesion'}, 'vascular abnormality': {'clinical finding': 'vascular abnormality', 'existence': 'neg_dx', 'descriptive_term': 'vascular', 'observation': 'abnormality'}}procedure_fin: ['cholecystectomy']imaging observation_fin: ['margin']location descriptor_fin: ['adjacent', 'inferior']clinical findings_fin: {'small splenule adjacent to the inferior splenic margin': {'clinical finding': 'small splenule adjacent to the inferior splenic margin'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'pole': {'location descriptor': 'superior'}}location descriptor_fin: ['right', 'superior']procedure_fin: ['nephrectomy']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'fluid and soft tissue stranding': {'clinical finding': 'fluid and soft tissue stranding', 'existence': 'unc_dx', 'descriptive_term': 'fluid and soft tissue', 'observation': 'strand'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'}}clinical findings_fin: {'hydroureteronephrosis': {'clinical finding': 'hydroureteronephrosis', 'cf_snomed': {'hydroureteronephrosis': 40068008}, 'existence': 'neg_dx', 'observation': 'hydroureteronephrosis'}}clinical findings_fin: {'focal suspicious renal lesion': {'clinical finding': 'focal suspicious renal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal suspicious renal', 'observation': 'lesion'}}clinical findings_fin: {'retroperitoneal lymphadenopathy': {'clinical finding': 'retroperitoneal lymphadenopathy', 'cf_snomed': {'retroperitoneal lymphadenopathy': 127154008}, 'existence': 'neg_dx', 'descriptive_term': 'retroperitoneal', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'stable portacaval lymph node': {'clinical finding': 'stable portacaval lymph node', 'existence': 'pos_dx', 'descriptive_term': 'stable portacaval lymph', 'observation': 'node', '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: {'rib': {}}location descriptor_fin: ['posterior', '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'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'mild degenerative changes': {'clinical finding': 'mild degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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'}}anatomical entity_fin: {'ischium': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'stable small lucent lesion': {'clinical finding': 'stable small lucent lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'stable small lucent', 'observation': 'lesion', 'strength_term': 'stable - small', 'change_term': 'stable'}}clinical findings_fin: {'stable punctate sacral lucencies': {'clinical finding': 'stable punctate sacral lucencies', 'change_term': 'stable'}}anatomical entity_fin: {'femoral neck': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'stable right femoral neck probable benign bone islands': {'clinical finding': 'stable right femoral neck probable benign bone islands', 'change_term': 'stable'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Stable nonspecific scattered pulmonary micronodules. No new suspicious pulmonary mass or nodule. No focal consolidation, pleural effusions or pneumothorax. Mild right basilar atelectasis. Persistent elevation of right hemidiaphragm. No mediastinal or hilar lymphadenopathy. Stable subcentimeter lymph nodes. Normal cardiac size without pericardial effusion. Mild. No axillary lymphadenopathy. Hypoattenuating liver parenchyma compatible with diffuse fatty infiltration. No focal suspicious lesion, biliary ductal dilatation or vascular abnormality. Status post cholecystectomy. Small splenule adjacent to the inferior splenic margin. No significant abnormality noted. No significant abnormality noted. Postsurgical changes from a right renal superior pole partial nephrectomy. Fluid and soft tissue stranding likely reflects scarring and is unchanged. No hydroureteronephrosis. No focal suspicious renal lesion. No retroperitoneal lymphadenopathy by size criteria. Stable portacaval lymph node. None. No significant abnormality noted. Expansile lytic lesion affecting the posterior aspect of the right fifth rib, slightly increased from the prior study. Mild degenerative changes of the thoracic spine. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Mild degenerative changes of the lumbar spine. Stable small lucent lesion of the right ischium. Stable punctate sacral lucencies. Stable right femoral neck probable benign bone islands. No significant abnormality noted </s>

. No significant abnormality noted. The gallbladder appears normal. Hepatic and portal veins are patent. No intrahepatic biliary ductal dilatation. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. None. The visualized appendix and terminal ileum appear normal. No appendicoliths noted. No bowel wall thickening, perienteric stranding, free intraperitoneal air, or other abnormalities. No significant abnormality noted. No significant abnormality noted. Heterogeneously enhancing and retroverted uterus with a right ovarian cyst noted. Right fallopian tube device, consistent with an Essure contraceptive device as per clinical service, is located at the right fallopian tube and uterine junction with extension into the fallopian tube. The left adnexal device was removed as per clinical service. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted

clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'gallbladder appears normal': {'clinical finding': 'gallbladder appears normal'}}anatomical entity_fin: {'portal veins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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': {}, 'terminal ileum': {}}clinical findings_fin: {'visualized appendix and terminal ileum appear': {'clinical finding': 'visualized appendix and terminal ileum appear'}}clinical findings_fin: {'appendicoliths': {'clinical finding': 'appendicoliths', 'existence': 'neg_dx', 'observation': 'appendicolith'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'bowel wall thickening': {'clinical finding': 'bowel wall thickening', 'existence': 'neg_dx', 'descriptive_term': 'bowel wall', 'observation': 'thickening'}, 'perienteric stranding': {'clinical finding': 'perienteric stranding', 'existence': 'neg_dx', 'descriptive_term': 'perienteric', 'observation': 'strand'}, 'other abnormalities': {'clinical finding': 'other abnormalities', 'existence': 'unc_dx', 'descriptive_term': 'other', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'uterus': {}}imaging observation_fin: ['enhancing']location descriptor_fin: ['right']clinical findings_fin: {'right ovarian cyst': {'clinical finding': 'right ovarian cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'right ovarian', 'observation': 'cyst'}}location descriptor_fin: ['right']object_fin: ['tube', 'contraceptive device']clinical findings_fin: {'essure': {'clinical finding': 'essure', 'existence': 'pos_dx', 'observation': 'essure'}}location descriptor_fin: ['left']clinical findings_fin: {'left adnexal device was removed as per clinical service': {'clinical finding': 'left adnexal device was removed as per clinical service'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}

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

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'gallbladder appears normal': {'clinical finding': 'gallbladder appears normal'}}anatomical entity_fin: {'portal veins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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': {}, 'terminal ileum': {}}clinical findings_fin: {'visualized appendix and terminal ileum appear': {'clinical finding': 'visualized appendix and terminal ileum appear'}}clinical findings_fin: {'appendicoliths': {'clinical finding': 'appendicoliths', 'existence': 'neg_dx', 'observation': 'appendicolith'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'bowel wall thickening': {'clinical finding': 'bowel wall thickening', 'existence': 'neg_dx', 'descriptive_term': 'bowel wall', 'observation': 'thickening'}, 'perienteric stranding': {'clinical finding': 'perienteric stranding', 'existence': 'neg_dx', 'descriptive_term': 'perienteric', 'observation': 'strand'}, 'other abnormalities': {'clinical finding': 'other abnormalities', 'existence': 'unc_dx', 'descriptive_term': 'other', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'uterus': {}}imaging observation_fin: ['enhancing']location descriptor_fin: ['right']clinical findings_fin: {'right ovarian cyst': {'clinical finding': 'right ovarian cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'right ovarian', 'observation': 'cyst'}}location descriptor_fin: ['right']object_fin: ['tube', 'contraceptive device']clinical findings_fin: {'essure': {'clinical finding': 'essure', 'existence': 'pos_dx', 'observation': 'essure'}}location descriptor_fin: ['left']clinical findings_fin: {'left adnexal device was removed as per clinical service': {'clinical finding': 'left adnexal device was removed as per clinical service'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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. The gallbladder appears normal. Hepatic and portal veins are patent. No intrahepatic biliary ductal dilatation. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. None. The visualized appendix and terminal ileum appear normal. No appendicoliths noted. No bowel wall thickening, perienteric stranding, free intraperitoneal air, or other abnormalities. No significant abnormality noted. No significant abnormality noted. Heterogeneously enhancing and retroverted uterus with a right ovarian cyst noted. Right fallopian tube device, consistent with an Essure contraceptive device as per clinical service, is located at the right fallopian tube and uterine junction with extension into the fallopian tube. The left adnexal device was removed as per clinical service. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted </s>

. Bilateral pleural effusions, small. Main pulmonary artery is enlarged suggestive of pulmonary arterial hypertension. Cardiomegaly. Subcentimeter cyst in the left lobe of the liver. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No evidence of renal stones, solid lesions or hydronephrosis. Bilateral pelvic cysts. Right renal cortical cyst. No significant abnormality noted. Severe. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Enlarged prostate. Foley catheter within the bladder. This limits optimal evaluation of the bladder. Diffuse wall thickening of the bladder. 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'}}anatomical entity_fin: {'main pulmonary artery': {}}clinical findings_fin: {'main pulmonary': {'clinical finding': 'main pulmonary', 'existence': 'pos_dx', 'descriptive_term': 'main', 'observation': 'pulmonary'}, 'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}, 'pulmonary arterial hypertension': {'clinical finding': 'pulmonary arterial hypertension', 'cf_snomed': {'pulmonary arterial hypertension': 11399002}, 'existence': 'unc_dx', 'descriptive_term': 'pulmonary arterial', 'observation': 'hypertension'}}clinical findings_fin: {'cardiomegaly': {'clinical finding': 'cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'observation': 'cardiomegaly'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left'}, 'liver': {}}location descriptor_fin: ['left']clinical findings_fin: {'subcentimeter cyst': {'clinical finding': 'subcentimeter cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter', '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: {'renal stones': {'clinical finding': 'renal stones', 'existence': 'neg_dx', 'descriptive_term': 'renal', 'observation': 'stone'}, 'solid lesions': {'clinical finding': 'solid lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'solid', 'observation': 'lesion'}, 'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral pelvic cysts': {'clinical finding': 'bilateral pelvic cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral pelvic', 'observation': 'cyst'}}location descriptor_fin: ['right']clinical findings_fin: {'right renal cortical cyst': {'clinical finding': 'right renal cortical cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'right renal cortical', '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'}}anatomical entity_fin: {'prostate': {}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}anatomical entity_fin: {'bladder': {}}object_fin: ['catheter']anatomical entity_fin: {'bladder': {}}anatomical entity_fin: {'bladder': {}}clinical findings_fin: {'wall thickening': {'clinical finding': 'wall thickening', 'existence': 'pos_dx', 'descriptive_term': '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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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'}}anatomical entity_fin: {'main pulmonary artery': {}}clinical findings_fin: {'main pulmonary': {'clinical finding': 'main pulmonary', 'existence': 'pos_dx', 'descriptive_term': 'main', 'observation': 'pulmonary'}, 'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}, 'pulmonary arterial hypertension': {'clinical finding': 'pulmonary arterial hypertension', 'cf_snomed': {'pulmonary arterial hypertension': 11399002}, 'existence': 'unc_dx', 'descriptive_term': 'pulmonary arterial', 'observation': 'hypertension'}}clinical findings_fin: {'cardiomegaly': {'clinical finding': 'cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'observation': 'cardiomegaly'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left'}, 'liver': {}}location descriptor_fin: ['left']clinical findings_fin: {'subcentimeter cyst': {'clinical finding': 'subcentimeter cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter', '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: {'renal stones': {'clinical finding': 'renal stones', 'existence': 'neg_dx', 'descriptive_term': 'renal', 'observation': 'stone'}, 'solid lesions': {'clinical finding': 'solid lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'solid', 'observation': 'lesion'}, 'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral pelvic cysts': {'clinical finding': 'bilateral pelvic cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral pelvic', 'observation': 'cyst'}}location descriptor_fin: ['right']clinical findings_fin: {'right renal cortical cyst': {'clinical finding': 'right renal cortical cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'right renal cortical', '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'}}anatomical entity_fin: {'prostate': {}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}anatomical entity_fin: {'bladder': {}}object_fin: ['catheter']anatomical entity_fin: {'bladder': {}}anatomical entity_fin: {'bladder': {}}clinical findings_fin: {'wall thickening': {'clinical finding': 'wall thickening', 'existence': 'pos_dx', 'descriptive_term': '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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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, small. Main pulmonary artery is enlarged suggestive of pulmonary arterial hypertension. Cardiomegaly. Subcentimeter cyst in the left lobe of the liver. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No evidence of renal stones, solid lesions or hydronephrosis. Bilateral pelvic cysts. Right renal cortical cyst. No significant abnormality noted. Severe. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Enlarged prostate. Foley catheter within the bladder. This limits optimal evaluation of the bladder. Diffuse wall thickening of the bladder. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted </s>

. Bronchiectasis and bronchial wall thickening. Possibly emphysematous changes. No definite nodules or effusions. Granuloma. Otherwise normal. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. A few small hypoattenuating lesions likely cysts. On delayed images collecting system is normal. Moderate atherosclerotic calcifications. No evidence of aneurysm. Retroperitoneal adenopathy primarily in the pelvis, see below. History of surgical anastomosis in the transverse colon. No evidence of ascites or carcinomatosis. Mild anasarca. No significant abnormality noted. PROSTATE/. Enlarged and heterogeneously enhancing on series 9 image 103 measures about 5.2 cm transverse x 4.9 cm. No significant abnormality noted. Adenopathy at the aortic bifurcation and common iliac area with marked compression of the right common iliac artery. For baseline purposes best seen on the delayed images, series 9 image 73 soft tissue mass likely representing adenopathy measures 3.3 x 2.4 cm. There is a large right external iliac mass probably representing a conglomerate of nodes measured on series 9 image 92, 4 x 2 cm. No significant abnormality noted. Mild anasarca. Marked enlargement of the entire right thigh with asymmetric anasarca on the right greater than left. Large left inguinal hernia containing small and large intestine without evidence of obstruction. No fluid in the hernia sac. Small right inguinal hernia containing omentum. Delayed images show slow flow in the right iliac system distal to the adenopathy likely related to compression but no evidence of definite venous thrombus.

clinical findings_fin: {'bronchiectasis': {'clinical finding': 'bronchiectasis', 'cf_snomed': {'bronchiectasis': 12295008}, 'existence': 'pos_dx', 'observation': 'bronchiectasis'}, 'bronchial wall thickening': {'clinical finding': 'bronchial wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'bronchial wall', 'observation': 'thickening'}}clinical findings_fin: {'possibly emphysematous changes': {'clinical finding': 'possibly emphysematous changes', 'existence': 'pos_dx', 'descriptive_term': 'possibly emphysematous', 'observation': 'change'}}clinical findings_fin: {'definite nodules': {'clinical finding': 'definite nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'definite', 'observation': 'nodule'}, 'effusions': {'clinical finding': 'effusions', 'cf_snomed': {'effusion': 41699000}, 'existence': 'neg_dx', 'observation': 'effusion'}}clinical findings_fin: {'granuloma': {'clinical finding': 'granuloma', 'cf_snomed': {'granuloma': 45647009}, 'existence': 'pos_dx', 'observation': 'granuloma'}}clinical findings_fin: {'otherwise normal': {'clinical finding': 'otherwise 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: {'few small hypoattenuating lesions': {'clinical finding': 'few small hypoattenuating lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'descriptive_term': 'few small hypoattenuating', 'observation': 'lesion', 'strength_term': 'small', 'quantity_term': 'few'}, 'cysts': {'clinical finding': 'cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'observation': 'cyst'}}clinical findings_fin: {'delayed images collecting system is normal': {'clinical finding': 'delayed images collecting system is normal'}}clinical findings_fin: {'moderate atherosclerotic calcifications': {'clinical finding': 'moderate atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'moderate atherosclerotic', 'observation': 'calcification', 'strength_term': 'moderate'}}clinical findings_fin: {'aneurysm': {'clinical finding': 'aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'neg_dx', 'observation': 'aneurysm'}}anatomical entity_fin: {'pelvis': {}}clinical findings_fin: {'retroperitoneal adenopathy': {'clinical finding': 'retroperitoneal adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'retroperitoneal', 'observation': 'adenopathy'}}anatomical entity_fin: {'anastomosis': {}, 'transverse colon': {}}clinical findings_fin: {'ascites': {'clinical finding': 'ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'neg_dx', 'observation': 'ascite'}, 'carcinomatosis': {'clinical finding': 'carcinomatosis', 'cf_snomed': {'carcinomatosis': 307593001}, 'existence': 'neg_dx', 'observation': 'carcinomatosis'}}clinical findings_fin: {'mild anasarca': {'clinical finding': 'mild anasarca', 'cf_snomed': {'anasarca': 442433009}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'anasarca', 'strength_term': 'mild'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '5.2 cm'}, {'size': '4.9 cm'}]imaging observation_fin: ['enhancing']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'}}anatomical entity_fin: {'common iliac artery': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'adenopathy': {'clinical finding': 'adenopathy', 'existence': 'pos_dx', 'observation': 'adenopathy'}, 'marked compression': {'clinical finding': 'marked compression', 'cf_snomed': {'compression': 71173004}, 'existence': 'pos_dx', 'descriptive_term': 'marked', 'observation': 'compression'}}size_fin: [{'size': '3.3 x 2.4 cm'}]clinical findings_fin: {'soft tissue mass': {'clinical finding': 'soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'mass'}, 'adenopathy': {'clinical finding': 'adenopathy', 'existence': 'unc_dx', 'observation': 'adenopathy'}}size_fin: [{'size': '4 x 2 cm', 'size_descriptor': 'mass'}]location descriptor_fin: ['right', 'external']clinical findings_fin: {'large right external iliac mass': {'clinical finding': 'large right external iliac mass', 'existence': 'pos_dx', 'descriptive_term': 'large right external iliac', 'observation': 'mass', 'strength_term': 'large'}, 'nodes': {'clinical finding': 'nodes', 'existence': 'unc_dx', 'observation': 'node'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'mild anasarca': {'clinical finding': 'mild anasarca', 'cf_snomed': {'anasarca': 442433009}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'anasarca', 'strength_term': 'mild'}}anatomical entity_fin: {'thigh': {'location descriptor': 'right'}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'marked enlargement': {'clinical finding': 'marked enlargement', 'cf_snomed': {'enlargement': 442021009}, 'existence': 'pos_dx', 'descriptive_term': 'marked', 'observation': 'enlargement'}, 'asymmetric anasarca': {'clinical finding': 'asymmetric anasarca', 'cf_snomed': {'anasarca': 442433009}, 'existence': 'pos_dx', 'descriptive_term': 'asymmetric', 'observation': 'anasarca'}}anatomical entity_fin: {'large intestine': {}}location descriptor_fin: ['left']clinical findings_fin: {'large left inguinal hernia': {'clinical finding': 'large left inguinal hernia', 'cf_snomed': {'left inguinal hernia': 236022004}, 'existence': 'pos_dx', 'descriptive_term': 'large left inguinal', 'observation': 'hernia', 'strength_term': 'large'}, 'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'hernia': {'clinical finding': 'hernia', 'cf_snomed': {'hernia': 414403008}, 'existence': 'neg_dx', 'observation': 'hernia'}}anatomical entity_fin: {'omentum': {}}location descriptor_fin: ['right']clinical findings_fin: {'small right inguinal hernia': {'clinical finding': 'small right inguinal hernia', 'cf_snomed': {'right inguinal hernia': 236021006}, 'existence': 'pos_dx', 'descriptive_term': 'small right inguinal', 'observation': 'hernia', 'strength_term': 'small'}}location descriptor_fin: ['right', 'distal']clinical findings_fin: {'slow flow': {'clinical finding': 'slow flow', 'existence': 'pos_dx', 'descriptive_term': 'slow', 'observation': 'flow'}, 'adenopathy': {'clinical finding': 'adenopathy', 'existence': 'pos_dx', 'observation': 'adenopathy'}, 'compression': {'clinical finding': 'compression', 'cf_snomed': {'compression': 71173004}, 'existence': 'unc_dx', 'observation': 'compression'}, 'definite venous thrombus': {'clinical finding': 'definite venous thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'neg_dx', 'descriptive_term': 'definite venous', 'observation': 'thrombus'}}

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: {'bronchiectasis': {'clinical finding': 'bronchiectasis', 'cf_snomed': {'bronchiectasis': 12295008}, 'existence': 'pos_dx', 'observation': 'bronchiectasis'}, 'bronchial wall thickening': {'clinical finding': 'bronchial wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'bronchial wall', 'observation': 'thickening'}}clinical findings_fin: {'possibly emphysematous changes': {'clinical finding': 'possibly emphysematous changes', 'existence': 'pos_dx', 'descriptive_term': 'possibly emphysematous', 'observation': 'change'}}clinical findings_fin: {'definite nodules': {'clinical finding': 'definite nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'definite', 'observation': 'nodule'}, 'effusions': {'clinical finding': 'effusions', 'cf_snomed': {'effusion': 41699000}, 'existence': 'neg_dx', 'observation': 'effusion'}}clinical findings_fin: {'granuloma': {'clinical finding': 'granuloma', 'cf_snomed': {'granuloma': 45647009}, 'existence': 'pos_dx', 'observation': 'granuloma'}}clinical findings_fin: {'otherwise normal': {'clinical finding': 'otherwise 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: {'few small hypoattenuating lesions': {'clinical finding': 'few small hypoattenuating lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'descriptive_term': 'few small hypoattenuating', 'observation': 'lesion', 'strength_term': 'small', 'quantity_term': 'few'}, 'cysts': {'clinical finding': 'cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'observation': 'cyst'}}clinical findings_fin: {'delayed images collecting system is normal': {'clinical finding': 'delayed images collecting system is normal'}}clinical findings_fin: {'moderate atherosclerotic calcifications': {'clinical finding': 'moderate atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'moderate atherosclerotic', 'observation': 'calcification', 'strength_term': 'moderate'}}clinical findings_fin: {'aneurysm': {'clinical finding': 'aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'neg_dx', 'observation': 'aneurysm'}}anatomical entity_fin: {'pelvis': {}}clinical findings_fin: {'retroperitoneal adenopathy': {'clinical finding': 'retroperitoneal adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'retroperitoneal', 'observation': 'adenopathy'}}anatomical entity_fin: {'anastomosis': {}, 'transverse colon': {}}clinical findings_fin: {'ascites': {'clinical finding': 'ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'neg_dx', 'observation': 'ascite'}, 'carcinomatosis': {'clinical finding': 'carcinomatosis', 'cf_snomed': {'carcinomatosis': 307593001}, 'existence': 'neg_dx', 'observation': 'carcinomatosis'}}clinical findings_fin: {'mild anasarca': {'clinical finding': 'mild anasarca', 'cf_snomed': {'anasarca': 442433009}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'anasarca', 'strength_term': 'mild'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '5.2 cm'}, {'size': '4.9 cm'}]imaging observation_fin: ['enhancing']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'}}anatomical entity_fin: {'common iliac artery': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'adenopathy': {'clinical finding': 'adenopathy', 'existence': 'pos_dx', 'observation': 'adenopathy'}, 'marked compression': {'clinical finding': 'marked compression', 'cf_snomed': {'compression': 71173004}, 'existence': 'pos_dx', 'descriptive_term': 'marked', 'observation': 'compression'}}size_fin: [{'size': '3.3 x 2.4 cm'}]clinical findings_fin: {'soft tissue mass': {'clinical finding': 'soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'mass'}, 'adenopathy': {'clinical finding': 'adenopathy', 'existence': 'unc_dx', 'observation': 'adenopathy'}}size_fin: [{'size': '4 x 2 cm', 'size_descriptor': 'mass'}]location descriptor_fin: ['right', 'external']clinical findings_fin: {'large right external iliac mass': {'clinical finding': 'large right external iliac mass', 'existence': 'pos_dx', 'descriptive_term': 'large right external iliac', 'observation': 'mass', 'strength_term': 'large'}, 'nodes': {'clinical finding': 'nodes', 'existence': 'unc_dx', 'observation': 'node'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'mild anasarca': {'clinical finding': 'mild anasarca', 'cf_snomed': {'anasarca': 442433009}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'anasarca', 'strength_term': 'mild'}}anatomical entity_fin: {'thigh': {'location descriptor': 'right'}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'marked enlargement': {'clinical finding': 'marked enlargement', 'cf_snomed': {'enlargement': 442021009}, 'existence': 'pos_dx', 'descriptive_term': 'marked', 'observation': 'enlargement'}, 'asymmetric anasarca': {'clinical finding': 'asymmetric anasarca', 'cf_snomed': {'anasarca': 442433009}, 'existence': 'pos_dx', 'descriptive_term': 'asymmetric', 'observation': 'anasarca'}}anatomical entity_fin: {'large intestine': {}}location descriptor_fin: ['left']clinical findings_fin: {'large left inguinal hernia': {'clinical finding': 'large left inguinal hernia', 'cf_snomed': {'left inguinal hernia': 236022004}, 'existence': 'pos_dx', 'descriptive_term': 'large left inguinal', 'observation': 'hernia', 'strength_term': 'large'}, 'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'hernia': {'clinical finding': 'hernia', 'cf_snomed': {'hernia': 414403008}, 'existence': 'neg_dx', 'observation': 'hernia'}}anatomical entity_fin: {'omentum': {}}location descriptor_fin: ['right']clinical findings_fin: {'small right inguinal hernia': {'clinical finding': 'small right inguinal hernia', 'cf_snomed': {'right inguinal hernia': 236021006}, 'existence': 'pos_dx', 'descriptive_term': 'small right inguinal', 'observation': 'hernia', 'strength_term': 'small'}}location descriptor_fin: ['right', 'distal']clinical findings_fin: {'slow flow': {'clinical finding': 'slow flow', 'existence': 'pos_dx', 'descriptive_term': 'slow', 'observation': 'flow'}, 'adenopathy': {'clinical finding': 'adenopathy', 'existence': 'pos_dx', 'observation': 'adenopathy'}, 'compression': {'clinical finding': 'compression', 'cf_snomed': {'compression': 71173004}, 'existence': 'unc_dx', 'observation': 'compression'}, 'definite venous thrombus': {'clinical finding': 'definite venous thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'neg_dx', 'descriptive_term': 'definite venous', 'observation': 'thrombus'}} [/INST] . Bronchiectasis and bronchial wall thickening. Possibly emphysematous changes. No definite nodules or effusions. Granuloma. Otherwise normal. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. A few small hypoattenuating lesions likely cysts. On delayed images collecting system is normal. Moderate atherosclerotic calcifications. No evidence of aneurysm. Retroperitoneal adenopathy primarily in the pelvis, see below. History of surgical anastomosis in the transverse colon. No evidence of ascites or carcinomatosis. Mild anasarca. No significant abnormality noted. PROSTATE/. Enlarged and heterogeneously enhancing on series 9 image 103 measures about 5.2 cm transverse x 4.9 cm. No significant abnormality noted. Adenopathy at the aortic bifurcation and common iliac area with marked compression of the right common iliac artery. For baseline purposes best seen on the delayed images, series 9 image 73 soft tissue mass likely representing adenopathy measures 3.3 x 2.4 cm. There is a large right external iliac mass probably representing a conglomerate of nodes measured on series 9 image 92, 4 x 2 cm. No significant abnormality noted. Mild anasarca. Marked enlargement of the entire right thigh with asymmetric anasarca on the right greater than left. Large left inguinal hernia containing small and large intestine without evidence of obstruction. No fluid in the hernia sac. Small right inguinal hernia containing omentum. Delayed images show slow flow in the right iliac system distal to the adenopathy likely related to compression but no evidence of definite venous thrombus. </s>

. Interval resolution of previously seen small left pleural effusion. Cirrhotic liver morphology. No definite enhancement seen with respect to ablation cavities. Stable to mild interval decrease in size of index ablation cavity, measuring 3 x 2.1 cm on image 39 series 9, remeasured on earlier study as 3.1 x 2.3 cm. Another ablation cavity seen in inferior right hepatic lobe without significant change, measuring 2.6 x 2.1 cm on image 48 series 11, previously measured 2.7 x 2 cm. Several arterially enhancing lesions seen with at least one demonstrating washout on subsequent delayed imaging, for example, see peripheral left hepatic lesion measuring 2 x 1.5 cm on image 26 series 9 , see hepatic dome lesion located in hepatic segment 4 measuring 1.2 x 0.9 cm on image 19 series Additional index lesion seen measuring up to 1.6 cm without significant change, image 27 series Associated contour lobulation seen with respect to a couple of these lesions. Also seen are more pronounced and new arterially enhancing lesions. For instance, 6 x 5 mm focus located medial to the initially described ablation cavity, image 39 series 9, with associated contralateral abnormality and washout seen. Again dedicated liver MRI recommended for improved characterization of these lesions. Gastroesophageal and upper abdominal variceal formation. Cholelithiasis in contracted gallbladder. Prominent spleen. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Mild retroperitoneal including left para-aortic and aortocaval adenopathy, similar to earlier study. Mild abdominal aortic atherosclerotic calcifications. Enlarged gastrohepatic and periportal lymphadenopathy, similar to earlier study and most likely reactive in etiology. Visualized osseous structures stable in appearance including incompletely imaged small sclerotic focus in right iliac wing, image 82 series 3.

location descriptor_fin: ['left']clinical findings_fin: {'interval resolution': {'clinical finding': 'interval resolution', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'resolution'}, 'previously seen small left pleural effusion': {'clinical finding': 'previously seen small left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'previously seen small left pleural', 'observation': 'effusion', 'strength_term': 'small'}}anatomical entity_fin: {'liver': {}}procedure_fin: ['ablation']clinical findings_fin: {'definite enhancement': {'clinical finding': 'definite enhancement', 'existence': 'neg_dx', 'descriptive_term': 'definite', 'observation': 'enhancement'}}size_fin: [{'size': '3 x 2.1 cm'}, {'size': '3.1 x 2.3 cm'}]procedure_fin: ['ablation']clinical findings_fin: {'stable to mild interval decrease in size of index ablation cavity , measuring': {'clinical finding': 'stable to mild interval decrease in size of index ablation cavity , measuring', 'cf_snomed': {'cavity': 2483006}, 'change_term': 'stable'}}size_fin: [{'size': '2.6 x 2.1 cm'}, {'size': '2.7 x 2 cm'}]anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['inferior', 'right']procedure_fin: ['ablation']clinical findings_fin: {'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}}size_fin: [{'size': '2 x 1.5 cm'}, {'size': '1.2 x 0.9 cm'}, {'size': '1.6 cm'}]imaging observation_fin: ['enhancing']location descriptor_fin: ['peripheral', 'left']clinical findings_fin: {'several arterially enhancing lesions': {'clinical finding': 'several arterially enhancing lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'several arterially enhancing', 'observation': 'lesion', 'quantity_term': 'several'}, 'peripheral left hepatic lesion': {'clinical finding': 'peripheral left hepatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'peripheral left hepatic', 'observation': 'lesion'}, 'hepatic dome lesion': {'clinical finding': 'hepatic dome lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'hepatic dome', 'observation': 'lesion'}, 'additional index lesion': {'clinical finding': 'additional index lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'additional index', 'observation': 'lesion'}, 'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}, 'associated contour lobulation': {'clinical finding': 'associated contour lobulation', 'descriptive_term': 'associated contour', 'observation': 'lobulation'}, 'these lesions': {'clinical finding': 'these lesions', 'cf_snomed': {'lesion': 52988006}, 'descriptive_term': 'these', 'observation': 'lesion'}}imaging observation_fin: ['enhancing']clinical findings_fin: {'new arterially enhancing lesions': {'clinical finding': 'new arterially enhancing lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'new arterially enhancing', 'observation': 'lesion', 'temporal_term': 'new'}}size_fin: [{'size': '6 x 5 mm', 'size_descriptor': 'focus'}]location descriptor_fin: ['medial', 'contralateral']procedure_fin: ['ablation']clinical findings_fin: {'associated contralateral abnormality': {'clinical finding': 'associated contralateral abnormality', 'existence': 'pos_dx', 'descriptive_term': 'associated contralateral', 'observation': 'abnormality'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'these lesions': {'clinical finding': 'these lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'these', 'observation': 'lesion'}}anatomical entity_fin: {'abdominal': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'}, 'contracted': {'clinical finding': 'contracted', 'existence': 'pos_dx', 'observation': 'contract'}}anatomical entity_fin: {'spleen': {}}clinical findings_fin: {'prominent spleen': {'clinical finding': 'prominent spleen'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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 para-aortic and aortocaval adenopathy': {'clinical finding': 'left para-aortic and aortocaval adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'left para-aortic and aortocaval', 'observation': 'adenopathy'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'mild abdominal aortic atherosclerotic calcifications': {'clinical finding': 'mild abdominal aortic atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'mild abdominal aortic atherosclerotic', 'observation': 'calcification', 'strength_term': 'mild'}}clinical findings_fin: {'enlarged gastrohepatic and periportal lymphadenopathy': {'clinical finding': 'enlarged gastrohepatic and periportal lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'descriptive_term': 'enlarged gastrohepatic and periportal', 'observation': 'lymphadenopathy', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}anatomical entity_fin: {'iliac wing': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'incompletely imaged small sclerotic focus': {'clinical finding': 'incompletely imaged small sclerotic focus', 'existence': 'pos_dx', 'descriptive_term': 'incompletely imaged small sclerotic', 'observation': 'focus', '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: location descriptor_fin: ['left']clinical findings_fin: {'interval resolution': {'clinical finding': 'interval resolution', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'resolution'}, 'previously seen small left pleural effusion': {'clinical finding': 'previously seen small left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'previously seen small left pleural', 'observation': 'effusion', 'strength_term': 'small'}}anatomical entity_fin: {'liver': {}}procedure_fin: ['ablation']clinical findings_fin: {'definite enhancement': {'clinical finding': 'definite enhancement', 'existence': 'neg_dx', 'descriptive_term': 'definite', 'observation': 'enhancement'}}size_fin: [{'size': '3 x 2.1 cm'}, {'size': '3.1 x 2.3 cm'}]procedure_fin: ['ablation']clinical findings_fin: {'stable to mild interval decrease in size of index ablation cavity , measuring': {'clinical finding': 'stable to mild interval decrease in size of index ablation cavity , measuring', 'cf_snomed': {'cavity': 2483006}, 'change_term': 'stable'}}size_fin: [{'size': '2.6 x 2.1 cm'}, {'size': '2.7 x 2 cm'}]anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['inferior', 'right']procedure_fin: ['ablation']clinical findings_fin: {'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}}size_fin: [{'size': '2 x 1.5 cm'}, {'size': '1.2 x 0.9 cm'}, {'size': '1.6 cm'}]imaging observation_fin: ['enhancing']location descriptor_fin: ['peripheral', 'left']clinical findings_fin: {'several arterially enhancing lesions': {'clinical finding': 'several arterially enhancing lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'several arterially enhancing', 'observation': 'lesion', 'quantity_term': 'several'}, 'peripheral left hepatic lesion': {'clinical finding': 'peripheral left hepatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'peripheral left hepatic', 'observation': 'lesion'}, 'hepatic dome lesion': {'clinical finding': 'hepatic dome lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'hepatic dome', 'observation': 'lesion'}, 'additional index lesion': {'clinical finding': 'additional index lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'additional index', 'observation': 'lesion'}, 'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}, 'associated contour lobulation': {'clinical finding': 'associated contour lobulation', 'descriptive_term': 'associated contour', 'observation': 'lobulation'}, 'these lesions': {'clinical finding': 'these lesions', 'cf_snomed': {'lesion': 52988006}, 'descriptive_term': 'these', 'observation': 'lesion'}}imaging observation_fin: ['enhancing']clinical findings_fin: {'new arterially enhancing lesions': {'clinical finding': 'new arterially enhancing lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'new arterially enhancing', 'observation': 'lesion', 'temporal_term': 'new'}}size_fin: [{'size': '6 x 5 mm', 'size_descriptor': 'focus'}]location descriptor_fin: ['medial', 'contralateral']procedure_fin: ['ablation']clinical findings_fin: {'associated contralateral abnormality': {'clinical finding': 'associated contralateral abnormality', 'existence': 'pos_dx', 'descriptive_term': 'associated contralateral', 'observation': 'abnormality'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'these lesions': {'clinical finding': 'these lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'these', 'observation': 'lesion'}}anatomical entity_fin: {'abdominal': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'}, 'contracted': {'clinical finding': 'contracted', 'existence': 'pos_dx', 'observation': 'contract'}}anatomical entity_fin: {'spleen': {}}clinical findings_fin: {'prominent spleen': {'clinical finding': 'prominent spleen'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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 para-aortic and aortocaval adenopathy': {'clinical finding': 'left para-aortic and aortocaval adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'left para-aortic and aortocaval', 'observation': 'adenopathy'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'mild abdominal aortic atherosclerotic calcifications': {'clinical finding': 'mild abdominal aortic atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'mild abdominal aortic atherosclerotic', 'observation': 'calcification', 'strength_term': 'mild'}}clinical findings_fin: {'enlarged gastrohepatic and periportal lymphadenopathy': {'clinical finding': 'enlarged gastrohepatic and periportal lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'descriptive_term': 'enlarged gastrohepatic and periportal', 'observation': 'lymphadenopathy', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}anatomical entity_fin: {'iliac wing': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'incompletely imaged small sclerotic focus': {'clinical finding': 'incompletely imaged small sclerotic focus', 'existence': 'pos_dx', 'descriptive_term': 'incompletely imaged small sclerotic', 'observation': 'focus', 'strength_term': 'small'}} [/INST] . Interval resolution of previously seen small left pleural effusion. Cirrhotic liver morphology. No definite enhancement seen with respect to ablation cavities. Stable to mild interval decrease in size of index ablation cavity, measuring 3 x 2.1 cm on image 39 series 9, remeasured on earlier study as 3.1 x 2.3 cm. Another ablation cavity seen in inferior right hepatic lobe without significant change, measuring 2.6 x 2.1 cm on image 48 series 11, previously measured 2.7 x 2 cm. Several arterially enhancing lesions seen with at least one demonstrating washout on subsequent delayed imaging, for example, see peripheral left hepatic lesion measuring 2 x 1.5 cm on image 26 series 9 , see hepatic dome lesion located in hepatic segment 4 measuring 1.2 x 0.9 cm on image 19 series Additional index lesion seen measuring up to 1.6 cm without significant change, image 27 series Associated contour lobulation seen with respect to a couple of these lesions. Also seen are more pronounced and new arterially enhancing lesions. For instance, 6 x 5 mm focus located medial to the initially described ablation cavity, image 39 series 9, with associated contralateral abnormality and washout seen. Again dedicated liver MRI recommended for improved characterization of these lesions. Gastroesophageal and upper abdominal variceal formation. Cholelithiasis in contracted gallbladder. Prominent spleen. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Mild retroperitoneal including left para-aortic and aortocaval adenopathy, similar to earlier study. Mild abdominal aortic atherosclerotic calcifications. Enlarged gastrohepatic and periportal lymphadenopathy, similar to earlier study and most likely reactive in etiology. Visualized osseous structures stable in appearance including incompletely imaged small sclerotic focus in right iliac wing, image 82 series 3. </s>

Pre and post enhanced head. Nonenhanced head CT portion of the study demonstrate significant prominence of cerebellar and vermian folia and symmetrical bilateral prominence of cortical sulci and ventricular system for patients stated age of 55. Findings are consistent with underlying parenchymal volume loss. There is no definitive foci of abnormal parenchymal density. Postcontrast images demonstrate no detectable abnormal enhancement of brain parenchyma or the leptomeninges. The intracranial venous sinuses demonstrate normal density and normal pattern of enhancement. Unremarkable images through the orbits and without detectable abnormal enhancement. The paranasal sinuses and bilateral mastoid air cells and middle ear cavities remain well pneumatized.

anatomical entity_fin: {'head': {}}anatomical entity_fin: {'head': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'nonenhanced head ct portion of the study demonstrate significant prominence of cerebellar and vermian folia': {'clinical finding': 'nonenhanced head ct portion of the study demonstrate significant prominence of cerebellar and vermian folia'}}clinical findings_fin: {'underlying parenchymal volume loss': {'clinical finding': 'underlying parenchymal volume loss', 'existence': 'pos_dx', 'descriptive_term': 'underlying parenchymal volume', 'observation': 'loss'}}imaging observation_fin: ['foci']clinical findings_fin: {'definitive foci': {'clinical finding': 'definitive foci', 'existence': 'neg_dx', 'descriptive_term': 'definitive', 'observation': 'foci'}, 'abnormal parenchymal density': {'clinical finding': 'abnormal parenchymal density', 'existence': 'neg_dx', 'descriptive_term': 'abnormal parenchymal', 'observation': 'density'}}anatomical entity_fin: {'brain': {}, 'parenchyma': {}, 'leptomeninges': {}}clinical findings_fin: {'detectable abnormal enhancement': {'clinical finding': 'detectable abnormal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'detectable abnormal', 'observation': 'enhancement'}}clinical findings_fin: {'enhancement': {'clinical finding': 'enhancement', 'existence': 'pos_dx', 'observation': 'enhancement'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'detectable abnormal enhancement': {'clinical finding': 'detectable abnormal enhancement', 'existence': 'pos_dx', 'descriptive_term': 'detectable abnormal', 'observation': 'enhancement'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {'location descriptor': 'bilateral'}, 'middle ear cavities': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'pneumatized': {'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'}}

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

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'head': {}}anatomical entity_fin: {'head': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'nonenhanced head ct portion of the study demonstrate significant prominence of cerebellar and vermian folia': {'clinical finding': 'nonenhanced head ct portion of the study demonstrate significant prominence of cerebellar and vermian folia'}}clinical findings_fin: {'underlying parenchymal volume loss': {'clinical finding': 'underlying parenchymal volume loss', 'existence': 'pos_dx', 'descriptive_term': 'underlying parenchymal volume', 'observation': 'loss'}}imaging observation_fin: ['foci']clinical findings_fin: {'definitive foci': {'clinical finding': 'definitive foci', 'existence': 'neg_dx', 'descriptive_term': 'definitive', 'observation': 'foci'}, 'abnormal parenchymal density': {'clinical finding': 'abnormal parenchymal density', 'existence': 'neg_dx', 'descriptive_term': 'abnormal parenchymal', 'observation': 'density'}}anatomical entity_fin: {'brain': {}, 'parenchyma': {}, 'leptomeninges': {}}clinical findings_fin: {'detectable abnormal enhancement': {'clinical finding': 'detectable abnormal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'detectable abnormal', 'observation': 'enhancement'}}clinical findings_fin: {'enhancement': {'clinical finding': 'enhancement', 'existence': 'pos_dx', 'observation': 'enhancement'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'detectable abnormal enhancement': {'clinical finding': 'detectable abnormal enhancement', 'existence': 'pos_dx', 'descriptive_term': 'detectable abnormal', 'observation': 'enhancement'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {'location descriptor': 'bilateral'}, 'middle ear cavities': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'pneumatized': {'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'}} [/INST] Pre and post enhanced head. Nonenhanced head CT portion of the study demonstrate significant prominence of cerebellar and vermian folia and symmetrical bilateral prominence of cortical sulci and ventricular system for patients stated age of 55. Findings are consistent with underlying parenchymal volume loss. There is no definitive foci of abnormal parenchymal density. Postcontrast images demonstrate no detectable abnormal enhancement of brain parenchyma or the leptomeninges. The intracranial venous sinuses demonstrate normal density and normal pattern of enhancement. Unremarkable images through the orbits and without detectable abnormal enhancement. The paranasal sinuses and bilateral mastoid air cells and middle ear cavities remain well pneumatized. </s>

. Patchy areas of groundglass opacity in the upper lobes with associated denser foci, largest in the right upper lobe. These areas are similar in appearance to those seen on the prior study though of different distribution. Mild bronchial wall thickening. No specific evidence of edema. No pleural effusions. No mediastinal or hilar lymphadenopathy. Normal-sized heart without pericardial effusion. Severe. No significant abnormality noted. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted.

anatomical entity_fin: {'lobes': {'location descriptor': 'upper'}, 'lobe': {'location descriptor': 'right upper'}}imaging observation_fin: ['foci']location descriptor_fin: ['upper', 'right']clinical findings_fin: {'groundglass opacity': {'clinical finding': 'groundglass opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'groundglass', 'observation': 'opacity'}, 'associated denser foci': {'clinical finding': 'associated denser foci', 'existence': 'pos_dx', 'descriptive_term': 'associated denser', 'observation': 'foci'}}clinical findings_fin: {'areas are similar in appearance to those': {'clinical finding': 'areas are similar in appearance to those'}}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: {'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'observation': 'edema'}}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: {'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': '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: {'lobes': {'location descriptor': 'upper'}, 'lobe': {'location descriptor': 'right upper'}}imaging observation_fin: ['foci']location descriptor_fin: ['upper', 'right']clinical findings_fin: {'groundglass opacity': {'clinical finding': 'groundglass opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'groundglass', 'observation': 'opacity'}, 'associated denser foci': {'clinical finding': 'associated denser foci', 'existence': 'pos_dx', 'descriptive_term': 'associated denser', 'observation': 'foci'}}clinical findings_fin: {'areas are similar in appearance to those': {'clinical finding': 'areas are similar in appearance to those'}}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: {'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'observation': 'edema'}}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: {'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': '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] . Patchy areas of groundglass opacity in the upper lobes with associated denser foci, largest in the right upper lobe. These areas are similar in appearance to those seen on the prior study though of different distribution. Mild bronchial wall thickening. No specific evidence of edema. No pleural effusions. No mediastinal or hilar lymphadenopathy. Normal-sized heart without pericardial effusion. Severe. No significant abnormality noted. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. </s>

There is redemonstration of diffuse SAH centered in the right PCOMA associated with ventriculomegaly. A ventriculostomy is present in the right lateral ventricle. There is blood layering in the posterior horns of the lateral ventricles. There is sulcal effacement. The exam was obtained after arteriography and as a result there is contrast enhancement present in the vasculature and leptomeninges. The patient is status post embolic coil occlusion of right PCOMA aneurysm. The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. Atherosclerotic calcifications are present along the distal internal carotid arteries.

location descriptor_fin: ['right']clinical findings_fin: {'diffuse sah': {'clinical finding': 'diffuse sah', 'existence': 'pos_dx', 'descriptive_term': 'diffuse', 'observation': 'sah'}, 'right pcoma': {'clinical finding': 'right pcoma', 'existence': 'pos_dx', 'descriptive_term': 'right', 'observation': 'pcoma'}, 'ventriculomegaly': {'clinical finding': 'ventriculomegaly', 'existence': 'pos_dx', 'observation': 'ventriculomegaly'}}anatomical entity_fin: {'right lateral ventricle': {}}procedure_fin: ['ventriculostomy']clinical findings_fin: {'ventriculostomy is present in the right lateral ventricle': {'clinical finding': 'ventriculostomy is present in the right lateral ventricle'}}anatomical entity_fin: {'lateral ventricles': {}}imaging observation_fin: ['blood']location descriptor_fin: ['posterior']clinical findings_fin: {'blood layering': {'clinical finding': 'blood layering', 'existence': 'pos_dx', 'descriptive_term': 'blood', 'observation': 'layering'}}clinical findings_fin: {'sulcal effacement': {'clinical finding': 'sulcal effacement', 'existence': 'pos_dx', 'descriptive_term': 'sulcal', 'observation': 'effacement'}}anatomical entity_fin: {'vasculature': {}, 'leptomeninges': {}}procedure_fin: ['arteriography']clinical findings_fin: {'contrast enhancement': {'clinical finding': 'contrast enhancement', 'existence': 'pos_dx', 'descriptive_term': 'contrast', 'observation': 'enhancement'}}location descriptor_fin: ['right']object_fin: ['coil']clinical findings_fin: {'status post embolic coil occlusion': {'clinical finding': 'status post embolic coil occlusion', 'existence': 'pos_dx', 'descriptive_term': 'status post embolic coil', 'observation': 'occlusion'}, 'right pcoma aneurysm': {'clinical finding': 'right pcoma aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'pos_dx', 'descriptive_term': 'right pcoma', 'observation': 'aneurysm'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}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'}}

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: {'diffuse sah': {'clinical finding': 'diffuse sah', 'existence': 'pos_dx', 'descriptive_term': 'diffuse', 'observation': 'sah'}, 'right pcoma': {'clinical finding': 'right pcoma', 'existence': 'pos_dx', 'descriptive_term': 'right', 'observation': 'pcoma'}, 'ventriculomegaly': {'clinical finding': 'ventriculomegaly', 'existence': 'pos_dx', 'observation': 'ventriculomegaly'}}anatomical entity_fin: {'right lateral ventricle': {}}procedure_fin: ['ventriculostomy']clinical findings_fin: {'ventriculostomy is present in the right lateral ventricle': {'clinical finding': 'ventriculostomy is present in the right lateral ventricle'}}anatomical entity_fin: {'lateral ventricles': {}}imaging observation_fin: ['blood']location descriptor_fin: ['posterior']clinical findings_fin: {'blood layering': {'clinical finding': 'blood layering', 'existence': 'pos_dx', 'descriptive_term': 'blood', 'observation': 'layering'}}clinical findings_fin: {'sulcal effacement': {'clinical finding': 'sulcal effacement', 'existence': 'pos_dx', 'descriptive_term': 'sulcal', 'observation': 'effacement'}}anatomical entity_fin: {'vasculature': {}, 'leptomeninges': {}}procedure_fin: ['arteriography']clinical findings_fin: {'contrast enhancement': {'clinical finding': 'contrast enhancement', 'existence': 'pos_dx', 'descriptive_term': 'contrast', 'observation': 'enhancement'}}location descriptor_fin: ['right']object_fin: ['coil']clinical findings_fin: {'status post embolic coil occlusion': {'clinical finding': 'status post embolic coil occlusion', 'existence': 'pos_dx', 'descriptive_term': 'status post embolic coil', 'observation': 'occlusion'}, 'right pcoma aneurysm': {'clinical finding': 'right pcoma aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'pos_dx', 'descriptive_term': 'right pcoma', 'observation': 'aneurysm'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}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'}} [/INST] There is redemonstration of diffuse SAH centered in the right PCOMA associated with ventriculomegaly. A ventriculostomy is present in the right lateral ventricle. There is blood layering in the posterior horns of the lateral ventricles. There is sulcal effacement. The exam was obtained after arteriography and as a result there is contrast enhancement present in the vasculature and leptomeninges. The patient is status post embolic coil occlusion of right PCOMA aneurysm. The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. Atherosclerotic calcifications are present along the distal internal carotid arteries. </s>

Other than mild mucosal thickening within the right maxillary sinus, the paranasal sinuses are clear as are the visualized bilateral mastoid air cells and middle ear cavities and there are no air-fluid levels. The bilateral maxillary sinus ostia are patent as are the bilateral frontoethmoidal and sphenoethmoidal recesses. Note is made of bilateral Haller cells. The lamina papyracea are intact bilaterally. The floor of the anterior cranial fossa and cribriform plate region are unremarkable. The nasal septum is deviated leftward. Bilateral orbits and the posterior nasopharynx appear unremarkable.

anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'right'}, 'paranasal sinuses': {}, 'mastoid air cells': {'location descriptor': 'bilateral'}, 'middle ear cavities': {}, 'fluid': {}}location descriptor_fin: ['right', 'bilateral']clinical findings_fin: {'mild mucosal thickening': {'clinical finding': 'mild mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild mucosal', 'observation': 'thickening', 'strength_term': 'mild'}, 'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'bilateral'}, 'sphenoethmoidal recesses': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral maxillary sinus ostia': {'clinical finding': 'bilateral maxillary sinus ostia', 'cf_snomed': {'bilateral maxillary sinus': 313302006}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral maxillary sinus', 'observation': 'ostia'}, 'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'cells': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'note is made of bilateral haller cells': {'clinical finding': 'note is made of bilateral haller cells'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'floor': {}, 'anterior cranial fossa': {}, 'cribriform plate': {}}clinical findings_fin: {'floor of the anterior cranial fossa and cribriform plate region are unremarkable': {'clinical finding': 'floor of the anterior cranial fossa and cribriform plate region are unremarkable'}}location descriptor_fin: ['deviated']clinical findings_fin: {'nasal septum': {'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum'}, 'deviated': {'clinical finding': 'deviated', 'existence': 'pos_dx', 'observation': 'deviated'}}anatomical entity_fin: {'orbits': {'location descriptor': 'bilateral'}, 'nasopharynx': {'location descriptor': 'posterior'}}location descriptor_fin: ['bilateral', 'posterior']clinical findings_fin: {'bilateral orbits and the posterior nasopharynx appear unremarkable': {'clinical finding': 'bilateral orbits and the posterior nasopharynx appear unremarkable'}}

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

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'right'}, 'paranasal sinuses': {}, 'mastoid air cells': {'location descriptor': 'bilateral'}, 'middle ear cavities': {}, 'fluid': {}}location descriptor_fin: ['right', 'bilateral']clinical findings_fin: {'mild mucosal thickening': {'clinical finding': 'mild mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild mucosal', 'observation': 'thickening', 'strength_term': 'mild'}, 'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'bilateral'}, 'sphenoethmoidal recesses': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral maxillary sinus ostia': {'clinical finding': 'bilateral maxillary sinus ostia', 'cf_snomed': {'bilateral maxillary sinus': 313302006}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral maxillary sinus', 'observation': 'ostia'}, 'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'cells': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'note is made of bilateral haller cells': {'clinical finding': 'note is made of bilateral haller cells'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'floor': {}, 'anterior cranial fossa': {}, 'cribriform plate': {}}clinical findings_fin: {'floor of the anterior cranial fossa and cribriform plate region are unremarkable': {'clinical finding': 'floor of the anterior cranial fossa and cribriform plate region are unremarkable'}}location descriptor_fin: ['deviated']clinical findings_fin: {'nasal septum': {'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum'}, 'deviated': {'clinical finding': 'deviated', 'existence': 'pos_dx', 'observation': 'deviated'}}anatomical entity_fin: {'orbits': {'location descriptor': 'bilateral'}, 'nasopharynx': {'location descriptor': 'posterior'}}location descriptor_fin: ['bilateral', 'posterior']clinical findings_fin: {'bilateral orbits and the posterior nasopharynx appear unremarkable': {'clinical finding': 'bilateral orbits and the posterior nasopharynx appear unremarkable'}} [/INST] Other than mild mucosal thickening within the right maxillary sinus, the paranasal sinuses are clear as are the visualized bilateral mastoid air cells and middle ear cavities and there are no air-fluid levels. The bilateral maxillary sinus ostia are patent as are the bilateral frontoethmoidal and sphenoethmoidal recesses. Note is made of bilateral Haller cells. The lamina papyracea are intact bilaterally. The floor of the anterior cranial fossa and cribriform plate region are unremarkable. The nasal septum is deviated leftward. Bilateral orbits and the posterior nasopharynx appear unremarkable. </s>

Patient is status-post foramen magnum catheter removal. The distal tip of the foramen magnum catheter is only partially visualized on the axial images. The remainder of the catheter is not visualized by this study. There is skin thickening and infiltration of the fat planes of the right occipital scalp, which likely relates to history of recent shunt catheter removal. There is no evidence of discrete fluid collection. There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles and basal cisterns are normal in size and configuration, without evidence of hydrocephalus. There is no midline shift or herniation. The orbits, skull and scalp soft tissues are grossly unremarkable. The paranasal sinuses are clear.

anatomical entity_fin: {'foramen magnum': {}}procedure_fin: ['catheter removal']clinical findings_fin: {'status-post foramen magnum catheter': {'clinical finding': 'status-post foramen magnum catheter', 'existence': 'pos_dx', 'descriptive_term': 'status-post foramen magnum', 'observation': 'catheter'}}anatomical entity_fin: {'foramen magnum': {}}location descriptor_fin: ['distal']object_fin: ['catheter']clinical findings_fin: {'only partially visualized on the axial images': {'clinical finding': 'only partially visualized on the axial images'}}object_fin: ['catheter']clinical findings_fin: {'not visualized by this study': {'clinical finding': 'not visualized by this study'}}anatomical entity_fin: {'scalp': {}}imaging observation_fin: ['fat']location descriptor_fin: ['right']object_fin: ['shunt catheter']clinical findings_fin: {'skin thickening': {'clinical finding': 'skin thickening', 'existence': 'pos_dx', 'descriptive_term': 'skin', 'observation': 'thickening'}, 'recent shunt catheter removal': {'clinical finding': 'recent shunt catheter removal', 'existence': 'unc_dx', 'descriptive_term': 'recent shunt catheter', 'observation': 'removal'}}clinical findings_fin: {'discrete fluid collection': {'clinical finding': 'discrete fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'discrete fluid', 'observation': 'collection'}}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: {'hydrocephalus': {'clinical finding': 'hydrocephalus', 'cf_snomed': {'hydrocephalus': 230745008}, 'existence': 'neg_dx', 'observation': 'hydrocephalus'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'orbits': {}, 'skull': {}, 'scalp': {}}clinical findings_fin: {'orbits , skull and scalp soft tissues are grossly unremarkable': {'clinical finding': 'orbits , skull and scalp soft tissues are grossly unremarkable'}}anatomical entity_fin: {'paranasal sinuses': {}}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: {'foramen magnum': {}}procedure_fin: ['catheter removal']clinical findings_fin: {'status-post foramen magnum catheter': {'clinical finding': 'status-post foramen magnum catheter', 'existence': 'pos_dx', 'descriptive_term': 'status-post foramen magnum', 'observation': 'catheter'}}anatomical entity_fin: {'foramen magnum': {}}location descriptor_fin: ['distal']object_fin: ['catheter']clinical findings_fin: {'only partially visualized on the axial images': {'clinical finding': 'only partially visualized on the axial images'}}object_fin: ['catheter']clinical findings_fin: {'not visualized by this study': {'clinical finding': 'not visualized by this study'}}anatomical entity_fin: {'scalp': {}}imaging observation_fin: ['fat']location descriptor_fin: ['right']object_fin: ['shunt catheter']clinical findings_fin: {'skin thickening': {'clinical finding': 'skin thickening', 'existence': 'pos_dx', 'descriptive_term': 'skin', 'observation': 'thickening'}, 'recent shunt catheter removal': {'clinical finding': 'recent shunt catheter removal', 'existence': 'unc_dx', 'descriptive_term': 'recent shunt catheter', 'observation': 'removal'}}clinical findings_fin: {'discrete fluid collection': {'clinical finding': 'discrete fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'discrete fluid', 'observation': 'collection'}}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: {'hydrocephalus': {'clinical finding': 'hydrocephalus', 'cf_snomed': {'hydrocephalus': 230745008}, 'existence': 'neg_dx', 'observation': 'hydrocephalus'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'orbits': {}, 'skull': {}, 'scalp': {}}clinical findings_fin: {'orbits , skull and scalp soft tissues are grossly unremarkable': {'clinical finding': 'orbits , skull and scalp soft tissues are grossly unremarkable'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}} [/INST] Patient is status-post foramen magnum catheter removal. The distal tip of the foramen magnum catheter is only partially visualized on the axial images. The remainder of the catheter is not visualized by this study. There is skin thickening and infiltration of the fat planes of the right occipital scalp, which likely relates to history of recent shunt catheter removal. There is no evidence of discrete fluid collection. There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles and basal cisterns are normal in size and configuration, without evidence of hydrocephalus. There is no midline shift or herniation. The orbits, skull and scalp soft tissues are grossly unremarkable. The paranasal sinuses are clear. </s>

Todays CT portion grossly demonstrates interval increase in the size of the right upper lobe mass. Interval development of left upper lobe peripheral patchy opacity and nodular right lower lobe opacity. Multiple scattered pulmonary nodules in the right lung. Right lung base nodule is new from 7/20/2015 CT chest. Right lung base pleural nodule, new from prior PET. Right apical cavitary lesion compatible with mycetoma again seen. Mediastinal lymphadenopathy again noted. Bilateral maxillary mucosal thickening noted. Stable left thyroid nodule. Scattered vascular calcifications and uterine calcifications noted. Todays PET examination demonstrates interval increase in the size and activity in the right upper lobe mass with SUV max of 12.8, previously 10.9. Hypermetabolic subcarinal lymph node again noted. Left paraesophageal nodular density with SUV max 9.8 suspicious for metastasis. Hypermetabolic right lung base pleural nodule suspicious for metastasis. Right lower lobe nodular density with SUV max of 9.2, which may represent tumor or infection. There are multiple foci of uptake in the right lung with interval increase in size, number, and activity, which may represent tumor or infection. Posterior hypopharyngeal lesion with mild increased activity without significant change in size, which may represent primary tumor, metastatic lesion, or infection.

anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'right upper lobe mass': {'clinical finding': 'right upper lobe mass', 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe', 'observation': 'mass'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['left', 'upper', 'peripheral', 'right', 'lower']clinical findings_fin: {'left upper lobe peripheral patchy opacity': {'clinical finding': 'left upper lobe peripheral patchy opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'left upper lobe peripheral patchy', 'observation': 'opacity'}, 'nodular right lower lobe opacity': {'clinical finding': 'nodular right lower lobe opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'nodular right lower lobe', 'observation': 'opacity'}}anatomical entity_fin: {'right lung': {}}clinical findings_fin: {'multiple scattered pulmonary nodules': {'clinical finding': 'multiple scattered pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'multiple scattered pulmonary', 'observation': 'nodule', 'quantity_term': 'multiple'}}anatomical entity_fin: {'right lung': {}, 'base': {}, 'chest': {}}clinical findings_fin: {'right lung base nodule': {'clinical finding': 'right lung base nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'right lung base', 'observation': 'nodule'}}anatomical entity_fin: {'right lung': {}, 'base': {}}clinical findings_fin: {'right lung base pleural nodule': {'clinical finding': 'right lung base pleural nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'right lung base pleural', 'observation': 'nodule'}}imaging observation_fin: ['apical']location descriptor_fin: ['right']clinical findings_fin: {'right apical cavitary lesion': {'clinical finding': 'right apical cavitary lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right apical cavitary', 'observation': 'lesion'}, 'mycetoma': {'clinical finding': 'mycetoma', 'cf_snomed': {'mycetoma': 410039003}, 'existence': 'pos_dx', 'observation': 'mycetoma'}}clinical findings_fin: {'mediastinal lymphadenopathy': {'clinical finding': 'mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'pos_dx', 'descriptive_term': 'mediastinal', 'observation': 'lymphadenopathy'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral maxillary mucosal thickening': {'clinical finding': 'bilateral maxillary mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'bilateral maxillary mucosal', 'observation': 'thickening'}}location descriptor_fin: ['left']clinical findings_fin: {'stable left thyroid nodule': {'clinical finding': 'stable left thyroid nodule', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'stable left thyroid', 'observation': 'nodule', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'scattered vascular calcifications': {'clinical finding': 'scattered vascular calcifications', 'cf_snomed': {'vascular calcification': 237897009}, 'existence': 'pos_dx', 'descriptive_term': 'scattered vascular', 'observation': 'calcification'}, 'uterine calcifications': {'clinical finding': 'uterine calcifications', 'existence': 'pos_dx', 'descriptive_term': 'uterine', 'observation': 'calcification'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'right upper lobe mass': {'clinical finding': 'right upper lobe mass', 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe', 'observation': 'mass'}}anatomical entity_fin: {'subcarinal lymph node': {}}clinical findings_fin: {'hypermetabolic subcarinal lymph node': {'clinical finding': 'hypermetabolic subcarinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'hypermetabolic subcarinal lymph', 'observation': 'node'}}location descriptor_fin: ['left']clinical findings_fin: {'left paraesophageal nodular density': {'clinical finding': 'left paraesophageal nodular density', 'existence': 'pos_dx', 'descriptive_term': 'left paraesophageal nodular', 'observation': 'density'}, 'metastasis': {'clinical finding': 'metastasis', 'existence': 'unc_dx', 'observation': 'metastasis'}}anatomical entity_fin: {'right lung': {}, 'base': {}}clinical findings_fin: {'hypermetabolic right lung base pleural nodule': {'clinical finding': 'hypermetabolic right lung base pleural nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'hypermetabolic right lung base pleural', 'observation': 'nodule'}, 'metastasis': {'clinical finding': 'metastasis', 'existence': 'unc_dx', 'observation': 'metastasis'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'right lower lobe nodular density': {'clinical finding': 'right lower lobe nodular density', 'existence': 'pos_dx', 'descriptive_term': 'right lower lobe nodular', 'observation': 'density'}, 'tumor': {'clinical finding': 'tumor', 'existence': 'unc_dx', 'observation': 'tumor'}, 'infection': {'clinical finding': 'infection', 'existence': 'unc_dx', 'observation': 'infection'}}anatomical entity_fin: {'right lung': {}}imaging observation_fin: ['foci']clinical findings_fin: {'multiple foci': {'clinical finding': 'multiple foci', 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'foci', 'quantity_term': 'multiple'}, 'uptake': {'clinical finding': 'uptake', 'existence': 'pos_dx', 'observation': 'uptake'}, 'tumor': {'clinical finding': 'tumor', 'existence': 'unc_dx', 'observation': 'tumor'}, 'infection': {'clinical finding': 'infection', 'existence': 'unc_dx', 'observation': 'infection'}}location descriptor_fin: ['posterior']clinical findings_fin: {'posterior hypopharyngeal lesion': {'clinical finding': 'posterior hypopharyngeal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'posterior hypopharyngeal', 'observation': 'lesion'}, 'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}, 'primary tumor': {'clinical finding': 'primary tumor', 'existence': 'unc_dx', 'descriptive_term': 'primary', 'observation': 'tumor'}, 'metastatic lesion': {'clinical finding': 'metastatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'lesion'}, 'infection': {'clinical finding': 'infection', 'existence': 'unc_dx', 'observation': 'infection'}}

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 mass': {'clinical finding': 'right upper lobe mass', 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe', 'observation': 'mass'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['left', 'upper', 'peripheral', 'right', 'lower']clinical findings_fin: {'left upper lobe peripheral patchy opacity': {'clinical finding': 'left upper lobe peripheral patchy opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'left upper lobe peripheral patchy', 'observation': 'opacity'}, 'nodular right lower lobe opacity': {'clinical finding': 'nodular right lower lobe opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'nodular right lower lobe', 'observation': 'opacity'}}anatomical entity_fin: {'right lung': {}}clinical findings_fin: {'multiple scattered pulmonary nodules': {'clinical finding': 'multiple scattered pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'multiple scattered pulmonary', 'observation': 'nodule', 'quantity_term': 'multiple'}}anatomical entity_fin: {'right lung': {}, 'base': {}, 'chest': {}}clinical findings_fin: {'right lung base nodule': {'clinical finding': 'right lung base nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'right lung base', 'observation': 'nodule'}}anatomical entity_fin: {'right lung': {}, 'base': {}}clinical findings_fin: {'right lung base pleural nodule': {'clinical finding': 'right lung base pleural nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'right lung base pleural', 'observation': 'nodule'}}imaging observation_fin: ['apical']location descriptor_fin: ['right']clinical findings_fin: {'right apical cavitary lesion': {'clinical finding': 'right apical cavitary lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right apical cavitary', 'observation': 'lesion'}, 'mycetoma': {'clinical finding': 'mycetoma', 'cf_snomed': {'mycetoma': 410039003}, 'existence': 'pos_dx', 'observation': 'mycetoma'}}clinical findings_fin: {'mediastinal lymphadenopathy': {'clinical finding': 'mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'pos_dx', 'descriptive_term': 'mediastinal', 'observation': 'lymphadenopathy'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral maxillary mucosal thickening': {'clinical finding': 'bilateral maxillary mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'bilateral maxillary mucosal', 'observation': 'thickening'}}location descriptor_fin: ['left']clinical findings_fin: {'stable left thyroid nodule': {'clinical finding': 'stable left thyroid nodule', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'stable left thyroid', 'observation': 'nodule', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'scattered vascular calcifications': {'clinical finding': 'scattered vascular calcifications', 'cf_snomed': {'vascular calcification': 237897009}, 'existence': 'pos_dx', 'descriptive_term': 'scattered vascular', 'observation': 'calcification'}, 'uterine calcifications': {'clinical finding': 'uterine calcifications', 'existence': 'pos_dx', 'descriptive_term': 'uterine', 'observation': 'calcification'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'right upper lobe mass': {'clinical finding': 'right upper lobe mass', 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe', 'observation': 'mass'}}anatomical entity_fin: {'subcarinal lymph node': {}}clinical findings_fin: {'hypermetabolic subcarinal lymph node': {'clinical finding': 'hypermetabolic subcarinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'hypermetabolic subcarinal lymph', 'observation': 'node'}}location descriptor_fin: ['left']clinical findings_fin: {'left paraesophageal nodular density': {'clinical finding': 'left paraesophageal nodular density', 'existence': 'pos_dx', 'descriptive_term': 'left paraesophageal nodular', 'observation': 'density'}, 'metastasis': {'clinical finding': 'metastasis', 'existence': 'unc_dx', 'observation': 'metastasis'}}anatomical entity_fin: {'right lung': {}, 'base': {}}clinical findings_fin: {'hypermetabolic right lung base pleural nodule': {'clinical finding': 'hypermetabolic right lung base pleural nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'hypermetabolic right lung base pleural', 'observation': 'nodule'}, 'metastasis': {'clinical finding': 'metastasis', 'existence': 'unc_dx', 'observation': 'metastasis'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'right lower lobe nodular density': {'clinical finding': 'right lower lobe nodular density', 'existence': 'pos_dx', 'descriptive_term': 'right lower lobe nodular', 'observation': 'density'}, 'tumor': {'clinical finding': 'tumor', 'existence': 'unc_dx', 'observation': 'tumor'}, 'infection': {'clinical finding': 'infection', 'existence': 'unc_dx', 'observation': 'infection'}}anatomical entity_fin: {'right lung': {}}imaging observation_fin: ['foci']clinical findings_fin: {'multiple foci': {'clinical finding': 'multiple foci', 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'foci', 'quantity_term': 'multiple'}, 'uptake': {'clinical finding': 'uptake', 'existence': 'pos_dx', 'observation': 'uptake'}, 'tumor': {'clinical finding': 'tumor', 'existence': 'unc_dx', 'observation': 'tumor'}, 'infection': {'clinical finding': 'infection', 'existence': 'unc_dx', 'observation': 'infection'}}location descriptor_fin: ['posterior']clinical findings_fin: {'posterior hypopharyngeal lesion': {'clinical finding': 'posterior hypopharyngeal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'posterior hypopharyngeal', 'observation': 'lesion'}, 'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}, 'primary tumor': {'clinical finding': 'primary tumor', 'existence': 'unc_dx', 'descriptive_term': 'primary', 'observation': 'tumor'}, 'metastatic lesion': {'clinical finding': 'metastatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'lesion'}, 'infection': {'clinical finding': 'infection', 'existence': 'unc_dx', 'observation': 'infection'}} [/INST] Todays CT portion grossly demonstrates interval increase in the size of the right upper lobe mass. Interval development of left upper lobe peripheral patchy opacity and nodular right lower lobe opacity. Multiple scattered pulmonary nodules in the right lung. Right lung base nodule is new from 7/20/2015 CT chest. Right lung base pleural nodule, new from prior PET. Right apical cavitary lesion compatible with mycetoma again seen. Mediastinal lymphadenopathy again noted. Bilateral maxillary mucosal thickening noted. Stable left thyroid nodule. Scattered vascular calcifications and uterine calcifications noted. Todays PET examination demonstrates interval increase in the size and activity in the right upper lobe mass with SUV max of 12.8, previously 10.9. Hypermetabolic subcarinal lymph node again noted. Left paraesophageal nodular density with SUV max 9.8 suspicious for metastasis. Hypermetabolic right lung base pleural nodule suspicious for metastasis. Right lower lobe nodular density with SUV max of 9.2, which may represent tumor or infection. There are multiple foci of uptake in the right lung with interval increase in size, number, and activity, which may represent tumor or infection. Posterior hypopharyngeal lesion with mild increased activity without significant change in size, which may represent primary tumor, metastatic lesion, or infection. </s>

The absence of intravenous and oral contrast limits evaluation of the solid organs and of the bowels. Scattered pulmonary micronodules, some of which are calcified, the largest in the right middle lobe measures 3 mm , nonspecific, likely postinfectious or inflammatory in etiology. Linear scarring or atelectasis is present in the left lower lobe. Mild left pleural thickening. Mild upper lobe predominant centrilobular emphysema. The heart size is within normal limits, no significant pericardial effusion. Patulous esophagus and likely small hiatal hernia. Surgical clips are seen in the mediastinum. Subcentimeter mediastinal nodes, nonspecific. Severe and or or coronary artery stents. Large bilateral axillary lymph nodes. A reference left axillary node measures 19 mm. Skin thickening in the axillary region is nonspecific, but may be related to patients stated rash. Chronic right posterior rib fractures. Status post sternotomy. Scattered multilevel degenerative changes of the thoracolumbar spine. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted.

anatomical entity_fin: {'solid organs': {}, 'bowels': {}}non-anatomical substance_fin: ['oral contrast']size_fin: [{'size': '3 mm', 'size_descriptor': 'micronodules'}]anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'scattered pulmonary micronodules': {'clinical finding': 'scattered pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered pulmonary', 'observation': 'micronodule'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'linear scarring': {'clinical finding': 'linear scarring', 'existence': 'pos_dx', 'descriptive_term': 'linear', 'observation': 'scarr'}, 'atelectasis': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'observation': 'atelectasis'}}location descriptor_fin: ['left']clinical findings_fin: {'mild left pleural thickening': {'clinical finding': 'mild left pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild left pleural', 'observation': 'thickening', 'strength_term': 'mild'}}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': 'pos_dx', 'descriptive_term': 'mild upper lobe predominant centrilobular', 'observation': 'emphysema', 'strength_term': 'mild'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'esophagus': {}}clinical findings_fin: {'likely small hiatal hernia': {'clinical finding': 'likely small hiatal hernia', 'cf_snomed': {'hiatal hernia': 84089009}, 'existence': 'pos_dx', 'descriptive_term': 'likely small hiatal', 'observation': 'hernia', 'strength_term': 'small'}}anatomical entity_fin: {'mediastinum': {}}object_fin: ['surgical clips']clinical findings_fin: {'surgical clips': {'clinical finding': 'surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'clip'}}clinical findings_fin: {'subcentimeter mediastinal nodes': {'clinical finding': 'subcentimeter mediastinal nodes', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter mediastinal', 'observation': 'node'}}anatomical entity_fin: {'coronary artery': {}}clinical findings_fin: {'severe and or or coronary artery stents': {'clinical finding': 'severe and or or coronary artery stents', 'existence': 'pos_dx', 'descriptive_term': 'severe and or or coronary artery', 'observation': 'stent', 'strength_term': 'severe'}}anatomical entity_fin: {'axillary lymph nodes': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'large bilateral axillary lymph nodes': {'clinical finding': 'large bilateral axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'large bilateral axillary lymph', 'observation': 'node', 'strength_term': 'large'}}size_fin: [{'size': '19 mm'}]location descriptor_fin: ['left']clinical findings_fin: {'reference left axillary node': {'clinical finding': 'reference left axillary node', 'existence': 'pos_dx', 'descriptive_term': 'reference left axillary', 'observation': 'node'}}anatomical entity_fin: {'axillary region': {}}clinical findings_fin: {'skin thickening': {'clinical finding': 'skin thickening', 'existence': 'pos_dx', 'descriptive_term': 'skin', 'observation': 'thickening'}, 'stated rash': {'clinical finding': 'stated rash', 'existence': 'pos_dx', 'descriptive_term': 'stated', 'observation': 'rash'}}anatomical entity_fin: {'posterior rib': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'chronic right posterior rib fractures': {'clinical finding': 'chronic right posterior rib fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'chronic right posterior rib', 'observation': 'fracture', 'temporal_term': 'chronic'}}clinical findings_fin: {'sternotomy': {'clinical finding': 'sternotomy', 'existence': 'pos_dx', 'observation': 'sternotomy'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'scattered multilevel degenerative changes': {'clinical finding': 'scattered multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'scattered multilevel degenerative', 'observation': 'change'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}

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

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'solid organs': {}, 'bowels': {}}non-anatomical substance_fin: ['oral contrast']size_fin: [{'size': '3 mm', 'size_descriptor': 'micronodules'}]anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'scattered pulmonary micronodules': {'clinical finding': 'scattered pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered pulmonary', 'observation': 'micronodule'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'linear scarring': {'clinical finding': 'linear scarring', 'existence': 'pos_dx', 'descriptive_term': 'linear', 'observation': 'scarr'}, 'atelectasis': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'observation': 'atelectasis'}}location descriptor_fin: ['left']clinical findings_fin: {'mild left pleural thickening': {'clinical finding': 'mild left pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild left pleural', 'observation': 'thickening', 'strength_term': 'mild'}}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': 'pos_dx', 'descriptive_term': 'mild upper lobe predominant centrilobular', 'observation': 'emphysema', 'strength_term': 'mild'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'esophagus': {}}clinical findings_fin: {'likely small hiatal hernia': {'clinical finding': 'likely small hiatal hernia', 'cf_snomed': {'hiatal hernia': 84089009}, 'existence': 'pos_dx', 'descriptive_term': 'likely small hiatal', 'observation': 'hernia', 'strength_term': 'small'}}anatomical entity_fin: {'mediastinum': {}}object_fin: ['surgical clips']clinical findings_fin: {'surgical clips': {'clinical finding': 'surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'clip'}}clinical findings_fin: {'subcentimeter mediastinal nodes': {'clinical finding': 'subcentimeter mediastinal nodes', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter mediastinal', 'observation': 'node'}}anatomical entity_fin: {'coronary artery': {}}clinical findings_fin: {'severe and or or coronary artery stents': {'clinical finding': 'severe and or or coronary artery stents', 'existence': 'pos_dx', 'descriptive_term': 'severe and or or coronary artery', 'observation': 'stent', 'strength_term': 'severe'}}anatomical entity_fin: {'axillary lymph nodes': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'large bilateral axillary lymph nodes': {'clinical finding': 'large bilateral axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'large bilateral axillary lymph', 'observation': 'node', 'strength_term': 'large'}}size_fin: [{'size': '19 mm'}]location descriptor_fin: ['left']clinical findings_fin: {'reference left axillary node': {'clinical finding': 'reference left axillary node', 'existence': 'pos_dx', 'descriptive_term': 'reference left axillary', 'observation': 'node'}}anatomical entity_fin: {'axillary region': {}}clinical findings_fin: {'skin thickening': {'clinical finding': 'skin thickening', 'existence': 'pos_dx', 'descriptive_term': 'skin', 'observation': 'thickening'}, 'stated rash': {'clinical finding': 'stated rash', 'existence': 'pos_dx', 'descriptive_term': 'stated', 'observation': 'rash'}}anatomical entity_fin: {'posterior rib': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'chronic right posterior rib fractures': {'clinical finding': 'chronic right posterior rib fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'chronic right posterior rib', 'observation': 'fracture', 'temporal_term': 'chronic'}}clinical findings_fin: {'sternotomy': {'clinical finding': 'sternotomy', 'existence': 'pos_dx', 'observation': 'sternotomy'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'scattered multilevel degenerative changes': {'clinical finding': 'scattered multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'scattered multilevel degenerative', 'observation': 'change'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] The absence of intravenous and oral contrast limits evaluation of the solid organs and of the bowels. Scattered pulmonary micronodules, some of which are calcified, the largest in the right middle lobe measures 3 mm , nonspecific, likely postinfectious or inflammatory in etiology. Linear scarring or atelectasis is present in the left lower lobe. Mild left pleural thickening. Mild upper lobe predominant centrilobular emphysema. The heart size is within normal limits, no significant pericardial effusion. Patulous esophagus and likely small hiatal hernia. Surgical clips are seen in the mediastinum. Subcentimeter mediastinal nodes, nonspecific. Severe and or or coronary artery stents. Large bilateral axillary lymph nodes. A reference left axillary node measures 19 mm. Skin thickening in the axillary region is nonspecific, but may be related to patients stated rash. Chronic right posterior rib fractures. Status post sternotomy. Scattered multilevel degenerative changes of the thoracolumbar spine. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. </s>

Small right frontal subgaleal hematoma. There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The orbits, skull and scalp soft tissues are grossly unremarkable. The paranasal sinuses are clear.

imaging observation_fin: ['hematoma']location descriptor_fin: ['right']clinical findings_fin: {'small right frontal subgaleal hematoma': {'clinical finding': 'small right frontal subgaleal hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'pos_dx', 'descriptive_term': 'small right frontal subgaleal', 'observation': 'hematoma', 'strength_term': 'small'}}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: {'ventricles and basal cisterns are normal in size and configuration': {'clinical finding': 'ventricles and basal cisterns are normal in size and configuration'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'orbits': {}, 'skull': {}, 'scalp': {}}clinical findings_fin: {'orbits , skull and scalp soft tissues are grossly unremarkable': {'clinical finding': 'orbits , skull and scalp soft tissues are grossly unremarkable'}}anatomical entity_fin: {'paranasal sinuses': {}}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: imaging observation_fin: ['hematoma']location descriptor_fin: ['right']clinical findings_fin: {'small right frontal subgaleal hematoma': {'clinical finding': 'small right frontal subgaleal hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'pos_dx', 'descriptive_term': 'small right frontal subgaleal', 'observation': 'hematoma', 'strength_term': 'small'}}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: {'ventricles and basal cisterns are normal in size and configuration': {'clinical finding': 'ventricles and basal cisterns are normal in size and configuration'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'orbits': {}, 'skull': {}, 'scalp': {}}clinical findings_fin: {'orbits , skull and scalp soft tissues are grossly unremarkable': {'clinical finding': 'orbits , skull and scalp soft tissues are grossly unremarkable'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}} [/INST] Small right frontal subgaleal hematoma. There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The orbits, skull and scalp soft tissues are grossly unremarkable. The paranasal sinuses are clear. </s>

Patient is status post right parieto-occipital craniotomy. There are expected postoperative changes, including right parieto-occipital soft tissue swelling and subcutaneous air. There are scattered blood products within the resection cavity and mixed density extraaxial collection underlying the craniotomy flap. There is scattered pneumocephalus, with a moderate volume of extraaxial air along the anterior frontal lobes. There is a stable pattern of hypodensity surrounding the resection cavity with sulcal effacement. There is stable localized mild mass effect. There is 2 mm of leftward midline shift, unchanged compared to MRI brain. The ventricles and basal cisterns are normal in size and configuration, with persistent partial effacement of the right lateral ventricle. Three additional hyperdense lesions are visualized within the left posterior temporal lobe, left anterior temporal lobe, and the body of the corpus callosum, corresponding to the lesions seen on prior MRI. The hyperdensity within the left temporal lobe lesion represents internal calcifications. There is evidence of some mass effect on the occipital horn. There is minimal mucosal thickening of the maxillary sinuses and ethmoid air cells.

location descriptor_fin: ['right']location descriptor_fin: ['right']clinical findings_fin: {'expected postoperative changes': {'clinical finding': 'expected postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'expected postoperative', 'observation': 'change'}, 'right parieto-occipital soft tissue swelling': {'clinical finding': 'right parieto-occipital soft tissue swelling', 'cf_snomed': {'soft tissue swelling': 298349001}, 'existence': 'unc_dx', 'descriptive_term': 'right parieto-occipital soft tissue', 'observation': 'swell'}}imaging observation_fin: ['blood products']clinical findings_fin: {'scattered blood products': {'clinical finding': 'scattered blood products', 'existence': 'pos_dx', 'descriptive_term': 'scattered blood', 'observation': 'product'}, 'mixed density extraaxial collection': {'clinical finding': 'mixed density extraaxial collection', 'existence': 'pos_dx', 'descriptive_term': 'mixed density extraaxial', 'observation': 'collection'}}anatomical entity_fin: {'frontal lobes': {'location descriptor': 'anterior'}}location descriptor_fin: ['anterior']clinical findings_fin: {'scattered pneumocephalus': {'clinical finding': 'scattered pneumocephalus', 'cf_snomed': {'pneumocephalus': 14415006}, 'existence': 'pos_dx', 'descriptive_term': 'scattered', 'observation': 'pneumocephalus'}, 'extraaxial air': {'clinical finding': 'extraaxial air', 'existence': 'pos_dx', 'descriptive_term': 'extraaxial', 'observation': 'air'}}clinical findings_fin: {'hypodensity': {'clinical finding': 'hypodensity', 'existence': 'pos_dx', 'observation': 'hypodensity'}, 'sulcal effacement': {'clinical finding': 'sulcal effacement', 'existence': 'pos_dx', 'descriptive_term': 'sulcal', 'observation': 'effacement'}}clinical findings_fin: {'stable localized mild mass': {'clinical finding': 'stable localized mild mass', 'existence': 'pos_dx', 'descriptive_term': 'stable localized mild', 'observation': 'mass', 'strength_term': 'stable - mild', 'change_term': 'stable'}}size_fin: [{'size': '2 mm'}]anatomical entity_fin: {'brain': {}}location descriptor_fin: ['midline']clinical findings_fin: {'is 2 mm of leftward midline shift , unchanged compared to mri brain': {'clinical finding': 'is 2 mm of leftward midline shift , unchanged compared to mri brain', 'cf_snomed': {'shift': 9546005}, 'change_term': 'unchanged'}}anatomical entity_fin: {'right lateral ventricle': {}}clinical findings_fin: {'persistent partial effacement': {'clinical finding': 'persistent partial effacement', 'existence': 'pos_dx', 'descriptive_term': 'persistent partial', 'observation': 'effacement', 'strength_term': 'partial', 'temporal_term': 'persistent'}}anatomical entity_fin: {'temporal lobe': {'location descriptor': 'left anterior'}, 'body': {}, 'corpus callosum': {}}location descriptor_fin: ['left', 'posterior', 'anterior']clinical findings_fin: {'three additional hyperdense lesions': {'clinical finding': 'three additional hyperdense lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'three additional hyperdense', 'observation': 'lesion'}, 'lesions': {'clinical finding': 'lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'observation': 'lesion'}}anatomical entity_fin: {'left temporal lobe': {}}clinical findings_fin: {'hyperdensity': {'clinical finding': 'hyperdensity', 'existence': 'pos_dx', 'observation': 'hyperdensity'}, 'left temporal lobe lesion': {'clinical finding': 'left temporal lobe lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'left temporal lobe', 'observation': 'lesion'}, 'internal calcifications': {'clinical finding': 'internal calcifications', 'existence': 'pos_dx', 'descriptive_term': 'internal', 'observation': 'calcification'}}clinical findings_fin: {'some mass': {'clinical finding': 'some mass', 'existence': 'pos_dx', 'descriptive_term': 'some', 'observation': 'mass', 'quantity_term': 'some'}}anatomical entity_fin: {'cells': {}}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'}}

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']location descriptor_fin: ['right']clinical findings_fin: {'expected postoperative changes': {'clinical finding': 'expected postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'expected postoperative', 'observation': 'change'}, 'right parieto-occipital soft tissue swelling': {'clinical finding': 'right parieto-occipital soft tissue swelling', 'cf_snomed': {'soft tissue swelling': 298349001}, 'existence': 'unc_dx', 'descriptive_term': 'right parieto-occipital soft tissue', 'observation': 'swell'}}imaging observation_fin: ['blood products']clinical findings_fin: {'scattered blood products': {'clinical finding': 'scattered blood products', 'existence': 'pos_dx', 'descriptive_term': 'scattered blood', 'observation': 'product'}, 'mixed density extraaxial collection': {'clinical finding': 'mixed density extraaxial collection', 'existence': 'pos_dx', 'descriptive_term': 'mixed density extraaxial', 'observation': 'collection'}}anatomical entity_fin: {'frontal lobes': {'location descriptor': 'anterior'}}location descriptor_fin: ['anterior']clinical findings_fin: {'scattered pneumocephalus': {'clinical finding': 'scattered pneumocephalus', 'cf_snomed': {'pneumocephalus': 14415006}, 'existence': 'pos_dx', 'descriptive_term': 'scattered', 'observation': 'pneumocephalus'}, 'extraaxial air': {'clinical finding': 'extraaxial air', 'existence': 'pos_dx', 'descriptive_term': 'extraaxial', 'observation': 'air'}}clinical findings_fin: {'hypodensity': {'clinical finding': 'hypodensity', 'existence': 'pos_dx', 'observation': 'hypodensity'}, 'sulcal effacement': {'clinical finding': 'sulcal effacement', 'existence': 'pos_dx', 'descriptive_term': 'sulcal', 'observation': 'effacement'}}clinical findings_fin: {'stable localized mild mass': {'clinical finding': 'stable localized mild mass', 'existence': 'pos_dx', 'descriptive_term': 'stable localized mild', 'observation': 'mass', 'strength_term': 'stable - mild', 'change_term': 'stable'}}size_fin: [{'size': '2 mm'}]anatomical entity_fin: {'brain': {}}location descriptor_fin: ['midline']clinical findings_fin: {'is 2 mm of leftward midline shift , unchanged compared to mri brain': {'clinical finding': 'is 2 mm of leftward midline shift , unchanged compared to mri brain', 'cf_snomed': {'shift': 9546005}, 'change_term': 'unchanged'}}anatomical entity_fin: {'right lateral ventricle': {}}clinical findings_fin: {'persistent partial effacement': {'clinical finding': 'persistent partial effacement', 'existence': 'pos_dx', 'descriptive_term': 'persistent partial', 'observation': 'effacement', 'strength_term': 'partial', 'temporal_term': 'persistent'}}anatomical entity_fin: {'temporal lobe': {'location descriptor': 'left anterior'}, 'body': {}, 'corpus callosum': {}}location descriptor_fin: ['left', 'posterior', 'anterior']clinical findings_fin: {'three additional hyperdense lesions': {'clinical finding': 'three additional hyperdense lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'three additional hyperdense', 'observation': 'lesion'}, 'lesions': {'clinical finding': 'lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'observation': 'lesion'}}anatomical entity_fin: {'left temporal lobe': {}}clinical findings_fin: {'hyperdensity': {'clinical finding': 'hyperdensity', 'existence': 'pos_dx', 'observation': 'hyperdensity'}, 'left temporal lobe lesion': {'clinical finding': 'left temporal lobe lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'left temporal lobe', 'observation': 'lesion'}, 'internal calcifications': {'clinical finding': 'internal calcifications', 'existence': 'pos_dx', 'descriptive_term': 'internal', 'observation': 'calcification'}}clinical findings_fin: {'some mass': {'clinical finding': 'some mass', 'existence': 'pos_dx', 'descriptive_term': 'some', 'observation': 'mass', 'quantity_term': 'some'}}anatomical entity_fin: {'cells': {}}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'}} [/INST] Patient is status post right parieto-occipital craniotomy. There are expected postoperative changes, including right parieto-occipital soft tissue swelling and subcutaneous air. There are scattered blood products within the resection cavity and mixed density extraaxial collection underlying the craniotomy flap. There is scattered pneumocephalus, with a moderate volume of extraaxial air along the anterior frontal lobes. There is a stable pattern of hypodensity surrounding the resection cavity with sulcal effacement. There is stable localized mild mass effect. There is 2 mm of leftward midline shift, unchanged compared to MRI brain. The ventricles and basal cisterns are normal in size and configuration, with persistent partial effacement of the right lateral ventricle. Three additional hyperdense lesions are visualized within the left posterior temporal lobe, left anterior temporal lobe, and the body of the corpus callosum, corresponding to the lesions seen on prior MRI. The hyperdensity within the left temporal lobe lesion represents internal calcifications. There is evidence of some mass effect on the occipital horn. There is minimal mucosal thickening of the maxillary sinuses and ethmoid air cells. </s>

Mucosal thickening is present within the maxillary sinuses. The left ostiomeatal unit is narrowed yet remains patent. The right ostiomeatal unit is obstructed. Minimal mucosal thickening is present within the anterior sphenoid sinuses which narrows the ostium of the right sphenoethmoidal recess. The left sphenoethmoidal recess remains patent. Scattered minimal mucosal thickening is present within the ethmoid air cells. The left frontal sinus is hypoplastic. The right frontal sinus is patent as are the frontoethmoidal recesses. Bilateral mastoid air cells and middle ear cavities are clear and there are no air-fluid levels. The lamina papyracea are intact bilaterally. The floor of the anterior cranial fossa and cribriform plate region are unremarkable. The nasal septum is deviated rightward with a right septal spur. Bilateral orbits and the posterior nasopharynx appear unremarkable.

clinical findings_fin: {'mucosal thickening': {'clinical finding': 'mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'thickening'}}anatomical entity_fin: {'ostiomeatal unit': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'narrowed': {'clinical finding': 'narrowed', 'existence': 'pos_dx', 'observation': 'narrow'}, 'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}anatomical entity_fin: {'ostiomeatal unit': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'obstructed': {'clinical finding': 'obstructed', 'existence': 'pos_dx', 'observation': 'obstruct'}}anatomical entity_fin: {'ostium': {}, 'sphenoethmoidal recess': {'location descriptor': 'right'}}location descriptor_fin: ['anterior', '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 recess': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}anatomical entity_fin: {'cells': {}}clinical findings_fin: {'scattered minimal mucosal thickening': {'clinical finding': 'scattered minimal mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'scattered minimal mucosal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'frontal sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'left frontal sinus is hypoplastic': {'clinical finding': 'left frontal sinus is hypoplastic', 'cf_snomed': {'sinus': 419351001}}}anatomical entity_fin: {'frontal sinus': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}anatomical entity_fin: {'mastoid air cells': {'location descriptor': 'bilateral'}, 'middle ear cavities': {}, 'fluid': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}, 'air-fluid levels': {'clinical finding': 'air-fluid levels', 'existence': 'neg_dx', 'descriptive_term': 'air-fluid', 'observation': 'level'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}anatomical entity_fin: {'floor': {}, 'anterior cranial fossa': {}, 'cribriform plate': {}}clinical findings_fin: {'floor of the anterior cranial fossa and cribriform plate region are unremarkable': {'clinical finding': 'floor of the anterior cranial fossa and cribriform plate region are unremarkable'}}location descriptor_fin: ['deviated', 'right']clinical findings_fin: {'nasal septum': {'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum'}, 'deviated': {'clinical finding': 'deviated', 'existence': 'pos_dx', 'observation': 'deviated'}, 'right septal spur': {'clinical finding': 'right septal spur', 'existence': 'pos_dx', 'descriptive_term': 'right septal', 'observation': 'spur'}}anatomical entity_fin: {'orbits': {'location descriptor': 'bilateral'}, 'nasopharynx': {'location descriptor': 'posterior'}}location descriptor_fin: ['bilateral', 'posterior']clinical findings_fin: {'bilateral orbits and the posterior nasopharynx appear unremarkable': {'clinical finding': 'bilateral orbits and the posterior nasopharynx appear unremarkable'}}

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

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'mucosal thickening': {'clinical finding': 'mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'thickening'}}anatomical entity_fin: {'ostiomeatal unit': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'narrowed': {'clinical finding': 'narrowed', 'existence': 'pos_dx', 'observation': 'narrow'}, 'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}anatomical entity_fin: {'ostiomeatal unit': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'obstructed': {'clinical finding': 'obstructed', 'existence': 'pos_dx', 'observation': 'obstruct'}}anatomical entity_fin: {'ostium': {}, 'sphenoethmoidal recess': {'location descriptor': 'right'}}location descriptor_fin: ['anterior', '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 recess': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}anatomical entity_fin: {'cells': {}}clinical findings_fin: {'scattered minimal mucosal thickening': {'clinical finding': 'scattered minimal mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'scattered minimal mucosal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'frontal sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'left frontal sinus is hypoplastic': {'clinical finding': 'left frontal sinus is hypoplastic', 'cf_snomed': {'sinus': 419351001}}}anatomical entity_fin: {'frontal sinus': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}anatomical entity_fin: {'mastoid air cells': {'location descriptor': 'bilateral'}, 'middle ear cavities': {}, 'fluid': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}, 'air-fluid levels': {'clinical finding': 'air-fluid levels', 'existence': 'neg_dx', 'descriptive_term': 'air-fluid', 'observation': 'level'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}anatomical entity_fin: {'floor': {}, 'anterior cranial fossa': {}, 'cribriform plate': {}}clinical findings_fin: {'floor of the anterior cranial fossa and cribriform plate region are unremarkable': {'clinical finding': 'floor of the anterior cranial fossa and cribriform plate region are unremarkable'}}location descriptor_fin: ['deviated', 'right']clinical findings_fin: {'nasal septum': {'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum'}, 'deviated': {'clinical finding': 'deviated', 'existence': 'pos_dx', 'observation': 'deviated'}, 'right septal spur': {'clinical finding': 'right septal spur', 'existence': 'pos_dx', 'descriptive_term': 'right septal', 'observation': 'spur'}}anatomical entity_fin: {'orbits': {'location descriptor': 'bilateral'}, 'nasopharynx': {'location descriptor': 'posterior'}}location descriptor_fin: ['bilateral', 'posterior']clinical findings_fin: {'bilateral orbits and the posterior nasopharynx appear unremarkable': {'clinical finding': 'bilateral orbits and the posterior nasopharynx appear unremarkable'}} [/INST] Mucosal thickening is present within the maxillary sinuses. The left ostiomeatal unit is narrowed yet remains patent. The right ostiomeatal unit is obstructed. Minimal mucosal thickening is present within the anterior sphenoid sinuses which narrows the ostium of the right sphenoethmoidal recess. The left sphenoethmoidal recess remains patent. Scattered minimal mucosal thickening is present within the ethmoid air cells. The left frontal sinus is hypoplastic. The right frontal sinus is patent as are the frontoethmoidal recesses. Bilateral mastoid air cells and middle ear cavities are clear and there are no air-fluid levels. The lamina papyracea are intact bilaterally. The floor of the anterior cranial fossa and cribriform plate region are unremarkable. The nasal septum is deviated rightward with a right septal spur. Bilateral orbits and the posterior nasopharynx appear unremarkable. </s>

. Partially imaged pacer leads. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Subcentimeter renal hypodensities are too small to characterize. No significant abnormality noted. None. Percutaneous jejunostomy which appears different from prior study. Minimal fat stranding surrounding the anterior abdominal wall J-tube tract may reflect recent replacement. No significant abnormality noted. No significant abnormality noted. Cystic changes in the adnexa are likely physiologic. No significant abnormality noted. No significant abnormality noted. No discrete fluid collection is identified.

non-anatomical substance_fin: ['leads']clinical findings_fin: {'partially imaged pacer': {'clinical finding': 'partially imaged pacer', 'existence': 'pos_dx', 'descriptive_term': 'partially imaged', 'observation': 'pacer', 'strength_term': 'partially'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'subcentimeter renal hypodensities': {'clinical finding': 'subcentimeter renal hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter renal', 'observation': 'hypodensity'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}procedure_fin: ['jejunostomy']anatomical entity_fin: {'anterior abdominal wall': {}}imaging observation_fin: ['fat']object_fin: ['tube']clinical findings_fin: {'minimal fat stranding': {'clinical finding': 'minimal fat stranding', 'existence': 'pos_dx', 'descriptive_term': 'minimal fat', 'observation': 'strand', 'strength_term': 'minimal', 'quantity_term': 'minimal'}, 'anterior abdominal wall j-tube tract': {'clinical finding': 'anterior abdominal wall j-tube tract', 'existence': 'pos_dx', 'descriptive_term': 'anterior abdominal wall j-tube', 'observation': 'tract'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'cystic changes': {'clinical finding': 'cystic changes', 'existence': 'unc_dx', 'descriptive_term': 'cystic', '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: {'discrete fluid collection': {'clinical finding': 'discrete fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'discrete fluid', 'observation': 'collection'}}

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: non-anatomical substance_fin: ['leads']clinical findings_fin: {'partially imaged pacer': {'clinical finding': 'partially imaged pacer', 'existence': 'pos_dx', 'descriptive_term': 'partially imaged', 'observation': 'pacer', 'strength_term': 'partially'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'subcentimeter renal hypodensities': {'clinical finding': 'subcentimeter renal hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter renal', 'observation': 'hypodensity'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}procedure_fin: ['jejunostomy']anatomical entity_fin: {'anterior abdominal wall': {}}imaging observation_fin: ['fat']object_fin: ['tube']clinical findings_fin: {'minimal fat stranding': {'clinical finding': 'minimal fat stranding', 'existence': 'pos_dx', 'descriptive_term': 'minimal fat', 'observation': 'strand', 'strength_term': 'minimal', 'quantity_term': 'minimal'}, 'anterior abdominal wall j-tube tract': {'clinical finding': 'anterior abdominal wall j-tube tract', 'existence': 'pos_dx', 'descriptive_term': 'anterior abdominal wall j-tube', 'observation': 'tract'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'cystic changes': {'clinical finding': 'cystic changes', 'existence': 'unc_dx', 'descriptive_term': 'cystic', '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: {'discrete fluid collection': {'clinical finding': 'discrete fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'discrete fluid', 'observation': 'collection'}} [/INST] . Partially imaged pacer leads. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Subcentimeter renal hypodensities are too small to characterize. No significant abnormality noted. None. Percutaneous jejunostomy which appears different from prior study. Minimal fat stranding surrounding the anterior abdominal wall J-tube tract may reflect recent replacement. No significant abnormality noted. No significant abnormality noted. Cystic changes in the adnexa are likely physiologic. No significant abnormality noted. No significant abnormality noted. No discrete fluid collection is identified. </s>

. No significant abnormality noted. Contrast opacifies the arterial system with extension to the peripheral vessels. No early branching or other anatomical variation of the vessels noted. Mild calcification of the left common iliac and descending aorta. No ectasia or aneurysmal dilatation. No significant abnormality noted. Limited evaluation of the liver without a portal venous phase. No significant abnormality noted within this limitation. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Contrast opacifies the arterial system with extension to the peripheral vessels. No early branching or other anatomical variation of the vessels noted. Mild calcification of the left common iliac and descending aorta. No ectasia or aneurysmal dilatation. Scattered isolated diverticular changes without complication. No other abnormalities. No significant abnormality noted. The origin of the celiac, superior mesenteric, renal, and inferior mesenteric arteries appear patent without narrowing with normal peripheral vascular distribution. No significant tortuosity noted. Mild atherosclerotic calcification of the aorta and its corresponding branches. No significant aortic narrowing or aneurysmal dilatation. 11.5 X 11.9 mm. 8.2 X 8.4 mm. 6.9 X 7.3 mm. 7.0 X 7.9 mm. 7.5 X 9.0 mm. 7.0 X 7.5 mm. 6.9 X 7.7 mm. No significant abnormality noted. Hysterectomy 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'}}anatomical entity_fin: {'arterial system': {}}location descriptor_fin: ['peripheral']clinical findings_fin: {'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}}clinical findings_fin: {'other anatomical variation': {'clinical finding': 'other anatomical variation', 'existence': 'neg_dx', 'descriptive_term': 'other anatomical', 'observation': 'variation'}}anatomical entity_fin: {'descending aorta': {}}location descriptor_fin: ['left']clinical findings_fin: {'mild calcification': {'clinical finding': 'mild calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'calcification', 'strength_term': 'mild'}, 'descending aorta': {'clinical finding': 'descending aorta', 'existence': 'pos_dx', 'descriptive_term': 'descending', 'observation': 'aorta'}}clinical findings_fin: {'ectasia': {'clinical finding': 'ectasia', 'existence': 'neg_dx', 'observation': 'ectasia'}, 'aneurysmal dilatation': {'clinical finding': 'aneurysmal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'descriptive_term': 'aneurysmal', 'observation': 'dilatation'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'limited evaluation of the liver without a portal venous phase': {'clinical finding': 'limited evaluation of the liver without a portal venous phase'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'arterial system': {}}location descriptor_fin: ['peripheral']clinical findings_fin: {'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}}clinical findings_fin: {'other anatomical variation': {'clinical finding': 'other anatomical variation', 'existence': 'neg_dx', 'descriptive_term': 'other anatomical', 'observation': 'variation'}}anatomical entity_fin: {'descending aorta': {}}location descriptor_fin: ['left']clinical findings_fin: {'mild calcification': {'clinical finding': 'mild calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'calcification', 'strength_term': 'mild'}, 'descending aorta': {'clinical finding': 'descending aorta', 'existence': 'pos_dx', 'descriptive_term': 'descending', 'observation': 'aorta'}}clinical findings_fin: {'ectasia': {'clinical finding': 'ectasia', 'existence': 'neg_dx', 'observation': 'ectasia'}, 'aneurysmal dilatation': {'clinical finding': 'aneurysmal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'descriptive_term': 'aneurysmal', 'observation': 'dilatation'}}clinical findings_fin: {'scattered isolated diverticular changes': {'clinical finding': 'scattered isolated diverticular changes', 'existence': 'pos_dx', 'descriptive_term': 'scattered isolated diverticular', 'observation': 'change'}, 'complication': {'clinical finding': 'complication', 'existence': 'neg_dx', 'observation': 'complication'}}clinical findings_fin: {'other abnormalities': {'clinical finding': 'other abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'other', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'origin': {}, 'inferior mesenteric arteries': {}}location descriptor_fin: ['superior', 'peripheral']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}, 'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'neg_dx', 'observation': 'narrowing'}}clinical findings_fin: {'significant tortuosity': {'clinical finding': 'significant tortuosity', 'cf_snomed': {'tortuosity': 15690004}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'tortuosity'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'mild atherosclerotic calcification': {'clinical finding': 'mild atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild atherosclerotic', 'observation': 'calcification', 'strength_term': 'mild'}}clinical findings_fin: {'significant aortic narrowing': {'clinical finding': 'significant aortic narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'neg_dx', 'descriptive_term': 'significant aortic', 'observation': 'narrowing'}, 'aneurysmal dilatation': {'clinical finding': 'aneurysmal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'descriptive_term': 'aneurysmal', 'observation': 'dilatation'}}size_fin: [{'size': '11.5 x 11.9 mm'}]size_fin: [{'size': '8.2 x 8.4 mm'}]size_fin: [{'size': '6.9 x 7.3 mm'}]size_fin: [{'size': '7.0 x 7.9 mm'}]size_fin: [{'size': '7.5 x 9.0 mm'}]size_fin: [{'size': '7.0 x 7.5 mm'}]size_fin: [{'size': '6.9 x 7.7 mm'}]clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}

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

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'arterial system': {}}location descriptor_fin: ['peripheral']clinical findings_fin: {'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}}clinical findings_fin: {'other anatomical variation': {'clinical finding': 'other anatomical variation', 'existence': 'neg_dx', 'descriptive_term': 'other anatomical', 'observation': 'variation'}}anatomical entity_fin: {'descending aorta': {}}location descriptor_fin: ['left']clinical findings_fin: {'mild calcification': {'clinical finding': 'mild calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'calcification', 'strength_term': 'mild'}, 'descending aorta': {'clinical finding': 'descending aorta', 'existence': 'pos_dx', 'descriptive_term': 'descending', 'observation': 'aorta'}}clinical findings_fin: {'ectasia': {'clinical finding': 'ectasia', 'existence': 'neg_dx', 'observation': 'ectasia'}, 'aneurysmal dilatation': {'clinical finding': 'aneurysmal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'descriptive_term': 'aneurysmal', 'observation': 'dilatation'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'limited evaluation of the liver without a portal venous phase': {'clinical finding': 'limited evaluation of the liver without a portal venous phase'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'arterial system': {}}location descriptor_fin: ['peripheral']clinical findings_fin: {'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}}clinical findings_fin: {'other anatomical variation': {'clinical finding': 'other anatomical variation', 'existence': 'neg_dx', 'descriptive_term': 'other anatomical', 'observation': 'variation'}}anatomical entity_fin: {'descending aorta': {}}location descriptor_fin: ['left']clinical findings_fin: {'mild calcification': {'clinical finding': 'mild calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'calcification', 'strength_term': 'mild'}, 'descending aorta': {'clinical finding': 'descending aorta', 'existence': 'pos_dx', 'descriptive_term': 'descending', 'observation': 'aorta'}}clinical findings_fin: {'ectasia': {'clinical finding': 'ectasia', 'existence': 'neg_dx', 'observation': 'ectasia'}, 'aneurysmal dilatation': {'clinical finding': 'aneurysmal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'descriptive_term': 'aneurysmal', 'observation': 'dilatation'}}clinical findings_fin: {'scattered isolated diverticular changes': {'clinical finding': 'scattered isolated diverticular changes', 'existence': 'pos_dx', 'descriptive_term': 'scattered isolated diverticular', 'observation': 'change'}, 'complication': {'clinical finding': 'complication', 'existence': 'neg_dx', 'observation': 'complication'}}clinical findings_fin: {'other abnormalities': {'clinical finding': 'other abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'other', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'origin': {}, 'inferior mesenteric arteries': {}}location descriptor_fin: ['superior', 'peripheral']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}, 'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'neg_dx', 'observation': 'narrowing'}}clinical findings_fin: {'significant tortuosity': {'clinical finding': 'significant tortuosity', 'cf_snomed': {'tortuosity': 15690004}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'tortuosity'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'mild atherosclerotic calcification': {'clinical finding': 'mild atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild atherosclerotic', 'observation': 'calcification', 'strength_term': 'mild'}}clinical findings_fin: {'significant aortic narrowing': {'clinical finding': 'significant aortic narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'neg_dx', 'descriptive_term': 'significant aortic', 'observation': 'narrowing'}, 'aneurysmal dilatation': {'clinical finding': 'aneurysmal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'descriptive_term': 'aneurysmal', 'observation': 'dilatation'}}size_fin: [{'size': '11.5 x 11.9 mm'}]size_fin: [{'size': '8.2 x 8.4 mm'}]size_fin: [{'size': '6.9 x 7.3 mm'}]size_fin: [{'size': '7.0 x 7.9 mm'}]size_fin: [{'size': '7.5 x 9.0 mm'}]size_fin: [{'size': '7.0 x 7.5 mm'}]size_fin: [{'size': '6.9 x 7.7 mm'}]clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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. Contrast opacifies the arterial system with extension to the peripheral vessels. No early branching or other anatomical variation of the vessels noted. Mild calcification of the left common iliac and descending aorta. No ectasia or aneurysmal dilatation. No significant abnormality noted. Limited evaluation of the liver without a portal venous phase. No significant abnormality noted within this limitation. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Contrast opacifies the arterial system with extension to the peripheral vessels. No early branching or other anatomical variation of the vessels noted. Mild calcification of the left common iliac and descending aorta. No ectasia or aneurysmal dilatation. Scattered isolated diverticular changes without complication. No other abnormalities. No significant abnormality noted. The origin of the celiac, superior mesenteric, renal, and inferior mesenteric arteries appear patent without narrowing with normal peripheral vascular distribution. No significant tortuosity noted. Mild atherosclerotic calcification of the aorta and its corresponding branches. No significant aortic narrowing or aneurysmal dilatation. 11.5 X 11.9 mm. 8.2 X 8.4 mm. 6.9 X 7.3 mm. 7.0 X 7.9 mm. 7.5 X 9.0 mm. 7.0 X 7.5 mm. 6.9 X 7.7 mm. No significant abnormality noted. Hysterectomy noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. </s>

The CT demonstrates prominent sulci consistent with previous MRI. There is decreased radiotracer activity in large areas of the left hippocampus, thalamus, and frontal or temporal lobes. There is minimally decreased radiotracer activity in the left parietal lobe.

clinical findings_fin: {'prominent sulci': {'clinical finding': 'prominent sulci', 'existence': 'pos_dx', 'descriptive_term': 'prominent', 'observation': 'sulci', 'strength_term': 'prominent'}}anatomical entity_fin: {'left hippocampus': {}, 'thalamus': {}, 'temporal lobes': {}}clinical findings_fin: {'is decreased radiotracer activity in large areas of the left hippocampus , thalamus , and frontal or temporal lobes': {'clinical finding': 'is decreased radiotracer activity in large areas of the left hippocampus , thalamus , and frontal or temporal lobes', 'change_term': 'decreased'}}anatomical entity_fin: {'left parietal lobe': {}}clinical findings_fin: {'is minimally decreased radiotracer activity in the left parietal lobe': {'clinical finding': 'is minimally decreased radiotracer activity in the left parietal lobe', '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: {'prominent sulci': {'clinical finding': 'prominent sulci', 'existence': 'pos_dx', 'descriptive_term': 'prominent', 'observation': 'sulci', 'strength_term': 'prominent'}}anatomical entity_fin: {'left hippocampus': {}, 'thalamus': {}, 'temporal lobes': {}}clinical findings_fin: {'is decreased radiotracer activity in large areas of the left hippocampus , thalamus , and frontal or temporal lobes': {'clinical finding': 'is decreased radiotracer activity in large areas of the left hippocampus , thalamus , and frontal or temporal lobes', 'change_term': 'decreased'}}anatomical entity_fin: {'left parietal lobe': {}}clinical findings_fin: {'is minimally decreased radiotracer activity in the left parietal lobe': {'clinical finding': 'is minimally decreased radiotracer activity in the left parietal lobe', 'change_term': 'decreased'}} [/INST] The CT demonstrates prominent sulci consistent with previous MRI. There is decreased radiotracer activity in large areas of the left hippocampus, thalamus, and frontal or temporal lobes. There is minimally decreased radiotracer activity in the left parietal lobe. </s>

. Marked worsening of right greater than left pleural and extrapleural nodularity and thickening. The index lesion in the left upper lobe on image 27 of series 4 currently measures approximately 2.4 cm in short axis diameter compared to 2 cm on previous study. Index lesion in the posterior aspect of the right hemithorax on image 49 of series 4 is slightly smaller now measuring 1.5 cm compared to 1.9 cm previous study though numerous other lesions are worse. There is obvious right posterior chest wall invasion on image 47 of series Right basilar pleural drain again noted. Right-sided hemidiaphragmatic mesh again noted. Small loculated pleural effusions again noted. New diffuse groundglass abnormality throughout the lungs with focal areas of bronchovascular consolidation within the central aspect of the right lung. Very large necrotic mediastinal lymphadenopathy with infiltration of mediastinal fat has progressed since previous study. The largest lymph node is again within the paraesophageal region present on image 57 of 145 measuring 4.7 cm compared to 4.3 cm in short axis. None. Right posterior chest wall invasion, as above. Small nodular lesions again noted in the subcutaneous fat of the lower abdomen which could represent injection granulomas versus malignant disease. Small breast nodules, unchanged. Absence of enteric contrast material limits sensitivity for abdominal pathology. New amorphous hypodense lesion in the anterior lateral aspect of the liver on image 94 of series 4 measuring 2.1 x 1.2 cm. Cholelithiasis. 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. New mild superior endplate compression deformity at T5. No significant abnormality noted.

imaging observation_fin: ['extrapleural']location descriptor_fin: ['right', 'left']clinical findings_fin: {'left pleural and extrapleural nodularity': {'clinical finding': 'left pleural and extrapleural nodularity', 'existence': 'pos_dx', 'descriptive_term': 'left pleural and extrapleural', 'observation': 'nodularity'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}}size_fin: [{'size': '2.4 cm'}, {'size': '2 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}, 'axis': {}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'index lesion': {'clinical finding': 'index lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'index', 'observation': 'lesion'}}size_fin: [{'size': '1.5 cm'}, {'size': '1.9 cm'}]anatomical entity_fin: {'right hemithorax': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'index lesion': {'clinical finding': 'index lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'index', 'observation': 'lesion'}, 'numerous other lesions': {'clinical finding': 'numerous other lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'numerous other', 'observation': 'lesion', 'quantity_term': 'numerous'}}imaging observation_fin: ['chest wall invasion']location descriptor_fin: ['right', 'posterior']clinical findings_fin: {'obvious right posterior chest wall invasion on image 47 of series right basilar pleural drain again noted': {'clinical finding': 'obvious right posterior chest wall invasion on image 47 of series right basilar pleural drain again noted'}}location descriptor_fin: ['right']clinical findings_fin: {'right-sided hemidiaphragmatic': {'clinical finding': 'right-sided hemidiaphragmatic', 'existence': 'pos_dx', 'descriptive_term': 'right-sided', 'observation': 'hemidiaphragmatic'}}clinical findings_fin: {'small loculated pleural effusions': {'clinical finding': 'small loculated pleural effusions', 'cf_snomed': {'loculated pleural effusion': 427895005}, 'existence': 'pos_dx', 'descriptive_term': 'small loculated pleural', 'observation': 'effusion', 'strength_term': 'small'}}anatomical entity_fin: {'lungs': {}, 'right lung': {}}location descriptor_fin: ['central']clinical findings_fin: {'new diffuse groundglass abnormality': {'clinical finding': 'new diffuse groundglass abnormality', 'existence': 'pos_dx', 'descriptive_term': 'new diffuse groundglass', 'observation': 'abnormality', 'temporal_term': 'new'}, 'bronchovascular consolidation': {'clinical finding': 'bronchovascular consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'descriptive_term': 'bronchovascular', 'observation': 'consolidation'}}imaging observation_fin: ['fat']clinical findings_fin: {'very large necrotic mediastinal lymphadenopathy': {'clinical finding': 'very large necrotic mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'pos_dx', 'descriptive_term': 'very large necrotic mediastinal', 'observation': 'lymphadenopathy', 'strength_term': 'large'}, 'mediastinal fat': {'clinical finding': 'mediastinal fat', 'existence': 'pos_dx', 'descriptive_term': 'mediastinal', 'observation': 'fat'}}size_fin: [{'size': '4.7 cm'}, {'size': '4.3 cm'}]anatomical entity_fin: {'axis': {}}clinical findings_fin: {'largest lymph node': {'clinical finding': 'largest lymph node', 'existence': 'pos_dx', 'descriptive_term': 'largest lymph', 'observation': 'node'}}imaging observation_fin: ['chest wall invasion']location descriptor_fin: ['right', 'posterior']anatomical entity_fin: {'subcutaneous fat': {}, 'lower abdomen': {}}clinical findings_fin: {'small nodular lesions': {'clinical finding': 'small nodular lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'small nodular', 'observation': 'lesion', 'strength_term': 'small'}, 'injection granulomas': {'clinical finding': 'injection granulomas', 'cf_snomed': {'granuloma': 45647009}, 'existence': 'unc_dx', 'descriptive_term': 'injection', 'observation': 'granuloma'}, 'malignant disease': {'clinical finding': 'malignant disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'malignant', 'observation': 'disease'}}anatomical entity_fin: {'breast': {}}clinical findings_fin: {'small breast nodules': {'clinical finding': 'small breast nodules', 'cf_snomed': {'small breast': 248811009}, 'existence': 'pos_dx', 'descriptive_term': 'small breast', 'observation': 'nodule', 'strength_term': 'small'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}size_fin: [{'size': '2.1 x 1.2 cm', 'size_descriptor': 'lesion'}]anatomical entity_fin: {'liver': {}}location descriptor_fin: ['anterior', 'lateral']clinical findings_fin: {'new amorphous hypodense lesion': {'clinical finding': 'new amorphous hypodense lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'new amorphous hypodense', 'observation': 'lesion', 'temporal_term': 'new'}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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: {'endplate': {'location descriptor': 'superior'}}location descriptor_fin: ['superior']clinical findings_fin: {'new mild superior endplate compression deformity': {'clinical finding': 'new mild superior endplate compression deformity', 'cf_snomed': {'compression': 71173004, 'deformity': 417893002}, 'existence': 'pos_dx', 'descriptive_term': 'new mild superior endplate compression', 'observation': 'deformity', 'strength_term': 'mild - superior', 'temporal_term': 'new'}}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: ['extrapleural']location descriptor_fin: ['right', 'left']clinical findings_fin: {'left pleural and extrapleural nodularity': {'clinical finding': 'left pleural and extrapleural nodularity', 'existence': 'pos_dx', 'descriptive_term': 'left pleural and extrapleural', 'observation': 'nodularity'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}}size_fin: [{'size': '2.4 cm'}, {'size': '2 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}, 'axis': {}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'index lesion': {'clinical finding': 'index lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'index', 'observation': 'lesion'}}size_fin: [{'size': '1.5 cm'}, {'size': '1.9 cm'}]anatomical entity_fin: {'right hemithorax': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'index lesion': {'clinical finding': 'index lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'index', 'observation': 'lesion'}, 'numerous other lesions': {'clinical finding': 'numerous other lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'numerous other', 'observation': 'lesion', 'quantity_term': 'numerous'}}imaging observation_fin: ['chest wall invasion']location descriptor_fin: ['right', 'posterior']clinical findings_fin: {'obvious right posterior chest wall invasion on image 47 of series right basilar pleural drain again noted': {'clinical finding': 'obvious right posterior chest wall invasion on image 47 of series right basilar pleural drain again noted'}}location descriptor_fin: ['right']clinical findings_fin: {'right-sided hemidiaphragmatic': {'clinical finding': 'right-sided hemidiaphragmatic', 'existence': 'pos_dx', 'descriptive_term': 'right-sided', 'observation': 'hemidiaphragmatic'}}clinical findings_fin: {'small loculated pleural effusions': {'clinical finding': 'small loculated pleural effusions', 'cf_snomed': {'loculated pleural effusion': 427895005}, 'existence': 'pos_dx', 'descriptive_term': 'small loculated pleural', 'observation': 'effusion', 'strength_term': 'small'}}anatomical entity_fin: {'lungs': {}, 'right lung': {}}location descriptor_fin: ['central']clinical findings_fin: {'new diffuse groundglass abnormality': {'clinical finding': 'new diffuse groundglass abnormality', 'existence': 'pos_dx', 'descriptive_term': 'new diffuse groundglass', 'observation': 'abnormality', 'temporal_term': 'new'}, 'bronchovascular consolidation': {'clinical finding': 'bronchovascular consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'descriptive_term': 'bronchovascular', 'observation': 'consolidation'}}imaging observation_fin: ['fat']clinical findings_fin: {'very large necrotic mediastinal lymphadenopathy': {'clinical finding': 'very large necrotic mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'pos_dx', 'descriptive_term': 'very large necrotic mediastinal', 'observation': 'lymphadenopathy', 'strength_term': 'large'}, 'mediastinal fat': {'clinical finding': 'mediastinal fat', 'existence': 'pos_dx', 'descriptive_term': 'mediastinal', 'observation': 'fat'}}size_fin: [{'size': '4.7 cm'}, {'size': '4.3 cm'}]anatomical entity_fin: {'axis': {}}clinical findings_fin: {'largest lymph node': {'clinical finding': 'largest lymph node', 'existence': 'pos_dx', 'descriptive_term': 'largest lymph', 'observation': 'node'}}imaging observation_fin: ['chest wall invasion']location descriptor_fin: ['right', 'posterior']anatomical entity_fin: {'subcutaneous fat': {}, 'lower abdomen': {}}clinical findings_fin: {'small nodular lesions': {'clinical finding': 'small nodular lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'small nodular', 'observation': 'lesion', 'strength_term': 'small'}, 'injection granulomas': {'clinical finding': 'injection granulomas', 'cf_snomed': {'granuloma': 45647009}, 'existence': 'unc_dx', 'descriptive_term': 'injection', 'observation': 'granuloma'}, 'malignant disease': {'clinical finding': 'malignant disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'malignant', 'observation': 'disease'}}anatomical entity_fin: {'breast': {}}clinical findings_fin: {'small breast nodules': {'clinical finding': 'small breast nodules', 'cf_snomed': {'small breast': 248811009}, 'existence': 'pos_dx', 'descriptive_term': 'small breast', 'observation': 'nodule', 'strength_term': 'small'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}size_fin: [{'size': '2.1 x 1.2 cm', 'size_descriptor': 'lesion'}]anatomical entity_fin: {'liver': {}}location descriptor_fin: ['anterior', 'lateral']clinical findings_fin: {'new amorphous hypodense lesion': {'clinical finding': 'new amorphous hypodense lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'new amorphous hypodense', 'observation': 'lesion', 'temporal_term': 'new'}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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: {'endplate': {'location descriptor': 'superior'}}location descriptor_fin: ['superior']clinical findings_fin: {'new mild superior endplate compression deformity': {'clinical finding': 'new mild superior endplate compression deformity', 'cf_snomed': {'compression': 71173004, 'deformity': 417893002}, 'existence': 'pos_dx', 'descriptive_term': 'new mild superior endplate compression', 'observation': 'deformity', 'strength_term': 'mild - superior', 'temporal_term': 'new'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Marked worsening of right greater than left pleural and extrapleural nodularity and thickening. The index lesion in the left upper lobe on image 27 of series 4 currently measures approximately 2.4 cm in short axis diameter compared to 2 cm on previous study. Index lesion in the posterior aspect of the right hemithorax on image 49 of series 4 is slightly smaller now measuring 1.5 cm compared to 1.9 cm previous study though numerous other lesions are worse. There is obvious right posterior chest wall invasion on image 47 of series Right basilar pleural drain again noted. Right-sided hemidiaphragmatic mesh again noted. Small loculated pleural effusions again noted. New diffuse groundglass abnormality throughout the lungs with focal areas of bronchovascular consolidation within the central aspect of the right lung. Very large necrotic mediastinal lymphadenopathy with infiltration of mediastinal fat has progressed since previous study. The largest lymph node is again within the paraesophageal region present on image 57 of 145 measuring 4.7 cm compared to 4.3 cm in short axis. None. Right posterior chest wall invasion, as above. Small nodular lesions again noted in the subcutaneous fat of the lower abdomen which could represent injection granulomas versus malignant disease. Small breast nodules, unchanged. Absence of enteric contrast material limits sensitivity for abdominal pathology. New amorphous hypodense lesion in the anterior lateral aspect of the liver on image 94 of series 4 measuring 2.1 x 1.2 cm. Cholelithiasis. 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. New mild superior endplate compression deformity at T5. No significant abnormality noted. </s>

. Technically adequate examination without evidence of pulmonary embolism. The main pulmonary artery is top normal. The central airways are patent. No pneumothorax or pleural effusion. No suspicious nodule or mass. The heart size is normal without pericardial effusion. No significant mediastinal or hilar lymphadenopathy. None. No significant lymphadenopathy. The osseous structures are within normal limits. 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': {}}clinical findings_fin: {'main pulmonary artery is top normal': {'clinical finding': 'main pulmonary artery is top normal'}}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: {'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'}}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 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'}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'osseous structures are within normal limits': {'clinical finding': 'osseous structures are within normal limits'}}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': {}}clinical findings_fin: {'main pulmonary artery is top normal': {'clinical finding': 'main pulmonary artery is top normal'}}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: {'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'}}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 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'}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'osseous structures are within normal limits': {'clinical finding': 'osseous structures are within normal limits'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Technically adequate examination without evidence of pulmonary embolism. The main pulmonary artery is top normal. The central airways are patent. No pneumothorax or pleural effusion. No suspicious nodule or mass. The heart size is normal without pericardial effusion. No significant mediastinal or hilar lymphadenopathy. None. No significant lymphadenopathy. The osseous structures are within normal limits. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. </s>

No significant interval change of right fronto-temporo-parietal ICH, IVH with midline shift toward left side. There is SAH on the left fronto-parieto-temporal which likely represent redistribution. There is small amount of right frontal SDH, no change since prior scan. Underlying brain shows encephalomalacia on the left temporal lobe with associated ex vacuo changes of the left lateral ventricle. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear.

location descriptor_fin: ['right', 'midline', 'left']clinical findings_fin: {'significant interval change': {'clinical finding': 'significant interval change', 'existence': 'neg_dx', 'descriptive_term': 'significant interval', 'observation': 'change'}, 'right fronto-temporo-parietal ich': {'clinical finding': 'right fronto-temporo-parietal ich', 'existence': 'neg_dx', 'descriptive_term': 'right fronto-temporo-parietal', 'observation': 'ich'}, 'ivh': {'clinical finding': 'ivh', 'existence': 'neg_dx', 'observation': 'ivh'}}location descriptor_fin: ['left']clinical findings_fin: {'sah': {'clinical finding': 'sah', 'existence': 'pos_dx', 'observation': 'sah'}, 'redistribution': {'clinical finding': 'redistribution', 'cf_snomed': {'redistribution': 18565007}, 'existence': 'pos_dx', 'observation': 'redistribution'}}location descriptor_fin: ['right']clinical findings_fin: {'right frontal sdh': {'clinical finding': 'right frontal sdh', 'existence': 'pos_dx', 'descriptive_term': 'right frontal', 'observation': 'sdh'}, 'change': {'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change'}}anatomical entity_fin: {'brain': {}, 'left temporal lobe': {}, 'left lateral ventricle': {}}clinical findings_fin: {'encephalomalacia': {'clinical finding': 'encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'pos_dx', 'observation': 'encephalomalacia'}, 'associated ex vacuo changes': {'clinical finding': 'associated ex vacuo changes', 'existence': 'pos_dx', 'descriptive_term': 'associated ex vacuo', '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'}}

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', 'midline', 'left']clinical findings_fin: {'significant interval change': {'clinical finding': 'significant interval change', 'existence': 'neg_dx', 'descriptive_term': 'significant interval', 'observation': 'change'}, 'right fronto-temporo-parietal ich': {'clinical finding': 'right fronto-temporo-parietal ich', 'existence': 'neg_dx', 'descriptive_term': 'right fronto-temporo-parietal', 'observation': 'ich'}, 'ivh': {'clinical finding': 'ivh', 'existence': 'neg_dx', 'observation': 'ivh'}}location descriptor_fin: ['left']clinical findings_fin: {'sah': {'clinical finding': 'sah', 'existence': 'pos_dx', 'observation': 'sah'}, 'redistribution': {'clinical finding': 'redistribution', 'cf_snomed': {'redistribution': 18565007}, 'existence': 'pos_dx', 'observation': 'redistribution'}}location descriptor_fin: ['right']clinical findings_fin: {'right frontal sdh': {'clinical finding': 'right frontal sdh', 'existence': 'pos_dx', 'descriptive_term': 'right frontal', 'observation': 'sdh'}, 'change': {'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change'}}anatomical entity_fin: {'brain': {}, 'left temporal lobe': {}, 'left lateral ventricle': {}}clinical findings_fin: {'encephalomalacia': {'clinical finding': 'encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'pos_dx', 'observation': 'encephalomalacia'}, 'associated ex vacuo changes': {'clinical finding': 'associated ex vacuo changes', 'existence': 'pos_dx', 'descriptive_term': 'associated ex vacuo', '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'}} [/INST] No significant interval change of right fronto-temporo-parietal ICH, IVH with midline shift toward left side. There is SAH on the left fronto-parieto-temporal which likely represent redistribution. There is small amount of right frontal SDH, no change since prior scan. Underlying brain shows encephalomalacia on the left temporal lobe with associated ex vacuo changes of the left lateral ventricle. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear. </s>

. Pneumocephalus has resolved. There is a hypoattenuating, likely subdural, collection along the right frontal lobe extending to the vertex which measures up to 10 mm in thickness. It is of low attenuation but slightly higher than that of CSF. In addition, there is a small amount of dense material anteriorly along the right frontal lobe, just posterior to the right frontal sinus, which may be postoperative epidural or dural thickening or fluid. There are small hypoattenuating foci in the subcortical white matter which are nonspecific but likely related to age-indeterminate small vessel ischemic disease. There is no midline shift or mass effect. The ventricles and sulci are within normal limits. There are bilateral lens implants. There are postoperative changes from CSF leak repair on the right including resection of the middle turbinate, multiple ethmoid air cells, and the ethmoid bulla. Graft material or a rind of soft tissue density is seen along the fovea ethmoidalis. The skull base in this area appears thin but this is of uncertain clinical significance given the recent surgery. In addition, there is a thin, channel-like lucency in the roof of the right frontal sinus that was also present on prior exams. There is new high attenuation material within the right frontal sinus. There is also soft tissue thickening in the remaining right ethmoid air cells and bilateral sphenoid sinuses. The bilateral maxillary sinus ostia are patent. The right ostiomeatal unit is obstructed but the left is patent. The lamina papyracea are intact bilaterally. The nasal septum is midline. Bilateral orbits and the posterior nasopharynx appear unremarkable.

clinical findings_fin: {'pneumocephalus': {'clinical finding': 'pneumocephalus', 'cf_snomed': {'pneumocephalus': 14415006}, 'existence': 'neg_dx', 'observation': 'pneumocephalus'}}size_fin: [{'size': '10 mm', 'size_descriptor': 'hypoattenuating'}]anatomical entity_fin: {'right frontal lobe': {}, 'vertex': {}}clinical findings_fin: {'hypoattenuating, likely subdural': {'clinical finding': 'hypoattenuating, likely subdural', 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating likely', 'observation': 'subdural'}}clinical findings_fin: {'low attenuation but slightly higher': {'clinical finding': 'low attenuation but slightly higher'}}anatomical entity_fin: {'right frontal lobe': {}, 'frontal sinus': {'location descriptor': 'right'}, 'fluid': {}}location descriptor_fin: ['posterior', 'right']clinical findings_fin: {'postoperative epidural or dural thickening': {'clinical finding': 'postoperative epidural or dural thickening', 'existence': 'unc_dx', 'descriptive_term': 'postoperative epidural or dural', 'observation': 'thickening'}}imaging observation_fin: ['foci']clinical findings_fin: {'small hypoattenuating foci': {'clinical finding': 'small hypoattenuating foci', 'existence': 'pos_dx', 'descriptive_term': 'small hypoattenuating', 'observation': 'foci', 'strength_term': 'small'}, 'age-indeterminate small vessel ischemic disease': {'clinical finding': 'age-indeterminate small vessel ischemic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'age-indeterminate small vessel ischemic', 'observation': 'disease', 'strength_term': 'small'}}location descriptor_fin: ['midline']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'ventricles and sulci are within normal limits': {'clinical finding': 'ventricles and sulci are within normal limits'}}anatomical entity_fin: {'lens': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']anatomical entity_fin: {'middle': {}, 'cells': {}, 'bulla': {}}location descriptor_fin: ['right']procedure_fin: ['repair']clinical findings_fin: {'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}, 'csf leak': {'clinical finding': 'csf leak', 'existence': 'pos_dx', 'descriptive_term': 'csf', 'observation': 'leak'}}anatomical entity_fin: {'graft': {}, 'fovea ethmoidalis': {}}imaging observation_fin: ['soft tissue density']clinical findings_fin: {'soft tissue density': {'clinical finding': 'soft tissue density', 'existence': 'unc_dx', 'descriptive_term': 'soft tissue', 'observation': 'density'}}anatomical entity_fin: {'skull': {}, 'base': {}}clinical findings_fin: {'thin': {'clinical finding': 'thin', 'existence': 'pos_dx', 'observation': 'thin'}}anatomical entity_fin: {'roof': {}, 'frontal sinus': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'addition , there is a thin , channel -like lucency in the roof of the right frontal sinus that was also present': {'clinical finding': 'addition , there is a thin , channel -like lucency in the roof of the right frontal sinus that was also present', 'cf_snomed': {'sinus': 419351001}}}anatomical entity_fin: {'frontal sinus': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'new high attenuation': {'clinical finding': 'new high attenuation', 'existence': 'pos_dx', 'descriptive_term': 'new high', 'observation': 'attenuation', 'temporal_term': 'new'}}anatomical entity_fin: {'cells': {}}location descriptor_fin: ['right', 'bilateral']clinical findings_fin: {'soft tissue thickening': {'clinical finding': 'soft tissue thickening', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'thickening'}, 'bilateral sphenoid sinuses': {'clinical finding': 'bilateral sphenoid sinuses', 'cf_snomed': {'sinus': 419351001}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral sphenoid', 'observation': 'sinus'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral maxillary sinus ostia': {'clinical finding': 'bilateral maxillary sinus ostia', 'cf_snomed': {'bilateral maxillary sinus': 313302006}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral maxillary sinus', 'observation': 'ostia'}, 'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'ostiomeatal unit': {'location descriptor': 'right'}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'obstructed': {'clinical finding': 'obstructed', 'existence': 'pos_dx', 'observation': 'obstruct'}, 'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}location descriptor_fin: ['midline']clinical findings_fin: {'nasal septum': {'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum'}}anatomical entity_fin: {'orbits': {'location descriptor': 'bilateral'}, 'nasopharynx': {'location descriptor': 'posterior'}}location descriptor_fin: ['bilateral', 'posterior']clinical findings_fin: {'bilateral orbits and the posterior nasopharynx appear unremarkable': {'clinical finding': 'bilateral orbits and the posterior nasopharynx appear unremarkable'}}

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

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'pneumocephalus': {'clinical finding': 'pneumocephalus', 'cf_snomed': {'pneumocephalus': 14415006}, 'existence': 'neg_dx', 'observation': 'pneumocephalus'}}size_fin: [{'size': '10 mm', 'size_descriptor': 'hypoattenuating'}]anatomical entity_fin: {'right frontal lobe': {}, 'vertex': {}}clinical findings_fin: {'hypoattenuating, likely subdural': {'clinical finding': 'hypoattenuating, likely subdural', 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating likely', 'observation': 'subdural'}}clinical findings_fin: {'low attenuation but slightly higher': {'clinical finding': 'low attenuation but slightly higher'}}anatomical entity_fin: {'right frontal lobe': {}, 'frontal sinus': {'location descriptor': 'right'}, 'fluid': {}}location descriptor_fin: ['posterior', 'right']clinical findings_fin: {'postoperative epidural or dural thickening': {'clinical finding': 'postoperative epidural or dural thickening', 'existence': 'unc_dx', 'descriptive_term': 'postoperative epidural or dural', 'observation': 'thickening'}}imaging observation_fin: ['foci']clinical findings_fin: {'small hypoattenuating foci': {'clinical finding': 'small hypoattenuating foci', 'existence': 'pos_dx', 'descriptive_term': 'small hypoattenuating', 'observation': 'foci', 'strength_term': 'small'}, 'age-indeterminate small vessel ischemic disease': {'clinical finding': 'age-indeterminate small vessel ischemic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'age-indeterminate small vessel ischemic', 'observation': 'disease', 'strength_term': 'small'}}location descriptor_fin: ['midline']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'ventricles and sulci are within normal limits': {'clinical finding': 'ventricles and sulci are within normal limits'}}anatomical entity_fin: {'lens': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']anatomical entity_fin: {'middle': {}, 'cells': {}, 'bulla': {}}location descriptor_fin: ['right']procedure_fin: ['repair']clinical findings_fin: {'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}, 'csf leak': {'clinical finding': 'csf leak', 'existence': 'pos_dx', 'descriptive_term': 'csf', 'observation': 'leak'}}anatomical entity_fin: {'graft': {}, 'fovea ethmoidalis': {}}imaging observation_fin: ['soft tissue density']clinical findings_fin: {'soft tissue density': {'clinical finding': 'soft tissue density', 'existence': 'unc_dx', 'descriptive_term': 'soft tissue', 'observation': 'density'}}anatomical entity_fin: {'skull': {}, 'base': {}}clinical findings_fin: {'thin': {'clinical finding': 'thin', 'existence': 'pos_dx', 'observation': 'thin'}}anatomical entity_fin: {'roof': {}, 'frontal sinus': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'addition , there is a thin , channel -like lucency in the roof of the right frontal sinus that was also present': {'clinical finding': 'addition , there is a thin , channel -like lucency in the roof of the right frontal sinus that was also present', 'cf_snomed': {'sinus': 419351001}}}anatomical entity_fin: {'frontal sinus': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'new high attenuation': {'clinical finding': 'new high attenuation', 'existence': 'pos_dx', 'descriptive_term': 'new high', 'observation': 'attenuation', 'temporal_term': 'new'}}anatomical entity_fin: {'cells': {}}location descriptor_fin: ['right', 'bilateral']clinical findings_fin: {'soft tissue thickening': {'clinical finding': 'soft tissue thickening', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'thickening'}, 'bilateral sphenoid sinuses': {'clinical finding': 'bilateral sphenoid sinuses', 'cf_snomed': {'sinus': 419351001}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral sphenoid', 'observation': 'sinus'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral maxillary sinus ostia': {'clinical finding': 'bilateral maxillary sinus ostia', 'cf_snomed': {'bilateral maxillary sinus': 313302006}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral maxillary sinus', 'observation': 'ostia'}, 'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'ostiomeatal unit': {'location descriptor': 'right'}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'obstructed': {'clinical finding': 'obstructed', 'existence': 'pos_dx', 'observation': 'obstruct'}, 'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}location descriptor_fin: ['midline']clinical findings_fin: {'nasal septum': {'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum'}}anatomical entity_fin: {'orbits': {'location descriptor': 'bilateral'}, 'nasopharynx': {'location descriptor': 'posterior'}}location descriptor_fin: ['bilateral', 'posterior']clinical findings_fin: {'bilateral orbits and the posterior nasopharynx appear unremarkable': {'clinical finding': 'bilateral orbits and the posterior nasopharynx appear unremarkable'}} [/INST] . Pneumocephalus has resolved. There is a hypoattenuating, likely subdural, collection along the right frontal lobe extending to the vertex which measures up to 10 mm in thickness. It is of low attenuation but slightly higher than that of CSF. In addition, there is a small amount of dense material anteriorly along the right frontal lobe, just posterior to the right frontal sinus, which may be postoperative epidural or dural thickening or fluid. There are small hypoattenuating foci in the subcortical white matter which are nonspecific but likely related to age-indeterminate small vessel ischemic disease. There is no midline shift or mass effect. The ventricles and sulci are within normal limits. There are bilateral lens implants. There are postoperative changes from CSF leak repair on the right including resection of the middle turbinate, multiple ethmoid air cells, and the ethmoid bulla. Graft material or a rind of soft tissue density is seen along the fovea ethmoidalis. The skull base in this area appears thin but this is of uncertain clinical significance given the recent surgery. In addition, there is a thin, channel-like lucency in the roof of the right frontal sinus that was also present on prior exams. There is new high attenuation material within the right frontal sinus. There is also soft tissue thickening in the remaining right ethmoid air cells and bilateral sphenoid sinuses. The bilateral maxillary sinus ostia are patent. The right ostiomeatal unit is obstructed but the left is patent. The lamina papyracea are intact bilaterally. The nasal septum is midline. Bilateral orbits and the posterior nasopharynx appear unremarkable. </s>

. Left upper lobe noncalcified, homogeneous, and well-defined nodule measuring 8.4 x 6.9 mm. Scattered bilateral nonspecific micronodules. Minimal bronchial wall thickening. No pleural effusions. Calcified left hilar lymph node consistent with granulomatous disease. Multiple mildly prominent mediastinal lymph nodes. Mild coronary artery calcification. No significant abnormality noted. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Hepatomegaly noted with normal appearing morphology.

size_fin: [{'size': '8.4 x 6.9 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'left upper lobe noncalcified, homogeneous, and well-defined nodule': {'clinical finding': 'left upper lobe noncalcified, homogeneous, and well-defined nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'left upper lobe noncalcified homogeneous and well-defined', 'observation': 'nodule'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'scattered bilateral nonspecific micronodules': {'clinical finding': 'scattered bilateral nonspecific micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered bilateral nonspecific', 'observation': 'micronodule'}}clinical findings_fin: {'minimal bronchial wall thickening': {'clinical finding': 'minimal bronchial wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'minimal bronchial wall', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}clinical findings_fin: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}location descriptor_fin: ['left']clinical findings_fin: {'calcified left hilar lymph node': {'clinical finding': 'calcified left hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'calcified left hilar lymph', 'observation': 'node', 'change_term': 'calcified'}, 'granulomatous disease': {'clinical finding': 'granulomatous disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'granulomatous', 'observation': 'disease'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'multiple mildly prominent mediastinal lymph nodes': {'clinical finding': 'multiple mildly prominent mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple mildly prominent mediastinal lymph', 'observation': 'node', 'strength_term': 'mildly - prominent', 'quantity_term': 'multiple'}}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': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'hepatomegaly': {'clinical finding': 'hepatomegaly', 'existence': 'pos_dx', 'observation': 'hepatomegaly'}}

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': '8.4 x 6.9 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'left upper lobe noncalcified, homogeneous, and well-defined nodule': {'clinical finding': 'left upper lobe noncalcified, homogeneous, and well-defined nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'left upper lobe noncalcified homogeneous and well-defined', 'observation': 'nodule'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'scattered bilateral nonspecific micronodules': {'clinical finding': 'scattered bilateral nonspecific micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered bilateral nonspecific', 'observation': 'micronodule'}}clinical findings_fin: {'minimal bronchial wall thickening': {'clinical finding': 'minimal bronchial wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'minimal bronchial wall', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}clinical findings_fin: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}location descriptor_fin: ['left']clinical findings_fin: {'calcified left hilar lymph node': {'clinical finding': 'calcified left hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'calcified left hilar lymph', 'observation': 'node', 'change_term': 'calcified'}, 'granulomatous disease': {'clinical finding': 'granulomatous disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'granulomatous', 'observation': 'disease'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'multiple mildly prominent mediastinal lymph nodes': {'clinical finding': 'multiple mildly prominent mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple mildly prominent mediastinal lymph', 'observation': 'node', 'strength_term': 'mildly - prominent', 'quantity_term': 'multiple'}}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': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'hepatomegaly': {'clinical finding': 'hepatomegaly', 'existence': 'pos_dx', 'observation': 'hepatomegaly'}} [/INST] . Left upper lobe noncalcified, homogeneous, and well-defined nodule measuring 8.4 x 6.9 mm. Scattered bilateral nonspecific micronodules. Minimal bronchial wall thickening. No pleural effusions. Calcified left hilar lymph node consistent with granulomatous disease. Multiple mildly prominent mediastinal lymph nodes. Mild coronary artery calcification. No significant abnormality noted. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Hepatomegaly noted with normal appearing morphology. </s>

. Left upper lobe mass measures 3.7 x 1.4 cm previously, 3.7 x 1.6 cm. Reference left lower lobe pulmonary nodule measures 12 mm on image 85/series 5, unchanged. Reference right lower lobe pulmonary nodule measures 9 mm on image 53/series 5, unchanged. Several of the other nodules show decrease in density. Pleural spaces are clear. Heart size normal. No pericardial effusion. No mediastinal lymphadenopathy. Postsurgical changes in the left axilla. Postsurgical changes in the left breast. Extensive bilobar hepatic metastases. Dominant lesion in the right hepatic lobe measures 7.8 x 7.7 cm previously, 10.4 x 9.7 cm. The lesion is more hypodense than prior. The other lesions also decreased in size. There is no intrahepatic biliary ductal dilatation. The hepatic and portal veins are patent. 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. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted.

size_fin: [{'size': '3.7 x 1.4 cm'}, {'size': '3.7 x 1.6 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'left upper lobe mass': {'clinical finding': 'left upper lobe mass', 'existence': 'pos_dx', 'descriptive_term': 'left upper lobe', 'observation': 'mass'}}size_fin: [{'size': '12 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'reference left lower lobe pulmonary nodule': {'clinical finding': 'reference left lower lobe pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference left lower lobe pulmonary', 'observation': 'nodule'}}size_fin: [{'size': '9 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'reference right lower lobe pulmonary nodule': {'clinical finding': 'reference right lower lobe pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right lower lobe pulmonary', 'observation': 'nodule'}}clinical findings_fin: {'other nodules': {'clinical finding': 'other nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'other', 'observation': 'nodule'}, 'density': {'clinical finding': 'density', 'existence': 'pos_dx', 'observation': 'density'}}anatomical entity_fin: {'pleural spaces': {}}clinical findings_fin: {'pleural spaces': {'clinical finding': 'pleural spaces', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'space'}, 'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'heart size normal': {'clinical finding': 'heart size 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: {'mediastinal lymphadenopathy': {'clinical finding': 'mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'mediastinal', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'axilla': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}}anatomical entity_fin: {'breast': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}}clinical findings_fin: {'extensive bilobar hepatic metastases': {'clinical finding': 'extensive bilobar hepatic metastases', 'existence': 'pos_dx', 'descriptive_term': 'extensive bilobar hepatic', 'observation': 'metastase', 'strength_term': 'extensive'}}size_fin: [{'size': '7.8 x 7.7 cm'}, {'size': '10.4 x 9.7 cm'}]anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'dominant lesion': {'clinical finding': 'dominant lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'dominant', 'observation': 'lesion'}}clinical findings_fin: {'lesion': {'clinical finding': 'lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'observation': 'lesion'}}clinical findings_fin: {'other lesions': {'clinical finding': 'other lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'other', 'observation': 'lesion'}}clinical findings_fin: {'intrahepatic biliary ductal dilatation': {'clinical finding': 'intrahepatic biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'descriptive_term': 'intrahepatic biliary ductal', 'observation': 'dilatation'}}anatomical entity_fin: {'portal veins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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': '3.7 x 1.4 cm'}, {'size': '3.7 x 1.6 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'left upper lobe mass': {'clinical finding': 'left upper lobe mass', 'existence': 'pos_dx', 'descriptive_term': 'left upper lobe', 'observation': 'mass'}}size_fin: [{'size': '12 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'reference left lower lobe pulmonary nodule': {'clinical finding': 'reference left lower lobe pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference left lower lobe pulmonary', 'observation': 'nodule'}}size_fin: [{'size': '9 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'reference right lower lobe pulmonary nodule': {'clinical finding': 'reference right lower lobe pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right lower lobe pulmonary', 'observation': 'nodule'}}clinical findings_fin: {'other nodules': {'clinical finding': 'other nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'other', 'observation': 'nodule'}, 'density': {'clinical finding': 'density', 'existence': 'pos_dx', 'observation': 'density'}}anatomical entity_fin: {'pleural spaces': {}}clinical findings_fin: {'pleural spaces': {'clinical finding': 'pleural spaces', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'space'}, 'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'heart size normal': {'clinical finding': 'heart size 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: {'mediastinal lymphadenopathy': {'clinical finding': 'mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'mediastinal', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'axilla': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}}anatomical entity_fin: {'breast': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}}clinical findings_fin: {'extensive bilobar hepatic metastases': {'clinical finding': 'extensive bilobar hepatic metastases', 'existence': 'pos_dx', 'descriptive_term': 'extensive bilobar hepatic', 'observation': 'metastase', 'strength_term': 'extensive'}}size_fin: [{'size': '7.8 x 7.7 cm'}, {'size': '10.4 x 9.7 cm'}]anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'dominant lesion': {'clinical finding': 'dominant lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'dominant', 'observation': 'lesion'}}clinical findings_fin: {'lesion': {'clinical finding': 'lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'observation': 'lesion'}}clinical findings_fin: {'other lesions': {'clinical finding': 'other lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'other', 'observation': 'lesion'}}clinical findings_fin: {'intrahepatic biliary ductal dilatation': {'clinical finding': 'intrahepatic biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'descriptive_term': 'intrahepatic biliary ductal', 'observation': 'dilatation'}}anatomical entity_fin: {'portal veins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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 upper lobe mass measures 3.7 x 1.4 cm previously, 3.7 x 1.6 cm. Reference left lower lobe pulmonary nodule measures 12 mm on image 85/series 5, unchanged. Reference right lower lobe pulmonary nodule measures 9 mm on image 53/series 5, unchanged. Several of the other nodules show decrease in density. Pleural spaces are clear. Heart size normal. No pericardial effusion. No mediastinal lymphadenopathy. Postsurgical changes in the left axilla. Postsurgical changes in the left breast. Extensive bilobar hepatic metastases. Dominant lesion in the right hepatic lobe measures 7.8 x 7.7 cm previously, 10.4 x 9.7 cm. The lesion is more hypodense than prior. The other lesions also decreased in size. There is no intrahepatic biliary ductal dilatation. The hepatic and portal veins are patent. 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. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. </s>

The absence of intravenous contrast limits evaluation of the solid organs and vasculature. Cardiomegaly. Cirrhotic liver morphology. Cholelithiasis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Moderate. Enteric tube coiled in the stomach with tip terminating in the second portion of the duodenum. No significant abnormality noted. Diffuse abdominal and pelvic ascites similar to prior study. No evidence of retroperitoneal hematoma. Anasarca. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Diffuse abdominal and pelvic ascites. Fluid collection at the level of the umbilicus unchanged from prior study. Anasarca.

anatomical entity_fin: {'solid organs': {}, 'vasculature': {}}clinical findings_fin: {'intravenous contrast': {'clinical finding': 'intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'}}clinical findings_fin: {'cardiomegaly': {'clinical finding': 'cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'observation': 'cardiomegaly'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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': {}, 'duodenum': {}}object_fin: ['tube']clinical findings_fin: {'enteric tube coiled in the stomach with tip terminating': {'clinical finding': 'enteric tube coiled in the stomach with tip terminating', 'change_term': 'coiled'}}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 and pelvic ascites': {'clinical finding': 'abdominal and pelvic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'abdominal and pelvic', 'observation': 'ascite'}}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: {'anasarca': {'clinical finding': 'anasarca', 'cf_snomed': {'anasarca': 442433009}, 'existence': 'pos_dx', 'observation': 'anasarca'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'diffuse abdominal and pelvic ascites': {'clinical finding': 'diffuse abdominal and pelvic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse abdominal and pelvic', 'observation': 'ascite'}}anatomical entity_fin: {'umbilicus': {}}clinical findings_fin: {'fluid collection': {'clinical finding': 'fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'fluid', 'observation': 'collection'}, 'unchanged': {'clinical finding': 'unchanged', 'existence': 'pos_dx', 'observation': 'unchanged'}}clinical findings_fin: {'anasarca': {'clinical finding': 'anasarca', 'cf_snomed': {'anasarca': 442433009}, 'existence': 'pos_dx', 'observation': 'anasarca'}}

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

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'solid organs': {}, 'vasculature': {}}clinical findings_fin: {'intravenous contrast': {'clinical finding': 'intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'}}clinical findings_fin: {'cardiomegaly': {'clinical finding': 'cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'observation': 'cardiomegaly'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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': {}, 'duodenum': {}}object_fin: ['tube']clinical findings_fin: {'enteric tube coiled in the stomach with tip terminating': {'clinical finding': 'enteric tube coiled in the stomach with tip terminating', 'change_term': 'coiled'}}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 and pelvic ascites': {'clinical finding': 'abdominal and pelvic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'abdominal and pelvic', 'observation': 'ascite'}}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: {'anasarca': {'clinical finding': 'anasarca', 'cf_snomed': {'anasarca': 442433009}, 'existence': 'pos_dx', 'observation': 'anasarca'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'diffuse abdominal and pelvic ascites': {'clinical finding': 'diffuse abdominal and pelvic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse abdominal and pelvic', 'observation': 'ascite'}}anatomical entity_fin: {'umbilicus': {}}clinical findings_fin: {'fluid collection': {'clinical finding': 'fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'fluid', 'observation': 'collection'}, 'unchanged': {'clinical finding': 'unchanged', 'existence': 'pos_dx', 'observation': 'unchanged'}}clinical findings_fin: {'anasarca': {'clinical finding': 'anasarca', 'cf_snomed': {'anasarca': 442433009}, 'existence': 'pos_dx', 'observation': 'anasarca'}} [/INST] The absence of intravenous contrast limits evaluation of the solid organs and vasculature. Cardiomegaly. Cirrhotic liver morphology. Cholelithiasis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Moderate. Enteric tube coiled in the stomach with tip terminating in the second portion of the duodenum. No significant abnormality noted. Diffuse abdominal and pelvic ascites similar to prior study. No evidence of retroperitoneal hematoma. Anasarca. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Diffuse abdominal and pelvic ascites. Fluid collection at the level of the umbilicus unchanged from prior study. Anasarca. </s>

. Multiple bilateral pulmonary nodules are again noted and appear larger as compared to the previous study. For example, reference left apical nodule measures 8 mm x 8 mm on image 23 of series 4 as compared to 7 mm x 6 mm on the previous study. Multiple other pulmonary nodules are again noted and appear enlarged. No pleural effusions or pneumothorax. No hilar or mediastinal lymphadenopathy. Cardiac size is normal. No pericardial effusions. Small hiatal hernia is again noted. Moderate. Surgical clips compatible with prior thyroidectomy. Status post sternotomy with intact sternal wires. Hyperattenuating left infraspinatus muscle mass in the lateral chest wall is enlarged, measuring 1.8 cm x 1.6 cm on image 72 of series 3 is compared to 1.5 x 1.5 cm on previous study. Degenerative changes noted in the thoracic and lumbar spine. Absence of enteric contrast material limits sensitivity for abdominal pathology. Right posterior hypoattenuating lesion in the liver is slightly enlarged, currently measuring 1.1 cm x 1 cm on image 85 of series 3 as compared to 1.0 x 0.8 cm on the previous study. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Atherosclerotic calcification of the abdominal aorta. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. Hyperattenuating right psoas muscle is partially imaged. No significant abnormality noted.

location descriptor_fin: ['bilateral']clinical findings_fin: {'multiple bilateral pulmonary nodules': {'clinical finding': 'multiple bilateral pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'multiple bilateral pulmonary', 'observation': 'nodule', 'quantity_term': 'multiple'}}size_fin: [{'size': '8 mm x 8 mm'}, {'size': '7 mm x 6 mm'}]imaging observation_fin: ['apical']location descriptor_fin: ['left']clinical findings_fin: {'reference left apical nodule': {'clinical finding': 'reference left apical nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference left apical', 'observation': 'nodule'}}clinical findings_fin: {'multiple other pulmonary nodules': {'clinical finding': 'multiple other pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'multiple other pulmonary', 'observation': 'nodule', 'quantity_term': 'multiple'}, 'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}clinical findings_fin: {'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: {'hilar or mediastinal lymphadenopathy': {'clinical finding': 'hilar or mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'hilar or mediastinal', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'cardiac size is normal': {'clinical finding': 'cardiac size is normal'}}clinical findings_fin: {'pericardial effusions': {'clinical finding': 'pericardial effusions', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}clinical findings_fin: {'small hiatal hernia': {'clinical finding': 'small hiatal hernia', 'cf_snomed': {'hiatal hernia': 84089009}, 'existence': 'pos_dx', 'descriptive_term': 'small hiatal', 'observation': 'hernia', 'strength_term': 'small'}}object_fin: ['surgical clips']clinical findings_fin: {'surgical clips': {'clinical finding': 'surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'clip'}, 'prior thyroidectomy': {'clinical finding': 'prior thyroidectomy', 'existence': 'pos_dx', 'descriptive_term': 'prior', 'observation': 'thyroidectomy'}}clinical findings_fin: {'post sternotomy': {'clinical finding': 'post sternotomy', 'existence': 'pos_dx', 'descriptive_term': 'post', 'observation': 'sternotomy'}, 'intact sternal wires': {'clinical finding': 'intact sternal wires', 'existence': 'pos_dx', 'descriptive_term': 'intact sternal', 'observation': 'wire', 'change_term': 'intact'}}size_fin: [{'size': '1.8 cm x 1.6 cm'}, {'size': '1.5 x 1.5 cm'}]anatomical entity_fin: {'left infraspinatus': {}, 'lateral chest wall': {}}clinical findings_fin: {'hyperattenuating left infraspinatus muscle mass': {'clinical finding': 'hyperattenuating left infraspinatus muscle mass', 'existence': 'pos_dx', 'descriptive_term': 'hyperattenuating left infraspinatus muscle', 'observation': 'mass'}, 'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}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'}}size_fin: [{'size': '1.1 cm x 1 cm'}, {'size': '1.0 x 0.8 cm'}]anatomical entity_fin: {'liver': {}}location descriptor_fin: ['right', 'posterior']clinical findings_fin: {'right posterior hypoattenuating lesion': {'clinical finding': 'right posterior hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right posterior hypoattenuating', 'observation': 'lesion'}, 'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal aorta': {}}clinical findings_fin: {'atherosclerotic calcification of the abdominal aorta': {'clinical finding': 'atherosclerotic calcification of the abdominal aorta', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic calcification of the abdominal', 'observation': 'aorta'}}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: {'psoas muscle': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right psoas muscle is partially imaged': {'clinical finding': 'right psoas muscle is partially imaged'}}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: {'multiple bilateral pulmonary nodules': {'clinical finding': 'multiple bilateral pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'multiple bilateral pulmonary', 'observation': 'nodule', 'quantity_term': 'multiple'}}size_fin: [{'size': '8 mm x 8 mm'}, {'size': '7 mm x 6 mm'}]imaging observation_fin: ['apical']location descriptor_fin: ['left']clinical findings_fin: {'reference left apical nodule': {'clinical finding': 'reference left apical nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference left apical', 'observation': 'nodule'}}clinical findings_fin: {'multiple other pulmonary nodules': {'clinical finding': 'multiple other pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'multiple other pulmonary', 'observation': 'nodule', 'quantity_term': 'multiple'}, 'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}clinical findings_fin: {'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: {'hilar or mediastinal lymphadenopathy': {'clinical finding': 'hilar or mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'hilar or mediastinal', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'cardiac size is normal': {'clinical finding': 'cardiac size is normal'}}clinical findings_fin: {'pericardial effusions': {'clinical finding': 'pericardial effusions', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}clinical findings_fin: {'small hiatal hernia': {'clinical finding': 'small hiatal hernia', 'cf_snomed': {'hiatal hernia': 84089009}, 'existence': 'pos_dx', 'descriptive_term': 'small hiatal', 'observation': 'hernia', 'strength_term': 'small'}}object_fin: ['surgical clips']clinical findings_fin: {'surgical clips': {'clinical finding': 'surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'clip'}, 'prior thyroidectomy': {'clinical finding': 'prior thyroidectomy', 'existence': 'pos_dx', 'descriptive_term': 'prior', 'observation': 'thyroidectomy'}}clinical findings_fin: {'post sternotomy': {'clinical finding': 'post sternotomy', 'existence': 'pos_dx', 'descriptive_term': 'post', 'observation': 'sternotomy'}, 'intact sternal wires': {'clinical finding': 'intact sternal wires', 'existence': 'pos_dx', 'descriptive_term': 'intact sternal', 'observation': 'wire', 'change_term': 'intact'}}size_fin: [{'size': '1.8 cm x 1.6 cm'}, {'size': '1.5 x 1.5 cm'}]anatomical entity_fin: {'left infraspinatus': {}, 'lateral chest wall': {}}clinical findings_fin: {'hyperattenuating left infraspinatus muscle mass': {'clinical finding': 'hyperattenuating left infraspinatus muscle mass', 'existence': 'pos_dx', 'descriptive_term': 'hyperattenuating left infraspinatus muscle', 'observation': 'mass'}, 'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}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'}}size_fin: [{'size': '1.1 cm x 1 cm'}, {'size': '1.0 x 0.8 cm'}]anatomical entity_fin: {'liver': {}}location descriptor_fin: ['right', 'posterior']clinical findings_fin: {'right posterior hypoattenuating lesion': {'clinical finding': 'right posterior hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right posterior hypoattenuating', 'observation': 'lesion'}, 'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal aorta': {}}clinical findings_fin: {'atherosclerotic calcification of the abdominal aorta': {'clinical finding': 'atherosclerotic calcification of the abdominal aorta', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic calcification of the abdominal', 'observation': 'aorta'}}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: {'psoas muscle': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right psoas muscle is partially imaged': {'clinical finding': 'right psoas muscle is partially imaged'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Multiple bilateral pulmonary nodules are again noted and appear larger as compared to the previous study. For example, reference left apical nodule measures 8 mm x 8 mm on image 23 of series 4 as compared to 7 mm x 6 mm on the previous study. Multiple other pulmonary nodules are again noted and appear enlarged. No pleural effusions or pneumothorax. No hilar or mediastinal lymphadenopathy. Cardiac size is normal. No pericardial effusions. Small hiatal hernia is again noted. Moderate. Surgical clips compatible with prior thyroidectomy. Status post sternotomy with intact sternal wires. Hyperattenuating left infraspinatus muscle mass in the lateral chest wall is enlarged, measuring 1.8 cm x 1.6 cm on image 72 of series 3 is compared to 1.5 x 1.5 cm on previous study. Degenerative changes noted in the thoracic and lumbar spine. Absence of enteric contrast material limits sensitivity for abdominal pathology. Right posterior hypoattenuating lesion in the liver is slightly enlarged, currently measuring 1.1 cm x 1 cm on image 85 of series 3 as compared to 1.0 x 0.8 cm on the previous study. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Atherosclerotic calcification of the abdominal aorta. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. Hyperattenuating right psoas muscle is partially imaged. No significant abnormality noted. </s>

. Too numerous to count appearing size and pulmonary nodules consistent with diffuse metastatic disease. There is also granulomatous disease. There is moderate size right pleural effusion. There is bibasilar atelectasis or consolidation left greater than right particularly in the left perihilar area. Rule out infection. For baseline purposes a nodule in the distribution of the right middle lobe measures 0.9 x 0.8 cm series 10738 image. No pathologic size nodes. Moderate coronary artery calcification. Central line in superior vena cava. Moderate. No significant abnormality noted. Multifocal large hepatic masses. Largest is in the dome of the right lobe measured on portal venous series 80740 image 58, 9.5 x 8 cm. Additional mass off the anterior aspect of the dome is somewhat exophytic. There are several small masses in the inferior aspect of the right lobe and medial segment of the left lobe and lateral segment of the left lobe. Additional index lesion in the inferior aspect of the right lobe is measured on portal venous series 80740 image 88, 2.8 x 1.9 cm. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Small consistent with chronic medical renal disease. No significant abnormality noted. Moderate. Large volume generalized ascites with several small foci of solid carcinomatosis. Numerous foci of carcinomatosis seen on the right leaf of the diaphragm. For baseline purposes soft tissue focus in the superior right paracolic gutter is measured on portal venous series 80740 image 96, 1.7 x 1.7 cm. Nonobstructive bowel gas pattern. Antral wall thickening with a somewhat irregular contour. I cannot exclude an antral mass along the posterior-inferior wall of the stomach. Colonic diverticulosis. Mesenteric vasculature enhances normally. Anasarca. Generalized osteoporosis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Large volume ascites with evidence of carcinomatosis. Anasarca. Generalized osteoporosis. Large bilateral inguinal hernias left greater than right containing ascites. Atherosclerotic disease.

clinical findings_fin: {'pulmonary nodules': {'clinical finding': 'pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'pulmonary', 'observation': 'nodule'}, 'diffuse metastatic disease': {'clinical finding': 'diffuse metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse metastatic', 'observation': 'disease'}}clinical findings_fin: {'granulomatous disease': {'clinical finding': 'granulomatous disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'granulomatous', 'observation': 'disease'}}location descriptor_fin: ['right']clinical findings_fin: {'right pleural effusion': {'clinical finding': 'right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'right pleural', 'observation': 'effusion'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'bibasilar atelectasis': {'clinical finding': 'bibasilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'bibasilar', 'observation': 'atelectasis'}, 'consolidation': {'clinical finding': 'consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'unc_dx', 'observation': 'consolidation'}}clinical findings_fin: {'infection': {'clinical finding': 'infection', 'existence': 'pos_dx', 'observation': 'infection'}}size_fin: [{'size': '0.9 x 0.8 cm', 'size_descriptor': 'series'}]anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'nodule': {'clinical finding': 'nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'observation': 'nodule'}}clinical findings_fin: {'pathologic size nodes': {'clinical finding': 'pathologic size nodes', 'existence': 'neg_dx', 'descriptive_term': 'pathologic size', 'observation': 'node'}}clinical findings_fin: {'moderate coronary artery calcification': {'clinical finding': 'moderate coronary artery calcification', 'existence': 'pos_dx', 'descriptive_term': 'moderate coronary artery', 'observation': 'calcification', 'strength_term': 'moderate'}}anatomical entity_fin: {'superior vena cava': {}}location descriptor_fin: ['central']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'multifocal large hepatic masses': {'clinical finding': 'multifocal large hepatic masses', 'existence': 'pos_dx', 'descriptive_term': 'multifocal large hepatic', 'observation': 'mass', 'strength_term': 'large'}}size_fin: [{'size': '9.5 x 8 cm', 'size_descriptor': 'dome'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right'}}location descriptor_fin: ['right']location descriptor_fin: ['anterior']clinical findings_fin: {'additional mass': {'clinical finding': 'additional mass', 'existence': 'pos_dx', 'descriptive_term': 'additional', 'observation': 'mass'}, 'exophytic': {'clinical finding': 'exophytic', 'existence': 'pos_dx', 'observation': 'exophytic'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left'}}location descriptor_fin: ['inferior', 'right', 'medial', 'left', 'lateral']clinical findings_fin: {'several small masses': {'clinical finding': 'several small masses', 'existence': 'pos_dx', 'descriptive_term': 'several small', 'observation': 'mass', 'strength_term': 'small', 'quantity_term': 'several'}}size_fin: [{'size': '2.8 x 1.9 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right'}}location descriptor_fin: ['inferior', 'right']clinical findings_fin: {'additional index lesion': {'clinical finding': 'additional index lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'additional index', 'observation': 'lesion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'chronic medical renal disease': {'clinical finding': 'chronic medical renal disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'chronic medical renal', 'observation': 'disease', 'temporal_term': 'chronic'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}imaging observation_fin: ['foci']clinical findings_fin: {'large volume generalized ascites': {'clinical finding': 'large volume generalized ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'large volume generalized', 'observation': 'ascite', 'strength_term': 'large'}, 'several small foci': {'clinical finding': 'several small foci', 'existence': 'pos_dx', 'descriptive_term': 'several small', 'observation': 'foci', 'strength_term': 'small', 'quantity_term': 'several'}, 'solid carcinomatosis': {'clinical finding': 'solid carcinomatosis', 'cf_snomed': {'carcinomatosis': 307593001}, 'existence': 'pos_dx', 'descriptive_term': 'solid', 'observation': 'carcinomatosis'}}anatomical entity_fin: {'diaphragm': {}}imaging observation_fin: ['foci']location descriptor_fin: ['right']clinical findings_fin: {'numerous foci': {'clinical finding': 'numerous foci', 'existence': 'pos_dx', 'descriptive_term': 'numerous', 'observation': 'foci', 'quantity_term': 'numerous'}, 'carcinomatosis': {'clinical finding': 'carcinomatosis', 'cf_snomed': {'carcinomatosis': 307593001}, 'existence': 'pos_dx', 'observation': 'carcinomatosis'}}size_fin: [{'size': '1.7 x 1.7 cm'}]anatomical entity_fin: {'paracolic gutter': {'location descriptor': 'superior right'}}location descriptor_fin: ['superior', 'right']clinical findings_fin: {'soft tissue focus': {'clinical finding': 'soft tissue focus', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'focus'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'nonobstructive bowel gas pattern': {'clinical finding': 'nonobstructive bowel gas pattern', 'existence': 'pos_dx', 'descriptive_term': 'nonobstructive bowel gas', 'observation': 'pattern'}}clinical findings_fin: {'wall thickening': {'clinical finding': 'wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'wall', 'observation': 'thickening'}, 'somewhat irregular contour': {'clinical finding': 'somewhat irregular contour', 'existence': 'pos_dx', 'descriptive_term': 'somewhat irregular', 'observation': 'contour'}}anatomical entity_fin: {'wall': {'location descriptor': 'posterior-inferior'}, 'stomach': {}}location descriptor_fin: ['posterior', 'inferior']clinical findings_fin: {'antral mass': {'clinical finding': 'antral mass', 'existence': 'unc_dx', 'descriptive_term': 'antral', 'observation': 'mass'}}clinical findings_fin: {'colonic diverticulosis': {'clinical finding': 'colonic diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'colonic', 'observation': 'diverticulosis'}}anatomical entity_fin: {'vasculature': {}}clinical findings_fin: {'anasarca': {'clinical finding': 'anasarca', 'cf_snomed': {'anasarca': 442433009}, 'existence': 'pos_dx', 'observation': 'anasarca'}}clinical findings_fin: {'generalized osteoporosis': {'clinical finding': 'generalized osteoporosis', 'cf_snomed': {'osteoporosis': 64859006}, 'existence': 'pos_dx', 'descriptive_term': 'generalized', 'observation': 'osteoporosis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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'}, 'carcinomatosis': {'clinical finding': 'carcinomatosis', 'cf_snomed': {'carcinomatosis': 307593001}, 'existence': 'pos_dx', 'observation': 'carcinomatosis'}}clinical findings_fin: {'anasarca': {'clinical finding': 'anasarca', 'cf_snomed': {'anasarca': 442433009}, 'existence': 'pos_dx', 'observation': 'anasarca'}}clinical findings_fin: {'generalized osteoporosis': {'clinical finding': 'generalized osteoporosis', 'cf_snomed': {'osteoporosis': 64859006}, 'existence': 'pos_dx', 'descriptive_term': 'generalized', 'observation': 'osteoporosis'}}location descriptor_fin: ['bilateral', 'left', 'right']clinical findings_fin: {'large bilateral inguinal hernias': {'clinical finding': 'large bilateral inguinal hernias', 'existence': 'pos_dx', 'descriptive_term': 'large bilateral inguinal', 'observation': 'hernias', 'strength_term': 'large'}, 'ascites': {'clinical finding': 'ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'observation': 'ascite'}}clinical findings_fin: {'atherosclerotic disease': {'clinical finding': 'atherosclerotic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', '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: clinical findings_fin: {'pulmonary nodules': {'clinical finding': 'pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'pulmonary', 'observation': 'nodule'}, 'diffuse metastatic disease': {'clinical finding': 'diffuse metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse metastatic', 'observation': 'disease'}}clinical findings_fin: {'granulomatous disease': {'clinical finding': 'granulomatous disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'granulomatous', 'observation': 'disease'}}location descriptor_fin: ['right']clinical findings_fin: {'right pleural effusion': {'clinical finding': 'right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'right pleural', 'observation': 'effusion'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'bibasilar atelectasis': {'clinical finding': 'bibasilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'bibasilar', 'observation': 'atelectasis'}, 'consolidation': {'clinical finding': 'consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'unc_dx', 'observation': 'consolidation'}}clinical findings_fin: {'infection': {'clinical finding': 'infection', 'existence': 'pos_dx', 'observation': 'infection'}}size_fin: [{'size': '0.9 x 0.8 cm', 'size_descriptor': 'series'}]anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'nodule': {'clinical finding': 'nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'observation': 'nodule'}}clinical findings_fin: {'pathologic size nodes': {'clinical finding': 'pathologic size nodes', 'existence': 'neg_dx', 'descriptive_term': 'pathologic size', 'observation': 'node'}}clinical findings_fin: {'moderate coronary artery calcification': {'clinical finding': 'moderate coronary artery calcification', 'existence': 'pos_dx', 'descriptive_term': 'moderate coronary artery', 'observation': 'calcification', 'strength_term': 'moderate'}}anatomical entity_fin: {'superior vena cava': {}}location descriptor_fin: ['central']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'multifocal large hepatic masses': {'clinical finding': 'multifocal large hepatic masses', 'existence': 'pos_dx', 'descriptive_term': 'multifocal large hepatic', 'observation': 'mass', 'strength_term': 'large'}}size_fin: [{'size': '9.5 x 8 cm', 'size_descriptor': 'dome'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right'}}location descriptor_fin: ['right']location descriptor_fin: ['anterior']clinical findings_fin: {'additional mass': {'clinical finding': 'additional mass', 'existence': 'pos_dx', 'descriptive_term': 'additional', 'observation': 'mass'}, 'exophytic': {'clinical finding': 'exophytic', 'existence': 'pos_dx', 'observation': 'exophytic'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left'}}location descriptor_fin: ['inferior', 'right', 'medial', 'left', 'lateral']clinical findings_fin: {'several small masses': {'clinical finding': 'several small masses', 'existence': 'pos_dx', 'descriptive_term': 'several small', 'observation': 'mass', 'strength_term': 'small', 'quantity_term': 'several'}}size_fin: [{'size': '2.8 x 1.9 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right'}}location descriptor_fin: ['inferior', 'right']clinical findings_fin: {'additional index lesion': {'clinical finding': 'additional index lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'additional index', 'observation': 'lesion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'chronic medical renal disease': {'clinical finding': 'chronic medical renal disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'chronic medical renal', 'observation': 'disease', 'temporal_term': 'chronic'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}imaging observation_fin: ['foci']clinical findings_fin: {'large volume generalized ascites': {'clinical finding': 'large volume generalized ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'large volume generalized', 'observation': 'ascite', 'strength_term': 'large'}, 'several small foci': {'clinical finding': 'several small foci', 'existence': 'pos_dx', 'descriptive_term': 'several small', 'observation': 'foci', 'strength_term': 'small', 'quantity_term': 'several'}, 'solid carcinomatosis': {'clinical finding': 'solid carcinomatosis', 'cf_snomed': {'carcinomatosis': 307593001}, 'existence': 'pos_dx', 'descriptive_term': 'solid', 'observation': 'carcinomatosis'}}anatomical entity_fin: {'diaphragm': {}}imaging observation_fin: ['foci']location descriptor_fin: ['right']clinical findings_fin: {'numerous foci': {'clinical finding': 'numerous foci', 'existence': 'pos_dx', 'descriptive_term': 'numerous', 'observation': 'foci', 'quantity_term': 'numerous'}, 'carcinomatosis': {'clinical finding': 'carcinomatosis', 'cf_snomed': {'carcinomatosis': 307593001}, 'existence': 'pos_dx', 'observation': 'carcinomatosis'}}size_fin: [{'size': '1.7 x 1.7 cm'}]anatomical entity_fin: {'paracolic gutter': {'location descriptor': 'superior right'}}location descriptor_fin: ['superior', 'right']clinical findings_fin: {'soft tissue focus': {'clinical finding': 'soft tissue focus', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'focus'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'nonobstructive bowel gas pattern': {'clinical finding': 'nonobstructive bowel gas pattern', 'existence': 'pos_dx', 'descriptive_term': 'nonobstructive bowel gas', 'observation': 'pattern'}}clinical findings_fin: {'wall thickening': {'clinical finding': 'wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'wall', 'observation': 'thickening'}, 'somewhat irregular contour': {'clinical finding': 'somewhat irregular contour', 'existence': 'pos_dx', 'descriptive_term': 'somewhat irregular', 'observation': 'contour'}}anatomical entity_fin: {'wall': {'location descriptor': 'posterior-inferior'}, 'stomach': {}}location descriptor_fin: ['posterior', 'inferior']clinical findings_fin: {'antral mass': {'clinical finding': 'antral mass', 'existence': 'unc_dx', 'descriptive_term': 'antral', 'observation': 'mass'}}clinical findings_fin: {'colonic diverticulosis': {'clinical finding': 'colonic diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'colonic', 'observation': 'diverticulosis'}}anatomical entity_fin: {'vasculature': {}}clinical findings_fin: {'anasarca': {'clinical finding': 'anasarca', 'cf_snomed': {'anasarca': 442433009}, 'existence': 'pos_dx', 'observation': 'anasarca'}}clinical findings_fin: {'generalized osteoporosis': {'clinical finding': 'generalized osteoporosis', 'cf_snomed': {'osteoporosis': 64859006}, 'existence': 'pos_dx', 'descriptive_term': 'generalized', 'observation': 'osteoporosis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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'}, 'carcinomatosis': {'clinical finding': 'carcinomatosis', 'cf_snomed': {'carcinomatosis': 307593001}, 'existence': 'pos_dx', 'observation': 'carcinomatosis'}}clinical findings_fin: {'anasarca': {'clinical finding': 'anasarca', 'cf_snomed': {'anasarca': 442433009}, 'existence': 'pos_dx', 'observation': 'anasarca'}}clinical findings_fin: {'generalized osteoporosis': {'clinical finding': 'generalized osteoporosis', 'cf_snomed': {'osteoporosis': 64859006}, 'existence': 'pos_dx', 'descriptive_term': 'generalized', 'observation': 'osteoporosis'}}location descriptor_fin: ['bilateral', 'left', 'right']clinical findings_fin: {'large bilateral inguinal hernias': {'clinical finding': 'large bilateral inguinal hernias', 'existence': 'pos_dx', 'descriptive_term': 'large bilateral inguinal', 'observation': 'hernias', 'strength_term': 'large'}, 'ascites': {'clinical finding': 'ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'observation': 'ascite'}}clinical findings_fin: {'atherosclerotic disease': {'clinical finding': 'atherosclerotic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'disease'}} [/INST] . Too numerous to count appearing size and pulmonary nodules consistent with diffuse metastatic disease. There is also granulomatous disease. There is moderate size right pleural effusion. There is bibasilar atelectasis or consolidation left greater than right particularly in the left perihilar area. Rule out infection. For baseline purposes a nodule in the distribution of the right middle lobe measures 0.9 x 0.8 cm series 10738 image. No pathologic size nodes. Moderate coronary artery calcification. Central line in superior vena cava. Moderate. No significant abnormality noted. Multifocal large hepatic masses. Largest is in the dome of the right lobe measured on portal venous series 80740 image 58, 9.5 x 8 cm. Additional mass off the anterior aspect of the dome is somewhat exophytic. There are several small masses in the inferior aspect of the right lobe and medial segment of the left lobe and lateral segment of the left lobe. Additional index lesion in the inferior aspect of the right lobe is measured on portal venous series 80740 image 88, 2.8 x 1.9 cm. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Small consistent with chronic medical renal disease. No significant abnormality noted. Moderate. Large volume generalized ascites with several small foci of solid carcinomatosis. Numerous foci of carcinomatosis seen on the right leaf of the diaphragm. For baseline purposes soft tissue focus in the superior right paracolic gutter is measured on portal venous series 80740 image 96, 1.7 x 1.7 cm. Nonobstructive bowel gas pattern. Antral wall thickening with a somewhat irregular contour. I cannot exclude an antral mass along the posterior-inferior wall of the stomach. Colonic diverticulosis. Mesenteric vasculature enhances normally. Anasarca. Generalized osteoporosis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Large volume ascites with evidence of carcinomatosis. Anasarca. Generalized osteoporosis. Large bilateral inguinal hernias left greater than right containing ascites. Atherosclerotic disease. </s>

. Scattered bilateral pulmonary nodules, most likely representing metastatic disease given the patients clinical history. See reference measurements below. No significant mediastinal or hilar lymphadenopathy. The heart size is normal and there is no pericardial effusion. Mild. Right chest wall Port-A-Cath tip terminates at cavoatrial junction. No significant lymphadenopathy noted. No suspicious mass lesions identified. No intrahepatic biliary ductal dilatation. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. None. Small hiatal hernia. Post surgical changes related to partial left colectomy and primary anastomosis. There is a soft tissue mass in the left upper quadrant with associated surgical clips, which abuts both the pancreas and left kidney, please see reference measurements below. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant lymphadenopathy noted. See above. No significant abnormality noted. No significant abnormality noted. 0.7 cm. 4.0 x 3.3 cm.

location descriptor_fin: ['bilateral']clinical findings_fin: {'scattered bilateral pulmonary nodules': {'clinical finding': 'scattered bilateral pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'scattered bilateral pulmonary', 'observation': 'nodule'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}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'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port']clinical findings_fin: {'right chest wall port-a-cath': {'clinical finding': 'right chest wall port-a-cath', 'existence': 'pos_dx', 'descriptive_term': 'right chest wall', 'observation': 'port-a-'}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'suspicious mass lesions': {'clinical finding': 'suspicious mass lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious mass', 'observation': 'lesion'}}clinical findings_fin: {'intrahepatic biliary ductal dilatation': {'clinical finding': 'intrahepatic biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'descriptive_term': 'intrahepatic biliary ductal', 'observation': 'dilatation'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'small hiatal hernia': {'clinical finding': 'small hiatal hernia', 'cf_snomed': {'hiatal hernia': 84089009}, 'existence': 'pos_dx', 'descriptive_term': 'small hiatal', 'observation': 'hernia', 'strength_term': 'small'}}anatomical entity_fin: {'anastomosis': {}}location descriptor_fin: ['left']clinical findings_fin: {'post surgical changes': {'clinical finding': 'post surgical changes', 'existence': 'pos_dx', 'descriptive_term': 'post surgical', 'observation': 'change'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'left upper'}, 'pancreas': {}, 'left kidney': {}}location descriptor_fin: ['left', 'upper']object_fin: ['surgical clips']clinical findings_fin: {'soft tissue mass': {'clinical finding': 'soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'mass'}, 'associated surgical clips': {'clinical finding': 'associated surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'associated surgical', 'observation': 'clip'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', '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'}}size_fin: [{'size': '0.7 cm'}]size_fin: [{'size': '4.0 x 3.3 cm'}]

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: {'scattered bilateral pulmonary nodules': {'clinical finding': 'scattered bilateral pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'scattered bilateral pulmonary', 'observation': 'nodule'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}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'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port']clinical findings_fin: {'right chest wall port-a-cath': {'clinical finding': 'right chest wall port-a-cath', 'existence': 'pos_dx', 'descriptive_term': 'right chest wall', 'observation': 'port-a-'}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'suspicious mass lesions': {'clinical finding': 'suspicious mass lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious mass', 'observation': 'lesion'}}clinical findings_fin: {'intrahepatic biliary ductal dilatation': {'clinical finding': 'intrahepatic biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'descriptive_term': 'intrahepatic biliary ductal', 'observation': 'dilatation'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'small hiatal hernia': {'clinical finding': 'small hiatal hernia', 'cf_snomed': {'hiatal hernia': 84089009}, 'existence': 'pos_dx', 'descriptive_term': 'small hiatal', 'observation': 'hernia', 'strength_term': 'small'}}anatomical entity_fin: {'anastomosis': {}}location descriptor_fin: ['left']clinical findings_fin: {'post surgical changes': {'clinical finding': 'post surgical changes', 'existence': 'pos_dx', 'descriptive_term': 'post surgical', 'observation': 'change'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'left upper'}, 'pancreas': {}, 'left kidney': {}}location descriptor_fin: ['left', 'upper']object_fin: ['surgical clips']clinical findings_fin: {'soft tissue mass': {'clinical finding': 'soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'mass'}, 'associated surgical clips': {'clinical finding': 'associated surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'associated surgical', 'observation': 'clip'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', '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'}}size_fin: [{'size': '0.7 cm'}]size_fin: [{'size': '4.0 x 3.3 cm'}] [/INST] . Scattered bilateral pulmonary nodules, most likely representing metastatic disease given the patients clinical history. See reference measurements below. No significant mediastinal or hilar lymphadenopathy. The heart size is normal and there is no pericardial effusion. Mild. Right chest wall Port-A-Cath tip terminates at cavoatrial junction. No significant lymphadenopathy noted. No suspicious mass lesions identified. No intrahepatic biliary ductal dilatation. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. None. Small hiatal hernia. Post surgical changes related to partial left colectomy and primary anastomosis. There is a soft tissue mass in the left upper quadrant with associated surgical clips, which abuts both the pancreas and left kidney, please see reference measurements below. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant lymphadenopathy noted. See above. No significant abnormality noted. No significant abnormality noted. 0.7 cm. 4.0 x 3.3 cm. </s>

. Moderate to large left pneumothorax. Left chest tube appears to perforate the left upper lobe with tip in the medial apex. Small amount of loculated left pleural fluid. 10 x 11 mm right upper lobe pulmonary nodule with central calcification. A couple additional pulmonary nodules in the right upper lobe. Right basilar scarring or atelectasis. Coarse calcification in the right thyroid gland. Calcified right hilar lymph nodes. No significant mediastinal or hilar lymphadenopathy. Heart size is normal with no pericardial effusion. No visible coronary artery calcifications. Small amount of left chest wall subcutaneous emphysema. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted.

location descriptor_fin: ['left']clinical findings_fin: {'moderate to large left pneumothorax': {'clinical finding': 'moderate to large left pneumothorax', 'cf_snomed': {'left pneumothorax': 109364007}, 'existence': 'pos_dx', 'descriptive_term': 'moderate to large left', 'observation': 'pneumothorax', 'strength_term': 'moderate - large'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}, 'apex': {'location descriptor': 'medial'}}location descriptor_fin: ['left', 'upper', 'medial']object_fin: ['chest tube']clinical findings_fin: {'left chest tube': {'clinical finding': 'left chest tube', 'existence': 'pos_dx', 'descriptive_term': 'left chest', 'observation': 'tube'}}location descriptor_fin: ['left']clinical findings_fin: {'loculated left pleural fluid': {'clinical finding': 'loculated left pleural fluid', 'existence': 'pos_dx', 'descriptive_term': 'loculated left pleural', 'observation': 'fluid'}}size_fin: [{'size': '10 x 11 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper', 'central']clinical findings_fin: {'10 x 11 mm right upper lobe pulmonary nodule': {'clinical finding': '10 x 11 mm right upper lobe pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': '10 x 11 mm right upper lobe pulmonary', 'observation': 'nodule'}, 'central calcification': {'clinical finding': 'central calcification', 'existence': 'pos_dx', 'descriptive_term': 'central', 'observation': 'calcification'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'couple additional pulmonary nodules': {'clinical finding': 'couple additional pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'couple additional pulmonary', 'observation': 'nodule', 'quantity_term': 'couple'}}location descriptor_fin: ['right']clinical findings_fin: {'right basilar scarring': {'clinical finding': 'right basilar scarring', 'existence': 'unc_dx', 'descriptive_term': 'right basilar', 'observation': 'scarr'}, 'atelectasis': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'observation': 'atelectasis'}}anatomical entity_fin: {'thyroid gland': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'coarse calcification': {'clinical finding': 'coarse calcification', 'existence': 'pos_dx', 'descriptive_term': 'coarse', 'observation': 'calcification'}}location descriptor_fin: ['right']clinical findings_fin: {'calcified right hilar lymph nodes': {'clinical finding': 'calcified right hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'calcified right hilar lymph', 'observation': 'node', 'change_term': 'calcified'}}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: {'visible coronary artery calcifications': {'clinical finding': 'visible coronary artery calcifications', 'existence': 'neg_dx', 'descriptive_term': 'visible coronary artery', 'observation': 'calcification'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'left chest wall subcutaneous emphysema': {'clinical finding': 'left chest wall subcutaneous emphysema', 'cf_snomed': {'subcutaneous emphysema': 3830001}, 'existence': 'pos_dx', 'descriptive_term': 'left chest wall subcutaneous', 'observation': 'emphysema'}}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: location descriptor_fin: ['left']clinical findings_fin: {'moderate to large left pneumothorax': {'clinical finding': 'moderate to large left pneumothorax', 'cf_snomed': {'left pneumothorax': 109364007}, 'existence': 'pos_dx', 'descriptive_term': 'moderate to large left', 'observation': 'pneumothorax', 'strength_term': 'moderate - large'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}, 'apex': {'location descriptor': 'medial'}}location descriptor_fin: ['left', 'upper', 'medial']object_fin: ['chest tube']clinical findings_fin: {'left chest tube': {'clinical finding': 'left chest tube', 'existence': 'pos_dx', 'descriptive_term': 'left chest', 'observation': 'tube'}}location descriptor_fin: ['left']clinical findings_fin: {'loculated left pleural fluid': {'clinical finding': 'loculated left pleural fluid', 'existence': 'pos_dx', 'descriptive_term': 'loculated left pleural', 'observation': 'fluid'}}size_fin: [{'size': '10 x 11 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper', 'central']clinical findings_fin: {'10 x 11 mm right upper lobe pulmonary nodule': {'clinical finding': '10 x 11 mm right upper lobe pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': '10 x 11 mm right upper lobe pulmonary', 'observation': 'nodule'}, 'central calcification': {'clinical finding': 'central calcification', 'existence': 'pos_dx', 'descriptive_term': 'central', 'observation': 'calcification'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'couple additional pulmonary nodules': {'clinical finding': 'couple additional pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'couple additional pulmonary', 'observation': 'nodule', 'quantity_term': 'couple'}}location descriptor_fin: ['right']clinical findings_fin: {'right basilar scarring': {'clinical finding': 'right basilar scarring', 'existence': 'unc_dx', 'descriptive_term': 'right basilar', 'observation': 'scarr'}, 'atelectasis': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'observation': 'atelectasis'}}anatomical entity_fin: {'thyroid gland': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'coarse calcification': {'clinical finding': 'coarse calcification', 'existence': 'pos_dx', 'descriptive_term': 'coarse', 'observation': 'calcification'}}location descriptor_fin: ['right']clinical findings_fin: {'calcified right hilar lymph nodes': {'clinical finding': 'calcified right hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'calcified right hilar lymph', 'observation': 'node', 'change_term': 'calcified'}}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: {'visible coronary artery calcifications': {'clinical finding': 'visible coronary artery calcifications', 'existence': 'neg_dx', 'descriptive_term': 'visible coronary artery', 'observation': 'calcification'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'left chest wall subcutaneous emphysema': {'clinical finding': 'left chest wall subcutaneous emphysema', 'cf_snomed': {'subcutaneous emphysema': 3830001}, 'existence': 'pos_dx', 'descriptive_term': 'left chest wall subcutaneous', 'observation': 'emphysema'}}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] . Moderate to large left pneumothorax. Left chest tube appears to perforate the left upper lobe with tip in the medial apex. Small amount of loculated left pleural fluid. 10 x 11 mm right upper lobe pulmonary nodule with central calcification. A couple additional pulmonary nodules in the right upper lobe. Right basilar scarring or atelectasis. Coarse calcification in the right thyroid gland. Calcified right hilar lymph nodes. No significant mediastinal or hilar lymphadenopathy. Heart size is normal with no pericardial effusion. No visible coronary artery calcifications. Small amount of left chest wall subcutaneous emphysema. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. </s>

Todays CT portion of the neck grossly demonstrates bilateral cervical level II lymph nodes. Please see todays diagnostic CTs of the chest, abdomen, and pelvis report. Todays PET examination demonstrates hypermetabolic lymph nodes in the mediastinum including the prevascular, superior mediastinum, paratracheal, subcarinal, aortopulmonic window, and bilateral hilar regions. Additional hypermetabolic lymph nodes include a right axillary node, bilateral level II cervical lymph nodes , right supraclavicular lymph node , a porta hepatis lymph node, left common iliac lymph node, left internal iliac lymph node, right inguinal lymph node, and a splenic hilum lymph node. No suspicious increased uptake is noted in the bony structures or solid organs.

anatomical entity_fin: {'neck': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral cervical level ii lymph nodes': {'clinical finding': 'bilateral cervical level ii lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'bilateral cervical level ii lymph', 'observation': 'node'}}anatomical entity_fin: {'chest': {}, 'abdomen': {}, 'pelvis': {}}anatomical entity_fin: {'mediastinum': {}, 'superior mediastinum': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'hypermetabolic lymph nodes': {'clinical finding': 'hypermetabolic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'hypermetabolic lymph', 'observation': 'node'}}anatomical entity_fin: {'supraclavicular lymph node': {'location descriptor': 'right'}, 'porta hepatis': {}, 'common iliac lymph node': {'location descriptor': 'left'}, 'internal iliac lymph node': {'location descriptor': 'left'}, 'inguinal lymph node': {'location descriptor': 'right'}, 'hilum': {}}location descriptor_fin: ['right', 'bilateral', 'left']clinical findings_fin: {'additional hypermetabolic lymph nodes': {'clinical finding': 'additional hypermetabolic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'additional hypermetabolic lymph', 'observation': 'node'}, 'right axillary node': {'clinical finding': 'right axillary node', 'existence': 'pos_dx', 'descriptive_term': 'right axillary', 'observation': 'node'}, 'bilateral level ii cervical lymph nodes': {'clinical finding': 'bilateral level ii cervical lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'bilateral level ii cervical lymph', 'observation': 'node'}, 'right supraclavicular lymph node': {'clinical finding': 'right supraclavicular lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right supraclavicular lymph', 'observation': 'node'}, 'porta hepatis lymph node': {'clinical finding': 'porta hepatis lymph node', 'existence': 'pos_dx', 'descriptive_term': 'porta hepatis lymph', 'observation': 'node'}, 'left common iliac lymph node': {'clinical finding': 'left common iliac lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left common iliac lymph', 'observation': 'node'}, 'left internal iliac lymph node': {'clinical finding': 'left internal iliac lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left internal iliac lymph', 'observation': 'node'}, 'right inguinal lymph node': {'clinical finding': 'right inguinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right inguinal lymph', 'observation': 'node'}, 'splenic hilum lymph node': {'clinical finding': 'splenic hilum lymph node', 'existence': 'pos_dx', 'descriptive_term': 'splenic hilum lymph', 'observation': 'node'}}anatomical entity_fin: {'solid organs': {}}clinical findings_fin: {'suspicious increased uptake': {'clinical finding': 'suspicious increased uptake', 'existence': 'neg_dx', 'descriptive_term': 'suspicious increased', 'observation': 'uptake', 'strength_term': 'increased', 'change_term': 'increased'}}

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: ['bilateral']clinical findings_fin: {'bilateral cervical level ii lymph nodes': {'clinical finding': 'bilateral cervical level ii lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'bilateral cervical level ii lymph', 'observation': 'node'}}anatomical entity_fin: {'chest': {}, 'abdomen': {}, 'pelvis': {}}anatomical entity_fin: {'mediastinum': {}, 'superior mediastinum': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'hypermetabolic lymph nodes': {'clinical finding': 'hypermetabolic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'hypermetabolic lymph', 'observation': 'node'}}anatomical entity_fin: {'supraclavicular lymph node': {'location descriptor': 'right'}, 'porta hepatis': {}, 'common iliac lymph node': {'location descriptor': 'left'}, 'internal iliac lymph node': {'location descriptor': 'left'}, 'inguinal lymph node': {'location descriptor': 'right'}, 'hilum': {}}location descriptor_fin: ['right', 'bilateral', 'left']clinical findings_fin: {'additional hypermetabolic lymph nodes': {'clinical finding': 'additional hypermetabolic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'additional hypermetabolic lymph', 'observation': 'node'}, 'right axillary node': {'clinical finding': 'right axillary node', 'existence': 'pos_dx', 'descriptive_term': 'right axillary', 'observation': 'node'}, 'bilateral level ii cervical lymph nodes': {'clinical finding': 'bilateral level ii cervical lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'bilateral level ii cervical lymph', 'observation': 'node'}, 'right supraclavicular lymph node': {'clinical finding': 'right supraclavicular lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right supraclavicular lymph', 'observation': 'node'}, 'porta hepatis lymph node': {'clinical finding': 'porta hepatis lymph node', 'existence': 'pos_dx', 'descriptive_term': 'porta hepatis lymph', 'observation': 'node'}, 'left common iliac lymph node': {'clinical finding': 'left common iliac lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left common iliac lymph', 'observation': 'node'}, 'left internal iliac lymph node': {'clinical finding': 'left internal iliac lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left internal iliac lymph', 'observation': 'node'}, 'right inguinal lymph node': {'clinical finding': 'right inguinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right inguinal lymph', 'observation': 'node'}, 'splenic hilum lymph node': {'clinical finding': 'splenic hilum lymph node', 'existence': 'pos_dx', 'descriptive_term': 'splenic hilum lymph', 'observation': 'node'}}anatomical entity_fin: {'solid organs': {}}clinical findings_fin: {'suspicious increased uptake': {'clinical finding': 'suspicious increased uptake', 'existence': 'neg_dx', 'descriptive_term': 'suspicious increased', 'observation': 'uptake', 'strength_term': 'increased', 'change_term': 'increased'}} [/INST] Todays CT portion of the neck grossly demonstrates bilateral cervical level II lymph nodes. Please see todays diagnostic CTs of the chest, abdomen, and pelvis report. Todays PET examination demonstrates hypermetabolic lymph nodes in the mediastinum including the prevascular, superior mediastinum, paratracheal, subcarinal, aortopulmonic window, and bilateral hilar regions. Additional hypermetabolic lymph nodes include a right axillary node, bilateral level II cervical lymph nodes , right supraclavicular lymph node , a porta hepatis lymph node, left common iliac lymph node, left internal iliac lymph node, right inguinal lymph node, and a splenic hilum lymph node. No suspicious increased uptake is noted in the bony structures or solid organs. </s>

. No suspicious pulmonary nodules or masses. Suture lines consistent with prior wedge biopsies or resections in the right lung. Moderate left pleural fluid collection with layering high density components in its posterior aspects , most consistent with blood products. The fluid extends over the left apex. Left lower lobe compressive atelectasis. No significant abnormality noted. Severe. No rib fractures are identified. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Cholelithiasis without signs of cholecystitis. Atherosclerotic calcification of the aorta and its branches.

clinical findings_fin: {'suspicious pulmonary nodules': {'clinical finding': 'suspicious pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}anatomical entity_fin: {'right lung': {}}imaging observation_fin: ['wedge']object_fin: ['suture']procedure_fin: ['biopsies']clinical findings_fin: {'suture lines consistent with prior wedge biopsies or resections in the right lung': {'clinical finding': 'suture lines consistent with prior wedge biopsies or resections in the right lung'}}imaging observation_fin: ['blood products']location descriptor_fin: ['left', 'posterior']clinical findings_fin: {'moderate left pleural fluid': {'clinical finding': 'moderate left pleural fluid', 'existence': 'pos_dx', 'descriptive_term': 'moderate left pleural', 'observation': 'fluid', 'strength_term': 'moderate'}, 'blood products': {'clinical finding': 'blood products', 'existence': 'pos_dx', 'descriptive_term': 'blood', 'observation': 'product'}}anatomical entity_fin: {'fluid': {}, 'apex': {'location descriptor': 'left'}}location descriptor_fin: ['left']anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'left lower lobe compressive atelectasis': {'clinical finding': 'left lower lobe compressive atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'left lower lobe compressive', 'observation': 'atelectasis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'rib': {}}clinical findings_fin: {'rib fractures': {'clinical finding': 'rib fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'rib', 'observation': 'fracture'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}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'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'atherosclerotic calcification': {'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', '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: {'suspicious pulmonary nodules': {'clinical finding': 'suspicious pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}anatomical entity_fin: {'right lung': {}}imaging observation_fin: ['wedge']object_fin: ['suture']procedure_fin: ['biopsies']clinical findings_fin: {'suture lines consistent with prior wedge biopsies or resections in the right lung': {'clinical finding': 'suture lines consistent with prior wedge biopsies or resections in the right lung'}}imaging observation_fin: ['blood products']location descriptor_fin: ['left', 'posterior']clinical findings_fin: {'moderate left pleural fluid': {'clinical finding': 'moderate left pleural fluid', 'existence': 'pos_dx', 'descriptive_term': 'moderate left pleural', 'observation': 'fluid', 'strength_term': 'moderate'}, 'blood products': {'clinical finding': 'blood products', 'existence': 'pos_dx', 'descriptive_term': 'blood', 'observation': 'product'}}anatomical entity_fin: {'fluid': {}, 'apex': {'location descriptor': 'left'}}location descriptor_fin: ['left']anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'left lower lobe compressive atelectasis': {'clinical finding': 'left lower lobe compressive atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'left lower lobe compressive', 'observation': 'atelectasis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'rib': {}}clinical findings_fin: {'rib fractures': {'clinical finding': 'rib fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'rib', 'observation': 'fracture'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}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'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'atherosclerotic calcification': {'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}} [/INST] . No suspicious pulmonary nodules or masses. Suture lines consistent with prior wedge biopsies or resections in the right lung. Moderate left pleural fluid collection with layering high density components in its posterior aspects , most consistent with blood products. The fluid extends over the left apex. Left lower lobe compressive atelectasis. No significant abnormality noted. Severe. No rib fractures are identified. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Cholelithiasis without signs of cholecystitis. Atherosclerotic calcification of the aorta and its branches. </s>

.Kindly refer to CT PE chest accession 15502660 for full report. New mild bilateral pleural effusion with underlying atelectasis. Small pericardial effusion. Segment 4A lesion has reduced in size from prior study, now measures 0.7 x 0.6 cm , previously measured 1.4 x 1.9 cm. The second hypodense lesion in segment 7 of the liver is not well appreciated on todays imaging. No new lesions noted. Hepatic vessels are patent. No significant abnormality noted. No significant abnormality noted. Right adrenal nodule measures 15 x 13 mm, previously measured 14 x 12 mm. No significant abnormality noted. No significant abnormality noted. Mild. Interval segmental colectomy with the blind-ending pouch of the proximal sigmoid colon. Right lower quadrant colostomy noted from the mid descending colon. Mildly distended jejunal loops in the left mid abdomen without bowel wall thickening or obstruction. No evidence of loculated fluid collection or free air. No evidence of abscess. Open mid abdomen abdominal wound noted. Innumerable lytic lesions throughout the skeleton, including vertebral bodies, ileum, sacrum, left femoral neck and multiple ribs mostly unchanged from prior study. Atrophic or surgically absent. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Innumerable lytic lesions throughout the skeleton, including vertebral bodies, ileum, sacrum, left femoral neck and multiple ribs mostly unchanged from prior studyNo ascites free air.

anatomical entity_fin: {'chest': {}}clinical findings_fin: {'ct pe': {'clinical finding': 'ct pe', 'existence': 'pos_dx', 'descriptive_term': 'ct', 'observation': 'pe'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'new mild bilateral pleural effusion': {'clinical finding': 'new mild bilateral pleural effusion', 'cf_snomed': {'bilateral pleural effusion': 425802001}, 'existence': 'pos_dx', 'descriptive_term': 'new mild bilateral pleural', 'observation': 'effusion', 'strength_term': 'mild', 'temporal_term': 'new'}, 'underlying atelectasis': {'clinical finding': 'underlying atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'underlying', 'observation': 'atelectasis'}}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'}}size_fin: [{'size': '0.7 x 0.6 cm'}, {'size': '1.4 x 1.9 cm'}]clinical findings_fin: {'segment 4a lesion': {'clinical finding': 'segment 4a lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'segment 4a', 'observation': 'lesion'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'second hypodense lesion': {'clinical finding': 'second hypodense lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'second hypodense', 'observation': 'lesion'}}clinical findings_fin: {'new lesions': {'clinical finding': 'new lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'lesion', 'temporal_term': 'new'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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': '15 x 13 mm'}, {'size': '14 x 12 mm'}]location descriptor_fin: ['right']clinical findings_fin: {'right adrenal nodule': {'clinical finding': 'right adrenal nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'right adrenal', 'observation': 'nodule'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'sigmoid colon': {'location descriptor': 'proximal'}}location descriptor_fin: ['proximal']clinical findings_fin: {'blind-ending pouch': {'clinical finding': 'blind-ending pouch', 'existence': 'pos_dx', 'descriptive_term': 'blind-ending', 'observation': 'pouch'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'right lower'}, 'descending colon': {}}location descriptor_fin: ['right', 'lower']procedure_fin: ['colostomy']clinical findings_fin: {'right lower quadrant colostomy noted from the mid descending colon': {'clinical finding': 'right lower quadrant colostomy noted from the mid descending colon'}}anatomical entity_fin: {'abdomen': {}, 'bowel': {}}location descriptor_fin: ['left']clinical findings_fin: {'mildly distended': {'clinical finding': 'mildly distended', 'existence': 'pos_dx', 'descriptive_term': 'mildly', 'observation': 'distended', 'strength_term': 'mildly'}, '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'}}clinical findings_fin: {'loculated fluid collection': {'clinical finding': 'loculated fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'loculated fluid', 'observation': 'collection'}, 'free air': {'clinical finding': 'free air', 'existence': 'neg_dx', 'descriptive_term': 'free', 'observation': 'air'}}clinical findings_fin: {'abscess': {'clinical finding': 'abscess', 'cf_snomed': {'abscess': 128477000}, 'existence': 'neg_dx', 'observation': 'abscess'}}anatomical entity_fin: {'abdomen': {}, 'abdominal': {}}clinical findings_fin: {'open mid abdomen abdominal wound': {'clinical finding': 'open mid abdomen abdominal wound', 'cf_snomed': {'abdomen': 818983003, 'wound': 416462003}, 'existence': 'pos_dx', 'descriptive_term': 'open mid abdomen abdominal', 'observation': 'wound'}}anatomical entity_fin: {'skeleton': {}, 'vertebral bodies': {}, 'ileum': {}, 'sacrum': {}, 'femoral neck': {'location descriptor': 'left'}, 'ribs': {}}location descriptor_fin: ['left']clinical findings_fin: {'innumerable lytic lesions': {'clinical finding': 'innumerable lytic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'innumerable lytic', 'observation': 'lesion'}}clinical findings_fin: {'surgically': {'clinical finding': 'surgically', 'existence': 'unc_dx', 'observation': 'surgically'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'skeleton': {}, 'vertebral bodies': {}, 'ileum': {}, 'sacrum': {}, 'femoral neck': {'location descriptor': 'left'}, 'ribs': {}}location descriptor_fin: ['left']clinical findings_fin: {'innumerable lytic lesions': {'clinical finding': 'innumerable lytic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'innumerable lytic', 'observation': 'lesion'}, 'prior studyno ascites free air': {'clinical finding': 'prior studyno ascites free air', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'prior studyno ascites free', 'observation': 'air'}}

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: {'ct pe': {'clinical finding': 'ct pe', 'existence': 'pos_dx', 'descriptive_term': 'ct', 'observation': 'pe'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'new mild bilateral pleural effusion': {'clinical finding': 'new mild bilateral pleural effusion', 'cf_snomed': {'bilateral pleural effusion': 425802001}, 'existence': 'pos_dx', 'descriptive_term': 'new mild bilateral pleural', 'observation': 'effusion', 'strength_term': 'mild', 'temporal_term': 'new'}, 'underlying atelectasis': {'clinical finding': 'underlying atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'underlying', 'observation': 'atelectasis'}}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'}}size_fin: [{'size': '0.7 x 0.6 cm'}, {'size': '1.4 x 1.9 cm'}]clinical findings_fin: {'segment 4a lesion': {'clinical finding': 'segment 4a lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'segment 4a', 'observation': 'lesion'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'second hypodense lesion': {'clinical finding': 'second hypodense lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'second hypodense', 'observation': 'lesion'}}clinical findings_fin: {'new lesions': {'clinical finding': 'new lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'lesion', 'temporal_term': 'new'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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': '15 x 13 mm'}, {'size': '14 x 12 mm'}]location descriptor_fin: ['right']clinical findings_fin: {'right adrenal nodule': {'clinical finding': 'right adrenal nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'right adrenal', 'observation': 'nodule'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'sigmoid colon': {'location descriptor': 'proximal'}}location descriptor_fin: ['proximal']clinical findings_fin: {'blind-ending pouch': {'clinical finding': 'blind-ending pouch', 'existence': 'pos_dx', 'descriptive_term': 'blind-ending', 'observation': 'pouch'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'right lower'}, 'descending colon': {}}location descriptor_fin: ['right', 'lower']procedure_fin: ['colostomy']clinical findings_fin: {'right lower quadrant colostomy noted from the mid descending colon': {'clinical finding': 'right lower quadrant colostomy noted from the mid descending colon'}}anatomical entity_fin: {'abdomen': {}, 'bowel': {}}location descriptor_fin: ['left']clinical findings_fin: {'mildly distended': {'clinical finding': 'mildly distended', 'existence': 'pos_dx', 'descriptive_term': 'mildly', 'observation': 'distended', 'strength_term': 'mildly'}, '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'}}clinical findings_fin: {'loculated fluid collection': {'clinical finding': 'loculated fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'loculated fluid', 'observation': 'collection'}, 'free air': {'clinical finding': 'free air', 'existence': 'neg_dx', 'descriptive_term': 'free', 'observation': 'air'}}clinical findings_fin: {'abscess': {'clinical finding': 'abscess', 'cf_snomed': {'abscess': 128477000}, 'existence': 'neg_dx', 'observation': 'abscess'}}anatomical entity_fin: {'abdomen': {}, 'abdominal': {}}clinical findings_fin: {'open mid abdomen abdominal wound': {'clinical finding': 'open mid abdomen abdominal wound', 'cf_snomed': {'abdomen': 818983003, 'wound': 416462003}, 'existence': 'pos_dx', 'descriptive_term': 'open mid abdomen abdominal', 'observation': 'wound'}}anatomical entity_fin: {'skeleton': {}, 'vertebral bodies': {}, 'ileum': {}, 'sacrum': {}, 'femoral neck': {'location descriptor': 'left'}, 'ribs': {}}location descriptor_fin: ['left']clinical findings_fin: {'innumerable lytic lesions': {'clinical finding': 'innumerable lytic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'innumerable lytic', 'observation': 'lesion'}}clinical findings_fin: {'surgically': {'clinical finding': 'surgically', 'existence': 'unc_dx', 'observation': 'surgically'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'skeleton': {}, 'vertebral bodies': {}, 'ileum': {}, 'sacrum': {}, 'femoral neck': {'location descriptor': 'left'}, 'ribs': {}}location descriptor_fin: ['left']clinical findings_fin: {'innumerable lytic lesions': {'clinical finding': 'innumerable lytic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'innumerable lytic', 'observation': 'lesion'}, 'prior studyno ascites free air': {'clinical finding': 'prior studyno ascites free air', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'prior studyno ascites free', 'observation': 'air'}} [/INST] .Kindly refer to CT PE chest accession 15502660 for full report. New mild bilateral pleural effusion with underlying atelectasis. Small pericardial effusion. Segment 4A lesion has reduced in size from prior study, now measures 0.7 x 0.6 cm , previously measured 1.4 x 1.9 cm. The second hypodense lesion in segment 7 of the liver is not well appreciated on todays imaging. No new lesions noted. Hepatic vessels are patent. No significant abnormality noted. No significant abnormality noted. Right adrenal nodule measures 15 x 13 mm, previously measured 14 x 12 mm. No significant abnormality noted. No significant abnormality noted. Mild. Interval segmental colectomy with the blind-ending pouch of the proximal sigmoid colon. Right lower quadrant colostomy noted from the mid descending colon. Mildly distended jejunal loops in the left mid abdomen without bowel wall thickening or obstruction. No evidence of loculated fluid collection or free air. No evidence of abscess. Open mid abdomen abdominal wound noted. Innumerable lytic lesions throughout the skeleton, including vertebral bodies, ileum, sacrum, left femoral neck and multiple ribs mostly unchanged from prior study. Atrophic or surgically absent. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Innumerable lytic lesions throughout the skeleton, including vertebral bodies, ileum, sacrum, left femoral neck and multiple ribs mostly unchanged from prior studyNo ascites free air. </s>

The hyperattenuating hemorrhage in the left parietal lobe has not significantly changed since the previous examination. The mass itself, which involves the splenium of the corpus callosum, remains heterogeneously mildly hyperattenuating. The associated, surrounding hypoattenuation and mass effect are not significantly changed. There continues to be mild asymmetry in the size of the ambient cisterns but no frank uncal herniation. Midline shift remains minimal. The posterior part of the left lateral ventricle remains compressed. The right lateral and third ventricles are minimally more dilated than on the previous examination. The mastoid air cells and the paranasal sinuses are clear. The orbits are unremarkable. There is a left parietal burr hole from previous biopsy. There is no skull fracture or destructive lesion.

anatomical entity_fin: {'left parietal lobe': {}}clinical findings_fin: {'hyperattenuating hemorrhage': {'clinical finding': 'hyperattenuating hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'pos_dx', 'descriptive_term': 'hyperattenuating', 'observation': 'hemorrhage'}}anatomical entity_fin: {'corpus callosum': {}}clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}, 'hyperattenuating': {'clinical finding': 'hyperattenuating', 'existence': 'pos_dx', 'observation': 'hyperattenuating'}}clinical findings_fin: {'associated, surrounding hypoattenuation': {'clinical finding': 'associated, surrounding hypoattenuation', 'existence': 'neg_dx', 'descriptive_term': 'associated surrounding', 'observation': 'hypoattenuation'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}}anatomical entity_fin: {'ambient cisterns': {}}clinical findings_fin: {'mild asymmetry': {'clinical finding': 'mild asymmetry', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'asymmetry', 'strength_term': 'mild'}, 'frank uncal herniation': {'clinical finding': 'frank uncal herniation', 'existence': 'neg_dx', 'descriptive_term': 'frank uncal', 'observation': 'herniation'}}location descriptor_fin: ['midline']clinical findings_fin: {'minimal': {'clinical finding': 'minimal', 'existence': 'pos_dx', 'observation': 'minimal'}}anatomical entity_fin: {'left lateral ventricle': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'compressed': {'clinical finding': 'compressed', 'existence': 'pos_dx', 'observation': 'compress'}}anatomical entity_fin: {'third ventricles': {}}location descriptor_fin: ['right', 'lateral']clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}}anatomical entity_fin: {'mastoid air cells': {}, 'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'orbits are unremarkable': {'clinical finding': 'orbits are unremarkable'}}location descriptor_fin: ['left']procedure_fin: ['biopsy']clinical findings_fin: {'left parietal burr hole': {'clinical finding': 'left parietal burr hole', 'existence': 'pos_dx', 'descriptive_term': 'left parietal burr', 'observation': 'hole'}}anatomical entity_fin: {'skull': {}}clinical findings_fin: {'skull fracture': {'clinical finding': 'skull fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'skull', 'observation': 'fracture'}, 'destructive lesion': {'clinical finding': 'destructive lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'destructive', '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: anatomical entity_fin: {'left parietal lobe': {}}clinical findings_fin: {'hyperattenuating hemorrhage': {'clinical finding': 'hyperattenuating hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'pos_dx', 'descriptive_term': 'hyperattenuating', 'observation': 'hemorrhage'}}anatomical entity_fin: {'corpus callosum': {}}clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}, 'hyperattenuating': {'clinical finding': 'hyperattenuating', 'existence': 'pos_dx', 'observation': 'hyperattenuating'}}clinical findings_fin: {'associated, surrounding hypoattenuation': {'clinical finding': 'associated, surrounding hypoattenuation', 'existence': 'neg_dx', 'descriptive_term': 'associated surrounding', 'observation': 'hypoattenuation'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}}anatomical entity_fin: {'ambient cisterns': {}}clinical findings_fin: {'mild asymmetry': {'clinical finding': 'mild asymmetry', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'asymmetry', 'strength_term': 'mild'}, 'frank uncal herniation': {'clinical finding': 'frank uncal herniation', 'existence': 'neg_dx', 'descriptive_term': 'frank uncal', 'observation': 'herniation'}}location descriptor_fin: ['midline']clinical findings_fin: {'minimal': {'clinical finding': 'minimal', 'existence': 'pos_dx', 'observation': 'minimal'}}anatomical entity_fin: {'left lateral ventricle': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'compressed': {'clinical finding': 'compressed', 'existence': 'pos_dx', 'observation': 'compress'}}anatomical entity_fin: {'third ventricles': {}}location descriptor_fin: ['right', 'lateral']clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}}anatomical entity_fin: {'mastoid air cells': {}, 'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'orbits are unremarkable': {'clinical finding': 'orbits are unremarkable'}}location descriptor_fin: ['left']procedure_fin: ['biopsy']clinical findings_fin: {'left parietal burr hole': {'clinical finding': 'left parietal burr hole', 'existence': 'pos_dx', 'descriptive_term': 'left parietal burr', 'observation': 'hole'}}anatomical entity_fin: {'skull': {}}clinical findings_fin: {'skull fracture': {'clinical finding': 'skull fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'skull', 'observation': 'fracture'}, 'destructive lesion': {'clinical finding': 'destructive lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'destructive', 'observation': 'lesion'}} [/INST] The hyperattenuating hemorrhage in the left parietal lobe has not significantly changed since the previous examination. The mass itself, which involves the splenium of the corpus callosum, remains heterogeneously mildly hyperattenuating. The associated, surrounding hypoattenuation and mass effect are not significantly changed. There continues to be mild asymmetry in the size of the ambient cisterns but no frank uncal herniation. Midline shift remains minimal. The posterior part of the left lateral ventricle remains compressed. The right lateral and third ventricles are minimally more dilated than on the previous examination. The mastoid air cells and the paranasal sinuses are clear. The orbits are unremarkable. There is a left parietal burr hole from previous biopsy. There is no skull fracture or destructive lesion. </s>

Encephalomalacia with mild ex vacuo dilatation is noted involving the right parieto-occipital lobe. Additionally, hyperdense foci can be found throughout the white matter without associated mass effect. The ventricles and sulci are normal in size for age. There are no masses, mass effect or midline shift. There is no evidence for intracranial hemorrhage. There are no extraaxial fluid collections or subdural hematomas. The visualized portions of the paranasal sinuses and mastoid air cells are clear.

anatomical entity_fin: {'occipital lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'encephalomalacia': {'clinical finding': 'encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'pos_dx', 'observation': 'encephalomalacia'}}imaging observation_fin: ['foci']clinical findings_fin: {'hyperdense foci': {'clinical finding': 'hyperdense foci', 'existence': 'unc_dx', 'descriptive_term': 'hyperdense', 'observation': 'foci'}, 'associated mass effect': {'clinical finding': 'associated mass effect', 'existence': 'unc_dx', 'descriptive_term': 'associated mass', 'observation': 'effect'}}clinical findings_fin: {'ventricles and sulci are normal in size for age': {'clinical finding': 'ventricles and sulci are normal in size for age'}}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'}}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: anatomical entity_fin: {'occipital lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'encephalomalacia': {'clinical finding': 'encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'pos_dx', 'observation': 'encephalomalacia'}}imaging observation_fin: ['foci']clinical findings_fin: {'hyperdense foci': {'clinical finding': 'hyperdense foci', 'existence': 'unc_dx', 'descriptive_term': 'hyperdense', 'observation': 'foci'}, 'associated mass effect': {'clinical finding': 'associated mass effect', 'existence': 'unc_dx', 'descriptive_term': 'associated mass', 'observation': 'effect'}}clinical findings_fin: {'ventricles and sulci are normal in size for age': {'clinical finding': 'ventricles and sulci are normal in size for age'}}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'}}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] Encephalomalacia with mild ex vacuo dilatation is noted involving the right parieto-occipital lobe. Additionally, hyperdense foci can be found throughout the white matter without associated mass effect. The ventricles and sulci are normal in size for age. There are no masses, mass effect or midline shift. There is no evidence for intracranial hemorrhage. There are no extraaxial fluid collections or subdural hematomas. The visualized portions of the paranasal sinuses and mastoid air cells are clear. </s>

.There is no intracranial hemorrhage, edema, midline shift, or abnormal extraaxial fluid collections. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is preserved. There is no abnormal parenchymal or leptomeningeal enhancement. The osseous structures are intact. There is mild anterior ethmoid mucosal thickening. The mastoid air cells are clear. There are improved treatment related changes of the neck including laryngeal and pharyngeal edema, thickening of the platysma and reticulation of the fat planes. There is no abnormal soft tissue mass. The right submandibular gland is absent or atrophic. The other major salivary glands and thyroid gland are unchanged in appearance. Scattered small cervical lymph nodes are identified without evidence of cervical lymphadenopathy. Reference right level two lymph node measures 5 x 4 mm , previously 6 x 5 mm. Reference left level four lymph node measures 9 x 8 mm , previously 8 x 8 mm. The imaged cervical spine shows degenerative changes without focal osseous lesion or acute fracture. The visualized lung apices are unremarkable. Small bilateral pleural effusions are partially imaged. See same-day CT chest for additional details. The carotid arteries and jugular veins are patent. Left chest wall pacemaker partially imaged.

anatomical entity_fin: {'fluid': {}}location descriptor_fin: ['midline']clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'observation': 'edema'}}clinical findings_fin: {'symmetric': {'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'}}clinical findings_fin: {'gray-white matter differentiation': {'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'}}clinical findings_fin: {'abnormal parenchymal or leptomeningeal enhancement': {'clinical finding': 'abnormal parenchymal or leptomeningeal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal parenchymal or leptomeningeal', 'observation': 'enhancement'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}location descriptor_fin: ['anterior']clinical findings_fin: {'mild anterior ethmoid mucosal thickening': {'clinical finding': 'mild anterior ethmoid mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild anterior ethmoid mucosal', 'observation': 'thickening', 'strength_term': 'mild'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'neck': {}}imaging observation_fin: ['reticulation', 'fat']procedure_fin: ['treatment']clinical findings_fin: {'improved treatment related changes': {'clinical finding': 'improved treatment related changes', 'cf_snomed': {'related': 262094002}, 'existence': 'pos_dx', 'descriptive_term': 'improved treatment related', 'observation': 'change'}, 'laryngeal and pharyngeal edema': {'clinical finding': 'laryngeal and pharyngeal edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'laryngeal and pharyngeal', 'observation': 'edema'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}}clinical findings_fin: {'abnormal soft tissue mass': {'clinical finding': 'abnormal soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'neg_dx', 'descriptive_term': 'abnormal soft tissue', 'observation': 'mass'}}anatomical entity_fin: {'right submandibular gland': {}}clinical findings_fin: {'absent': {'clinical finding': 'absent', 'existence': 'unc_dx', 'observation': 'absent'}, 'atrophic': {'clinical finding': 'atrophic', 'existence': 'unc_dx', 'observation': 'atrophic'}}anatomical entity_fin: {'major salivary glands': {}, 'thyroid gland': {}}clinical findings_fin: {'other major salivary glands and thyroid gland are unchanged in appearance': {'clinical finding': 'other major salivary glands and thyroid gland are unchanged in appearance', 'change_term': 'unchanged'}}clinical findings_fin: {'scattered small cervical lymph nodes': {'clinical finding': 'scattered small cervical lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'scattered small cervical lymph', 'observation': 'node', 'strength_term': 'small'}, 'cervical lymphadenopathy': {'clinical finding': 'cervical lymphadenopathy', 'cf_snomed': {'cervical lymphadenopathy': 127086001}, 'existence': 'neg_dx', 'descriptive_term': 'cervical', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '5 x 4 mm'}, {'size': '6 x 5 mm'}]location descriptor_fin: ['right']clinical findings_fin: {'reference right level two lymph node': {'clinical finding': 'reference right level two lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference right level two lymph', 'observation': 'node'}}size_fin: [{'size': '9 x 8 mm'}, {'size': '8 x 8 mm'}]location descriptor_fin: ['left']clinical findings_fin: {'reference left level four lymph node': {'clinical finding': 'reference left level four lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference left level four lymph', 'observation': 'node'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}, 'focal osseous lesion': {'clinical finding': 'focal osseous lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal osseous', 'observation': 'lesion'}, 'acute fracture': {'clinical finding': 'acute fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'lung': {}, 'apices': {}}clinical findings_fin: {'visualized lung apices are unremarkable': {'clinical finding': 'visualized lung apices are unremarkable'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'small bilateral pleural effusions': {'clinical finding': 'small bilateral pleural effusions', 'cf_snomed': {'bilateral pleural effusion': 425802001}, 'existence': 'pos_dx', 'descriptive_term': 'small bilateral pleural', 'observation': 'effusion', 'strength_term': 'small'}}anatomical entity_fin: {'chest': {}}anatomical entity_fin: {'arteries': {}, 'veins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'left'}}location descriptor_fin: ['left']object_fin: ['pacemaker']clinical findings_fin: {'left chest wall pacemaker partially imaged': {'clinical finding': 'left chest wall pacemaker partially imaged'}}

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

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'fluid': {}}location descriptor_fin: ['midline']clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'observation': 'edema'}}clinical findings_fin: {'symmetric': {'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'}}clinical findings_fin: {'gray-white matter differentiation': {'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'}}clinical findings_fin: {'abnormal parenchymal or leptomeningeal enhancement': {'clinical finding': 'abnormal parenchymal or leptomeningeal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal parenchymal or leptomeningeal', 'observation': 'enhancement'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}location descriptor_fin: ['anterior']clinical findings_fin: {'mild anterior ethmoid mucosal thickening': {'clinical finding': 'mild anterior ethmoid mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild anterior ethmoid mucosal', 'observation': 'thickening', 'strength_term': 'mild'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'neck': {}}imaging observation_fin: ['reticulation', 'fat']procedure_fin: ['treatment']clinical findings_fin: {'improved treatment related changes': {'clinical finding': 'improved treatment related changes', 'cf_snomed': {'related': 262094002}, 'existence': 'pos_dx', 'descriptive_term': 'improved treatment related', 'observation': 'change'}, 'laryngeal and pharyngeal edema': {'clinical finding': 'laryngeal and pharyngeal edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'laryngeal and pharyngeal', 'observation': 'edema'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}}clinical findings_fin: {'abnormal soft tissue mass': {'clinical finding': 'abnormal soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'neg_dx', 'descriptive_term': 'abnormal soft tissue', 'observation': 'mass'}}anatomical entity_fin: {'right submandibular gland': {}}clinical findings_fin: {'absent': {'clinical finding': 'absent', 'existence': 'unc_dx', 'observation': 'absent'}, 'atrophic': {'clinical finding': 'atrophic', 'existence': 'unc_dx', 'observation': 'atrophic'}}anatomical entity_fin: {'major salivary glands': {}, 'thyroid gland': {}}clinical findings_fin: {'other major salivary glands and thyroid gland are unchanged in appearance': {'clinical finding': 'other major salivary glands and thyroid gland are unchanged in appearance', 'change_term': 'unchanged'}}clinical findings_fin: {'scattered small cervical lymph nodes': {'clinical finding': 'scattered small cervical lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'scattered small cervical lymph', 'observation': 'node', 'strength_term': 'small'}, 'cervical lymphadenopathy': {'clinical finding': 'cervical lymphadenopathy', 'cf_snomed': {'cervical lymphadenopathy': 127086001}, 'existence': 'neg_dx', 'descriptive_term': 'cervical', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '5 x 4 mm'}, {'size': '6 x 5 mm'}]location descriptor_fin: ['right']clinical findings_fin: {'reference right level two lymph node': {'clinical finding': 'reference right level two lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference right level two lymph', 'observation': 'node'}}size_fin: [{'size': '9 x 8 mm'}, {'size': '8 x 8 mm'}]location descriptor_fin: ['left']clinical findings_fin: {'reference left level four lymph node': {'clinical finding': 'reference left level four lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference left level four lymph', 'observation': 'node'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}, 'focal osseous lesion': {'clinical finding': 'focal osseous lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal osseous', 'observation': 'lesion'}, 'acute fracture': {'clinical finding': 'acute fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'lung': {}, 'apices': {}}clinical findings_fin: {'visualized lung apices are unremarkable': {'clinical finding': 'visualized lung apices are unremarkable'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'small bilateral pleural effusions': {'clinical finding': 'small bilateral pleural effusions', 'cf_snomed': {'bilateral pleural effusion': 425802001}, 'existence': 'pos_dx', 'descriptive_term': 'small bilateral pleural', 'observation': 'effusion', 'strength_term': 'small'}}anatomical entity_fin: {'chest': {}}anatomical entity_fin: {'arteries': {}, 'veins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'left'}}location descriptor_fin: ['left']object_fin: ['pacemaker']clinical findings_fin: {'left chest wall pacemaker partially imaged': {'clinical finding': 'left chest wall pacemaker partially imaged'}} [/INST] .There is no intracranial hemorrhage, edema, midline shift, or abnormal extraaxial fluid collections. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is preserved. There is no abnormal parenchymal or leptomeningeal enhancement. The osseous structures are intact. There is mild anterior ethmoid mucosal thickening. The mastoid air cells are clear. There are improved treatment related changes of the neck including laryngeal and pharyngeal edema, thickening of the platysma and reticulation of the fat planes. There is no abnormal soft tissue mass. The right submandibular gland is absent or atrophic. The other major salivary glands and thyroid gland are unchanged in appearance. Scattered small cervical lymph nodes are identified without evidence of cervical lymphadenopathy. Reference right level two lymph node measures 5 x 4 mm , previously 6 x 5 mm. Reference left level four lymph node measures 9 x 8 mm , previously 8 x 8 mm. The imaged cervical spine shows degenerative changes without focal osseous lesion or acute fracture. The visualized lung apices are unremarkable. Small bilateral pleural effusions are partially imaged. See same-day CT chest for additional details. The carotid arteries and jugular veins are patent. Left chest wall pacemaker partially imaged. </s>

Todays CT portion grossly demonstrates postsurgical appearance of the left neck with linear fat stranding. Todays PET examination demonstrates several curvilinear foci of FDG avid uptake in the left neck typical of a postoperative appearance. A small left jugular lymph node measuring up to 3.5 SUV is visualized the mandibular angle and may be inflammatory but residual tumor cannot be excluded. Increased FDG activity at the GE junction is also demonstrated, which is most commonly seen in benign physiologic uptake. There is a punctate focus of FDG avidity at the right knee consistent with inflammation.

anatomical entity_fin: {'neck': {'location descriptor': 'left'}}imaging observation_fin: ['fat']location descriptor_fin: ['left']clinical findings_fin: {'linear fat stranding': {'clinical finding': 'linear fat stranding', 'existence': 'pos_dx', 'descriptive_term': 'linear fat', 'observation': 'strand'}}anatomical entity_fin: {'neck': {'location descriptor': 'left'}}imaging observation_fin: ['foci']location descriptor_fin: ['left']clinical findings_fin: {'several curvilinear foci': {'clinical finding': 'several curvilinear foci', 'existence': 'unc_dx', 'descriptive_term': 'several curvilinear', 'observation': 'foci', 'quantity_term': 'several'}, 'fdg avid uptake': {'clinical finding': 'fdg avid uptake', 'existence': 'pos_dx', 'descriptive_term': 'fdg avid', 'observation': 'uptake'}, 'postoperative': {'clinical finding': 'postoperative', 'existence': 'unc_dx', 'observation': 'postoperative'}}imaging observation_fin: ['angle']location descriptor_fin: ['left']clinical findings_fin: {'small left jugular lymph node': {'clinical finding': 'small left jugular lymph node', 'existence': 'pos_dx', 'descriptive_term': 'small left jugular lymph', 'observation': 'node', 'strength_term': 'small'}, 'residual tumor': {'clinical finding': 'residual tumor', 'existence': 'unc_dx', 'descriptive_term': 'residual', 'observation': 'tumor', 'temporal_term': 'residual'}}clinical findings_fin: {'benign physiologic uptake': {'clinical finding': 'benign physiologic uptake', 'existence': 'unc_dx', 'descriptive_term': 'benign physiologic', 'observation': 'uptake', 'strength_term': 'benign'}}anatomical entity_fin: {'right knee': {}}clinical findings_fin: {'inflammation': {'clinical finding': 'inflammation', 'existence': 'pos_dx', 'observation': 'inflammation'}}

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': 'left'}}imaging observation_fin: ['fat']location descriptor_fin: ['left']clinical findings_fin: {'linear fat stranding': {'clinical finding': 'linear fat stranding', 'existence': 'pos_dx', 'descriptive_term': 'linear fat', 'observation': 'strand'}}anatomical entity_fin: {'neck': {'location descriptor': 'left'}}imaging observation_fin: ['foci']location descriptor_fin: ['left']clinical findings_fin: {'several curvilinear foci': {'clinical finding': 'several curvilinear foci', 'existence': 'unc_dx', 'descriptive_term': 'several curvilinear', 'observation': 'foci', 'quantity_term': 'several'}, 'fdg avid uptake': {'clinical finding': 'fdg avid uptake', 'existence': 'pos_dx', 'descriptive_term': 'fdg avid', 'observation': 'uptake'}, 'postoperative': {'clinical finding': 'postoperative', 'existence': 'unc_dx', 'observation': 'postoperative'}}imaging observation_fin: ['angle']location descriptor_fin: ['left']clinical findings_fin: {'small left jugular lymph node': {'clinical finding': 'small left jugular lymph node', 'existence': 'pos_dx', 'descriptive_term': 'small left jugular lymph', 'observation': 'node', 'strength_term': 'small'}, 'residual tumor': {'clinical finding': 'residual tumor', 'existence': 'unc_dx', 'descriptive_term': 'residual', 'observation': 'tumor', 'temporal_term': 'residual'}}clinical findings_fin: {'benign physiologic uptake': {'clinical finding': 'benign physiologic uptake', 'existence': 'unc_dx', 'descriptive_term': 'benign physiologic', 'observation': 'uptake', 'strength_term': 'benign'}}anatomical entity_fin: {'right knee': {}}clinical findings_fin: {'inflammation': {'clinical finding': 'inflammation', 'existence': 'pos_dx', 'observation': 'inflammation'}} [/INST] Todays CT portion grossly demonstrates postsurgical appearance of the left neck with linear fat stranding. Todays PET examination demonstrates several curvilinear foci of FDG avid uptake in the left neck typical of a postoperative appearance. A small left jugular lymph node measuring up to 3.5 SUV is visualized the mandibular angle and may be inflammatory but residual tumor cannot be excluded. Increased FDG activity at the GE junction is also demonstrated, which is most commonly seen in benign physiologic uptake. There is a punctate focus of FDG avidity at the right knee consistent with inflammation. </s>

There are postsurgical changes within the right ethmoid sinus from prior sinonasal tumor resection. There is persistent moderate mucosal thickening of the right maxillary sinus. There is mucosal thickening of the remaining paranasal sinuses with increased mucosal thickening of the left maxillary sinus with questionable air-fluid levels. There is enhancing soft tissue along the right anterior cranial fossa along the defect in the region of the right fovea ethmoidale, which appears to have decreased in size slightly over the course of approximately one year, given differences in modality. There is no significant cervical lymphadenopathy. The thyroid and major salivary glands are unremarkable. The major cervical vessels are patent. The airways are patent. There are mild cervical degenerative changes. The imaged portions of the lungs are clear.

anatomical entity_fin: {'ethmoid sinus': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'prior sinonasal tumor': {'clinical finding': 'prior sinonasal tumor', 'existence': 'pos_dx', 'descriptive_term': 'prior sinonasal', 'observation': 'tumor'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'persistent moderate mucosal thickening': {'clinical finding': 'persistent moderate mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'persistent moderate mucosal', 'observation': 'thickening', 'strength_term': 'moderate', 'temporal_term': 'persistent'}}anatomical entity_fin: {'paranasal sinuses': {}, 'maxillary sinus': {'location descriptor': 'left'}, 'fluid': {}}location descriptor_fin: ['left']clinical findings_fin: {'mucosal thickening': {'clinical finding': 'mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'thickening'}, 'increased mucosal thickening': {'clinical finding': 'increased mucosal thickening', 'existence': 'unc_dx', 'descriptive_term': 'increased mucosal', 'observation': 'thickening', 'strength_term': 'increased', 'change_term': 'increased'}, 'air-fluid levels': {'clinical finding': 'air-fluid levels', 'existence': 'unc_dx', 'descriptive_term': 'air-fluid', 'observation': 'level'}}anatomical entity_fin: {'anterior cranial fossa': {'location descriptor': 'right'}}imaging observation_fin: ['enhancing']location descriptor_fin: ['right']clinical findings_fin: {'enhancing soft tissue': {'clinical finding': 'enhancing soft tissue', 'existence': 'pos_dx', 'descriptive_term': 'enhancing soft', 'observation': 'tissue'}, 'defect': {'clinical finding': 'defect', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'observation': 'defect'}}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'}}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': 'pos_dx', 'observation': 'patent'}}anatomical entity_fin: {'airways': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}clinical findings_fin: {'mild cervical degenerative changes': {'clinical finding': 'mild cervical degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild cervical degenerative', 'observation': 'change', 'strength_term': 'mild'}}anatomical entity_fin: {'lungs': {}}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: anatomical entity_fin: {'ethmoid sinus': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'prior sinonasal tumor': {'clinical finding': 'prior sinonasal tumor', 'existence': 'pos_dx', 'descriptive_term': 'prior sinonasal', 'observation': 'tumor'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'persistent moderate mucosal thickening': {'clinical finding': 'persistent moderate mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'persistent moderate mucosal', 'observation': 'thickening', 'strength_term': 'moderate', 'temporal_term': 'persistent'}}anatomical entity_fin: {'paranasal sinuses': {}, 'maxillary sinus': {'location descriptor': 'left'}, 'fluid': {}}location descriptor_fin: ['left']clinical findings_fin: {'mucosal thickening': {'clinical finding': 'mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'thickening'}, 'increased mucosal thickening': {'clinical finding': 'increased mucosal thickening', 'existence': 'unc_dx', 'descriptive_term': 'increased mucosal', 'observation': 'thickening', 'strength_term': 'increased', 'change_term': 'increased'}, 'air-fluid levels': {'clinical finding': 'air-fluid levels', 'existence': 'unc_dx', 'descriptive_term': 'air-fluid', 'observation': 'level'}}anatomical entity_fin: {'anterior cranial fossa': {'location descriptor': 'right'}}imaging observation_fin: ['enhancing']location descriptor_fin: ['right']clinical findings_fin: {'enhancing soft tissue': {'clinical finding': 'enhancing soft tissue', 'existence': 'pos_dx', 'descriptive_term': 'enhancing soft', 'observation': 'tissue'}, 'defect': {'clinical finding': 'defect', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'observation': 'defect'}}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'}}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': 'pos_dx', 'observation': 'patent'}}anatomical entity_fin: {'airways': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}clinical findings_fin: {'mild cervical degenerative changes': {'clinical finding': 'mild cervical degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild cervical degenerative', 'observation': 'change', 'strength_term': 'mild'}}anatomical entity_fin: {'lungs': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}} [/INST] There are postsurgical changes within the right ethmoid sinus from prior sinonasal tumor resection. There is persistent moderate mucosal thickening of the right maxillary sinus. There is mucosal thickening of the remaining paranasal sinuses with increased mucosal thickening of the left maxillary sinus with questionable air-fluid levels. There is enhancing soft tissue along the right anterior cranial fossa along the defect in the region of the right fovea ethmoidale, which appears to have decreased in size slightly over the course of approximately one year, given differences in modality. There is no significant cervical lymphadenopathy. The thyroid and major salivary glands are unremarkable. The major cervical vessels are patent. The airways are patent. There are mild cervical degenerative changes. The imaged portions of the lungs are clear. </s>

Redemonstrated are bilateral deep brain stimulator leads which are intact and unchanged in position. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is maintained. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection or acute hemorrhage. The osseous structures are unremarkable. Mucosal thickening is again noted in the right sphenoid sinus, otherwise the paranasal sinuses and mastoid air cells are clear.

location descriptor_fin: ['bilateral']non-anatomical substance_fin: ['leads']object_fin: ['deep brain stimulator']clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}clinical findings_fin: {'symmetric': {'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'}}clinical findings_fin: {'gray - white matter differentiation is maintained': {'clinical finding': 'gray - white matter differentiation is maintained', 'change_term': 'maintained'}}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: {'sphenoid sinus': {'location descriptor': 'right'}, 'paranasal sinuses': {}, 'mastoid air cells': {}}location descriptor_fin: ['right']clinical findings_fin: {'mucosal thickening': {'clinical finding': 'mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'thickening'}, '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: location descriptor_fin: ['bilateral']non-anatomical substance_fin: ['leads']object_fin: ['deep brain stimulator']clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}clinical findings_fin: {'symmetric': {'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'}}clinical findings_fin: {'gray - white matter differentiation is maintained': {'clinical finding': 'gray - white matter differentiation is maintained', 'change_term': 'maintained'}}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: {'sphenoid sinus': {'location descriptor': 'right'}, 'paranasal sinuses': {}, 'mastoid air cells': {}}location descriptor_fin: ['right']clinical findings_fin: {'mucosal thickening': {'clinical finding': 'mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'thickening'}, 'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}} [/INST] Redemonstrated are bilateral deep brain stimulator leads which are intact and unchanged in position. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is maintained. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection or acute hemorrhage. The osseous structures are unremarkable. Mucosal thickening is again noted in the right sphenoid sinus, otherwise the paranasal sinuses and mastoid air cells are clear. </s>

. New innumerable large pulmonary metastases. For reference purposes a left lower lobe nodule measures 1.9 x 1.5 cm. No significant mediastinal or hilar lymphadenopathy. The heart size is normal and there is no pericardial effusion. Moderate. Enlarged cardiophrenic node measures 2.2 x 1.6 cm. Marked interval increase in size and number of hepatic metastases with the previously seen right hepatic lobe mass now measuring 12.0 x 10.0 cm , previously 4.6 x 3.4 cm. Additional right hepatic lobe lesion measures 2.6 x 2.4 cm. Approximately 75% of the hepatic parenchyma is replaced by metastases. The hepatic vasculature is attenuated secondary to mass effect, although appears grossly patent. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Severe. Small volume ascites. Soft tissue nodule in the pouch of Douglas measures 2.7 x 1.8 cm. Interval increase in size of the intraluminal sigmoid colonic mass. Additional mesenteric nodules and masses are present within the pelvis. There is a left lower quadrant colostomy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Small volume ascites. Soft tissue nodule in the pouch of Douglas measures 2.7 x 1.8 cm. Interval increase in size of the intraluminal sigmoid colonic mass. Additional mesenteric nodules and masses are present within the pelvis. There is a left lower quadrant colostomy. No significant abnormality noted. No significant abnormality noted.

clinical findings_fin: {'new innumerable large pulmonary metastases': {'clinical finding': 'new innumerable large pulmonary metastases', 'existence': 'pos_dx', 'descriptive_term': 'new innumerable large pulmonary', 'observation': 'metastase', 'strength_term': 'large', 'temporal_term': 'new'}}size_fin: [{'size': '1.9 x 1.5 cm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'left lower lobe nodule': {'clinical finding': 'left lower lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'left lower lobe', 'observation': 'nodule'}}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'}}size_fin: [{'size': '2.2 x 1.6 cm', 'size_descriptor': 'node'}]clinical findings_fin: {'enlarged cardiophrenic node': {'clinical finding': 'enlarged cardiophrenic node', 'existence': 'pos_dx', 'descriptive_term': 'enlarged cardiophrenic', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}size_fin: [{'size': '12.0 x 10.0 cm'}, {'size': '4.6 x 3.4 cm'}]anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'hepatic metastases': {'clinical finding': 'hepatic metastases', 'existence': 'pos_dx', 'descriptive_term': 'hepatic', 'observation': 'metastase'}, 'previously seen right hepatic lobe mass': {'clinical finding': 'previously seen right hepatic lobe mass', 'existence': 'pos_dx', 'descriptive_term': 'previously seen right hepatic lobe', 'observation': 'mass'}}size_fin: [{'size': '2.6 x 2.4 cm', 'size_descriptor': 'lesion'}]anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'additional right hepatic lobe lesion': {'clinical finding': 'additional right hepatic lobe lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'additional right hepatic lobe', 'observation': 'lesion'}}anatomical entity_fin: {'parenchyma': {}}clinical findings_fin: {'metastases': {'clinical finding': 'metastases', 'existence': 'pos_dx', 'observation': 'metastase'}}anatomical entity_fin: {'vasculature': {}}clinical findings_fin: {'attenuated': {'clinical finding': 'attenuated', 'existence': 'pos_dx', 'observation': 'attenuated'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'small volume ascites': {'clinical finding': 'small volume ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'small volume', 'observation': 'ascite', 'strength_term': 'small'}}size_fin: [{'size': '2.7 x 1.8 cm', 'size_descriptor': 'nodule'}]clinical findings_fin: {'soft tissue nodule': {'clinical finding': 'soft tissue nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'nodule'}, 'douglas': {'clinical finding': 'douglas', 'existence': 'pos_dx', 'observation': 'douglas'}}clinical findings_fin: {'intraluminal sigmoid colonic mass': {'clinical finding': 'intraluminal sigmoid colonic mass', 'existence': 'pos_dx', 'descriptive_term': 'intraluminal sigmoid colonic', 'observation': 'mass'}}anatomical entity_fin: {'pelvis': {}}clinical findings_fin: {'additional mesenteric nodules': {'clinical finding': 'additional mesenteric nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'additional mesenteric', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'pos_dx', 'observation': 'mass'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']procedure_fin: ['colostomy']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'small volume ascites': {'clinical finding': 'small volume ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'small volume', 'observation': 'ascite', 'strength_term': 'small'}}size_fin: [{'size': '2.7 x 1.8 cm', 'size_descriptor': 'nodule'}]clinical findings_fin: {'soft tissue nodule': {'clinical finding': 'soft tissue nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'nodule'}, 'douglas': {'clinical finding': 'douglas', 'existence': 'pos_dx', 'observation': 'douglas'}}clinical findings_fin: {'intraluminal sigmoid colonic mass': {'clinical finding': 'intraluminal sigmoid colonic mass', 'existence': 'pos_dx', 'descriptive_term': 'intraluminal sigmoid colonic', 'observation': 'mass'}}anatomical entity_fin: {'pelvis': {}}clinical findings_fin: {'additional mesenteric nodules': {'clinical finding': 'additional mesenteric nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'additional mesenteric', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'pos_dx', 'observation': 'mass'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']procedure_fin: ['colostomy']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}

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: {'new innumerable large pulmonary metastases': {'clinical finding': 'new innumerable large pulmonary metastases', 'existence': 'pos_dx', 'descriptive_term': 'new innumerable large pulmonary', 'observation': 'metastase', 'strength_term': 'large', 'temporal_term': 'new'}}size_fin: [{'size': '1.9 x 1.5 cm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'left lower lobe nodule': {'clinical finding': 'left lower lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'left lower lobe', 'observation': 'nodule'}}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'}}size_fin: [{'size': '2.2 x 1.6 cm', 'size_descriptor': 'node'}]clinical findings_fin: {'enlarged cardiophrenic node': {'clinical finding': 'enlarged cardiophrenic node', 'existence': 'pos_dx', 'descriptive_term': 'enlarged cardiophrenic', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}size_fin: [{'size': '12.0 x 10.0 cm'}, {'size': '4.6 x 3.4 cm'}]anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'hepatic metastases': {'clinical finding': 'hepatic metastases', 'existence': 'pos_dx', 'descriptive_term': 'hepatic', 'observation': 'metastase'}, 'previously seen right hepatic lobe mass': {'clinical finding': 'previously seen right hepatic lobe mass', 'existence': 'pos_dx', 'descriptive_term': 'previously seen right hepatic lobe', 'observation': 'mass'}}size_fin: [{'size': '2.6 x 2.4 cm', 'size_descriptor': 'lesion'}]anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'additional right hepatic lobe lesion': {'clinical finding': 'additional right hepatic lobe lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'additional right hepatic lobe', 'observation': 'lesion'}}anatomical entity_fin: {'parenchyma': {}}clinical findings_fin: {'metastases': {'clinical finding': 'metastases', 'existence': 'pos_dx', 'observation': 'metastase'}}anatomical entity_fin: {'vasculature': {}}clinical findings_fin: {'attenuated': {'clinical finding': 'attenuated', 'existence': 'pos_dx', 'observation': 'attenuated'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'small volume ascites': {'clinical finding': 'small volume ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'small volume', 'observation': 'ascite', 'strength_term': 'small'}}size_fin: [{'size': '2.7 x 1.8 cm', 'size_descriptor': 'nodule'}]clinical findings_fin: {'soft tissue nodule': {'clinical finding': 'soft tissue nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'nodule'}, 'douglas': {'clinical finding': 'douglas', 'existence': 'pos_dx', 'observation': 'douglas'}}clinical findings_fin: {'intraluminal sigmoid colonic mass': {'clinical finding': 'intraluminal sigmoid colonic mass', 'existence': 'pos_dx', 'descriptive_term': 'intraluminal sigmoid colonic', 'observation': 'mass'}}anatomical entity_fin: {'pelvis': {}}clinical findings_fin: {'additional mesenteric nodules': {'clinical finding': 'additional mesenteric nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'additional mesenteric', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'pos_dx', 'observation': 'mass'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']procedure_fin: ['colostomy']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'small volume ascites': {'clinical finding': 'small volume ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'small volume', 'observation': 'ascite', 'strength_term': 'small'}}size_fin: [{'size': '2.7 x 1.8 cm', 'size_descriptor': 'nodule'}]clinical findings_fin: {'soft tissue nodule': {'clinical finding': 'soft tissue nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'nodule'}, 'douglas': {'clinical finding': 'douglas', 'existence': 'pos_dx', 'observation': 'douglas'}}clinical findings_fin: {'intraluminal sigmoid colonic mass': {'clinical finding': 'intraluminal sigmoid colonic mass', 'existence': 'pos_dx', 'descriptive_term': 'intraluminal sigmoid colonic', 'observation': 'mass'}}anatomical entity_fin: {'pelvis': {}}clinical findings_fin: {'additional mesenteric nodules': {'clinical finding': 'additional mesenteric nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'additional mesenteric', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'pos_dx', 'observation': 'mass'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']procedure_fin: ['colostomy']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . New innumerable large pulmonary metastases. For reference purposes a left lower lobe nodule measures 1.9 x 1.5 cm. No significant mediastinal or hilar lymphadenopathy. The heart size is normal and there is no pericardial effusion. Moderate. Enlarged cardiophrenic node measures 2.2 x 1.6 cm. Marked interval increase in size and number of hepatic metastases with the previously seen right hepatic lobe mass now measuring 12.0 x 10.0 cm , previously 4.6 x 3.4 cm. Additional right hepatic lobe lesion measures 2.6 x 2.4 cm. Approximately 75% of the hepatic parenchyma is replaced by metastases. The hepatic vasculature is attenuated secondary to mass effect, although appears grossly patent. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Severe. Small volume ascites. Soft tissue nodule in the pouch of Douglas measures 2.7 x 1.8 cm. Interval increase in size of the intraluminal sigmoid colonic mass. Additional mesenteric nodules and masses are present within the pelvis. There is a left lower quadrant colostomy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Small volume ascites. Soft tissue nodule in the pouch of Douglas measures 2.7 x 1.8 cm. Interval increase in size of the intraluminal sigmoid colonic mass. Additional mesenteric nodules and masses are present within the pelvis. There is a left lower quadrant colostomy. No significant abnormality noted. No significant abnormality noted. </s>

Findings related to prior left craniotomy are again seen. The previously described thin left holohemispheric subdural collection appears not significantly changed from previous exam and measures approximately 4 mm in thickness. No new intracranial hemorrhage is seen. No significant mass effect. No significant midline shift or herniation. Ventricular size and morphology are stable and within normal limits. There are scattered areas of hypoattenuation in the periventricular white matter which are nonspecific but favored to represent chronic small vessel ischemic changes. No new parenchymal abnormality. Paranasal sinuses and mastoid air cells are clear.

location descriptor_fin: ['left']clinical findings_fin: {'findings related to prior left craniotomy are again seen': {'clinical finding': 'findings related to prior left craniotomy are again seen', 'cf_snomed': {'related': 262094002}}}size_fin: [{'size': '4 mm', 'size_descriptor': 'collection'}]location descriptor_fin: ['left']clinical findings_fin: {'previously described thin left holohemispheric subdural': {'clinical finding': 'previously described thin left holohemispheric subdural', 'existence': 'pos_dx', 'descriptive_term': 'previously described thin left holohemispheric', 'observation': 'subdural'}}clinical findings_fin: {'new intracranial hemorrhage': {'clinical finding': 'new intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'new intracranial', 'observation': 'hemorrhage', 'temporal_term': 'new'}}clinical findings_fin: {'significant mass effect': {'clinical finding': 'significant mass effect', 'existence': 'neg_dx', 'descriptive_term': 'significant mass', 'observation': 'effect'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}clinical findings_fin: {'ventricular size and morphology are stable and within normal limits': {'clinical finding': 'ventricular size and morphology are stable and within normal limits', 'change_term': 'stable'}}clinical findings_fin: {'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}, 'chronic small vessel ischemic changes': {'clinical finding': 'chronic small vessel ischemic changes', 'existence': 'unc_dx', 'descriptive_term': 'chronic small vessel ischemic', 'observation': 'change', 'strength_term': 'small', 'temporal_term': 'chronic'}}clinical findings_fin: {'new parenchymal abnormality': {'clinical finding': 'new parenchymal abnormality', 'existence': 'neg_dx', 'descriptive_term': 'new parenchymal', 'observation': 'abnormality', 'temporal_term': 'new'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}

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

<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['left']clinical findings_fin: {'findings related to prior left craniotomy are again seen': {'clinical finding': 'findings related to prior left craniotomy are again seen', 'cf_snomed': {'related': 262094002}}}size_fin: [{'size': '4 mm', 'size_descriptor': 'collection'}]location descriptor_fin: ['left']clinical findings_fin: {'previously described thin left holohemispheric subdural': {'clinical finding': 'previously described thin left holohemispheric subdural', 'existence': 'pos_dx', 'descriptive_term': 'previously described thin left holohemispheric', 'observation': 'subdural'}}clinical findings_fin: {'new intracranial hemorrhage': {'clinical finding': 'new intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'new intracranial', 'observation': 'hemorrhage', 'temporal_term': 'new'}}clinical findings_fin: {'significant mass effect': {'clinical finding': 'significant mass effect', 'existence': 'neg_dx', 'descriptive_term': 'significant mass', 'observation': 'effect'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}clinical findings_fin: {'ventricular size and morphology are stable and within normal limits': {'clinical finding': 'ventricular size and morphology are stable and within normal limits', 'change_term': 'stable'}}clinical findings_fin: {'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}, 'chronic small vessel ischemic changes': {'clinical finding': 'chronic small vessel ischemic changes', 'existence': 'unc_dx', 'descriptive_term': 'chronic small vessel ischemic', 'observation': 'change', 'strength_term': 'small', 'temporal_term': 'chronic'}}clinical findings_fin: {'new parenchymal abnormality': {'clinical finding': 'new parenchymal abnormality', 'existence': 'neg_dx', 'descriptive_term': 'new parenchymal', 'observation': 'abnormality', 'temporal_term': 'new'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}} [/INST] Findings related to prior left craniotomy are again seen. The previously described thin left holohemispheric subdural collection appears not significantly changed from previous exam and measures approximately 4 mm in thickness. No new intracranial hemorrhage is seen. No significant mass effect. No significant midline shift or herniation. Ventricular size and morphology are stable and within normal limits. There are scattered areas of hypoattenuation in the periventricular white matter which are nonspecific but favored to represent chronic small vessel ischemic changes. No new parenchymal abnormality. Paranasal sinuses and mastoid air cells are clear. </s>

This study is limited due to lack of intravenous contrast. Trace bilateral pleural effusions. 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. Lack of intravenous contrast severely limits our ability to delineate the fluid collections. Within this limitation previously described left-sided pelvic collection is not well visualized. Previously described right-sided fluid is also smaller now measuring 3.5 x 3.4 cm on image #118, series #3. No significant abnormality noted. 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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'intravenous contrast': {'clinical finding': 'intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'}}location descriptor_fin: ['left']clinical findings_fin: {'limitation previously described left-sided pelvic collection is not well visualized': {'clinical finding': 'limitation previously described left-sided pelvic collection is not well visualized'}}size_fin: [{'size': '3.5 x 3.4 cm', 'size_descriptor': 'fluid'}]anatomical entity_fin: {'fluid': {}}location descriptor_fin: ['right']clinical findings_fin: {'also smaller now': {'clinical finding': 'also smaller now'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'intravenous contrast': {'clinical finding': 'intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'}}location descriptor_fin: ['left']clinical findings_fin: {'limitation previously described left-sided pelvic collection is not well visualized': {'clinical finding': 'limitation previously described left-sided pelvic collection is not well visualized'}}size_fin: [{'size': '3.5 x 3.4 cm', 'size_descriptor': 'fluid'}]anatomical entity_fin: {'fluid': {}}location descriptor_fin: ['right']clinical findings_fin: {'also smaller now': {'clinical finding': 'also smaller now'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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] This study is limited due to lack of intravenous contrast. Trace bilateral pleural effusions. 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. Lack of intravenous contrast severely limits our ability to delineate the fluid collections. Within this limitation previously described left-sided pelvic collection is not well visualized. Previously described right-sided fluid is also smaller now measuring 3.5 x 3.4 cm on image #118, series #3. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted </s>

Todays CT portion grossly demonstrates a mucus retention cyst or polyp in the left maxillary sinus. Multiple sharply margined hypodense hepatic lesions are likely cysts. Todays PET examination demonstrates a small moderately hypermetabolic anorectal focus. This is most commonly due to benign sphincter activity. Otherwise no focal suspicious FDG avid lesion is identified. Extensive symmetric benign brown fat hypermetabolism is seen in the neck and thorax. Benign uptake in strap muscles of the neck and diffuse prominent but benign gastric activity is also noted.

anatomical entity_fin: {'mucus': {}, 'maxillary sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'mucus retention cyst': {'clinical finding': 'mucus retention cyst', 'cf_snomed': {'mucus retention': 6078006, 'cyst': 441457006}, 'existence': 'unc_dx', 'descriptive_term': 'mucus retention', 'observation': 'cyst'}, 'polyp': {'clinical finding': 'polyp', 'cf_snomed': {'polyp': 441456002}, 'existence': 'unc_dx', 'observation': 'polyp'}}clinical findings_fin: {'multiple sharply margined hypodense hepatic lesions': {'clinical finding': 'multiple sharply margined hypodense hepatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'descriptive_term': 'multiple sharply margined hypodense hepatic', 'observation': 'lesion', 'quantity_term': 'multiple'}, 'likely cysts': {'clinical finding': 'likely cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'likely', 'observation': 'cyst'}}clinical findings_fin: {'small moderately hypermetabolic anorectal focus': {'clinical finding': 'small moderately hypermetabolic anorectal focus', 'existence': 'pos_dx', 'descriptive_term': 'small moderately hypermetabolic anorectal', 'observation': 'focus', 'strength_term': 'small - moderately'}}anatomical entity_fin: {'sphincter': {}}clinical findings_fin: {'this is most commonly due to benign sphincter activity': {'clinical finding': 'this is most commonly due to benign sphincter activity'}}clinical findings_fin: {'focal suspicious fdg avid lesion': {'clinical finding': 'focal suspicious fdg avid lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal suspicious fdg avid', 'observation': 'lesion'}}anatomical entity_fin: {'neck': {}, 'thorax': {}}imaging observation_fin: ['fat']clinical findings_fin: {'extensive symmetric benign brown fat hypermetabolism': {'clinical finding': 'extensive symmetric benign brown fat hypermetabolism', 'cf_snomed': {'brown fat': 15965003, 'hypermetabolism': 37910008}, 'existence': 'pos_dx', 'descriptive_term': 'extensive symmetric benign brown fat', 'observation': 'hypermetabolism', 'strength_term': 'extensive - benign'}}anatomical entity_fin: {'neck': {}}clinical findings_fin: {'benign uptake': {'clinical finding': 'benign uptake', 'existence': 'pos_dx', 'descriptive_term': 'benign', 'observation': 'uptake', 'strength_term': 'benign'}}

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: {'mucus': {}, 'maxillary sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'mucus retention cyst': {'clinical finding': 'mucus retention cyst', 'cf_snomed': {'mucus retention': 6078006, 'cyst': 441457006}, 'existence': 'unc_dx', 'descriptive_term': 'mucus retention', 'observation': 'cyst'}, 'polyp': {'clinical finding': 'polyp', 'cf_snomed': {'polyp': 441456002}, 'existence': 'unc_dx', 'observation': 'polyp'}}clinical findings_fin: {'multiple sharply margined hypodense hepatic lesions': {'clinical finding': 'multiple sharply margined hypodense hepatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'descriptive_term': 'multiple sharply margined hypodense hepatic', 'observation': 'lesion', 'quantity_term': 'multiple'}, 'likely cysts': {'clinical finding': 'likely cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'likely', 'observation': 'cyst'}}clinical findings_fin: {'small moderately hypermetabolic anorectal focus': {'clinical finding': 'small moderately hypermetabolic anorectal focus', 'existence': 'pos_dx', 'descriptive_term': 'small moderately hypermetabolic anorectal', 'observation': 'focus', 'strength_term': 'small - moderately'}}anatomical entity_fin: {'sphincter': {}}clinical findings_fin: {'this is most commonly due to benign sphincter activity': {'clinical finding': 'this is most commonly due to benign sphincter activity'}}clinical findings_fin: {'focal suspicious fdg avid lesion': {'clinical finding': 'focal suspicious fdg avid lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal suspicious fdg avid', 'observation': 'lesion'}}anatomical entity_fin: {'neck': {}, 'thorax': {}}imaging observation_fin: ['fat']clinical findings_fin: {'extensive symmetric benign brown fat hypermetabolism': {'clinical finding': 'extensive symmetric benign brown fat hypermetabolism', 'cf_snomed': {'brown fat': 15965003, 'hypermetabolism': 37910008}, 'existence': 'pos_dx', 'descriptive_term': 'extensive symmetric benign brown fat', 'observation': 'hypermetabolism', 'strength_term': 'extensive - benign'}}anatomical entity_fin: {'neck': {}}clinical findings_fin: {'benign uptake': {'clinical finding': 'benign uptake', 'existence': 'pos_dx', 'descriptive_term': 'benign', 'observation': 'uptake', 'strength_term': 'benign'}} [/INST] Todays CT portion grossly demonstrates a mucus retention cyst or polyp in the left maxillary sinus. Multiple sharply margined hypodense hepatic lesions are likely cysts. Todays PET examination demonstrates a small moderately hypermetabolic anorectal focus. This is most commonly due to benign sphincter activity. Otherwise no focal suspicious FDG avid lesion is identified. Extensive symmetric benign brown fat hypermetabolism is seen in the neck and thorax. Benign uptake in strap muscles of the neck and diffuse prominent but benign gastric activity is also noted. </s>

. Technically adequate examination. No evidence of acute pulmonary embolism. Main pulmonary artery is normal caliber. Endotracheal tube terminates approximately 3.5 cm above the carina. Bibasilar atelectasis or consolidation, right greater than left, with obstruction of the distal airways. Diffuse apical predominant centrilobular groundglass nodules. No suspicious nodules or masses are identified. Cardiac size is upper limits of normal with no significant pericardial effusion. Aorta is normal in caliber. Small amount of pneumomediastinum likely reflects recent surgery. Considerable soft tissue density in the retrosternal anterior mediastinum, significantly increased. No significant hilar or mediastinal lymphadenopathy. Pericardial drain noted. LVAD in place with anastomosis of the ascending aorta, pulmonary artery, left ventricle, and right ventricle. Sternotomy hardware intact. Right central venous catheter tip terminates in the SVC. None. Bilateral chest tubes in place. No lymphadenopathy. Multiple right-sided rib fractures are noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Splenic calcifications noted.

clinical findings_fin: {'acute pulmonary embolism': {'clinical finding': 'acute pulmonary embolism', 'cf_snomed': {'acute pulmonary embolism': 706870000}, 'existence': 'neg_dx', 'descriptive_term': 'acute pulmonary', 'observation': 'embolism', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'main pulmonary artery': {}}clinical findings_fin: {'main pulmonary artery is normal caliber': {'clinical finding': 'main pulmonary artery is normal caliber'}}size_fin: [{'size': '3.5 cm', 'size_descriptor': 'tube'}]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'}}anatomical entity_fin: {'airways': {'location descriptor': 'distal'}}location descriptor_fin: ['right', 'left', 'distal']clinical findings_fin: {'bibasilar atelectasis': {'clinical finding': 'bibasilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'bibasilar', 'observation': 'atelectasis'}, 'consolidation': {'clinical finding': 'consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'unc_dx', 'observation': 'consolidation'}, 'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'pos_dx', 'observation': 'obstruction'}}imaging observation_fin: ['apical']location descriptor_fin: ['centrilobular']clinical findings_fin: {'apical predominant centrilobular groundglass nodules': {'clinical finding': 'apical predominant centrilobular groundglass nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'apical predominant centrilobular groundglass', 'observation': 'nodule'}}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'}}location descriptor_fin: ['upper']clinical findings_fin: {'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'aorta is normal in caliber': {'clinical finding': 'aorta is normal in caliber'}}clinical findings_fin: {'pneumomediastinum': {'clinical finding': 'pneumomediastinum', 'existence': 'pos_dx', 'observation': 'pneumomediastinum'}}anatomical entity_fin: {'anterior mediastinum': {}}imaging observation_fin: ['soft tissue density']clinical findings_fin: {'considerable soft tissue density': {'clinical finding': 'considerable soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'considerable soft tissue', 'observation': 'density'}}clinical findings_fin: {'significant hilar or mediastinal lymphadenopathy': {'clinical finding': 'significant hilar or mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'significant hilar or mediastinal', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'pericardial drain noted': {'clinical finding': 'pericardial drain noted'}}anatomical entity_fin: {'anastomosis': {}, 'ascending aorta': {}, 'pulmonary artery': {}, 'left ventricle': {}, 'right ventricle': {}}clinical findings_fin: {'lvad': {'clinical finding': 'lvad', 'existence': 'pos_dx', 'observation': 'lvad'}}clinical findings_fin: {'sternotomy hardware': {'clinical finding': 'sternotomy hardware', 'existence': 'pos_dx', 'descriptive_term': 'sternotomy', 'observation': 'hardware'}, 'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}location descriptor_fin: ['right']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'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral chest tubes': {'clinical finding': 'bilateral chest tubes', 'existence': 'pos_dx', 'descriptive_term': 'bilateral chest', 'observation': 'tube'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'rib': {}}location descriptor_fin: ['right']clinical findings_fin: {'multiple right-sided rib fractures': {'clinical finding': 'multiple right-sided rib fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'multiple right-sided rib', 'observation': 'fracture', 'quantity_term': 'multiple'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'splenic calcifications': {'clinical finding': 'splenic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'splenic', '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: {'acute pulmonary embolism': {'clinical finding': 'acute pulmonary embolism', 'cf_snomed': {'acute pulmonary embolism': 706870000}, 'existence': 'neg_dx', 'descriptive_term': 'acute pulmonary', 'observation': 'embolism', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'main pulmonary artery': {}}clinical findings_fin: {'main pulmonary artery is normal caliber': {'clinical finding': 'main pulmonary artery is normal caliber'}}size_fin: [{'size': '3.5 cm', 'size_descriptor': 'tube'}]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'}}anatomical entity_fin: {'airways': {'location descriptor': 'distal'}}location descriptor_fin: ['right', 'left', 'distal']clinical findings_fin: {'bibasilar atelectasis': {'clinical finding': 'bibasilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'bibasilar', 'observation': 'atelectasis'}, 'consolidation': {'clinical finding': 'consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'unc_dx', 'observation': 'consolidation'}, 'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'pos_dx', 'observation': 'obstruction'}}imaging observation_fin: ['apical']location descriptor_fin: ['centrilobular']clinical findings_fin: {'apical predominant centrilobular groundglass nodules': {'clinical finding': 'apical predominant centrilobular groundglass nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'apical predominant centrilobular groundglass', 'observation': 'nodule'}}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'}}location descriptor_fin: ['upper']clinical findings_fin: {'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'aorta is normal in caliber': {'clinical finding': 'aorta is normal in caliber'}}clinical findings_fin: {'pneumomediastinum': {'clinical finding': 'pneumomediastinum', 'existence': 'pos_dx', 'observation': 'pneumomediastinum'}}anatomical entity_fin: {'anterior mediastinum': {}}imaging observation_fin: ['soft tissue density']clinical findings_fin: {'considerable soft tissue density': {'clinical finding': 'considerable soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'considerable soft tissue', 'observation': 'density'}}clinical findings_fin: {'significant hilar or mediastinal lymphadenopathy': {'clinical finding': 'significant hilar or mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'significant hilar or mediastinal', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'pericardial drain noted': {'clinical finding': 'pericardial drain noted'}}anatomical entity_fin: {'anastomosis': {}, 'ascending aorta': {}, 'pulmonary artery': {}, 'left ventricle': {}, 'right ventricle': {}}clinical findings_fin: {'lvad': {'clinical finding': 'lvad', 'existence': 'pos_dx', 'observation': 'lvad'}}clinical findings_fin: {'sternotomy hardware': {'clinical finding': 'sternotomy hardware', 'existence': 'pos_dx', 'descriptive_term': 'sternotomy', 'observation': 'hardware'}, 'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}location descriptor_fin: ['right']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'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral chest tubes': {'clinical finding': 'bilateral chest tubes', 'existence': 'pos_dx', 'descriptive_term': 'bilateral chest', 'observation': 'tube'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'rib': {}}location descriptor_fin: ['right']clinical findings_fin: {'multiple right-sided rib fractures': {'clinical finding': 'multiple right-sided rib fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'multiple right-sided rib', 'observation': 'fracture', 'quantity_term': 'multiple'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'splenic calcifications': {'clinical finding': 'splenic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'splenic', 'observation': 'calcification'}} [/INST] . Technically adequate examination. No evidence of acute pulmonary embolism. Main pulmonary artery is normal caliber. Endotracheal tube terminates approximately 3.5 cm above the carina. Bibasilar atelectasis or consolidation, right greater than left, with obstruction of the distal airways. Diffuse apical predominant centrilobular groundglass nodules. No suspicious nodules or masses are identified. Cardiac size is upper limits of normal with no significant pericardial effusion. Aorta is normal in caliber. Small amount of pneumomediastinum likely reflects recent surgery. Considerable soft tissue density in the retrosternal anterior mediastinum, significantly increased. No significant hilar or mediastinal lymphadenopathy. Pericardial drain noted. LVAD in place with anastomosis of the ascending aorta, pulmonary artery, left ventricle, and right ventricle. Sternotomy hardware intact. Right central venous catheter tip terminates in the SVC. None. Bilateral chest tubes in place. No lymphadenopathy. Multiple right-sided rib fractures are noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Splenic calcifications noted. </s>

. No significant abnormality noted. The gallbladder is collapsed making evaluation for wall thickening suboptimal and is filled with stones no pericholecystic fluid or surrounding inflammatory changes are noted to suggest cholecystitis. There is an area of decreased attenuation in segment 4 of the liver which has a linear appearance extending adjacent to the gallbladder. This may represent an area of focal fat infiltration however this is incompletely characterized on this single phase CT study. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Moderate. Colonic diverticulosis without evidence of diverticulitis. No significant abnormality noted. No significant abnormality noted. Mildly thickened endometrial wall with small amount of fluid in the endometrial cavity may be physiologic. Calcified uterine fibroid. 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'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'collapsed': {'clinical finding': 'collapsed', 'cf_snomed': {'collapse': 271787007}, 'existence': 'pos_dx', 'observation': 'collapse'}, 'wall thickening': {'clinical finding': 'wall thickening', 'existence': 'unc_dx', 'descriptive_term': 'wall', 'observation': 'thickening'}, 'stones': {'clinical finding': 'stones', 'existence': 'pos_dx', 'observation': 'stone'}, 'pericholecystic fluid': {'clinical finding': 'pericholecystic fluid', 'existence': 'neg_dx', 'descriptive_term': 'pericholecystic', 'observation': 'fluid'}, 'surrounding inflammatory changes': {'clinical finding': 'surrounding inflammatory changes', 'existence': 'neg_dx', 'descriptive_term': 'surrounding inflammatory', 'observation': 'change'}, 'cholecystitis': {'clinical finding': 'cholecystitis', 'cf_snomed': {'cholecystitis': 76581006}, 'existence': 'unc_dx', 'observation': 'cholecystitis'}}anatomical entity_fin: {'liver': {}, 'gallbladder': {}}location descriptor_fin: ['adjacent']clinical findings_fin: {'decreased attenuation': {'clinical finding': 'decreased attenuation', 'existence': 'pos_dx', 'descriptive_term': 'decreased', 'observation': 'attenuation', 'strength_term': 'decreased', 'change_term': 'decreased'}}imaging observation_fin: ['fat']clinical findings_fin: {'focal fat infiltration': {'clinical finding': 'focal fat infiltration', 'existence': 'unc_dx', 'descriptive_term': 'focal fat', '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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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'}}anatomical entity_fin: {'wall': {}, 'fluid': {}, 'endometrial cavity': {}}clinical findings_fin: {'mildly thickened': {'clinical finding': 'mildly thickened', 'existence': 'pos_dx', 'descriptive_term': 'mildly', 'observation': 'thickened', 'strength_term': 'mildly'}}clinical findings_fin: {'calcified uterine fibroid': {'clinical finding': 'calcified uterine fibroid', '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: {'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'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'collapsed': {'clinical finding': 'collapsed', 'cf_snomed': {'collapse': 271787007}, 'existence': 'pos_dx', 'observation': 'collapse'}, 'wall thickening': {'clinical finding': 'wall thickening', 'existence': 'unc_dx', 'descriptive_term': 'wall', 'observation': 'thickening'}, 'stones': {'clinical finding': 'stones', 'existence': 'pos_dx', 'observation': 'stone'}, 'pericholecystic fluid': {'clinical finding': 'pericholecystic fluid', 'existence': 'neg_dx', 'descriptive_term': 'pericholecystic', 'observation': 'fluid'}, 'surrounding inflammatory changes': {'clinical finding': 'surrounding inflammatory changes', 'existence': 'neg_dx', 'descriptive_term': 'surrounding inflammatory', 'observation': 'change'}, 'cholecystitis': {'clinical finding': 'cholecystitis', 'cf_snomed': {'cholecystitis': 76581006}, 'existence': 'unc_dx', 'observation': 'cholecystitis'}}anatomical entity_fin: {'liver': {}, 'gallbladder': {}}location descriptor_fin: ['adjacent']clinical findings_fin: {'decreased attenuation': {'clinical finding': 'decreased attenuation', 'existence': 'pos_dx', 'descriptive_term': 'decreased', 'observation': 'attenuation', 'strength_term': 'decreased', 'change_term': 'decreased'}}imaging observation_fin: ['fat']clinical findings_fin: {'focal fat infiltration': {'clinical finding': 'focal fat infiltration', 'existence': 'unc_dx', 'descriptive_term': 'focal fat', '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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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'}}anatomical entity_fin: {'wall': {}, 'fluid': {}, 'endometrial cavity': {}}clinical findings_fin: {'mildly thickened': {'clinical finding': 'mildly thickened', 'existence': 'pos_dx', 'descriptive_term': 'mildly', 'observation': 'thickened', 'strength_term': 'mildly'}}clinical findings_fin: {'calcified uterine fibroid': {'clinical finding': 'calcified uterine fibroid', '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: {'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. The gallbladder is collapsed making evaluation for wall thickening suboptimal and is filled with stones no pericholecystic fluid or surrounding inflammatory changes are noted to suggest cholecystitis. There is an area of decreased attenuation in segment 4 of the liver which has a linear appearance extending adjacent to the gallbladder. This may represent an area of focal fat infiltration however this is incompletely characterized on this single phase CT study. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Moderate. Colonic diverticulosis without evidence of diverticulitis. No significant abnormality noted. No significant abnormality noted. Mildly thickened endometrial wall with small amount of fluid in the endometrial cavity may be physiologic. Calcified uterine fibroid. No significant abnormality noted. No significant abnormality noted. Colonic diverticulosis without evidence of diverticulitis. No significant abnormality noted. No significant abnormality noted </s>

Nonenhanced head. There is no detectable acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes. There are periventricular, subcortical, basal ganglia and thalamic as well as pontine foci of no attenuation highly suggestive of age indeterminate small vessel ischemic strokes. Mild prominence of lateral ventricles and cortical sulci is noted. The CSF spaces remain widely patent and unremarkable. Mild to moderate large vessel vascular calcification is noted. Unremarkable calvarium, orbits, paranasal sinuses, mastoid air cells and cavities.

anatomical entity_fin: {'head': {}}clinical findings_fin: {'nonenhanced head': {'clinical finding': 'nonenhanced head'}}clinical findings_fin: {'detectable acute intracranial process': {'clinical finding': 'detectable acute intracranial process', 'existence': 'neg_dx', 'descriptive_term': 'detectable acute intracranial', 'observation': 'process', 'strength_term': 'acute', 'temporal_term': 'acute'}}clinical findings_fin: {'acute nonhemorrhagic ischemic strokes': {'clinical finding': 'acute nonhemorrhagic ischemic strokes', 'cf_snomed': {'ischemic stroke': 422504002}, 'existence': 'pos_dx', 'descriptive_term': 'acute nonhemorrhagic ischemic', 'observation': 'stroke', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'basal ganglia': {}}imaging observation_fin: ['foci']clinical findings_fin: {'periventricular, subcortical, basal ganglia and thalamic as well as pontine foci': {'clinical finding': 'periventricular, subcortical, basal ganglia and thalamic as well as pontine foci', 'existence': 'pos_dx', 'descriptive_term': 'periventricular subcortical basal ganglia and thalamic as well as pontine', 'observation': 'foci'}, 'age indeterminate small vessel ischemic strokes': {'clinical finding': 'age indeterminate small vessel ischemic strokes', 'cf_snomed': {'ischemic stroke': 422504002}, 'existence': 'unc_dx', 'descriptive_term': 'age indeterminate small vessel ischemic', 'observation': 'stroke', 'strength_term': 'small'}}anatomical entity_fin: {'lateral ventricles': {}}clinical findings_fin: {'mild prominence of lateral ventricles and cortical sulci is noted': {'clinical finding': 'mild prominence of lateral ventricles and cortical sulci is noted'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'mild to moderate large vessel vascular calcification': {'clinical finding': 'mild to moderate large vessel vascular calcification', 'cf_snomed': {'vascular calcification': 237897009}, 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate large vessel vascular', 'observation': 'calcification', 'strength_term': 'mild - moderate - large'}}anatomical entity_fin: {'orbits': {}, 'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'unremarkable calvarium , orbits , paranasal sinuses , mastoid air cells and cavities': {'clinical finding': 'unremarkable calvarium , orbits , paranasal sinuses , mastoid air cells and cavities', 'cf_snomed': {'cavity': 2483006}}}

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'}}clinical findings_fin: {'detectable acute intracranial process': {'clinical finding': 'detectable acute intracranial process', 'existence': 'neg_dx', 'descriptive_term': 'detectable acute intracranial', 'observation': 'process', 'strength_term': 'acute', 'temporal_term': 'acute'}}clinical findings_fin: {'acute nonhemorrhagic ischemic strokes': {'clinical finding': 'acute nonhemorrhagic ischemic strokes', 'cf_snomed': {'ischemic stroke': 422504002}, 'existence': 'pos_dx', 'descriptive_term': 'acute nonhemorrhagic ischemic', 'observation': 'stroke', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'basal ganglia': {}}imaging observation_fin: ['foci']clinical findings_fin: {'periventricular, subcortical, basal ganglia and thalamic as well as pontine foci': {'clinical finding': 'periventricular, subcortical, basal ganglia and thalamic as well as pontine foci', 'existence': 'pos_dx', 'descriptive_term': 'periventricular subcortical basal ganglia and thalamic as well as pontine', 'observation': 'foci'}, 'age indeterminate small vessel ischemic strokes': {'clinical finding': 'age indeterminate small vessel ischemic strokes', 'cf_snomed': {'ischemic stroke': 422504002}, 'existence': 'unc_dx', 'descriptive_term': 'age indeterminate small vessel ischemic', 'observation': 'stroke', 'strength_term': 'small'}}anatomical entity_fin: {'lateral ventricles': {}}clinical findings_fin: {'mild prominence of lateral ventricles and cortical sulci is noted': {'clinical finding': 'mild prominence of lateral ventricles and cortical sulci is noted'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'mild to moderate large vessel vascular calcification': {'clinical finding': 'mild to moderate large vessel vascular calcification', 'cf_snomed': {'vascular calcification': 237897009}, 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate large vessel vascular', 'observation': 'calcification', 'strength_term': 'mild - moderate - large'}}anatomical entity_fin: {'orbits': {}, 'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'unremarkable calvarium , orbits , paranasal sinuses , mastoid air cells and cavities': {'clinical finding': 'unremarkable calvarium , orbits , paranasal sinuses , mastoid air cells and cavities', 'cf_snomed': {'cavity': 2483006}}} [/INST] Nonenhanced head. There is no detectable acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes. There are periventricular, subcortical, basal ganglia and thalamic as well as pontine foci of no attenuation highly suggestive of age indeterminate small vessel ischemic strokes. Mild prominence of lateral ventricles and cortical sulci is noted. The CSF spaces remain widely patent and unremarkable. Mild to moderate large vessel vascular calcification is noted. Unremarkable calvarium, orbits, paranasal sinuses, mastoid air cells and cavities. </s>

. The left main coronary artery arises normally from the left sinus of valsalva, takes a tortuous course and bifurcates into the left anterior descending and left circumflex coronary arteries. There are no significant stenoses present in the left main. The left anterior descending coronary artery courses normally in the anterior interventricular groove, one large bifurcating diagonal and septal branches. There are no significant stenoses in the LAD. There is tortuosity of the LAD and its branches. The left circumflex coronary artery is a non-dominant tortuous artery, coursing normally in the left AV groove. It gives rise to a bifurcating proximal obtuse marginal and a second large OM2 before terminating in the posterior AV groove. There are no significant stenoses in the LCx. The right coronary artery is large and arises normally from the right sinus of valsalva. It is the dominant coronary artery supplying a posterior descending artery and a posterolateral branch. The right coronary ery and posterior descending arteries are tortuous without significant stenoses. The left ventricle is normal in size. Visually the right ventricular late diastolic volume is within normal limits. Visually, the left atrial volume appears to be normal in size. There are 3 distinct right pulmonary veins and 2 left pulmonary veins which drain normally into the left atrium. There is no evidence of left atrial appendage thrombus. The right atrial volume appears to be normal in size. The superior and inferior vena cavae are grossly normal. The coronary sinus is normal in size. There is no calcification on the aortic or mitral valves. The visualized portions of the thoracic aorta demonstrate no evidence of dissection or aneurysm. The aortic arch is not included in the field-of-view. The main pulmonary artery is normal in size. The pericardium is normal in thickness. There is no pericardial effusion. There is limited visualization of the lungs in the X, Y and Z axis directions. Within the central portions of the visualized lungs, there is evidence of mild centrilobular and paraseptal emphysema.

anatomical entity_fin: {'coronary artery': {}, 'circumflex coronary arteries': {'location descriptor': 'left'}}location descriptor_fin: ['left', 'anterior']clinical findings_fin: {'tortuous': {'clinical finding': 'tortuous', 'existence': 'pos_dx', 'observation': 'tortuous'}}location descriptor_fin: ['left']clinical findings_fin: {'significant stenoses': {'clinical finding': 'significant stenoses', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'stenoses'}}anatomical entity_fin: {'coronary artery': {}}location descriptor_fin: ['left', 'anterior']clinical findings_fin: {'significant stenoses': {'clinical finding': 'significant stenoses', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'stenoses'}}anatomical entity_fin: {'circumflex coronary artery': {'location descriptor': 'left'}, 'artery': {}}location descriptor_fin: ['left']clinical findings_fin: {'non-dominant tortuous': {'clinical finding': 'non-dominant tortuous', 'existence': 'pos_dx', 'descriptive_term': 'non-dominant', 'observation': 'tortuous'}}location descriptor_fin: ['proximal', 'posterior']clinical findings_fin: {'second large om2': {'clinical finding': 'second large om2', 'existence': 'pos_dx', 'descriptive_term': 'second large', 'observation': 'om2', 'strength_term': 'large'}}clinical findings_fin: {'significant stenoses': {'clinical finding': 'significant stenoses', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'stenoses'}}anatomical entity_fin: {'right coronary artery': {}}location descriptor_fin: ['right']anatomical entity_fin: {'coronary artery': {}, 'posterior descending artery': {}}anatomical entity_fin: {'posterior descending arteries': {}}location descriptor_fin: ['right']clinical findings_fin: {'tortuous': {'clinical finding': 'tortuous', 'existence': 'pos_dx', 'observation': 'tortuous'}, 'significant stenoses': {'clinical finding': 'significant stenoses', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'stenoses'}}anatomical entity_fin: {'left ventricle': {}}clinical findings_fin: {'left ventricle is normal in size': {'clinical finding': 'left ventricle is normal in size'}}location descriptor_fin: ['right']clinical findings_fin: {'right ventricular late diastolic volume': {'clinical finding': 'right ventricular late diastolic volume', 'existence': 'pos_dx', 'descriptive_term': 'right ventricular late diastolic', 'observation': 'volume'}}location descriptor_fin: ['left']clinical findings_fin: {'left atrial volume': {'clinical finding': 'left atrial volume', 'existence': 'pos_dx', 'descriptive_term': 'left atrial', 'observation': 'volume'}}anatomical entity_fin: {'pulmonary veins': {'location descriptor': 'left'}, 'left atrium': {}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'are 3 distinct right pulmonary veins and 2 left pulmonary veins': {'clinical finding': 'are 3 distinct right pulmonary veins and 2 left pulmonary veins'}}anatomical entity_fin: {'left atrial appendage': {}}clinical findings_fin: {'left atrial appendage thrombus': {'clinical finding': 'left atrial appendage thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'neg_dx', 'descriptive_term': 'left atrial appendage', 'observation': 'thrombus'}}location descriptor_fin: ['right']clinical findings_fin: {'right atrial volume': {'clinical finding': 'right atrial volume', 'existence': 'pos_dx', 'descriptive_term': 'right atrial', 'observation': 'volume'}}location descriptor_fin: ['superior', 'inferior']clinical findings_fin: {'superior and inferior vena cavae are grossly normal': {'clinical finding': 'superior and inferior vena cavae are grossly normal'}}anatomical entity_fin: {'coronary sinus': {}}clinical findings_fin: {'coronary sinus is normal in size': {'clinical finding': 'coronary sinus is normal in size', 'cf_snomed': {'sinus': 419351001}}}anatomical entity_fin: {'mitral valves': {}}clinical findings_fin: {'calcification': {'clinical finding': 'calcification', 'existence': 'neg_dx', 'observation': 'calcification'}}anatomical entity_fin: {'thoracic aorta': {}}clinical findings_fin: {'dissection': {'clinical finding': 'dissection', 'existence': 'neg_dx', 'observation': 'dissection'}, 'aneurysm': {'clinical finding': 'aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'neg_dx', 'observation': 'aneurysm'}}anatomical entity_fin: {'aortic arch': {}}clinical findings_fin: {'not included in the field - of - view': {'clinical finding': 'not included in the field - of - view'}}anatomical entity_fin: {'main pulmonary artery': {}}clinical findings_fin: {'main pulmonary artery is normal in size': {'clinical finding': 'main pulmonary artery is normal in size'}}anatomical entity_fin: {'pericardium': {}}clinical findings_fin: {'pericardium is normal in thickness': {'clinical finding': 'pericardium is normal in thickness'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'lungs': {}, 'axis': {}}clinical findings_fin: {'is limited visualization of the lungs in the x , y and z axis directions': {'clinical finding': 'is limited visualization of the lungs in the x , y and z axis directions'}}anatomical entity_fin: {'lungs': {}}location descriptor_fin: ['central', 'centrilobular']clinical findings_fin: {'mild centrilobular and paraseptal emphysema': {'clinical finding': 'mild centrilobular and paraseptal emphysema', 'cf_snomed': {'paraseptal emphysema': 31898008}, 'existence': 'pos_dx', 'descriptive_term': 'mild centrilobular and paraseptal', 'observation': 'emphysema', 'strength_term': 'mild'}}

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

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'coronary artery': {}, 'circumflex coronary arteries': {'location descriptor': 'left'}}location descriptor_fin: ['left', 'anterior']clinical findings_fin: {'tortuous': {'clinical finding': 'tortuous', 'existence': 'pos_dx', 'observation': 'tortuous'}}location descriptor_fin: ['left']clinical findings_fin: {'significant stenoses': {'clinical finding': 'significant stenoses', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'stenoses'}}anatomical entity_fin: {'coronary artery': {}}location descriptor_fin: ['left', 'anterior']clinical findings_fin: {'significant stenoses': {'clinical finding': 'significant stenoses', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'stenoses'}}anatomical entity_fin: {'circumflex coronary artery': {'location descriptor': 'left'}, 'artery': {}}location descriptor_fin: ['left']clinical findings_fin: {'non-dominant tortuous': {'clinical finding': 'non-dominant tortuous', 'existence': 'pos_dx', 'descriptive_term': 'non-dominant', 'observation': 'tortuous'}}location descriptor_fin: ['proximal', 'posterior']clinical findings_fin: {'second large om2': {'clinical finding': 'second large om2', 'existence': 'pos_dx', 'descriptive_term': 'second large', 'observation': 'om2', 'strength_term': 'large'}}clinical findings_fin: {'significant stenoses': {'clinical finding': 'significant stenoses', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'stenoses'}}anatomical entity_fin: {'right coronary artery': {}}location descriptor_fin: ['right']anatomical entity_fin: {'coronary artery': {}, 'posterior descending artery': {}}anatomical entity_fin: {'posterior descending arteries': {}}location descriptor_fin: ['right']clinical findings_fin: {'tortuous': {'clinical finding': 'tortuous', 'existence': 'pos_dx', 'observation': 'tortuous'}, 'significant stenoses': {'clinical finding': 'significant stenoses', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'stenoses'}}anatomical entity_fin: {'left ventricle': {}}clinical findings_fin: {'left ventricle is normal in size': {'clinical finding': 'left ventricle is normal in size'}}location descriptor_fin: ['right']clinical findings_fin: {'right ventricular late diastolic volume': {'clinical finding': 'right ventricular late diastolic volume', 'existence': 'pos_dx', 'descriptive_term': 'right ventricular late diastolic', 'observation': 'volume'}}location descriptor_fin: ['left']clinical findings_fin: {'left atrial volume': {'clinical finding': 'left atrial volume', 'existence': 'pos_dx', 'descriptive_term': 'left atrial', 'observation': 'volume'}}anatomical entity_fin: {'pulmonary veins': {'location descriptor': 'left'}, 'left atrium': {}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'are 3 distinct right pulmonary veins and 2 left pulmonary veins': {'clinical finding': 'are 3 distinct right pulmonary veins and 2 left pulmonary veins'}}anatomical entity_fin: {'left atrial appendage': {}}clinical findings_fin: {'left atrial appendage thrombus': {'clinical finding': 'left atrial appendage thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'neg_dx', 'descriptive_term': 'left atrial appendage', 'observation': 'thrombus'}}location descriptor_fin: ['right']clinical findings_fin: {'right atrial volume': {'clinical finding': 'right atrial volume', 'existence': 'pos_dx', 'descriptive_term': 'right atrial', 'observation': 'volume'}}location descriptor_fin: ['superior', 'inferior']clinical findings_fin: {'superior and inferior vena cavae are grossly normal': {'clinical finding': 'superior and inferior vena cavae are grossly normal'}}anatomical entity_fin: {'coronary sinus': {}}clinical findings_fin: {'coronary sinus is normal in size': {'clinical finding': 'coronary sinus is normal in size', 'cf_snomed': {'sinus': 419351001}}}anatomical entity_fin: {'mitral valves': {}}clinical findings_fin: {'calcification': {'clinical finding': 'calcification', 'existence': 'neg_dx', 'observation': 'calcification'}}anatomical entity_fin: {'thoracic aorta': {}}clinical findings_fin: {'dissection': {'clinical finding': 'dissection', 'existence': 'neg_dx', 'observation': 'dissection'}, 'aneurysm': {'clinical finding': 'aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'neg_dx', 'observation': 'aneurysm'}}anatomical entity_fin: {'aortic arch': {}}clinical findings_fin: {'not included in the field - of - view': {'clinical finding': 'not included in the field - of - view'}}anatomical entity_fin: {'main pulmonary artery': {}}clinical findings_fin: {'main pulmonary artery is normal in size': {'clinical finding': 'main pulmonary artery is normal in size'}}anatomical entity_fin: {'pericardium': {}}clinical findings_fin: {'pericardium is normal in thickness': {'clinical finding': 'pericardium is normal in thickness'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'lungs': {}, 'axis': {}}clinical findings_fin: {'is limited visualization of the lungs in the x , y and z axis directions': {'clinical finding': 'is limited visualization of the lungs in the x , y and z axis directions'}}anatomical entity_fin: {'lungs': {}}location descriptor_fin: ['central', 'centrilobular']clinical findings_fin: {'mild centrilobular and paraseptal emphysema': {'clinical finding': 'mild centrilobular and paraseptal emphysema', 'cf_snomed': {'paraseptal emphysema': 31898008}, 'existence': 'pos_dx', 'descriptive_term': 'mild centrilobular and paraseptal', 'observation': 'emphysema', 'strength_term': 'mild'}} [/INST] . The left main coronary artery arises normally from the left sinus of valsalva, takes a tortuous course and bifurcates into the left anterior descending and left circumflex coronary arteries. There are no significant stenoses present in the left main. The left anterior descending coronary artery courses normally in the anterior interventricular groove, one large bifurcating diagonal and septal branches. There are no significant stenoses in the LAD. There is tortuosity of the LAD and its branches. The left circumflex coronary artery is a non-dominant tortuous artery, coursing normally in the left AV groove. It gives rise to a bifurcating proximal obtuse marginal and a second large OM2 before terminating in the posterior AV groove. There are no significant stenoses in the LCx. The right coronary artery is large and arises normally from the right sinus of valsalva. It is the dominant coronary artery supplying a posterior descending artery and a posterolateral branch. The right coronary ery and posterior descending arteries are tortuous without significant stenoses. The left ventricle is normal in size. Visually the right ventricular late diastolic volume is within normal limits. Visually, the left atrial volume appears to be normal in size. There are 3 distinct right pulmonary veins and 2 left pulmonary veins which drain normally into the left atrium. There is no evidence of left atrial appendage thrombus. The right atrial volume appears to be normal in size. The superior and inferior vena cavae are grossly normal. The coronary sinus is normal in size. There is no calcification on the aortic or mitral valves. The visualized portions of the thoracic aorta demonstrate no evidence of dissection or aneurysm. The aortic arch is not included in the field-of-view. The main pulmonary artery is normal in size. The pericardium is normal in thickness. There is no pericardial effusion. There is limited visualization of the lungs in the X, Y and Z axis directions. Within the central portions of the visualized lungs, there is evidence of mild centrilobular and paraseptal emphysema. </s>

. The nonspecific right apical groundglass opacity is unchanged, again measuring 8 mm. The previously seen left lower lobe groundglass opacity is no longer visualized. There are no other nodules or masses seen. There is mild centrilobular emphysema. Small bilateral apical bullae. Previously described right aortopulmonary window lymph node is less than 5 mm in short axis diameter, too small to accurately measure. Visually unchanged. Mediastinal surgical clips are again seen, unchanged. Mild. No significant abnormality noted. Hepatomegaly is unchanged. Innumerable enhancing lesions are again seen throughout the liver, most pronounced in the arterial phase with relative washout on the portal venous phase. This is suggestive of hypervascular metastatic lesions, compatible with history of carcinoid tumor. The majority of these lesions are stable in size with some having increasing low density centrally which suggests intratumoral necrosis, likely in response to therapy. Reference hepatic dome lesion now measures 2.8 x 2.4 cm compared to 2.0 x 2.8 cm previously. The portal vein is patent. The gallbladder is unremarkable. No significant abnormality noted. Heterogenously enhancing mass is again noted near the pancreatic head, unchanged. This lesion may be an enlarged, metastatic lymph node abutting the head of the pancreas versus a lesion arising from the pancreatic head itself. There is no dilation of the pancreatic duct. No significant abnormality noted. Left renal cyst is unchanged. Additional hypoattenuating lesions are seen within the kidneys bilaterally and are too small to characterize. There is a nonenhancing soft tissue density lesion adjacent to the inferior pole of the right kidney which measures 1.5 x 1.6 cm compared to 1.3 x 1.1 cm previously. This lesion is unable to be completely characterized without a non-contrast scan however it appears to be slightly increasing in size with decreasing vascularity which most suggestive of a metastatic lesion. Enlarged caval lymph nodes are seen near the pancreatic head, unchanged. Significant. No significant abnormality noted. There are multiple sclerotic lesions of spine, pelvis, ribs, and scapula. Unchanged. No new lesions are seen. There is significant atherosclerotic calcification and plaque formation within the abdominal aorta extending to the common iliac arteries bilaterally. No significant abnormality noted. No significant abnormality noted. Reference right inguinal node now measures 0.9 x 1.3 cm compared to 0.6 x 1.2 cm previously. No significant abnormality noted. There are multiple sclerotic lesions of spine, pelvis, ribs, and scapula. Unchanged. No new lesions are seen. There is significant atherosclerotic calcification of plaque formation within the abdominal aorta extending to the common iliac arteries bilaterally.

size_fin: [{'size': '8 mm', 'size_descriptor': 'opacity'}]imaging observation_fin: ['apical']location descriptor_fin: ['right']clinical findings_fin: {'nonspecific right apical groundglass opacity': {'clinical finding': 'nonspecific right apical groundglass opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'nonspecific right apical groundglass', 'observation': 'opacity'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'previously seen left lower lobe groundglass opacity': {'clinical finding': 'previously seen left lower lobe groundglass opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'neg_dx', 'descriptive_term': 'previously seen left lower lobe groundglass', 'observation': 'opacity'}}clinical findings_fin: {'other nodules': {'clinical finding': 'other nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'other', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'mild centrilobular emphysema': {'clinical finding': 'mild centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'mild centrilobular', 'observation': 'emphysema', 'strength_term': 'mild'}}imaging observation_fin: ['apical']location descriptor_fin: ['bilateral']clinical findings_fin: {'small bilateral apical bullae': {'clinical finding': 'small bilateral apical bullae', 'existence': 'pos_dx', 'descriptive_term': 'small bilateral apical', 'observation': 'bullae', 'strength_term': 'small'}}size_fin: [{'size': '5 mm', 'size_descriptor': 'node'}]anatomical entity_fin: {'aortopulmonary window': {'location descriptor': 'right'}, 'axis': {}}location descriptor_fin: ['right']clinical findings_fin: {'previously described right aortopulmonary window lymph node': {'clinical finding': 'previously described right aortopulmonary window lymph node', 'cf_snomed': {'aortopulmonary window': 17024001}, 'existence': 'pos_dx', 'descriptive_term': 'previously described right aortopulmonary window lymph', 'observation': 'node'}}clinical findings_fin: {'visually unchanged': {'clinical finding': 'visually unchanged', 'change_term': 'unchanged'}}object_fin: ['surgical clips']clinical findings_fin: {'mediastinal surgical clips': {'clinical finding': 'mediastinal surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'mediastinal surgical', 'observation': 'clip'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'hepatomegaly': {'clinical finding': 'hepatomegaly', 'existence': 'pos_dx', 'observation': 'hepatomegaly'}}anatomical entity_fin: {'liver': {}}imaging observation_fin: ['enhancing']clinical findings_fin: {'innumerable enhancing lesions': {'clinical finding': 'innumerable enhancing lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'innumerable enhancing', 'observation': 'lesion'}}clinical findings_fin: {'hypervascular metastatic lesions': {'clinical finding': 'hypervascular metastatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'descriptive_term': 'hypervascular metastatic', 'observation': 'lesion'}, 'carcinoid tumor': {'clinical finding': 'carcinoid tumor', 'cf_snomed': {'carcinoid tumor': 443492008}, 'existence': 'pos_dx', 'descriptive_term': 'carcinoid', 'observation': 'tumor'}}clinical findings_fin: {'these lesions': {'clinical finding': 'these lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'these', 'observation': 'lesion'}, 'intratumoral necrosis': {'clinical finding': 'intratumoral necrosis', 'cf_snomed': {'necrosis': 6574001}, 'existence': 'unc_dx', 'descriptive_term': 'intratumoral', 'observation': 'necrosis'}, 'response to therapy': {'clinical finding': 'response to therapy', 'existence': 'unc_dx', 'descriptive_term': 'response to', 'observation': 'therapy'}}size_fin: [{'size': '2.8 x 2.4 cm'}, {'size': '2.0 x 2.8 cm'}]clinical findings_fin: {'reference hepatic dome lesion': {'clinical finding': 'reference hepatic dome lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference hepatic dome', 'observation': 'lesion'}}anatomical entity_fin: {'portal vein': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'gallbladder is unremarkable': {'clinical finding': 'gallbladder is unremarkable'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'head': {}}imaging observation_fin: ['enhancing']clinical findings_fin: {'heterogenously enhancing mass': {'clinical finding': 'heterogenously enhancing mass', 'existence': 'pos_dx', 'descriptive_term': 'heterogenously enhancing', 'observation': 'mass'}}anatomical entity_fin: {'head': {}, 'pancreas': {}}clinical findings_fin: {'this lesion': {'clinical finding': 'this lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'lesion'}, 'enlarged, metastatic lymph node': {'clinical finding': 'enlarged, metastatic lymph node', 'existence': 'unc_dx', 'descriptive_term': 'enlarged metastatic lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}, 'lesion': {'clinical finding': 'lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'observation': 'lesion'}}anatomical entity_fin: {'pancreatic duct': {}}clinical findings_fin: {'dilation': {'clinical finding': 'dilation', 'existence': 'neg_dx', 'observation': 'dilation'}}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: {'kidneys': {}}clinical findings_fin: {'additional hypoattenuating lesions': {'clinical finding': 'additional hypoattenuating lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'additional hypoattenuating', 'observation': 'lesion'}}size_fin: [{'size': '1.5 x 1.6 cm'}, {'size': '1.3 x 1.1 cm'}]anatomical entity_fin: {'pole': {'location descriptor': 'inferior'}, 'right kidney': {}}imaging observation_fin: ['nonenhancing', 'soft tissue density']location descriptor_fin: ['adjacent', 'inferior']clinical findings_fin: {'nonenhancing soft tissue density lesion': {'clinical finding': 'nonenhancing soft tissue density lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'nonenhancing soft tissue density', 'observation': 'lesion'}}clinical findings_fin: {'this lesion': {'clinical finding': 'this lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'lesion'}, 'non-contrast': {'clinical finding': 'non-contrast', 'existence': 'neg_dx', 'observation': 'non-contrast'}, 'decreasing vascularity': {'clinical finding': 'decreasing vascularity', 'existence': 'pos_dx', 'descriptive_term': 'decreasing', 'observation': 'vascularity'}, 'metastatic lesion': {'clinical finding': 'metastatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'lesion'}}anatomical entity_fin: {'head': {}}clinical findings_fin: {'enlarged caval lymph nodes': {'clinical finding': 'enlarged caval lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'enlarged caval lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'spine': {}, 'pelvis': {}, 'ribs': {}, 'scapula': {}}clinical findings_fin: {'multiple sclerotic lesions': {'clinical finding': 'multiple sclerotic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple sclerotic', 'observation': 'lesion', 'quantity_term': 'multiple'}}clinical findings_fin: {'new lesions': {'clinical finding': 'new lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'lesion', 'temporal_term': 'new'}}anatomical entity_fin: {'abdominal aorta': {}, 'common iliac arteries': {}}clinical findings_fin: {'significant atherosclerotic calcification': {'clinical finding': 'significant atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'significant atherosclerotic', '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'}}size_fin: [{'size': '0.9 x 1.3 cm'}, {'size': '0.6 x 1.2 cm'}]location descriptor_fin: ['right']clinical findings_fin: {'reference right inguinal node': {'clinical finding': 'reference right inguinal node', 'existence': 'pos_dx', 'descriptive_term': 'reference right inguinal', 'observation': 'node'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'spine': {}, 'pelvis': {}, 'ribs': {}, 'scapula': {}}clinical findings_fin: {'multiple sclerotic lesions': {'clinical finding': 'multiple sclerotic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple sclerotic', 'observation': 'lesion', 'quantity_term': 'multiple'}}clinical findings_fin: {'new lesions': {'clinical finding': 'new lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'lesion', 'temporal_term': 'new'}}anatomical entity_fin: {'abdominal aorta': {}, 'common iliac arteries': {}}clinical findings_fin: {'significant atherosclerotic calcification': {'clinical finding': 'significant atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'significant atherosclerotic', '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: size_fin: [{'size': '8 mm', 'size_descriptor': 'opacity'}]imaging observation_fin: ['apical']location descriptor_fin: ['right']clinical findings_fin: {'nonspecific right apical groundglass opacity': {'clinical finding': 'nonspecific right apical groundglass opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'nonspecific right apical groundglass', 'observation': 'opacity'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'previously seen left lower lobe groundglass opacity': {'clinical finding': 'previously seen left lower lobe groundglass opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'neg_dx', 'descriptive_term': 'previously seen left lower lobe groundglass', 'observation': 'opacity'}}clinical findings_fin: {'other nodules': {'clinical finding': 'other nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'other', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'mild centrilobular emphysema': {'clinical finding': 'mild centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'mild centrilobular', 'observation': 'emphysema', 'strength_term': 'mild'}}imaging observation_fin: ['apical']location descriptor_fin: ['bilateral']clinical findings_fin: {'small bilateral apical bullae': {'clinical finding': 'small bilateral apical bullae', 'existence': 'pos_dx', 'descriptive_term': 'small bilateral apical', 'observation': 'bullae', 'strength_term': 'small'}}size_fin: [{'size': '5 mm', 'size_descriptor': 'node'}]anatomical entity_fin: {'aortopulmonary window': {'location descriptor': 'right'}, 'axis': {}}location descriptor_fin: ['right']clinical findings_fin: {'previously described right aortopulmonary window lymph node': {'clinical finding': 'previously described right aortopulmonary window lymph node', 'cf_snomed': {'aortopulmonary window': 17024001}, 'existence': 'pos_dx', 'descriptive_term': 'previously described right aortopulmonary window lymph', 'observation': 'node'}}clinical findings_fin: {'visually unchanged': {'clinical finding': 'visually unchanged', 'change_term': 'unchanged'}}object_fin: ['surgical clips']clinical findings_fin: {'mediastinal surgical clips': {'clinical finding': 'mediastinal surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'mediastinal surgical', 'observation': 'clip'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'hepatomegaly': {'clinical finding': 'hepatomegaly', 'existence': 'pos_dx', 'observation': 'hepatomegaly'}}anatomical entity_fin: {'liver': {}}imaging observation_fin: ['enhancing']clinical findings_fin: {'innumerable enhancing lesions': {'clinical finding': 'innumerable enhancing lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'innumerable enhancing', 'observation': 'lesion'}}clinical findings_fin: {'hypervascular metastatic lesions': {'clinical finding': 'hypervascular metastatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'descriptive_term': 'hypervascular metastatic', 'observation': 'lesion'}, 'carcinoid tumor': {'clinical finding': 'carcinoid tumor', 'cf_snomed': {'carcinoid tumor': 443492008}, 'existence': 'pos_dx', 'descriptive_term': 'carcinoid', 'observation': 'tumor'}}clinical findings_fin: {'these lesions': {'clinical finding': 'these lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'these', 'observation': 'lesion'}, 'intratumoral necrosis': {'clinical finding': 'intratumoral necrosis', 'cf_snomed': {'necrosis': 6574001}, 'existence': 'unc_dx', 'descriptive_term': 'intratumoral', 'observation': 'necrosis'}, 'response to therapy': {'clinical finding': 'response to therapy', 'existence': 'unc_dx', 'descriptive_term': 'response to', 'observation': 'therapy'}}size_fin: [{'size': '2.8 x 2.4 cm'}, {'size': '2.0 x 2.8 cm'}]clinical findings_fin: {'reference hepatic dome lesion': {'clinical finding': 'reference hepatic dome lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference hepatic dome', 'observation': 'lesion'}}anatomical entity_fin: {'portal vein': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'gallbladder is unremarkable': {'clinical finding': 'gallbladder is unremarkable'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'head': {}}imaging observation_fin: ['enhancing']clinical findings_fin: {'heterogenously enhancing mass': {'clinical finding': 'heterogenously enhancing mass', 'existence': 'pos_dx', 'descriptive_term': 'heterogenously enhancing', 'observation': 'mass'}}anatomical entity_fin: {'head': {}, 'pancreas': {}}clinical findings_fin: {'this lesion': {'clinical finding': 'this lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'lesion'}, 'enlarged, metastatic lymph node': {'clinical finding': 'enlarged, metastatic lymph node', 'existence': 'unc_dx', 'descriptive_term': 'enlarged metastatic lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}, 'lesion': {'clinical finding': 'lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'observation': 'lesion'}}anatomical entity_fin: {'pancreatic duct': {}}clinical findings_fin: {'dilation': {'clinical finding': 'dilation', 'existence': 'neg_dx', 'observation': 'dilation'}}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: {'kidneys': {}}clinical findings_fin: {'additional hypoattenuating lesions': {'clinical finding': 'additional hypoattenuating lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'additional hypoattenuating', 'observation': 'lesion'}}size_fin: [{'size': '1.5 x 1.6 cm'}, {'size': '1.3 x 1.1 cm'}]anatomical entity_fin: {'pole': {'location descriptor': 'inferior'}, 'right kidney': {}}imaging observation_fin: ['nonenhancing', 'soft tissue density']location descriptor_fin: ['adjacent', 'inferior']clinical findings_fin: {'nonenhancing soft tissue density lesion': {'clinical finding': 'nonenhancing soft tissue density lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'nonenhancing soft tissue density', 'observation': 'lesion'}}clinical findings_fin: {'this lesion': {'clinical finding': 'this lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'lesion'}, 'non-contrast': {'clinical finding': 'non-contrast', 'existence': 'neg_dx', 'observation': 'non-contrast'}, 'decreasing vascularity': {'clinical finding': 'decreasing vascularity', 'existence': 'pos_dx', 'descriptive_term': 'decreasing', 'observation': 'vascularity'}, 'metastatic lesion': {'clinical finding': 'metastatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'lesion'}}anatomical entity_fin: {'head': {}}clinical findings_fin: {'enlarged caval lymph nodes': {'clinical finding': 'enlarged caval lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'enlarged caval lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'spine': {}, 'pelvis': {}, 'ribs': {}, 'scapula': {}}clinical findings_fin: {'multiple sclerotic lesions': {'clinical finding': 'multiple sclerotic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple sclerotic', 'observation': 'lesion', 'quantity_term': 'multiple'}}clinical findings_fin: {'new lesions': {'clinical finding': 'new lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'lesion', 'temporal_term': 'new'}}anatomical entity_fin: {'abdominal aorta': {}, 'common iliac arteries': {}}clinical findings_fin: {'significant atherosclerotic calcification': {'clinical finding': 'significant atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'significant atherosclerotic', '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'}}size_fin: [{'size': '0.9 x 1.3 cm'}, {'size': '0.6 x 1.2 cm'}]location descriptor_fin: ['right']clinical findings_fin: {'reference right inguinal node': {'clinical finding': 'reference right inguinal node', 'existence': 'pos_dx', 'descriptive_term': 'reference right inguinal', 'observation': 'node'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'spine': {}, 'pelvis': {}, 'ribs': {}, 'scapula': {}}clinical findings_fin: {'multiple sclerotic lesions': {'clinical finding': 'multiple sclerotic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple sclerotic', 'observation': 'lesion', 'quantity_term': 'multiple'}}clinical findings_fin: {'new lesions': {'clinical finding': 'new lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'lesion', 'temporal_term': 'new'}}anatomical entity_fin: {'abdominal aorta': {}, 'common iliac arteries': {}}clinical findings_fin: {'significant atherosclerotic calcification': {'clinical finding': 'significant atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'significant atherosclerotic', 'observation': 'calcification'}} [/INST] . The nonspecific right apical groundglass opacity is unchanged, again measuring 8 mm. The previously seen left lower lobe groundglass opacity is no longer visualized. There are no other nodules or masses seen. There is mild centrilobular emphysema. Small bilateral apical bullae. Previously described right aortopulmonary window lymph node is less than 5 mm in short axis diameter, too small to accurately measure. Visually unchanged. Mediastinal surgical clips are again seen, unchanged. Mild. No significant abnormality noted. Hepatomegaly is unchanged. Innumerable enhancing lesions are again seen throughout the liver, most pronounced in the arterial phase with relative washout on the portal venous phase. This is suggestive of hypervascular metastatic lesions, compatible with history of carcinoid tumor. The majority of these lesions are stable in size with some having increasing low density centrally which suggests intratumoral necrosis, likely in response to therapy. Reference hepatic dome lesion now measures 2.8 x 2.4 cm compared to 2.0 x 2.8 cm previously. The portal vein is patent. The gallbladder is unremarkable. No significant abnormality noted. Heterogenously enhancing mass is again noted near the pancreatic head, unchanged. This lesion may be an enlarged, metastatic lymph node abutting the head of the pancreas versus a lesion arising from the pancreatic head itself. There is no dilation of the pancreatic duct. No significant abnormality noted. Left renal cyst is unchanged. Additional hypoattenuating lesions are seen within the kidneys bilaterally and are too small to characterize. There is a nonenhancing soft tissue density lesion adjacent to the inferior pole of the right kidney which measures 1.5 x 1.6 cm compared to 1.3 x 1.1 cm previously. This lesion is unable to be completely characterized without a non-contrast scan however it appears to be slightly increasing in size with decreasing vascularity which most suggestive of a metastatic lesion. Enlarged caval lymph nodes are seen near the pancreatic head, unchanged. Significant. No significant abnormality noted. There are multiple sclerotic lesions of spine, pelvis, ribs, and scapula. Unchanged. No new lesions are seen. There is significant atherosclerotic calcification and plaque formation within the abdominal aorta extending to the common iliac arteries bilaterally. No significant abnormality noted. No significant abnormality noted. Reference right inguinal node now measures 0.9 x 1.3 cm compared to 0.6 x 1.2 cm previously. No significant abnormality noted. There are multiple sclerotic lesions of spine, pelvis, ribs, and scapula. Unchanged. No new lesions are seen. There is significant atherosclerotic calcification of plaque formation within the abdominal aorta extending to the common iliac arteries bilaterally. </s>

Bilateral frontal lobe intra axial masses with surrounding edema do not show any significant interval change since prior exam. The degree of midline shift toward right side does not show any interval change either. There is no evidence of new hemorrhagic foci. There is no evidence of new ischemic foci. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear.

anatomical entity_fin: {'frontal lobe': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral frontal lobe intra axial masses': {'clinical finding': 'bilateral frontal lobe intra axial masses', 'existence': 'pos_dx', 'descriptive_term': 'bilateral frontal lobe intra axial', 'observation': 'mass'}, 'surrounding edema': {'clinical finding': 'surrounding edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'surrounding', 'observation': 'edema'}, 'any significant interval change': {'clinical finding': 'any significant interval change', 'existence': 'neg_dx', 'descriptive_term': 'any significant interval', 'observation': 'change'}}location descriptor_fin: ['midline', 'right']clinical findings_fin: {'any interval change': {'clinical finding': 'any interval change', 'existence': 'neg_dx', 'descriptive_term': 'any interval', 'observation': 'change'}}imaging observation_fin: ['foci']clinical findings_fin: {'new hemorrhagic foci': {'clinical finding': 'new hemorrhagic foci', 'existence': 'neg_dx', 'descriptive_term': 'new hemorrhagic', 'observation': 'foci', 'temporal_term': 'new'}}imaging observation_fin: ['foci']clinical findings_fin: {'new ischemic foci': {'clinical finding': 'new ischemic foci', 'existence': 'neg_dx', 'descriptive_term': 'new ischemic', 'observation': 'foci', 'temporal_term': 'new'}}clinical findings_fin: {'osseous structures are unremarkable': {'clinical finding': 'osseous structures are unremarkable'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}

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

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'frontal lobe': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral frontal lobe intra axial masses': {'clinical finding': 'bilateral frontal lobe intra axial masses', 'existence': 'pos_dx', 'descriptive_term': 'bilateral frontal lobe intra axial', 'observation': 'mass'}, 'surrounding edema': {'clinical finding': 'surrounding edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'surrounding', 'observation': 'edema'}, 'any significant interval change': {'clinical finding': 'any significant interval change', 'existence': 'neg_dx', 'descriptive_term': 'any significant interval', 'observation': 'change'}}location descriptor_fin: ['midline', 'right']clinical findings_fin: {'any interval change': {'clinical finding': 'any interval change', 'existence': 'neg_dx', 'descriptive_term': 'any interval', 'observation': 'change'}}imaging observation_fin: ['foci']clinical findings_fin: {'new hemorrhagic foci': {'clinical finding': 'new hemorrhagic foci', 'existence': 'neg_dx', 'descriptive_term': 'new hemorrhagic', 'observation': 'foci', 'temporal_term': 'new'}}imaging observation_fin: ['foci']clinical findings_fin: {'new ischemic foci': {'clinical finding': 'new ischemic foci', 'existence': 'neg_dx', 'descriptive_term': 'new ischemic', 'observation': 'foci', 'temporal_term': 'new'}}clinical findings_fin: {'osseous structures are unremarkable': {'clinical finding': 'osseous structures are unremarkable'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}} [/INST] Bilateral frontal lobe intra axial masses with surrounding edema do not show any significant interval change since prior exam. The degree of midline shift toward right side does not show any interval change either. There is no evidence of new hemorrhagic foci. There is no evidence of new ischemic foci. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear. </s>

. No evidence of aortic dissection, aneurysmal dilatation, hematoma or active contrast extravasation. The origins of the celiac axis, superior mesenteric, and renal arteries are patent. However, there is slight narrowing of the proximal celiac artery, in a pattern suggestive of median arcuate ligament compression. Evaluation of solid organ pathology is limited by lack of a portal venous phase. Basilar atelectasis, left greater than right. No significant pleural effusion or focal consolidation. Heart size is upper limits of normal without significant pericardial effusion. No significant hilar or mediastinal lymphadenopathy is appreciated. Moderately patulous and fluid-filled esophagus, and likely a small hiatal hernia. However, no definite esophageal wall thickening is noted. None. Prominent axillary lymph nodes, left greater than right. Hypoattenuation of the liver in relation to the spleen suggestive of hepatic steatosis. Subcentimeter splenule.

imaging observation_fin: ['hematoma']clinical findings_fin: {'aortic dissection': {'clinical finding': 'aortic dissection', 'existence': 'neg_dx', 'descriptive_term': 'aortic', 'observation': 'dissection'}, 'aneurysmal dilatation': {'clinical finding': 'aneurysmal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'descriptive_term': 'aneurysmal', 'observation': 'dilatation'}, 'hematoma': {'clinical finding': 'hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'neg_dx', 'observation': 'hematoma'}, 'active contrast extravasation': {'clinical finding': 'active contrast extravasation', 'cf_snomed': {'extravasation': 76676007}, 'existence': 'neg_dx', 'descriptive_term': 'active contrast', 'observation': 'extravasation', 'strength_term': 'active'}}anatomical entity_fin: {'origins': {}, 'axis': {}, 'renal arteries': {}}location descriptor_fin: ['superior']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'celiac artery': {'location descriptor': 'proximal'}}imaging observation_fin: ['arcuate']location descriptor_fin: ['proximal', 'median']clinical findings_fin: {'slight narrowing': {'clinical finding': 'slight narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'slight', 'observation': 'narrowing'}, 'median arcuate ligament compression': {'clinical finding': 'median arcuate ligament compression', 'cf_snomed': {'compression': 71173004}, 'existence': 'unc_dx', 'descriptive_term': 'median arcuate ligament', 'observation': 'compression'}}anatomical entity_fin: {'solid organ': {}}clinical findings_fin: {'solid organ': {'clinical finding': 'solid organ', 'existence': 'unc_dx', 'descriptive_term': 'solid', 'observation': 'organ'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'basilar atelectasis': {'clinical finding': 'basilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'basilar', 'observation': 'atelectasis'}}clinical findings_fin: {'significant pleural effusion': {'clinical finding': 'significant pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'significant pleural', 'observation': 'effusion'}, 'focal consolidation': {'clinical finding': 'focal consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'consolidation'}}anatomical entity_fin: {'heart': {}}location descriptor_fin: ['upper']clinical findings_fin: {'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}clinical findings_fin: {'significant hilar or mediastinal lymphadenopathy': {'clinical finding': 'significant hilar or mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'significant hilar or mediastinal', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'fluid': {}, 'esophagus': {}}clinical findings_fin: {'moderately patulous and fluid-filled': {'clinical finding': 'moderately patulous and fluid-filled', 'existence': 'pos_dx', 'descriptive_term': 'moderately patulous and', 'observation': 'fluid', 'strength_term': 'moderately'}, 'likely a small hiatal hernia': {'clinical finding': 'likely a small hiatal hernia', 'cf_snomed': {'hiatal hernia': 84089009}, 'existence': 'pos_dx', 'descriptive_term': 'likely a small hiatal', 'observation': 'hernia', 'strength_term': 'small'}}clinical findings_fin: {'definite esophageal wall thickening': {'clinical finding': 'definite esophageal wall thickening', 'existence': 'neg_dx', 'descriptive_term': 'definite esophageal wall', 'observation': 'thickening'}}anatomical entity_fin: {'axillary lymph nodes': {}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'prominent axillary lymph nodes': {'clinical finding': 'prominent axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'prominent axillary lymph', 'observation': 'node', 'strength_term': 'prominent'}}anatomical entity_fin: {'liver': {}, 'spleen': {}}clinical findings_fin: {'hepatic steatosis': {'clinical finding': 'hepatic steatosis', 'cf_snomed': {'steatosis': 1187537008}, 'existence': 'unc_dx', 'descriptive_term': 'hepatic', 'observation': 'steatosis'}}clinical findings_fin: {'subcentimeter splenule': {'clinical finding': 'subcentimeter splenule', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter', 'observation': 'splenule'}}

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

<s>[INST] Write the finding section for a radiology report based on the following information: imaging observation_fin: ['hematoma']clinical findings_fin: {'aortic dissection': {'clinical finding': 'aortic dissection', 'existence': 'neg_dx', 'descriptive_term': 'aortic', 'observation': 'dissection'}, 'aneurysmal dilatation': {'clinical finding': 'aneurysmal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'descriptive_term': 'aneurysmal', 'observation': 'dilatation'}, 'hematoma': {'clinical finding': 'hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'neg_dx', 'observation': 'hematoma'}, 'active contrast extravasation': {'clinical finding': 'active contrast extravasation', 'cf_snomed': {'extravasation': 76676007}, 'existence': 'neg_dx', 'descriptive_term': 'active contrast', 'observation': 'extravasation', 'strength_term': 'active'}}anatomical entity_fin: {'origins': {}, 'axis': {}, 'renal arteries': {}}location descriptor_fin: ['superior']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'celiac artery': {'location descriptor': 'proximal'}}imaging observation_fin: ['arcuate']location descriptor_fin: ['proximal', 'median']clinical findings_fin: {'slight narrowing': {'clinical finding': 'slight narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'slight', 'observation': 'narrowing'}, 'median arcuate ligament compression': {'clinical finding': 'median arcuate ligament compression', 'cf_snomed': {'compression': 71173004}, 'existence': 'unc_dx', 'descriptive_term': 'median arcuate ligament', 'observation': 'compression'}}anatomical entity_fin: {'solid organ': {}}clinical findings_fin: {'solid organ': {'clinical finding': 'solid organ', 'existence': 'unc_dx', 'descriptive_term': 'solid', 'observation': 'organ'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'basilar atelectasis': {'clinical finding': 'basilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'basilar', 'observation': 'atelectasis'}}clinical findings_fin: {'significant pleural effusion': {'clinical finding': 'significant pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'significant pleural', 'observation': 'effusion'}, 'focal consolidation': {'clinical finding': 'focal consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'consolidation'}}anatomical entity_fin: {'heart': {}}location descriptor_fin: ['upper']clinical findings_fin: {'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}clinical findings_fin: {'significant hilar or mediastinal lymphadenopathy': {'clinical finding': 'significant hilar or mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'significant hilar or mediastinal', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'fluid': {}, 'esophagus': {}}clinical findings_fin: {'moderately patulous and fluid-filled': {'clinical finding': 'moderately patulous and fluid-filled', 'existence': 'pos_dx', 'descriptive_term': 'moderately patulous and', 'observation': 'fluid', 'strength_term': 'moderately'}, 'likely a small hiatal hernia': {'clinical finding': 'likely a small hiatal hernia', 'cf_snomed': {'hiatal hernia': 84089009}, 'existence': 'pos_dx', 'descriptive_term': 'likely a small hiatal', 'observation': 'hernia', 'strength_term': 'small'}}clinical findings_fin: {'definite esophageal wall thickening': {'clinical finding': 'definite esophageal wall thickening', 'existence': 'neg_dx', 'descriptive_term': 'definite esophageal wall', 'observation': 'thickening'}}anatomical entity_fin: {'axillary lymph nodes': {}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'prominent axillary lymph nodes': {'clinical finding': 'prominent axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'prominent axillary lymph', 'observation': 'node', 'strength_term': 'prominent'}}anatomical entity_fin: {'liver': {}, 'spleen': {}}clinical findings_fin: {'hepatic steatosis': {'clinical finding': 'hepatic steatosis', 'cf_snomed': {'steatosis': 1187537008}, 'existence': 'unc_dx', 'descriptive_term': 'hepatic', 'observation': 'steatosis'}}clinical findings_fin: {'subcentimeter splenule': {'clinical finding': 'subcentimeter splenule', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter', 'observation': 'splenule'}} [/INST] . No evidence of aortic dissection, aneurysmal dilatation, hematoma or active contrast extravasation. The origins of the celiac axis, superior mesenteric, and renal arteries are patent. However, there is slight narrowing of the proximal celiac artery, in a pattern suggestive of median arcuate ligament compression. Evaluation of solid organ pathology is limited by lack of a portal venous phase. Basilar atelectasis, left greater than right. No significant pleural effusion or focal consolidation. Heart size is upper limits of normal without significant pericardial effusion. No significant hilar or mediastinal lymphadenopathy is appreciated. Moderately patulous and fluid-filled esophagus, and likely a small hiatal hernia. However, no definite esophageal wall thickening is noted. None. Prominent axillary lymph nodes, left greater than right. Hypoattenuation of the liver in relation to the spleen suggestive of hepatic steatosis. Subcentimeter splenule. </s>

. Stable bilateral paramediastinal postradiation fibrotic changes. Interval decrease in size of the left pleural-based necrotic mass at the left lung base now measuring 3.1 cm previously measuring 3.9 cm. The solid component of this mass now measuring 18 mm previously measuring 24 mm. Additional left pleural nodules unchanged. Soft tissue within the anterior mediastinum possibly representing post-therapeutic changes is similar in appearance to the prior exams. No hilar or mediastinal lymphadenopathy identified. Cardiac size is normal without evidence of a pericardial effusion. Right Port-A-Cath with its tip in the SVC. Mild. Right chest port. Status post median sternotomy. Mild degenerative changes in the thoracic spine. 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. No gross abnormalities noted. Continued interval decrease in the left subdiaphragmatic soft tissue. No significant abnormality noted.

location descriptor_fin: ['bilateral']clinical findings_fin: {'stable bilateral paramediastinal postradiation fibrotic changes': {'clinical finding': 'stable bilateral paramediastinal postradiation fibrotic changes', 'existence': 'pos_dx', 'descriptive_term': 'stable bilateral paramediastinal postradiation fibrotic', 'observation': 'change', 'strength_term': 'stable', 'change_term': 'stable'}}size_fin: [{'size': '3.1 cm'}, {'size': '3.9 cm'}]anatomical entity_fin: {'left lung': {}, 'base': {}}location descriptor_fin: ['left']clinical findings_fin: {'left pleural-based necrotic mass': {'clinical finding': 'left pleural-based necrotic mass', 'existence': 'pos_dx', 'descriptive_term': 'left pleural-based necrotic', 'observation': 'mass'}}size_fin: [{'size': '18 mm'}, {'size': '24 mm'}]clinical findings_fin: {'this mass': {'clinical finding': 'this mass', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'mass'}}location descriptor_fin: ['left']clinical findings_fin: {'additional left pleural nodules': {'clinical finding': 'additional left pleural nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'additional left pleural', 'observation': 'nodule'}}anatomical entity_fin: {'anterior mediastinum': {}}clinical findings_fin: {'soft tissue': {'clinical finding': 'soft tissue', 'existence': 'pos_dx', 'descriptive_term': 'soft', 'observation': 'tissue'}, 'post-therapeutic changes': {'clinical finding': 'post-therapeutic changes', 'existence': 'unc_dx', 'descriptive_term': 'post-therapeutic', 'observation': 'change'}}clinical findings_fin: {'hilar or mediastinal lymphadenopathy': {'clinical finding': 'hilar or mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'hilar or mediastinal', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}location descriptor_fin: ['right']object_fin: ['port']clinical findings_fin: {'right port-a-cath': {'clinical finding': 'right port-a-cath', 'existence': 'pos_dx', 'descriptive_term': 'right', 'observation': 'port-a-'}}anatomical entity_fin: {'chest': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port']location descriptor_fin: ['median']clinical findings_fin: {'post median sternotomy': {'clinical finding': 'post median sternotomy', 'existence': 'pos_dx', 'descriptive_term': 'post median', 'observation': 'sternotomy'}}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: {'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: {'gross abnormalities': {'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'}}location descriptor_fin: ['left']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: {'stable bilateral paramediastinal postradiation fibrotic changes': {'clinical finding': 'stable bilateral paramediastinal postradiation fibrotic changes', 'existence': 'pos_dx', 'descriptive_term': 'stable bilateral paramediastinal postradiation fibrotic', 'observation': 'change', 'strength_term': 'stable', 'change_term': 'stable'}}size_fin: [{'size': '3.1 cm'}, {'size': '3.9 cm'}]anatomical entity_fin: {'left lung': {}, 'base': {}}location descriptor_fin: ['left']clinical findings_fin: {'left pleural-based necrotic mass': {'clinical finding': 'left pleural-based necrotic mass', 'existence': 'pos_dx', 'descriptive_term': 'left pleural-based necrotic', 'observation': 'mass'}}size_fin: [{'size': '18 mm'}, {'size': '24 mm'}]clinical findings_fin: {'this mass': {'clinical finding': 'this mass', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'mass'}}location descriptor_fin: ['left']clinical findings_fin: {'additional left pleural nodules': {'clinical finding': 'additional left pleural nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'additional left pleural', 'observation': 'nodule'}}anatomical entity_fin: {'anterior mediastinum': {}}clinical findings_fin: {'soft tissue': {'clinical finding': 'soft tissue', 'existence': 'pos_dx', 'descriptive_term': 'soft', 'observation': 'tissue'}, 'post-therapeutic changes': {'clinical finding': 'post-therapeutic changes', 'existence': 'unc_dx', 'descriptive_term': 'post-therapeutic', 'observation': 'change'}}clinical findings_fin: {'hilar or mediastinal lymphadenopathy': {'clinical finding': 'hilar or mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'hilar or mediastinal', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}location descriptor_fin: ['right']object_fin: ['port']clinical findings_fin: {'right port-a-cath': {'clinical finding': 'right port-a-cath', 'existence': 'pos_dx', 'descriptive_term': 'right', 'observation': 'port-a-'}}anatomical entity_fin: {'chest': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port']location descriptor_fin: ['median']clinical findings_fin: {'post median sternotomy': {'clinical finding': 'post median sternotomy', 'existence': 'pos_dx', 'descriptive_term': 'post median', 'observation': 'sternotomy'}}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: {'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: {'gross abnormalities': {'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'}}location descriptor_fin: ['left']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Stable bilateral paramediastinal postradiation fibrotic changes. Interval decrease in size of the left pleural-based necrotic mass at the left lung base now measuring 3.1 cm previously measuring 3.9 cm. The solid component of this mass now measuring 18 mm previously measuring 24 mm. Additional left pleural nodules unchanged. Soft tissue within the anterior mediastinum possibly representing post-therapeutic changes is similar in appearance to the prior exams. No hilar or mediastinal lymphadenopathy identified. Cardiac size is normal without evidence of a pericardial effusion. Right Port-A-Cath with its tip in the SVC. Mild. Right chest port. Status post median sternotomy. Mild degenerative changes in the thoracic spine. 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. No gross abnormalities noted. Continued interval decrease in the left subdiaphragmatic soft tissue. No significant abnormality noted. </s>

There is no acute intracranial hemorrhage or mass. The ventricles and sulci are more pronounced on the current study when compared to the study dated 2/2/2013, consistent with age-related volume loss. There is no extraaxial fluid collection. There is no midline shift. There is a focus of coarse calcification within the right globus pallidus, not significantly changed when compared to previous studies. There has been interval development of patchy hypodensity in the periventricular white matter, especially within the frontal lobes, consistent with age indeterminate infarcts. There is near-complete opacification of the left frontal sinus, maxillary sinus and left anterior ethmoid sinuses. The internal attenuation of these sinuses is slightly hyperdense, which may represent inspissated secretions. The bilateral mastoid air cells and remaining paranasal sinuses are normally pneumatized. Subtle deformity of the left lamina papyracea is again appreciated, consistent with old fracture. The osseous structures are intact. A focus of thickening of the subcutaneous fat in the right parietal scalp corresponds to the site of a previous injury.

clinical findings_fin: {'acute intracranial hemorrhage': {'clinical finding': 'acute intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'age-related volume loss': {'clinical finding': 'age-related volume loss', 'cf_snomed': {'related': 262094002}, 'existence': 'pos_dx', 'descriptive_term': 'age-related volume', 'observation': 'loss'}}clinical findings_fin: {'extraaxial fluid collection': {'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'}}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: {'right globus pallidus': {}}clinical findings_fin: {'coarse calcification': {'clinical finding': 'coarse calcification', 'existence': 'pos_dx', 'descriptive_term': 'coarse', 'observation': 'calcification'}}anatomical entity_fin: {'frontal lobes': {}}clinical findings_fin: {'patchy hypodensity': {'clinical finding': 'patchy hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'patchy', 'observation': 'hypodensity'}, 'age indeterminate infarcts': {'clinical finding': 'age indeterminate infarcts', 'cf_snomed': {'infarct': 55641003}, 'existence': 'pos_dx', 'descriptive_term': 'age indeterminate', 'observation': 'infarct'}}anatomical entity_fin: {'frontal sinus': {'location descriptor': 'left'}, 'maxillary sinus': {}}location descriptor_fin: ['left', 'anterior']clinical findings_fin: {'near-complete opacification': {'clinical finding': 'near-complete opacification', 'existence': 'pos_dx', 'descriptive_term': 'near-complete', 'observation': 'opacification'}}clinical findings_fin: {'hyperdense': {'clinical finding': 'hyperdense', 'existence': 'pos_dx', 'observation': 'hyperdense'}}anatomical entity_fin: {'mastoid air cells': {'location descriptor': 'bilateral'}, 'paranasal sinuses': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'pneumatized': {'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'}}location descriptor_fin: ['left']clinical findings_fin: {'subtle deformity': {'clinical finding': 'subtle deformity', 'cf_snomed': {'deformity': 417893002}, 'existence': 'pos_dx', 'descriptive_term': 'subtle', 'observation': 'deformity', 'strength_term': 'subtle'}, 'old fracture': {'clinical finding': 'old fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'old', 'observation': 'fracture', 'temporal_term': 'old'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'subcutaneous fat': {}, 'scalp': {}}location descriptor_fin: ['right']clinical findings_fin: {'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}, 'previous injury': {'clinical finding': 'previous injury', 'existence': 'pos_dx', 'descriptive_term': 'previous', 'observation': 'injury', 'temporal_term': 'previous'}}

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

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'acute intracranial hemorrhage': {'clinical finding': 'acute intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'age-related volume loss': {'clinical finding': 'age-related volume loss', 'cf_snomed': {'related': 262094002}, 'existence': 'pos_dx', 'descriptive_term': 'age-related volume', 'observation': 'loss'}}clinical findings_fin: {'extraaxial fluid collection': {'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'}}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: {'right globus pallidus': {}}clinical findings_fin: {'coarse calcification': {'clinical finding': 'coarse calcification', 'existence': 'pos_dx', 'descriptive_term': 'coarse', 'observation': 'calcification'}}anatomical entity_fin: {'frontal lobes': {}}clinical findings_fin: {'patchy hypodensity': {'clinical finding': 'patchy hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'patchy', 'observation': 'hypodensity'}, 'age indeterminate infarcts': {'clinical finding': 'age indeterminate infarcts', 'cf_snomed': {'infarct': 55641003}, 'existence': 'pos_dx', 'descriptive_term': 'age indeterminate', 'observation': 'infarct'}}anatomical entity_fin: {'frontal sinus': {'location descriptor': 'left'}, 'maxillary sinus': {}}location descriptor_fin: ['left', 'anterior']clinical findings_fin: {'near-complete opacification': {'clinical finding': 'near-complete opacification', 'existence': 'pos_dx', 'descriptive_term': 'near-complete', 'observation': 'opacification'}}clinical findings_fin: {'hyperdense': {'clinical finding': 'hyperdense', 'existence': 'pos_dx', 'observation': 'hyperdense'}}anatomical entity_fin: {'mastoid air cells': {'location descriptor': 'bilateral'}, 'paranasal sinuses': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'pneumatized': {'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'}}location descriptor_fin: ['left']clinical findings_fin: {'subtle deformity': {'clinical finding': 'subtle deformity', 'cf_snomed': {'deformity': 417893002}, 'existence': 'pos_dx', 'descriptive_term': 'subtle', 'observation': 'deformity', 'strength_term': 'subtle'}, 'old fracture': {'clinical finding': 'old fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'old', 'observation': 'fracture', 'temporal_term': 'old'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'subcutaneous fat': {}, 'scalp': {}}location descriptor_fin: ['right']clinical findings_fin: {'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}, 'previous injury': {'clinical finding': 'previous injury', 'existence': 'pos_dx', 'descriptive_term': 'previous', 'observation': 'injury', 'temporal_term': 'previous'}} [/INST] There is no acute intracranial hemorrhage or mass. The ventricles and sulci are more pronounced on the current study when compared to the study dated 2/2/2013, consistent with age-related volume loss. There is no extraaxial fluid collection. There is no midline shift. There is a focus of coarse calcification within the right globus pallidus, not significantly changed when compared to previous studies. There has been interval development of patchy hypodensity in the periventricular white matter, especially within the frontal lobes, consistent with age indeterminate infarcts. There is near-complete opacification of the left frontal sinus, maxillary sinus and left anterior ethmoid sinuses. The internal attenuation of these sinuses is slightly hyperdense, which may represent inspissated secretions. The bilateral mastoid air cells and remaining paranasal sinuses are normally pneumatized. Subtle deformity of the left lamina papyracea is again appreciated, consistent with old fracture. The osseous structures are intact. A focus of thickening of the subcutaneous fat in the right parietal scalp corresponds to the site of a previous injury. </s>

Study slightly limited due to patient motion. CT head:Small left frontal subgaleal hematoma as well as additional soft tissue infiltration along the right parietal calvarium. There is no evidence of intracranial hemorrhage or mass. Severe periventricular and subcortical hypoattenuation is nonspecific but likely represents age-indeterminate small vessel ischemic disease. Hypoattenuating focus in the left anterior limb of the internal capsule may represent an age-indeterminate lacunar infarct. Ventricles and sulci are prominent suggesting volume loss. There is no midline shift or herniation. No underlying calvarial fractures. Left lens is thin. The paranasal sinuses are clear. Partial opacification of the inferior right mastoid air cells. Minimal retrolisthesis of C3 on C4 and C4 on C5. Vertebral body heights are intact. Multilevel disc space loss, most severe at C3 and C4 where there is mild sclerotic endplate degenerative changes. There is a normal relationship of the dens with the arch of C1. There is no acute fracture or pre-vertebral soft tissue swelling. Mild multilevel uncovertebral joint hypertrophy. Mild left neural foraminal narrowing at C3-C4, C4-C5 and C5-C6. No significant spinal canal stenosis at any level. Severe bilateral carotid calcifications. Large left thyroid nodule. Centrilobular emphysema. Small granuloma in the right apex.

anatomical entity_fin: {'head': {}}imaging observation_fin: ['hematoma']location descriptor_fin: ['left', 'right']clinical findings_fin: {'ct head:small': {'clinical finding': 'ct head:small', 'existence': 'pos_dx', 'descriptive_term': 'ct', 'observation': 'head'}, 'small left frontal subgaleal hematoma': {'clinical finding': 'small left frontal subgaleal hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'pos_dx', 'descriptive_term': 'small left frontal subgaleal', 'observation': 'hematoma', 'strength_term': 'small'}, 'additional soft tissue infiltration': {'clinical finding': 'additional soft tissue infiltration', 'existence': 'pos_dx', 'descriptive_term': 'additional soft tissue', 'observation': 'infiltration'}}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: {'severe periventricular and subcortical hypoattenuation': {'clinical finding': 'severe periventricular and subcortical hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'severe periventricular and subcortical', 'observation': 'hypoattenuation', 'strength_term': 'severe'}, 'age-indeterminate small vessel ischemic disease': {'clinical finding': 'age-indeterminate small vessel ischemic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'age-indeterminate small vessel ischemic', 'observation': 'disease', 'strength_term': 'small'}}anatomical entity_fin: {'internal capsule': {}}location descriptor_fin: ['left', 'anterior']clinical findings_fin: {'hypoattenuating focus': {'clinical finding': 'hypoattenuating focus', 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating', 'observation': 'focus'}, 'age-indeterminate lacunar infarct': {'clinical finding': 'age-indeterminate lacunar infarct', 'cf_snomed': {'lacunar infarct': 81037000}, 'existence': 'unc_dx', 'descriptive_term': 'age-indeterminate lacunar', 'observation': 'infarct'}}clinical findings_fin: {'prominent': {'clinical finding': 'prominent', 'existence': 'pos_dx', 'observation': 'prominent'}, 'volume loss': {'clinical finding': 'volume loss', 'existence': 'unc_dx', 'descriptive_term': 'volume', 'observation': 'loss'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}clinical findings_fin: {'underlying calvarial fractures': {'clinical finding': 'underlying calvarial fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'underlying calvarial', 'observation': 'fracture'}}anatomical entity_fin: {'lens': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'left lens is thin': {'clinical finding': 'left lens is thin'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'mastoid air cells': {'location descriptor': 'inferior right'}}location descriptor_fin: ['inferior', 'right']clinical findings_fin: {'partial opacification': {'clinical finding': 'partial opacification', 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'opacification', 'strength_term': 'partial'}}clinical findings_fin: {'minimal retrolisthesis': {'clinical finding': 'minimal retrolisthesis', 'cf_snomed': {'retrolisthesis': 416981004}, 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'retrolisthesis', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'vertebral body': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'disc': {}, 'endplate': {}}clinical findings_fin: {'multilevel disc space loss': {'clinical finding': 'multilevel disc space loss', 'existence': 'pos_dx', 'descriptive_term': 'multilevel disc space', 'observation': 'loss'}, 'mild sclerotic endplate degenerative changes': {'clinical finding': 'mild sclerotic endplate degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild sclerotic endplate degenerative', 'observation': 'change', 'strength_term': 'mild'}}anatomical entity_fin: {'dens': {}}clinical findings_fin: {'is a normal relationship of the dens with the arch of c1': {'clinical finding': 'is a normal relationship of the dens with the arch of c1'}}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'}, 'pre-vertebral soft tissue swelling': {'clinical finding': 'pre-vertebral soft tissue swelling', 'cf_snomed': {'soft tissue swelling': 298349001}, 'existence': 'neg_dx', 'descriptive_term': 'pre-vertebral soft tissue', 'observation': 'swell'}}anatomical entity_fin: {'uncovertebral joint': {}}clinical findings_fin: {'mild multilevel uncovertebral joint hypertrophy': {'clinical finding': 'mild multilevel uncovertebral joint hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'mild multilevel uncovertebral joint', 'observation': 'hypertrophy', 'strength_term': 'mild'}}location descriptor_fin: ['left']clinical findings_fin: {'mild left neural foraminal narrowing': {'clinical finding': 'mild left neural foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'mild left neural foraminal', 'observation': 'narrowing', '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'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'severe bilateral carotid calcifications': {'clinical finding': 'severe bilateral carotid calcifications', 'existence': 'pos_dx', 'descriptive_term': 'severe bilateral carotid', 'observation': 'calcification', 'strength_term': 'severe'}}location descriptor_fin: ['left']clinical findings_fin: {'large left thyroid nodule': {'clinical finding': 'large left thyroid nodule', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'large left thyroid', 'observation': 'nodule', 'strength_term': 'large'}}clinical findings_fin: {'centrilobular emphysema': {'clinical finding': 'centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'centrilobular', 'observation': 'emphysema'}}anatomical entity_fin: {'apex': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'small granuloma': {'clinical finding': 'small granuloma', 'cf_snomed': {'granuloma': 45647009}, 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'granuloma', '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: {'head': {}}imaging observation_fin: ['hematoma']location descriptor_fin: ['left', 'right']clinical findings_fin: {'ct head:small': {'clinical finding': 'ct head:small', 'existence': 'pos_dx', 'descriptive_term': 'ct', 'observation': 'head'}, 'small left frontal subgaleal hematoma': {'clinical finding': 'small left frontal subgaleal hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'pos_dx', 'descriptive_term': 'small left frontal subgaleal', 'observation': 'hematoma', 'strength_term': 'small'}, 'additional soft tissue infiltration': {'clinical finding': 'additional soft tissue infiltration', 'existence': 'pos_dx', 'descriptive_term': 'additional soft tissue', 'observation': 'infiltration'}}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: {'severe periventricular and subcortical hypoattenuation': {'clinical finding': 'severe periventricular and subcortical hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'severe periventricular and subcortical', 'observation': 'hypoattenuation', 'strength_term': 'severe'}, 'age-indeterminate small vessel ischemic disease': {'clinical finding': 'age-indeterminate small vessel ischemic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'age-indeterminate small vessel ischemic', 'observation': 'disease', 'strength_term': 'small'}}anatomical entity_fin: {'internal capsule': {}}location descriptor_fin: ['left', 'anterior']clinical findings_fin: {'hypoattenuating focus': {'clinical finding': 'hypoattenuating focus', 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating', 'observation': 'focus'}, 'age-indeterminate lacunar infarct': {'clinical finding': 'age-indeterminate lacunar infarct', 'cf_snomed': {'lacunar infarct': 81037000}, 'existence': 'unc_dx', 'descriptive_term': 'age-indeterminate lacunar', 'observation': 'infarct'}}clinical findings_fin: {'prominent': {'clinical finding': 'prominent', 'existence': 'pos_dx', 'observation': 'prominent'}, 'volume loss': {'clinical finding': 'volume loss', 'existence': 'unc_dx', 'descriptive_term': 'volume', 'observation': 'loss'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}clinical findings_fin: {'underlying calvarial fractures': {'clinical finding': 'underlying calvarial fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'underlying calvarial', 'observation': 'fracture'}}anatomical entity_fin: {'lens': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'left lens is thin': {'clinical finding': 'left lens is thin'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'mastoid air cells': {'location descriptor': 'inferior right'}}location descriptor_fin: ['inferior', 'right']clinical findings_fin: {'partial opacification': {'clinical finding': 'partial opacification', 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'opacification', 'strength_term': 'partial'}}clinical findings_fin: {'minimal retrolisthesis': {'clinical finding': 'minimal retrolisthesis', 'cf_snomed': {'retrolisthesis': 416981004}, 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'retrolisthesis', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'vertebral body': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'disc': {}, 'endplate': {}}clinical findings_fin: {'multilevel disc space loss': {'clinical finding': 'multilevel disc space loss', 'existence': 'pos_dx', 'descriptive_term': 'multilevel disc space', 'observation': 'loss'}, 'mild sclerotic endplate degenerative changes': {'clinical finding': 'mild sclerotic endplate degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild sclerotic endplate degenerative', 'observation': 'change', 'strength_term': 'mild'}}anatomical entity_fin: {'dens': {}}clinical findings_fin: {'is a normal relationship of the dens with the arch of c1': {'clinical finding': 'is a normal relationship of the dens with the arch of c1'}}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'}, 'pre-vertebral soft tissue swelling': {'clinical finding': 'pre-vertebral soft tissue swelling', 'cf_snomed': {'soft tissue swelling': 298349001}, 'existence': 'neg_dx', 'descriptive_term': 'pre-vertebral soft tissue', 'observation': 'swell'}}anatomical entity_fin: {'uncovertebral joint': {}}clinical findings_fin: {'mild multilevel uncovertebral joint hypertrophy': {'clinical finding': 'mild multilevel uncovertebral joint hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'mild multilevel uncovertebral joint', 'observation': 'hypertrophy', 'strength_term': 'mild'}}location descriptor_fin: ['left']clinical findings_fin: {'mild left neural foraminal narrowing': {'clinical finding': 'mild left neural foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'mild left neural foraminal', 'observation': 'narrowing', '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'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'severe bilateral carotid calcifications': {'clinical finding': 'severe bilateral carotid calcifications', 'existence': 'pos_dx', 'descriptive_term': 'severe bilateral carotid', 'observation': 'calcification', 'strength_term': 'severe'}}location descriptor_fin: ['left']clinical findings_fin: {'large left thyroid nodule': {'clinical finding': 'large left thyroid nodule', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'large left thyroid', 'observation': 'nodule', 'strength_term': 'large'}}clinical findings_fin: {'centrilobular emphysema': {'clinical finding': 'centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'centrilobular', 'observation': 'emphysema'}}anatomical entity_fin: {'apex': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'small granuloma': {'clinical finding': 'small granuloma', 'cf_snomed': {'granuloma': 45647009}, 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'granuloma', 'strength_term': 'small'}} [/INST] Study slightly limited due to patient motion. CT head:Small left frontal subgaleal hematoma as well as additional soft tissue infiltration along the right parietal calvarium. There is no evidence of intracranial hemorrhage or mass. Severe periventricular and subcortical hypoattenuation is nonspecific but likely represents age-indeterminate small vessel ischemic disease. Hypoattenuating focus in the left anterior limb of the internal capsule may represent an age-indeterminate lacunar infarct. Ventricles and sulci are prominent suggesting volume loss. There is no midline shift or herniation. No underlying calvarial fractures. Left lens is thin. The paranasal sinuses are clear. Partial opacification of the inferior right mastoid air cells. Minimal retrolisthesis of C3 on C4 and C4 on C5. Vertebral body heights are intact. Multilevel disc space loss, most severe at C3 and C4 where there is mild sclerotic endplate degenerative changes. There is a normal relationship of the dens with the arch of C1. There is no acute fracture or pre-vertebral soft tissue swelling. Mild multilevel uncovertebral joint hypertrophy. Mild left neural foraminal narrowing at C3-C4, C4-C5 and C5-C6. No significant spinal canal stenosis at any level. Severe bilateral carotid calcifications. Large left thyroid nodule. Centrilobular emphysema. Small granuloma in the right apex. </s>

. Volume loss at the left lower lobe with peripheral calcification partially evaluated. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Submucosal edema involving the gastric body and antrum possibly due to gastritis or underlying ulcer. Colonic diverticulosis without surrounding inflammation. No bowel obstruction. Appendix is normal. No significant abnormality noted. No significant abnormality noted. PROSTATE/. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Please see above. No significant abnormality noted. No significant abnormality noted.

anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower', 'peripheral']clinical findings_fin: {'volume loss': {'clinical finding': 'volume loss', 'existence': 'pos_dx', 'descriptive_term': 'volume', 'observation': 'loss'}, 'peripheral calcification': {'clinical finding': 'peripheral calcification', 'existence': 'pos_dx', 'descriptive_term': 'peripheral', 'observation': 'calcification'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'body': {}, 'antrum': {}}imaging observation_fin: ['ulcer']clinical findings_fin: {'submucosal edema': {'clinical finding': 'submucosal edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'submucosal', 'observation': 'edema'}, 'gastritis': {'clinical finding': 'gastritis', 'cf_snomed': {'gastritis': 4556007}, 'existence': 'unc_dx', 'observation': 'gastritis'}, 'underlying ulcer': {'clinical finding': 'underlying ulcer', 'cf_snomed': {'ulcer': 429040005}, 'existence': 'unc_dx', 'descriptive_term': 'underlying', 'observation': 'ulcer'}}clinical findings_fin: {'colonic diverticulosis': {'clinical finding': 'colonic diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'colonic', 'observation': 'diverticulosis'}, 'surrounding inflammation': {'clinical finding': 'surrounding inflammation', 'existence': 'neg_dx', 'descriptive_term': 'surrounding', 'observation': 'inflammation'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'bowel obstruction': {'clinical finding': 'bowel obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'}}anatomical entity_fin: {'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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}

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

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower', 'peripheral']clinical findings_fin: {'volume loss': {'clinical finding': 'volume loss', 'existence': 'pos_dx', 'descriptive_term': 'volume', 'observation': 'loss'}, 'peripheral calcification': {'clinical finding': 'peripheral calcification', 'existence': 'pos_dx', 'descriptive_term': 'peripheral', 'observation': 'calcification'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'body': {}, 'antrum': {}}imaging observation_fin: ['ulcer']clinical findings_fin: {'submucosal edema': {'clinical finding': 'submucosal edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'submucosal', 'observation': 'edema'}, 'gastritis': {'clinical finding': 'gastritis', 'cf_snomed': {'gastritis': 4556007}, 'existence': 'unc_dx', 'observation': 'gastritis'}, 'underlying ulcer': {'clinical finding': 'underlying ulcer', 'cf_snomed': {'ulcer': 429040005}, 'existence': 'unc_dx', 'descriptive_term': 'underlying', 'observation': 'ulcer'}}clinical findings_fin: {'colonic diverticulosis': {'clinical finding': 'colonic diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'colonic', 'observation': 'diverticulosis'}, 'surrounding inflammation': {'clinical finding': 'surrounding inflammation', 'existence': 'neg_dx', 'descriptive_term': 'surrounding', 'observation': 'inflammation'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'bowel obstruction': {'clinical finding': 'bowel obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'}}anatomical entity_fin: {'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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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] . Volume loss at the left lower lobe with peripheral calcification partially evaluated. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Submucosal edema involving the gastric body and antrum possibly due to gastritis or underlying ulcer. Colonic diverticulosis without surrounding inflammation. No bowel obstruction. Appendix is normal. No significant abnormality noted. No significant abnormality noted. PROSTATE/. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Please see above. No significant abnormality noted. No significant abnormality noted. </s>

A previously demonstrated enlarged left level 1B lymph node has decreased in size, currently measuring 16 x 10 mm. Mass effect upon the adjacent submandibular gland has decreased as well. There is no clinically significant lymphadenopathy elsewhere. The thyroid and major salivary glands are otherwise unremarkable. The major cervical vessels are patent. There is a an extraction cavity at tooth # 6 and a carious tooth # 17 with periodontal lucency. The airways are patent. There is multilevel degenerative spondylosis. There is extensive architectural distortion with patchy opacities and air-bronchograms and emphysema in the imaged portions of the lungs, with a more discrete right apical lesion.

size_fin: [{'size': '16 x 10 mm', 'size_descriptor': 'node'}]location descriptor_fin: ['left']clinical findings_fin: {'previously demonstrated enlarged left level 1b lymph node': {'clinical finding': 'previously demonstrated enlarged left level 1b lymph node', 'existence': 'pos_dx', 'descriptive_term': 'previously demonstrated enlarged left level 1b lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}anatomical entity_fin: {'submandibular gland': {'location descriptor': 'adjacent'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}}clinical findings_fin: {'clinically significant lymphadenopathy': {'clinical finding': 'clinically significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'clinically significant', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'major salivary glands': {}}clinical findings_fin: {'thyroid and major salivary glands are otherwise unremarkable': {'clinical finding': 'thyroid and major salivary glands are otherwise unremarkable'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}imaging observation_fin: ['tooth']clinical findings_fin: {'carious tooth': {'clinical finding': 'carious tooth', 'existence': 'pos_dx', 'descriptive_term': 'carious', 'observation': 'tooth'}}anatomical entity_fin: {'airways': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'multilevel degenerative spondylosis': {'clinical finding': 'multilevel degenerative spondylosis', 'cf_snomed': {'spondylosis': 8847002}, 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative', 'observation': 'spondylosis'}}anatomical entity_fin: {'lungs': {}}imaging observation_fin: ['apical']location descriptor_fin: ['right']clinical findings_fin: {'extensive architectural distortion': {'clinical finding': 'extensive architectural distortion', 'existence': 'pos_dx', 'descriptive_term': 'extensive architectural', 'observation': 'distortion', 'strength_term': 'extensive'}, 'patchy opacities': {'clinical finding': 'patchy opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'patchy', 'observation': 'opacity'}, 'emphysema': {'clinical finding': 'emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'observation': 'emphysema'}, 'more discrete right apical lesion': {'clinical finding': 'more discrete right apical lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'more discrete right apical', 'observation': 'lesion', 'quantity_term': 'more'}}

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': '16 x 10 mm', 'size_descriptor': 'node'}]location descriptor_fin: ['left']clinical findings_fin: {'previously demonstrated enlarged left level 1b lymph node': {'clinical finding': 'previously demonstrated enlarged left level 1b lymph node', 'existence': 'pos_dx', 'descriptive_term': 'previously demonstrated enlarged left level 1b lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}anatomical entity_fin: {'submandibular gland': {'location descriptor': 'adjacent'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}}clinical findings_fin: {'clinically significant lymphadenopathy': {'clinical finding': 'clinically significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'clinically significant', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'major salivary glands': {}}clinical findings_fin: {'thyroid and major salivary glands are otherwise unremarkable': {'clinical finding': 'thyroid and major salivary glands are otherwise unremarkable'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}imaging observation_fin: ['tooth']clinical findings_fin: {'carious tooth': {'clinical finding': 'carious tooth', 'existence': 'pos_dx', 'descriptive_term': 'carious', 'observation': 'tooth'}}anatomical entity_fin: {'airways': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'multilevel degenerative spondylosis': {'clinical finding': 'multilevel degenerative spondylosis', 'cf_snomed': {'spondylosis': 8847002}, 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative', 'observation': 'spondylosis'}}anatomical entity_fin: {'lungs': {}}imaging observation_fin: ['apical']location descriptor_fin: ['right']clinical findings_fin: {'extensive architectural distortion': {'clinical finding': 'extensive architectural distortion', 'existence': 'pos_dx', 'descriptive_term': 'extensive architectural', 'observation': 'distortion', 'strength_term': 'extensive'}, 'patchy opacities': {'clinical finding': 'patchy opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'patchy', 'observation': 'opacity'}, 'emphysema': {'clinical finding': 'emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'observation': 'emphysema'}, 'more discrete right apical lesion': {'clinical finding': 'more discrete right apical lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'more discrete right apical', 'observation': 'lesion', 'quantity_term': 'more'}} [/INST] A previously demonstrated enlarged left level 1B lymph node has decreased in size, currently measuring 16 x 10 mm. Mass effect upon the adjacent submandibular gland has decreased as well. There is no clinically significant lymphadenopathy elsewhere. The thyroid and major salivary glands are otherwise unremarkable. The major cervical vessels are patent. There is a an extraction cavity at tooth # 6 and a carious tooth # 17 with periodontal lucency. The airways are patent. There is multilevel degenerative spondylosis. There is extensive architectural distortion with patchy opacities and air-bronchograms and emphysema in the imaged portions of the lungs, with a more discrete right apical lesion. </s>

There is a large area of loss of gray-white differentiation associated with mass effect and swelling involving the majority of the right hemisphere including right anterior and middle cerebral artery territories. This includes right frontal, parietal and lateral temporal lobes as well as basal ganglia and internal capsules in these territories. The mass effect has clearly progressed since the prior exam and the hypodensity has become more hypodense on the current exam versus the prior. There is approximately 11 mm shift of the septum pellucidum towards the left side. There is some mild uncal herniation present. A focus of encephalomalacia is present along the left inferior parietal lobuleThe left lateral ventricle is large. The right lateral ventricle is compressed. Atherosclerotic calcifications are present along the distal internal carotid arteries. Periventricular and subcortical white matter hypodensities of a moderate degree are present. The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.

anatomical entity_fin: {'middle cerebral artery': {}}location descriptor_fin: ['right', 'anterior']clinical findings_fin: {'gray-white differentiation': {'clinical finding': 'gray-white differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white', 'observation': 'differentiation'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'swelling': {'clinical finding': 'swelling', 'cf_snomed': {'swelling': 65124004}, 'existence': 'pos_dx', 'observation': 'swell'}}anatomical entity_fin: {'temporal lobes': {'location descriptor': 'lateral'}, 'basal ganglia': {}, 'internal capsules': {}}location descriptor_fin: ['right', 'lateral']clinical findings_fin: {'mass effect': {'clinical finding': 'mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'hypodensity': {'clinical finding': 'hypodensity', 'existence': 'pos_dx', 'observation': 'hypodensity'}}size_fin: [{'size': '11 mm', 'size_descriptor': 'shift'}]anatomical entity_fin: {'septum pellucidum': {}}location descriptor_fin: ['left']clinical findings_fin: {'some mild uncal herniation': {'clinical finding': 'some mild uncal herniation', 'existence': 'pos_dx', 'descriptive_term': 'some mild uncal', 'observation': 'herniation', 'strength_term': 'mild', 'quantity_term': 'some'}}anatomical entity_fin: {'left lateral ventricle': {}}location descriptor_fin: ['left', 'inferior']clinical findings_fin: {'encephalomalacia': {'clinical finding': 'encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'pos_dx', 'observation': 'encephalomalacia'}}anatomical entity_fin: {'right lateral ventricle': {}}clinical findings_fin: {'compressed': {'clinical finding': 'compressed', 'existence': 'pos_dx', 'observation': 'compress'}}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: {'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: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}

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

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'middle cerebral artery': {}}location descriptor_fin: ['right', 'anterior']clinical findings_fin: {'gray-white differentiation': {'clinical finding': 'gray-white differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white', 'observation': 'differentiation'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'swelling': {'clinical finding': 'swelling', 'cf_snomed': {'swelling': 65124004}, 'existence': 'pos_dx', 'observation': 'swell'}}anatomical entity_fin: {'temporal lobes': {'location descriptor': 'lateral'}, 'basal ganglia': {}, 'internal capsules': {}}location descriptor_fin: ['right', 'lateral']clinical findings_fin: {'mass effect': {'clinical finding': 'mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'hypodensity': {'clinical finding': 'hypodensity', 'existence': 'pos_dx', 'observation': 'hypodensity'}}size_fin: [{'size': '11 mm', 'size_descriptor': 'shift'}]anatomical entity_fin: {'septum pellucidum': {}}location descriptor_fin: ['left']clinical findings_fin: {'some mild uncal herniation': {'clinical finding': 'some mild uncal herniation', 'existence': 'pos_dx', 'descriptive_term': 'some mild uncal', 'observation': 'herniation', 'strength_term': 'mild', 'quantity_term': 'some'}}anatomical entity_fin: {'left lateral ventricle': {}}location descriptor_fin: ['left', 'inferior']clinical findings_fin: {'encephalomalacia': {'clinical finding': 'encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'pos_dx', 'observation': 'encephalomalacia'}}anatomical entity_fin: {'right lateral ventricle': {}}clinical findings_fin: {'compressed': {'clinical finding': 'compressed', 'existence': 'pos_dx', 'observation': 'compress'}}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: {'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: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}} [/INST] There is a large area of loss of gray-white differentiation associated with mass effect and swelling involving the majority of the right hemisphere including right anterior and middle cerebral artery territories. This includes right frontal, parietal and lateral temporal lobes as well as basal ganglia and internal capsules in these territories. The mass effect has clearly progressed since the prior exam and the hypodensity has become more hypodense on the current exam versus the prior. There is approximately 11 mm shift of the septum pellucidum towards the left side. There is some mild uncal herniation present. A focus of encephalomalacia is present along the left inferior parietal lobuleThe left lateral ventricle is large. The right lateral ventricle is compressed. Atherosclerotic calcifications are present along the distal internal carotid arteries. Periventricular and subcortical white matter hypodensities of a moderate degree are present. The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. </s>

. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Left adrenal nodule measures less than 10 Hounsfield units on the noncontrast CT and likely represents a adenoma. Probable right renal cyst. No hydronephrosis in either kidney. Aorta is normal in caliber. There is mild to moderate calcific arterial sclerotic disease of the aorta. There is mild to moderate calcific arteriosclerotic disease of the common iliac vessels. There is no significant calcific arteriosclerotic disease of the external iliac vessels. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. PROSTATE/. 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'}}location descriptor_fin: ['left']clinical findings_fin: {'left adrenal nodule': {'clinical finding': 'left adrenal nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'left adrenal', 'observation': 'nodule'}, 'adenoma': {'clinical finding': 'adenoma', 'cf_snomed': {'adenoma': 1187379001}, 'existence': 'unc_dx', 'observation': 'adenoma'}}location descriptor_fin: ['right']clinical findings_fin: {'probable right renal cyst': {'clinical finding': 'probable right renal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'probable right renal', 'observation': 'cyst'}}anatomical entity_fin: {'kidney': {}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'aorta is normal in caliber': {'clinical finding': 'aorta is normal in caliber'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'mild to moderate calcific arterial sclerotic disease': {'clinical finding': 'mild to moderate calcific arterial sclerotic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate calcific arterial sclerotic', 'observation': 'disease', 'strength_term': 'mild - moderate'}}clinical findings_fin: {'mild to moderate calcific arteriosclerotic disease': {'clinical finding': 'mild to moderate calcific arteriosclerotic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate calcific arteriosclerotic', 'observation': 'disease', 'strength_term': 'mild - moderate'}}location descriptor_fin: ['external']clinical findings_fin: {'significant calcific arteriosclerotic disease': {'clinical finding': 'significant calcific arteriosclerotic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'neg_dx', 'descriptive_term': 'significant calcific arteriosclerotic', '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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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'}}location descriptor_fin: ['left']clinical findings_fin: {'left adrenal nodule': {'clinical finding': 'left adrenal nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'left adrenal', 'observation': 'nodule'}, 'adenoma': {'clinical finding': 'adenoma', 'cf_snomed': {'adenoma': 1187379001}, 'existence': 'unc_dx', 'observation': 'adenoma'}}location descriptor_fin: ['right']clinical findings_fin: {'probable right renal cyst': {'clinical finding': 'probable right renal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'probable right renal', 'observation': 'cyst'}}anatomical entity_fin: {'kidney': {}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'aorta is normal in caliber': {'clinical finding': 'aorta is normal in caliber'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'mild to moderate calcific arterial sclerotic disease': {'clinical finding': 'mild to moderate calcific arterial sclerotic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate calcific arterial sclerotic', 'observation': 'disease', 'strength_term': 'mild - moderate'}}clinical findings_fin: {'mild to moderate calcific arteriosclerotic disease': {'clinical finding': 'mild to moderate calcific arteriosclerotic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate calcific arteriosclerotic', 'observation': 'disease', 'strength_term': 'mild - moderate'}}location descriptor_fin: ['external']clinical findings_fin: {'significant calcific arteriosclerotic disease': {'clinical finding': 'significant calcific arteriosclerotic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'neg_dx', 'descriptive_term': 'significant calcific arteriosclerotic', '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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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. Left adrenal nodule measures less than 10 Hounsfield units on the noncontrast CT and likely represents a adenoma. Probable right renal cyst. No hydronephrosis in either kidney. Aorta is normal in caliber. There is mild to moderate calcific arterial sclerotic disease of the aorta. There is mild to moderate calcific arteriosclerotic disease of the common iliac vessels. There is no significant calcific arteriosclerotic disease of the external iliac vessels. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. PROSTATE/. 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>

. Minimal basilar atelectasis or scarring. Increased nodular contour with innumerable hypoattenuating lesions compatible with pseudocirrhosis. Small amount of perihepatic ascites. Reference right hepatic lobe lesion, segment five, measures 1.5 x 1.5 cm , previously 1.9 x 2.2 cm. Hepatic veins and portal vein are patent. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Hypoattenuating lesion within the left kidney, unchanged. Unchanged enlarged portacaval lymph node. None. Thickening of the cecum with mild surrounding inflammatory changes. Small bowel caliber is within normal limits without evidence of obstruction. New lytic lesion in the anterior L5 vertebral body and unchanged lesion in the superior endplate of the L5 vertebral body. Increased sclerotic foci throughout the osseous structures compatible with treated metastatic disease. Surgical clips in the anterior abdominal 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. Small amount of fluid in the dependent portion of the pelvis.

clinical findings_fin: {'minimal basilar atelectasis': {'clinical finding': 'minimal basilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'descriptive_term': 'minimal basilar', 'observation': 'atelectasis', 'strength_term': 'minimal', 'quantity_term': 'minimal'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'}}clinical findings_fin: {'increased nodular contour': {'clinical finding': 'increased nodular contour', 'existence': 'pos_dx', 'descriptive_term': 'increased nodular', 'observation': 'contour', 'strength_term': 'increased', 'change_term': 'increased'}, 'innumerable hypoattenuating lesions': {'clinical finding': 'innumerable hypoattenuating lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'innumerable hypoattenuating', 'observation': 'lesion'}, 'pseudocirrhosis': {'clinical finding': 'pseudocirrhosis', 'existence': 'pos_dx', 'observation': 'pseudocirrhosis'}}clinical findings_fin: {'perihepatic ascites': {'clinical finding': 'perihepatic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'perihepatic', 'observation': 'ascite'}}size_fin: [{'size': '1.5 x 1.5 cm'}, {'size': '1.9 x 2.2 cm'}]anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'reference right hepatic lobe lesion': {'clinical finding': 'reference right hepatic lobe lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference right hepatic lobe', 'observation': 'lesion'}}anatomical entity_fin: {'hepatic veins': {}, 'portal vein': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'hypoattenuating lesion': {'clinical finding': 'hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating', 'observation': 'lesion'}}clinical findings_fin: {'unchanged enlarged portacaval lymph node': {'clinical finding': 'unchanged enlarged portacaval lymph node', 'existence': 'pos_dx', 'descriptive_term': 'unchanged enlarged portacaval lymph', 'observation': 'node', 'strength_term': 'unchanged - enlarged', 'change_term': 'unchanged - enlarged'}}anatomical entity_fin: {'cecum': {}}clinical findings_fin: {'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}, 'mild surrounding inflammatory changes': {'clinical finding': 'mild surrounding inflammatory changes', 'existence': 'pos_dx', 'descriptive_term': 'mild surrounding inflammatory', 'observation': 'change', 'strength_term': 'mild'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}anatomical entity_fin: {'l5 vertebral body': {}}location descriptor_fin: ['anterior', 'superior']clinical findings_fin: {'new lytic lesion': {'clinical finding': 'new lytic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'new lytic', 'observation': 'lesion', 'temporal_term': 'new'}, 'unchanged lesion': {'clinical finding': 'unchanged lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged', 'observation': 'lesion', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}imaging observation_fin: ['foci']clinical findings_fin: {'increased sclerotic foci': {'clinical finding': 'increased sclerotic foci', 'existence': 'pos_dx', 'descriptive_term': 'increased sclerotic', 'observation': 'foci', 'strength_term': 'increased', 'change_term': 'increased'}, 'treated metastatic disease': {'clinical finding': 'treated metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'treated metastatic', 'observation': 'disease'}}anatomical entity_fin: {'anterior abdominal wall': {}}object_fin: ['surgical clips']clinical findings_fin: {'surgical clips': {'clinical finding': 'surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'clip'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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': {}, 'pelvis': {}}clinical findings_fin: {'small amount of fluid in the dependent portion of the pelvis': {'clinical finding': 'small amount of fluid in the dependent portion of the 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: clinical findings_fin: {'minimal basilar atelectasis': {'clinical finding': 'minimal basilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'descriptive_term': 'minimal basilar', 'observation': 'atelectasis', 'strength_term': 'minimal', 'quantity_term': 'minimal'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'}}clinical findings_fin: {'increased nodular contour': {'clinical finding': 'increased nodular contour', 'existence': 'pos_dx', 'descriptive_term': 'increased nodular', 'observation': 'contour', 'strength_term': 'increased', 'change_term': 'increased'}, 'innumerable hypoattenuating lesions': {'clinical finding': 'innumerable hypoattenuating lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'innumerable hypoattenuating', 'observation': 'lesion'}, 'pseudocirrhosis': {'clinical finding': 'pseudocirrhosis', 'existence': 'pos_dx', 'observation': 'pseudocirrhosis'}}clinical findings_fin: {'perihepatic ascites': {'clinical finding': 'perihepatic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'perihepatic', 'observation': 'ascite'}}size_fin: [{'size': '1.5 x 1.5 cm'}, {'size': '1.9 x 2.2 cm'}]anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'reference right hepatic lobe lesion': {'clinical finding': 'reference right hepatic lobe lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference right hepatic lobe', 'observation': 'lesion'}}anatomical entity_fin: {'hepatic veins': {}, 'portal vein': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'hypoattenuating lesion': {'clinical finding': 'hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating', 'observation': 'lesion'}}clinical findings_fin: {'unchanged enlarged portacaval lymph node': {'clinical finding': 'unchanged enlarged portacaval lymph node', 'existence': 'pos_dx', 'descriptive_term': 'unchanged enlarged portacaval lymph', 'observation': 'node', 'strength_term': 'unchanged - enlarged', 'change_term': 'unchanged - enlarged'}}anatomical entity_fin: {'cecum': {}}clinical findings_fin: {'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}, 'mild surrounding inflammatory changes': {'clinical finding': 'mild surrounding inflammatory changes', 'existence': 'pos_dx', 'descriptive_term': 'mild surrounding inflammatory', 'observation': 'change', 'strength_term': 'mild'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}anatomical entity_fin: {'l5 vertebral body': {}}location descriptor_fin: ['anterior', 'superior']clinical findings_fin: {'new lytic lesion': {'clinical finding': 'new lytic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'new lytic', 'observation': 'lesion', 'temporal_term': 'new'}, 'unchanged lesion': {'clinical finding': 'unchanged lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged', 'observation': 'lesion', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}imaging observation_fin: ['foci']clinical findings_fin: {'increased sclerotic foci': {'clinical finding': 'increased sclerotic foci', 'existence': 'pos_dx', 'descriptive_term': 'increased sclerotic', 'observation': 'foci', 'strength_term': 'increased', 'change_term': 'increased'}, 'treated metastatic disease': {'clinical finding': 'treated metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'treated metastatic', 'observation': 'disease'}}anatomical entity_fin: {'anterior abdominal wall': {}}object_fin: ['surgical clips']clinical findings_fin: {'surgical clips': {'clinical finding': 'surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'clip'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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': {}, 'pelvis': {}}clinical findings_fin: {'small amount of fluid in the dependent portion of the pelvis': {'clinical finding': 'small amount of fluid in the dependent portion of the pelvis'}} [/INST] . Minimal basilar atelectasis or scarring. Increased nodular contour with innumerable hypoattenuating lesions compatible with pseudocirrhosis. Small amount of perihepatic ascites. Reference right hepatic lobe lesion, segment five, measures 1.5 x 1.5 cm , previously 1.9 x 2.2 cm. Hepatic veins and portal vein are patent. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Hypoattenuating lesion within the left kidney, unchanged. Unchanged enlarged portacaval lymph node. None. Thickening of the cecum with mild surrounding inflammatory changes. Small bowel caliber is within normal limits without evidence of obstruction. New lytic lesion in the anterior L5 vertebral body and unchanged lesion in the superior endplate of the L5 vertebral body. Increased sclerotic foci throughout the osseous structures compatible with treated metastatic disease. Surgical clips in the anterior abdominal 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. Small amount of fluid in the dependent portion of the pelvis. </s>

. Reference right upper lobe pulmonary nodule measures 16 mm x 8 mm on image 27 of series 5 as Compared to 15 x 8 mm in the previous study. Multiple additional nodules are again noted and are not significantly changed. Left lower lobe masslike consolidation is unchanged but demonstrates better aeration. There is increase in obstruction of the right lower lobe bronchus with debris in the lumen, resulting in increase in the distal atelectasis in the right lower lobe masslike lesion, giving it a more solid appearance. Otherwise no significant change in size of the right lower lobe lesion. No hilar or mediastinal lymphadenopathy. Cardiac size is normal. No pericardial effusion. Mild. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for abdominal pathology. Status post cholecystectomy. No significant abnormality noted. New nodule in the right adrenal gland measuring 13 mm on image 84 of series 3, concerning for metastatic disease. No significant abnormality noted. No significant abnormality noted. Calcification of the abdominal aorta redemonstrated. 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': '16 mm x 8 mm'}, {'size': '15 x 8 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'reference right upper lobe pulmonary nodule': {'clinical finding': 'reference right upper lobe pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right upper lobe pulmonary', 'observation': 'nodule'}}clinical findings_fin: {'multiple additional nodules': {'clinical finding': 'multiple additional nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'multiple additional', 'observation': 'nodule', 'quantity_term': 'multiple'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'left lower lobe masslike consolidation': {'clinical finding': 'left lower lobe masslike consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'descriptive_term': 'left lower lobe masslike', 'observation': 'consolidation'}}anatomical entity_fin: {'right lower lobe bronchus': {}, 'lumen': {}, 'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['distal', 'right', 'lower']clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'pos_dx', 'observation': 'obstruction'}, 'debris': {'clinical finding': 'debris', 'existence': 'pos_dx', 'observation': 'debris'}, 'distal atelectasis': {'clinical finding': 'distal atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'distal', 'observation': 'atelectasis'}, 'right lower lobe masslike lesion': {'clinical finding': 'right lower lobe masslike lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right lower lobe masslike', 'observation': 'lesion'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'otherwise no significant change': {'clinical finding': 'otherwise no significant change', 'existence': 'pos_dx', 'descriptive_term': 'otherwise no significant', 'observation': 'change', 'quantity_term': 'no'}, 'right lower lobe lesion': {'clinical finding': 'right lower lobe lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'right lower lobe', 'observation': 'lesion'}}clinical findings_fin: {'hilar or mediastinal lymphadenopathy': {'clinical finding': 'hilar or mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'hilar or mediastinal', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'cardiac size is normal': {'clinical finding': 'cardiac size is normal'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}procedure_fin: ['cholecystectomy']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '13 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'right adrenal gland': {}}clinical findings_fin: {'new nodule': {'clinical finding': 'new nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'new', 'observation': 'nodule', 'temporal_term': 'new'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal aorta': {}}clinical findings_fin: {'calcification': {'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'}}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': '16 mm x 8 mm'}, {'size': '15 x 8 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'reference right upper lobe pulmonary nodule': {'clinical finding': 'reference right upper lobe pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right upper lobe pulmonary', 'observation': 'nodule'}}clinical findings_fin: {'multiple additional nodules': {'clinical finding': 'multiple additional nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'multiple additional', 'observation': 'nodule', 'quantity_term': 'multiple'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'left lower lobe masslike consolidation': {'clinical finding': 'left lower lobe masslike consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'descriptive_term': 'left lower lobe masslike', 'observation': 'consolidation'}}anatomical entity_fin: {'right lower lobe bronchus': {}, 'lumen': {}, 'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['distal', 'right', 'lower']clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'pos_dx', 'observation': 'obstruction'}, 'debris': {'clinical finding': 'debris', 'existence': 'pos_dx', 'observation': 'debris'}, 'distal atelectasis': {'clinical finding': 'distal atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'distal', 'observation': 'atelectasis'}, 'right lower lobe masslike lesion': {'clinical finding': 'right lower lobe masslike lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right lower lobe masslike', 'observation': 'lesion'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'otherwise no significant change': {'clinical finding': 'otherwise no significant change', 'existence': 'pos_dx', 'descriptive_term': 'otherwise no significant', 'observation': 'change', 'quantity_term': 'no'}, 'right lower lobe lesion': {'clinical finding': 'right lower lobe lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'right lower lobe', 'observation': 'lesion'}}clinical findings_fin: {'hilar or mediastinal lymphadenopathy': {'clinical finding': 'hilar or mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'hilar or mediastinal', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'cardiac size is normal': {'clinical finding': 'cardiac size is normal'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}procedure_fin: ['cholecystectomy']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '13 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'right adrenal gland': {}}clinical findings_fin: {'new nodule': {'clinical finding': 'new nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'new', 'observation': 'nodule', 'temporal_term': 'new'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal aorta': {}}clinical findings_fin: {'calcification': {'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'}}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] . Reference right upper lobe pulmonary nodule measures 16 mm x 8 mm on image 27 of series 5 as Compared to 15 x 8 mm in the previous study. Multiple additional nodules are again noted and are not significantly changed. Left lower lobe masslike consolidation is unchanged but demonstrates better aeration. There is increase in obstruction of the right lower lobe bronchus with debris in the lumen, resulting in increase in the distal atelectasis in the right lower lobe masslike lesion, giving it a more solid appearance. Otherwise no significant change in size of the right lower lobe lesion. No hilar or mediastinal lymphadenopathy. Cardiac size is normal. No pericardial effusion. Mild. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for abdominal pathology. Status post cholecystectomy. No significant abnormality noted. New nodule in the right adrenal gland measuring 13 mm on image 84 of series 3, concerning for metastatic disease. No significant abnormality noted. No significant abnormality noted. Calcification of the abdominal aorta redemonstrated. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. No significant abnormality noted. </s>

There are postoperative findings related to total thyroidectomy and radical neck dissection. There is a mildly prominent right level 2A lymph node that measures 8 x 12 mm in axial cross-section. There is no evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria. The salivary glands are unremarkable. The major cervical arteries are grossly patent. There is diffuse osteopenia. The airways are patent. The imaged intracranial structures are unremarkable. There is fluid within the right maxillary sinus and scattered opacification of the other paranasal sinuses. There is mild right maxillary periodontal lucency.

anatomical entity_fin: {'neck': {}}clinical findings_fin: {'postoperative': {'clinical finding': 'postoperative', 'existence': 'pos_dx', 'observation': 'postoperative'}, 'total thyroidectomy': {'clinical finding': 'total thyroidectomy', 'existence': 'pos_dx', 'descriptive_term': 'total', 'observation': 'thyroidectomy'}, 'radical neck dissection': {'clinical finding': 'radical neck dissection', 'existence': 'pos_dx', 'descriptive_term': 'radical neck', 'observation': 'dissection'}}size_fin: [{'size': '8 x 12 mm', 'size_descriptor': 'node'}]location descriptor_fin: ['right']clinical findings_fin: {'mildly prominent right level 2a lymph node': {'clinical finding': 'mildly prominent right level 2a lymph node', 'existence': 'pos_dx', 'descriptive_term': 'mildly prominent right level 2a lymph', 'observation': 'node', 'strength_term': 'mildly - prominent'}}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: {'salivary glands': {}}clinical findings_fin: {'salivary glands are unremarkable': {'clinical finding': 'salivary glands are unremarkable'}}anatomical entity_fin: {'arteries': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'diffuse osteopenia': {'clinical finding': 'diffuse osteopenia', 'cf_snomed': {'osteopenia': 312894000}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse', 'observation': 'osteopenia'}}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: {'fluid': {}, 'maxillary sinus': {'location descriptor': 'right'}, 'paranasal sinuses': {}}location descriptor_fin: ['right']clinical findings_fin: {'scattered opacification': {'clinical finding': 'scattered opacification', 'existence': 'pos_dx', 'descriptive_term': 'scattered', 'observation': 'opacification'}}location descriptor_fin: ['right']clinical findings_fin: {'is mild right maxillary periodontal lucency': {'clinical finding': 'is mild right maxillary periodontal lucency'}}

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': {'clinical finding': 'postoperative', 'existence': 'pos_dx', 'observation': 'postoperative'}, 'total thyroidectomy': {'clinical finding': 'total thyroidectomy', 'existence': 'pos_dx', 'descriptive_term': 'total', 'observation': 'thyroidectomy'}, 'radical neck dissection': {'clinical finding': 'radical neck dissection', 'existence': 'pos_dx', 'descriptive_term': 'radical neck', 'observation': 'dissection'}}size_fin: [{'size': '8 x 12 mm', 'size_descriptor': 'node'}]location descriptor_fin: ['right']clinical findings_fin: {'mildly prominent right level 2a lymph node': {'clinical finding': 'mildly prominent right level 2a lymph node', 'existence': 'pos_dx', 'descriptive_term': 'mildly prominent right level 2a lymph', 'observation': 'node', 'strength_term': 'mildly - prominent'}}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: {'salivary glands': {}}clinical findings_fin: {'salivary glands are unremarkable': {'clinical finding': 'salivary glands are unremarkable'}}anatomical entity_fin: {'arteries': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'diffuse osteopenia': {'clinical finding': 'diffuse osteopenia', 'cf_snomed': {'osteopenia': 312894000}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse', 'observation': 'osteopenia'}}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: {'fluid': {}, 'maxillary sinus': {'location descriptor': 'right'}, 'paranasal sinuses': {}}location descriptor_fin: ['right']clinical findings_fin: {'scattered opacification': {'clinical finding': 'scattered opacification', 'existence': 'pos_dx', 'descriptive_term': 'scattered', 'observation': 'opacification'}}location descriptor_fin: ['right']clinical findings_fin: {'is mild right maxillary periodontal lucency': {'clinical finding': 'is mild right maxillary periodontal lucency'}} [/INST] There are postoperative findings related to total thyroidectomy and radical neck dissection. There is a mildly prominent right level 2A lymph node that measures 8 x 12 mm in axial cross-section. There is no evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria. The salivary glands are unremarkable. The major cervical arteries are grossly patent. There is diffuse osteopenia. The airways are patent. The imaged intracranial structures are unremarkable. There is fluid within the right maxillary sinus and scattered opacification of the other paranasal sinuses. There is mild right maxillary periodontal lucency. </s>

Motion artifact limits evaluation. Left lower lobe micronodule unchanged. No significant abnormality noted. Accessory splenule. No significant abnormality noted. No significant abnormality noted. There is mild left perinephric stranding. Nonobstructing left intrarenal stones. No significant abnormality of the right kidney. No significant abnormality noted. Mild. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Air within the bladder. Asymmetric bladder wall thickening, left greater than right, which was present dating back to 2012 but not seen in 2009 best appreciated on the coronal images. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted

anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'left lower lobe micronodule': {'clinical finding': 'left lower lobe micronodule', 'existence': 'pos_dx', 'descriptive_term': 'left lower lobe', 'observation': 'micronodule'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'accessory splenule': {'clinical finding': 'accessory splenule', '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'}}location descriptor_fin: ['left']clinical findings_fin: {'mild left perinephric stranding': {'clinical finding': 'mild left perinephric stranding', 'existence': 'pos_dx', 'descriptive_term': 'mild left perinephric', 'observation': 'strand', 'strength_term': 'mild'}}location descriptor_fin: ['left']clinical findings_fin: {'left intrarenal stones': {'clinical finding': 'left intrarenal stones', 'existence': 'pos_dx', 'descriptive_term': 'left intrarenal', 'observation': 'stone'}}anatomical entity_fin: {'right kidney': {}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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': {}}anatomical entity_fin: {'bladder': {}, 'back': {}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'asymmetric bladder wall thickening': {'clinical finding': 'asymmetric bladder wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'asymmetric bladder 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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}

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

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'left lower lobe micronodule': {'clinical finding': 'left lower lobe micronodule', 'existence': 'pos_dx', 'descriptive_term': 'left lower lobe', 'observation': 'micronodule'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'accessory splenule': {'clinical finding': 'accessory splenule', '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'}}location descriptor_fin: ['left']clinical findings_fin: {'mild left perinephric stranding': {'clinical finding': 'mild left perinephric stranding', 'existence': 'pos_dx', 'descriptive_term': 'mild left perinephric', 'observation': 'strand', 'strength_term': 'mild'}}location descriptor_fin: ['left']clinical findings_fin: {'left intrarenal stones': {'clinical finding': 'left intrarenal stones', 'existence': 'pos_dx', 'descriptive_term': 'left intrarenal', 'observation': 'stone'}}anatomical entity_fin: {'right kidney': {}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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': {}}anatomical entity_fin: {'bladder': {}, 'back': {}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'asymmetric bladder wall thickening': {'clinical finding': 'asymmetric bladder wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'asymmetric bladder 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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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] Motion artifact limits evaluation. Left lower lobe micronodule unchanged. No significant abnormality noted. Accessory splenule. No significant abnormality noted. No significant abnormality noted. There is mild left perinephric stranding. Nonobstructing left intrarenal stones. No significant abnormality of the right kidney. No significant abnormality noted. Mild. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Air within the bladder. Asymmetric bladder wall thickening, left greater than right, which was present dating back to 2012 but not seen in 2009 best appreciated on the coronal images. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted </s>

Todays CT portion grossly demonstrates partial opacification of the bilateral frontal, ethmoid, and maxillary sinuses and mucoperiosteal thickening of the bilateral maxillary and ethmoid sinuses. No focal intracranial lesion is identified. Todays PET examination demonstrates no suspicious FDG avid lesion in the lung or elsewhere. There are hypometabolic areas most prominent in the bilateral temporoparietal regions symmetrically. The thyroid demonstrates diffuse, moderately increased FDG uptake without focal lesion. There is diffuse moderately increased activity in the bilateral maxillary and ethmoid sinuses.

location descriptor_fin: ['bilateral']clinical findings_fin: {'partial opacification': {'clinical finding': 'partial opacification', 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'opacification', 'strength_term': 'partial'}, 'mucoperiosteal thickening': {'clinical finding': 'mucoperiosteal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mucoperiosteal', 'observation': 'thickening'}}clinical findings_fin: {'focal intracranial lesion': {'clinical finding': 'focal intracranial lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal intracranial', 'observation': 'lesion'}}anatomical entity_fin: {'lung': {}}clinical findings_fin: {'suspicious fdg avid lesion': {'clinical finding': 'suspicious fdg avid lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious fdg avid', 'observation': 'lesion'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'hypometabolic areas': {'clinical finding': 'hypometabolic areas', 'existence': 'pos_dx', 'descriptive_term': 'hypometabolic', 'observation': 'area'}}clinical findings_fin: {'diffuse, moderately increased fdg uptake': {'clinical finding': 'diffuse, moderately increased fdg uptake', 'existence': 'neg_dx', 'descriptive_term': 'diffuse moderately increased fdg', 'observation': 'uptake', 'strength_term': 'moderately - increased', 'change_term': 'increased'}, 'focal lesion': {'clinical finding': 'focal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'diffuse moderately increased activity': {'clinical finding': 'diffuse moderately increased activity', 'existence': 'pos_dx', 'descriptive_term': 'diffuse moderately increased', 'observation': 'activity', 'strength_term': 'moderately - increased', 'change_term': 'increased'}}

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: {'partial opacification': {'clinical finding': 'partial opacification', 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'opacification', 'strength_term': 'partial'}, 'mucoperiosteal thickening': {'clinical finding': 'mucoperiosteal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mucoperiosteal', 'observation': 'thickening'}}clinical findings_fin: {'focal intracranial lesion': {'clinical finding': 'focal intracranial lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal intracranial', 'observation': 'lesion'}}anatomical entity_fin: {'lung': {}}clinical findings_fin: {'suspicious fdg avid lesion': {'clinical finding': 'suspicious fdg avid lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious fdg avid', 'observation': 'lesion'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'hypometabolic areas': {'clinical finding': 'hypometabolic areas', 'existence': 'pos_dx', 'descriptive_term': 'hypometabolic', 'observation': 'area'}}clinical findings_fin: {'diffuse, moderately increased fdg uptake': {'clinical finding': 'diffuse, moderately increased fdg uptake', 'existence': 'neg_dx', 'descriptive_term': 'diffuse moderately increased fdg', 'observation': 'uptake', 'strength_term': 'moderately - increased', 'change_term': 'increased'}, 'focal lesion': {'clinical finding': 'focal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'diffuse moderately increased activity': {'clinical finding': 'diffuse moderately increased activity', 'existence': 'pos_dx', 'descriptive_term': 'diffuse moderately increased', 'observation': 'activity', 'strength_term': 'moderately - increased', 'change_term': 'increased'}} [/INST] Todays CT portion grossly demonstrates partial opacification of the bilateral frontal, ethmoid, and maxillary sinuses and mucoperiosteal thickening of the bilateral maxillary and ethmoid sinuses. No focal intracranial lesion is identified. Todays PET examination demonstrates no suspicious FDG avid lesion in the lung or elsewhere. There are hypometabolic areas most prominent in the bilateral temporoparietal regions symmetrically. The thyroid demonstrates diffuse, moderately increased FDG uptake without focal lesion. There is diffuse moderately increased activity in the bilateral maxillary and ethmoid sinuses. </s>

. No focal consolidation or pleural effusion. No suspicious pulmonary nodules. Mild bibasilar atelectasis. Liver enhances homogenously without focal lesion. Gallbladder is unremarkable. No significant abnormality noted. Pancreas is unremarkable. No adrenal nodularity or thickening. The kidneys enhance symmetrically without focal lesion. No hydronephrosis or ureteronephrosis. No significant retroperitoneal lymphadenopathy. None. Post surgical changes of the duodenum and stomach. The stomach is distended. There is a mildly dilated second portion of duodenum, with transition point at the level of the midline, probably due to adhesive disease from prior surgeries. There is a well-defined 6.5 x 4.0 cm cystic lesion which abuts the duodenum and head of the pancreas, and contains layering debris. There are no adjacent inflammatory changes. No free intraperitoneal air. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Mild inguinal adenopathy. Right inguinal lymph node measures 2.1 x 1.2 cm. Post surgical changes of the duodenum and stomach. The stomach is distended. There is a mildly dilated second portion of duodenum, with transition point at the level of the midline, probably due to adhesive disease from prior surgeries. There is a well-defined 6.5 x 4.0 cm cystic lesion which abuts the duodenum and head of the pancreas, and contains layering debris. There are no adjacent inflammatory changes. No free intraperitoneal air. No significant abnormality noted. No significant abnormality noted.

clinical findings_fin: {'focal consolidation': {'clinical finding': 'focal consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'consolidation'}, 'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}clinical findings_fin: {'suspicious pulmonary nodules': {'clinical finding': 'suspicious pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}}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'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'focal lesion': {'clinical finding': 'focal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'gallbladder is unremarkable': {'clinical finding': 'gallbladder is unremarkable'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'pancreas': {}}clinical findings_fin: {'pancreas is unremarkable': {'clinical finding': 'pancreas is unremarkable'}}clinical findings_fin: {'adrenal nodularity': {'clinical finding': 'adrenal nodularity', 'existence': 'neg_dx', 'descriptive_term': 'adrenal', 'observation': 'nodularity'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'neg_dx', 'observation': 'thickening'}}anatomical entity_fin: {'kidneys': {}}clinical findings_fin: {'focal lesion': {'clinical finding': 'focal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}, 'ureteronephrosis': {'clinical finding': 'ureteronephrosis', 'existence': 'neg_dx', 'observation': 'ureteronephrosis'}}clinical findings_fin: {'significant retroperitoneal lymphadenopathy': {'clinical finding': 'significant retroperitoneal lymphadenopathy', 'cf_snomed': {'retroperitoneal lymphadenopathy': 127154008}, 'existence': 'neg_dx', 'descriptive_term': 'significant retroperitoneal', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'duodenum': {}, 'stomach': {}}clinical findings_fin: {'post surgical changes': {'clinical finding': 'post surgical changes', 'existence': 'pos_dx', 'descriptive_term': 'post surgical', 'observation': 'change'}}anatomical entity_fin: {'stomach': {}}clinical findings_fin: {'distended': {'clinical finding': 'distended', 'existence': 'pos_dx', 'observation': 'distended'}}anatomical entity_fin: {'duodenum': {}}location descriptor_fin: ['midline']object_fin: ['adhesive']clinical findings_fin: {'mildly dilated': {'clinical finding': 'mildly dilated', 'existence': 'pos_dx', 'descriptive_term': 'mildly', 'observation': 'dilated', 'strength_term': 'mildly'}, 'adhesive disease': {'clinical finding': 'adhesive disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'adhesive', 'observation': 'disease'}}size_fin: [{'size': '6.5 x 4.0 cm', 'size_descriptor': 'lesion'}]anatomical entity_fin: {'duodenum': {}, 'head': {}, 'pancreas': {}}clinical findings_fin: {'well-defined 6.5 x 4.0 cm cystic lesion': {'clinical finding': 'well-defined 6.5 x 4.0 cm cystic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'well-defined 6 5 x 4 0 cm cystic', 'observation': 'lesion'}, 'layering debris': {'clinical finding': 'layering debris', 'existence': 'pos_dx', 'descriptive_term': 'layering', 'observation': 'debris'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'adjacent inflammatory changes': {'clinical finding': 'adjacent inflammatory changes', 'existence': 'neg_dx', 'descriptive_term': 'adjacent inflammatory', 'observation': 'change'}}clinical findings_fin: {'free intraperitoneal air': {'clinical finding': 'free intraperitoneal 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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'mild inguinal adenopathy': {'clinical finding': 'mild inguinal adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'mild inguinal', 'observation': 'adenopathy', 'strength_term': 'mild'}}size_fin: [{'size': '2.1 x 1.2 cm', 'size_descriptor': 'node'}]anatomical entity_fin: {'inguinal lymph node': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right inguinal lymph node': {'clinical finding': 'right inguinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right inguinal lymph', 'observation': 'node'}}anatomical entity_fin: {'duodenum': {}, 'stomach': {}}clinical findings_fin: {'post surgical changes': {'clinical finding': 'post surgical changes', 'existence': 'pos_dx', 'descriptive_term': 'post surgical', 'observation': 'change'}}anatomical entity_fin: {'stomach': {}}clinical findings_fin: {'distended': {'clinical finding': 'distended', 'existence': 'pos_dx', 'observation': 'distended'}}anatomical entity_fin: {'duodenum': {}}location descriptor_fin: ['midline']object_fin: ['adhesive']clinical findings_fin: {'mildly dilated': {'clinical finding': 'mildly dilated', 'existence': 'pos_dx', 'descriptive_term': 'mildly', 'observation': 'dilated', 'strength_term': 'mildly'}, 'adhesive disease': {'clinical finding': 'adhesive disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'adhesive', 'observation': 'disease'}}size_fin: [{'size': '6.5 x 4.0 cm', 'size_descriptor': 'lesion'}]anatomical entity_fin: {'duodenum': {}, 'head': {}, 'pancreas': {}}clinical findings_fin: {'well-defined 6.5 x 4.0 cm cystic lesion': {'clinical finding': 'well-defined 6.5 x 4.0 cm cystic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'well-defined 6 5 x 4 0 cm cystic', 'observation': 'lesion'}, 'layering debris': {'clinical finding': 'layering debris', 'existence': 'pos_dx', 'descriptive_term': 'layering', 'observation': 'debris'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'adjacent inflammatory changes': {'clinical finding': 'adjacent inflammatory changes', 'existence': 'neg_dx', 'descriptive_term': 'adjacent inflammatory', 'observation': 'change'}}clinical findings_fin: {'free intraperitoneal air': {'clinical finding': 'free intraperitoneal air'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}

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

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'focal consolidation': {'clinical finding': 'focal consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'consolidation'}, 'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}clinical findings_fin: {'suspicious pulmonary nodules': {'clinical finding': 'suspicious pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}}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'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'focal lesion': {'clinical finding': 'focal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'gallbladder is unremarkable': {'clinical finding': 'gallbladder is unremarkable'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'pancreas': {}}clinical findings_fin: {'pancreas is unremarkable': {'clinical finding': 'pancreas is unremarkable'}}clinical findings_fin: {'adrenal nodularity': {'clinical finding': 'adrenal nodularity', 'existence': 'neg_dx', 'descriptive_term': 'adrenal', 'observation': 'nodularity'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'neg_dx', 'observation': 'thickening'}}anatomical entity_fin: {'kidneys': {}}clinical findings_fin: {'focal lesion': {'clinical finding': 'focal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}, 'ureteronephrosis': {'clinical finding': 'ureteronephrosis', 'existence': 'neg_dx', 'observation': 'ureteronephrosis'}}clinical findings_fin: {'significant retroperitoneal lymphadenopathy': {'clinical finding': 'significant retroperitoneal lymphadenopathy', 'cf_snomed': {'retroperitoneal lymphadenopathy': 127154008}, 'existence': 'neg_dx', 'descriptive_term': 'significant retroperitoneal', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'duodenum': {}, 'stomach': {}}clinical findings_fin: {'post surgical changes': {'clinical finding': 'post surgical changes', 'existence': 'pos_dx', 'descriptive_term': 'post surgical', 'observation': 'change'}}anatomical entity_fin: {'stomach': {}}clinical findings_fin: {'distended': {'clinical finding': 'distended', 'existence': 'pos_dx', 'observation': 'distended'}}anatomical entity_fin: {'duodenum': {}}location descriptor_fin: ['midline']object_fin: ['adhesive']clinical findings_fin: {'mildly dilated': {'clinical finding': 'mildly dilated', 'existence': 'pos_dx', 'descriptive_term': 'mildly', 'observation': 'dilated', 'strength_term': 'mildly'}, 'adhesive disease': {'clinical finding': 'adhesive disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'adhesive', 'observation': 'disease'}}size_fin: [{'size': '6.5 x 4.0 cm', 'size_descriptor': 'lesion'}]anatomical entity_fin: {'duodenum': {}, 'head': {}, 'pancreas': {}}clinical findings_fin: {'well-defined 6.5 x 4.0 cm cystic lesion': {'clinical finding': 'well-defined 6.5 x 4.0 cm cystic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'well-defined 6 5 x 4 0 cm cystic', 'observation': 'lesion'}, 'layering debris': {'clinical finding': 'layering debris', 'existence': 'pos_dx', 'descriptive_term': 'layering', 'observation': 'debris'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'adjacent inflammatory changes': {'clinical finding': 'adjacent inflammatory changes', 'existence': 'neg_dx', 'descriptive_term': 'adjacent inflammatory', 'observation': 'change'}}clinical findings_fin: {'free intraperitoneal air': {'clinical finding': 'free intraperitoneal 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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'mild inguinal adenopathy': {'clinical finding': 'mild inguinal adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'mild inguinal', 'observation': 'adenopathy', 'strength_term': 'mild'}}size_fin: [{'size': '2.1 x 1.2 cm', 'size_descriptor': 'node'}]anatomical entity_fin: {'inguinal lymph node': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right inguinal lymph node': {'clinical finding': 'right inguinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right inguinal lymph', 'observation': 'node'}}anatomical entity_fin: {'duodenum': {}, 'stomach': {}}clinical findings_fin: {'post surgical changes': {'clinical finding': 'post surgical changes', 'existence': 'pos_dx', 'descriptive_term': 'post surgical', 'observation': 'change'}}anatomical entity_fin: {'stomach': {}}clinical findings_fin: {'distended': {'clinical finding': 'distended', 'existence': 'pos_dx', 'observation': 'distended'}}anatomical entity_fin: {'duodenum': {}}location descriptor_fin: ['midline']object_fin: ['adhesive']clinical findings_fin: {'mildly dilated': {'clinical finding': 'mildly dilated', 'existence': 'pos_dx', 'descriptive_term': 'mildly', 'observation': 'dilated', 'strength_term': 'mildly'}, 'adhesive disease': {'clinical finding': 'adhesive disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'adhesive', 'observation': 'disease'}}size_fin: [{'size': '6.5 x 4.0 cm', 'size_descriptor': 'lesion'}]anatomical entity_fin: {'duodenum': {}, 'head': {}, 'pancreas': {}}clinical findings_fin: {'well-defined 6.5 x 4.0 cm cystic lesion': {'clinical finding': 'well-defined 6.5 x 4.0 cm cystic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'well-defined 6 5 x 4 0 cm cystic', 'observation': 'lesion'}, 'layering debris': {'clinical finding': 'layering debris', 'existence': 'pos_dx', 'descriptive_term': 'layering', 'observation': 'debris'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'adjacent inflammatory changes': {'clinical finding': 'adjacent inflammatory changes', 'existence': 'neg_dx', 'descriptive_term': 'adjacent inflammatory', 'observation': 'change'}}clinical findings_fin: {'free intraperitoneal air': {'clinical finding': 'free intraperitoneal air'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . No focal consolidation or pleural effusion. No suspicious pulmonary nodules. Mild bibasilar atelectasis. Liver enhances homogenously without focal lesion. Gallbladder is unremarkable. No significant abnormality noted. Pancreas is unremarkable. No adrenal nodularity or thickening. The kidneys enhance symmetrically without focal lesion. No hydronephrosis or ureteronephrosis. No significant retroperitoneal lymphadenopathy. None. Post surgical changes of the duodenum and stomach. The stomach is distended. There is a mildly dilated second portion of duodenum, with transition point at the level of the midline, probably due to adhesive disease from prior surgeries. There is a well-defined 6.5 x 4.0 cm cystic lesion which abuts the duodenum and head of the pancreas, and contains layering debris. There are no adjacent inflammatory changes. No free intraperitoneal air. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Mild inguinal adenopathy. Right inguinal lymph node measures 2.1 x 1.2 cm. Post surgical changes of the duodenum and stomach. The stomach is distended. There is a mildly dilated second portion of duodenum, with transition point at the level of the midline, probably due to adhesive disease from prior surgeries. There is a well-defined 6.5 x 4.0 cm cystic lesion which abuts the duodenum and head of the pancreas, and contains layering debris. There are no adjacent inflammatory changes. No free intraperitoneal air. No significant abnormality noted. No significant abnormality noted. </s>

. Small pleural effusions with adjacent atelectasis noted. No suspicious pulmonary nodules. No focal opacities. No pneumothorax. Mildly enlarged right hilar lymph node measuring 1.1 cm on short axis on image 47 of series 3, most likely reactive. Small anterior loculated pericardial effusion is noted. None. Moderate scoliosis. Absence of enteric contrast material limits sensitivity for abdominal pathology. The common bile duct stent is noted. Solid low attenuation pancreatic head mass with distal pancreatic atrophy and ductal dilatation is noted. Please refer to recent CT abdomen for characterization. Left kidney area of hypo-attenuation consistent with cyst noted.

location descriptor_fin: ['adjacent']clinical findings_fin: {'small pleural effusions': {'clinical finding': 'small pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'small pleural', 'observation': 'effusion', 'strength_term': 'small'}, 'adjacent atelectasis': {'clinical finding': 'adjacent atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'adjacent', 'observation': 'atelectasis'}}clinical findings_fin: {'suspicious pulmonary nodules': {'clinical finding': 'suspicious pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}}clinical findings_fin: {'focal opacities': {'clinical finding': 'focal opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'opacity'}}clinical findings_fin: {'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}}size_fin: [{'size': '1.1 cm', 'size_descriptor': 'node'}]anatomical entity_fin: {'axis': {}}location descriptor_fin: ['right']clinical findings_fin: {'mildly enlarged right hilar lymph node': {'clinical finding': 'mildly enlarged right hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'mildly enlarged right hilar lymph', 'observation': 'node', 'strength_term': 'mildly - enlarged', 'change_term': 'enlarged'}}location descriptor_fin: ['anterior']clinical findings_fin: {'small anterior loculated pericardial effusion': {'clinical finding': 'small anterior loculated pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'small anterior loculated pericardial', 'observation': 'effusion', 'strength_term': 'small'}}clinical findings_fin: {'moderate scoliosis': {'clinical finding': 'moderate scoliosis', 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'scoliosis', 'strength_term': 'moderate'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}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'}}anatomical entity_fin: {'head': {}}location descriptor_fin: ['distal']clinical findings_fin: {'solid low attenuation pancreatic head mass': {'clinical finding': 'solid low attenuation pancreatic head mass', 'existence': 'pos_dx', 'descriptive_term': 'solid low attenuation pancreatic head', 'observation': 'mass'}, 'distal pancreatic atrophy': {'clinical finding': 'distal pancreatic atrophy', 'cf_snomed': {'atrophy': 13331008}, 'existence': 'pos_dx', 'descriptive_term': 'distal pancreatic', 'observation': 'atrophy'}, 'ductal dilatation': {'clinical finding': 'ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'pos_dx', 'descriptive_term': 'ductal', 'observation': 'dilatation'}}anatomical entity_fin: {'abdomen': {}}anatomical entity_fin: {'left kidney': {}}clinical findings_fin: {'hypo-attenuation': {'clinical finding': 'hypo-attenuation', 'existence': 'pos_dx', 'observation': 'hypo-attenuation'}, 'cyst': {'clinical finding': 'cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'observation': 'cyst'}}

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: ['adjacent']clinical findings_fin: {'small pleural effusions': {'clinical finding': 'small pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'small pleural', 'observation': 'effusion', 'strength_term': 'small'}, 'adjacent atelectasis': {'clinical finding': 'adjacent atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'adjacent', 'observation': 'atelectasis'}}clinical findings_fin: {'suspicious pulmonary nodules': {'clinical finding': 'suspicious pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}}clinical findings_fin: {'focal opacities': {'clinical finding': 'focal opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'opacity'}}clinical findings_fin: {'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}}size_fin: [{'size': '1.1 cm', 'size_descriptor': 'node'}]anatomical entity_fin: {'axis': {}}location descriptor_fin: ['right']clinical findings_fin: {'mildly enlarged right hilar lymph node': {'clinical finding': 'mildly enlarged right hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'mildly enlarged right hilar lymph', 'observation': 'node', 'strength_term': 'mildly - enlarged', 'change_term': 'enlarged'}}location descriptor_fin: ['anterior']clinical findings_fin: {'small anterior loculated pericardial effusion': {'clinical finding': 'small anterior loculated pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'small anterior loculated pericardial', 'observation': 'effusion', 'strength_term': 'small'}}clinical findings_fin: {'moderate scoliosis': {'clinical finding': 'moderate scoliosis', 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'scoliosis', 'strength_term': 'moderate'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}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'}}anatomical entity_fin: {'head': {}}location descriptor_fin: ['distal']clinical findings_fin: {'solid low attenuation pancreatic head mass': {'clinical finding': 'solid low attenuation pancreatic head mass', 'existence': 'pos_dx', 'descriptive_term': 'solid low attenuation pancreatic head', 'observation': 'mass'}, 'distal pancreatic atrophy': {'clinical finding': 'distal pancreatic atrophy', 'cf_snomed': {'atrophy': 13331008}, 'existence': 'pos_dx', 'descriptive_term': 'distal pancreatic', 'observation': 'atrophy'}, 'ductal dilatation': {'clinical finding': 'ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'pos_dx', 'descriptive_term': 'ductal', 'observation': 'dilatation'}}anatomical entity_fin: {'abdomen': {}}anatomical entity_fin: {'left kidney': {}}clinical findings_fin: {'hypo-attenuation': {'clinical finding': 'hypo-attenuation', 'existence': 'pos_dx', 'observation': 'hypo-attenuation'}, 'cyst': {'clinical finding': 'cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'observation': 'cyst'}} [/INST] . Small pleural effusions with adjacent atelectasis noted. No suspicious pulmonary nodules. No focal opacities. No pneumothorax. Mildly enlarged right hilar lymph node measuring 1.1 cm on short axis on image 47 of series 3, most likely reactive. Small anterior loculated pericardial effusion is noted. None. Moderate scoliosis. Absence of enteric contrast material limits sensitivity for abdominal pathology. The common bile duct stent is noted. Solid low attenuation pancreatic head mass with distal pancreatic atrophy and ductal dilatation is noted. Please refer to recent CT abdomen for characterization. Left kidney area of hypo-attenuation consistent with cyst noted. </s>

. Marked interval increase in size and number of multiple small solid pulmonary nodules some of which are clustered and confluent. Previously described right lower lobe reference nodules and a right hilar mass are now obscured by atelectasis and effusion and are not measurable on the current scan. A new reference nodule measures 8 mm, increased from 4 mm on the previous scan. Interval increase in right middle lobe and right lower lobe atelectasis apparently secondary to proximal bronchial obstruction by tumor. New moderate right pleural effusion. In the lungs. Tumor extends into the right perihilar and subcarinal regions with no discrete lymphadenopathy. No visible coronary artery calcification. No pericardial effusion. Partial collapse of the T6 vertebra with previous kyphoplasty, unchanged. Absence of enteric contrast material limits sensitivity for abdominal pathology. Findings will be described in the separate report of the abdominal portion of the scan.

clinical findings_fin: {'multiple small solid pulmonary nodules': {'clinical finding': 'multiple small solid pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'multiple small solid pulmonary', 'observation': 'nodule', 'strength_term': 'small', 'quantity_term': 'multiple'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'previously described right lower lobe reference nodules': {'clinical finding': 'previously described right lower lobe reference nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'previously described right lower lobe reference', 'observation': 'nodule'}, 'right hilar mass': {'clinical finding': 'right hilar mass', 'cf_snomed': {'hilar mass': 309530007}, 'existence': 'unc_dx', 'descriptive_term': 'right hilar', 'observation': 'mass'}, 'atelectasis': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'observation': 'atelectasis'}, 'effusion': {'clinical finding': 'effusion', 'cf_snomed': {'effusion': 41699000}, 'existence': 'unc_dx', 'observation': 'effusion'}}size_fin: [{'size': '8 mm'}, {'size': '4 mm'}]clinical findings_fin: {'new reference nodule': {'clinical finding': 'new reference nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'new reference', 'observation': 'nodule', 'temporal_term': 'new'}}anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower', 'proximal']clinical findings_fin: {'right lower lobe atelectasis': {'clinical finding': 'right lower lobe atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'right lower lobe', 'observation': 'atelectasis'}, 'proximal bronchial obstruction': {'clinical finding': 'proximal bronchial obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'unc_dx', 'descriptive_term': 'proximal bronchial', 'observation': 'obstruction'}, 'tumor': {'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'}}location descriptor_fin: ['right']clinical findings_fin: {'new moderate right pleural effusion': {'clinical finding': 'new moderate right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'new moderate right pleural', 'observation': 'effusion', 'strength_term': 'moderate', 'temporal_term': 'new'}}anatomical entity_fin: {'lungs': {}}location descriptor_fin: ['right']clinical findings_fin: {'tumor': {'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'}, 'discrete lymphadenopathy': {'clinical finding': 'discrete lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'discrete', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'visible coronary artery calcification': {'clinical finding': 'visible coronary artery calcification', 'existence': 'neg_dx', 'descriptive_term': 'visible coronary artery', 'observation': 'calcification'}}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: {'vertebra': {}}procedure_fin: ['kyphoplasty']clinical findings_fin: {'partial collapse': {'clinical finding': 'partial collapse', 'cf_snomed': {'collapse': 271787007}, 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'collapse', 'strength_term': 'partial'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'abdominal': {}}

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: {'multiple small solid pulmonary nodules': {'clinical finding': 'multiple small solid pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'multiple small solid pulmonary', 'observation': 'nodule', 'strength_term': 'small', 'quantity_term': 'multiple'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'previously described right lower lobe reference nodules': {'clinical finding': 'previously described right lower lobe reference nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'previously described right lower lobe reference', 'observation': 'nodule'}, 'right hilar mass': {'clinical finding': 'right hilar mass', 'cf_snomed': {'hilar mass': 309530007}, 'existence': 'unc_dx', 'descriptive_term': 'right hilar', 'observation': 'mass'}, 'atelectasis': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'observation': 'atelectasis'}, 'effusion': {'clinical finding': 'effusion', 'cf_snomed': {'effusion': 41699000}, 'existence': 'unc_dx', 'observation': 'effusion'}}size_fin: [{'size': '8 mm'}, {'size': '4 mm'}]clinical findings_fin: {'new reference nodule': {'clinical finding': 'new reference nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'new reference', 'observation': 'nodule', 'temporal_term': 'new'}}anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower', 'proximal']clinical findings_fin: {'right lower lobe atelectasis': {'clinical finding': 'right lower lobe atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'right lower lobe', 'observation': 'atelectasis'}, 'proximal bronchial obstruction': {'clinical finding': 'proximal bronchial obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'unc_dx', 'descriptive_term': 'proximal bronchial', 'observation': 'obstruction'}, 'tumor': {'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'}}location descriptor_fin: ['right']clinical findings_fin: {'new moderate right pleural effusion': {'clinical finding': 'new moderate right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'new moderate right pleural', 'observation': 'effusion', 'strength_term': 'moderate', 'temporal_term': 'new'}}anatomical entity_fin: {'lungs': {}}location descriptor_fin: ['right']clinical findings_fin: {'tumor': {'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'}, 'discrete lymphadenopathy': {'clinical finding': 'discrete lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'discrete', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'visible coronary artery calcification': {'clinical finding': 'visible coronary artery calcification', 'existence': 'neg_dx', 'descriptive_term': 'visible coronary artery', 'observation': 'calcification'}}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: {'vertebra': {}}procedure_fin: ['kyphoplasty']clinical findings_fin: {'partial collapse': {'clinical finding': 'partial collapse', 'cf_snomed': {'collapse': 271787007}, 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'collapse', 'strength_term': 'partial'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'abdominal': {}} [/INST] . Marked interval increase in size and number of multiple small solid pulmonary nodules some of which are clustered and confluent. Previously described right lower lobe reference nodules and a right hilar mass are now obscured by atelectasis and effusion and are not measurable on the current scan. A new reference nodule measures 8 mm, increased from 4 mm on the previous scan. Interval increase in right middle lobe and right lower lobe atelectasis apparently secondary to proximal bronchial obstruction by tumor. New moderate right pleural effusion. In the lungs. Tumor extends into the right perihilar and subcarinal regions with no discrete lymphadenopathy. No visible coronary artery calcification. No pericardial effusion. Partial collapse of the T6 vertebra with previous kyphoplasty, unchanged. Absence of enteric contrast material limits sensitivity for abdominal pathology. Findings will be described in the separate report of the abdominal portion of the scan. </s>

There is no acute intracranial hemorrhage. There is a new area of focal hypoattenuation within the posterior limb of the left internal capsule. There is a stable area of focal hypoattenuation within the left pons, which corresponds to a known area of chronic infarction. There is moderate periventricular and subcortical white matter hypoattenuation compatible with chronic small vessel ischemic disease. The ventricles and sulci are unchanged in appearance. There is no 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'}}anatomical entity_fin: {'left internal capsule': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'focal hypoattenuation': {'clinical finding': 'focal hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'hypoattenuation'}}anatomical entity_fin: {'pons': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'focal hypoattenuation': {'clinical finding': 'focal hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'hypoattenuation'}, 'chronic infarction': {'clinical finding': 'chronic infarction', 'existence': 'pos_dx', 'descriptive_term': 'chronic', 'observation': 'infarction', 'temporal_term': 'chronic'}}clinical findings_fin: {'moderate periventricular and subcortical white matter hypoattenuation': {'clinical finding': 'moderate periventricular and subcortical white matter hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'moderate periventricular and subcortical white matter', 'observation': 'hypoattenuation', 'strength_term': 'moderate'}, 'chronic small vessel ischemic disease': {'clinical finding': 'chronic small vessel ischemic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'chronic small vessel ischemic', 'observation': 'disease', 'strength_term': 'small', 'temporal_term': 'chronic'}}clinical findings_fin: {'ventricles and sulci are unchanged in appearance': {'clinical finding': 'ventricles and sulci are unchanged in appearance', 'change_term': 'unchanged'}}location descriptor_fin: ['midline']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}

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'}}anatomical entity_fin: {'left internal capsule': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'focal hypoattenuation': {'clinical finding': 'focal hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'hypoattenuation'}}anatomical entity_fin: {'pons': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'focal hypoattenuation': {'clinical finding': 'focal hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'hypoattenuation'}, 'chronic infarction': {'clinical finding': 'chronic infarction', 'existence': 'pos_dx', 'descriptive_term': 'chronic', 'observation': 'infarction', 'temporal_term': 'chronic'}}clinical findings_fin: {'moderate periventricular and subcortical white matter hypoattenuation': {'clinical finding': 'moderate periventricular and subcortical white matter hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'moderate periventricular and subcortical white matter', 'observation': 'hypoattenuation', 'strength_term': 'moderate'}, 'chronic small vessel ischemic disease': {'clinical finding': 'chronic small vessel ischemic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'chronic small vessel ischemic', 'observation': 'disease', 'strength_term': 'small', 'temporal_term': 'chronic'}}clinical findings_fin: {'ventricles and sulci are unchanged in appearance': {'clinical finding': 'ventricles and sulci are unchanged in appearance', 'change_term': 'unchanged'}}location descriptor_fin: ['midline']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}} [/INST] There is no acute intracranial hemorrhage. There is a new area of focal hypoattenuation within the posterior limb of the left internal capsule. There is a stable area of focal hypoattenuation within the left pons, which corresponds to a known area of chronic infarction. There is moderate periventricular and subcortical white matter hypoattenuation compatible with chronic small vessel ischemic disease. The ventricles and sulci are unchanged in appearance. There is no 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>

For the purposes of numbering, there are 5 lumbar type vertebral bodies. Vertebral body heights are maintained. There is straightening of the lumbar spine curvature with minimal anterolisthesis of L2 on L3 and minimal retrolisthesis of L4 on L5. Evidence of prior laminectomies at L3-L4 and L4-L5 noted. No suspicious osseous lesions. Multilevel degenerative changes are seen including vacuum disc phenomena at the L3-L4 and L4-L5 levels with some height loss at these levels. At L1-2 there is no significant compromise to spinal canal. Minimal neural foraminal narrowing bilaterally. At L2-3 there is moderate to severe spinal canal stenosis related to mild anterolisthesis, disc bulge, ligamentum flavum thickening, and facet arthropathy. Mild neural foraminal narrowing bilaterally. At L3-4 there is evidence of prior decompressive laminectomy. There is moderate bilateral neural foraminal narrowing related to disc bulge, disc height loss, and facet arthropathy. At L4-5 there is evidence of prior decompressive laminectomy. There is mild to moderate right and moderate to severe left neural foraminal stenosis related to disc bulge, endplate osteophyte, and facet arthropathy. At L5-S1 there is no significant compromise to spinal canal. Severe right and moderate left neural foraminal stenosis related to prominent endplate osteophytes and facet arthropathy. Degenerative changes are noted also at the sacroiliac joints with ventral bridging osteophytes. Evidence of partial right nephrectomy. Subcentimeter nonobstructing left renal calculi are noted.

anatomical entity_fin: {'vertebral bodies': {}}anatomical entity_fin: {'vertebral body': {}}clinical findings_fin: {'maintained': {'clinical finding': 'maintained', 'existence': 'pos_dx', 'observation': 'maintain'}}anatomical entity_fin: {'lumbar spine': {}}clinical findings_fin: {'lumbar spine curvature': {'clinical finding': 'lumbar spine curvature', 'existence': 'pos_dx', 'descriptive_term': 'lumbar spine', 'observation': 'curvature'}, 'minimal anterolisthesis': {'clinical finding': 'minimal anterolisthesis', 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'anterolisthesis', 'strength_term': 'minimal', 'quantity_term': 'minimal'}, 'minimal retrolisthesis': {'clinical finding': 'minimal retrolisthesis', 'cf_snomed': {'retrolisthesis': 416981004}, 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'retrolisthesis', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}clinical findings_fin: {'l3-l4 and l4 - l5 noted': {'clinical finding': 'l3-l4 and l4 - l5 noted'}}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: {'multilevel degenerative changes': {'clinical finding': 'multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative', 'observation': 'change'}, 'vacuum disc phenomena': {'clinical finding': 'vacuum disc phenomena', 'existence': 'pos_dx', 'descriptive_term': 'vacuum disc', 'observation': 'phenomenon'}, 'some height loss': {'clinical finding': 'some height loss', 'existence': 'pos_dx', 'descriptive_term': 'some height', 'observation': 'loss', 'quantity_term': 'some'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'l1 - 2 there is no significant compromise to spinal canal': {'clinical finding': 'l1 - 2 there is no significant compromise to spinal canal'}}clinical findings_fin: {'minimal neural foraminal narrowing': {'clinical finding': 'minimal neural foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'minimal neural foraminal', 'observation': 'narrowing', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'spinal canal': {}, 'disc': {}, 'ligamentum flavum': {}, 'facet': {}}clinical findings_fin: {'moderate to severe spinal canal stenosis': {'clinical finding': 'moderate to severe spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate to severe spinal canal', 'observation': 'stenosis', 'strength_term': 'moderate - severe'}, 'mild anterolisthesis': {'clinical finding': 'mild anterolisthesis', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'anterolisthesis', 'strength_term': 'mild'}, 'disc bulge': {'clinical finding': 'disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'disc', 'observation': 'bulge'}, 'ligamentum flavum thickening': {'clinical finding': 'ligamentum flavum thickening', 'existence': 'pos_dx', 'descriptive_term': 'ligamentum flavum', 'observation': 'thickening'}}clinical findings_fin: {'mild neural foraminal narrowing': {'clinical finding': 'mild neural foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'mild neural foraminal', 'observation': 'narrowing', 'strength_term': 'mild'}}anatomical entity_fin: {'facet': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'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'}, 'disc bulge': {'clinical finding': 'disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'disc', 'observation': 'bulge'}, 'disc height loss': {'clinical finding': 'disc height loss', 'existence': 'pos_dx', 'descriptive_term': 'disc height', 'observation': 'loss'}}anatomical entity_fin: {'facet': {}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'mild to moderate right and moderate to severe left neural foraminal stenosis': {'clinical finding': 'mild to moderate right and moderate to severe left neural foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate right and moderate to severe left neural foraminal', 'observation': 'stenosis', 'strength_term': 'mild - moderate - moderate - severe'}, 'disc bulge': {'clinical finding': 'disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'disc', 'observation': 'bulge'}, 'endplate osteophyte': {'clinical finding': 'endplate osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'endplate', 'observation': 'osteophyte'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'l5 - s1 there is no significant compromise to spinal canal': {'clinical finding': 'l5 - s1 there is no significant compromise to spinal canal'}}anatomical entity_fin: {'facet': {}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'severe right and moderate left neural foraminal stenosis': {'clinical finding': 'severe right and moderate left neural foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'severe right and moderate left neural foraminal', 'observation': 'stenosis', 'strength_term': 'severe - moderate'}, 'prominent endplate osteophytes': {'clinical finding': 'prominent endplate osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'prominent endplate', 'observation': 'osteophyte', 'strength_term': 'prominent'}}anatomical entity_fin: {'sacroiliac joints': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}, 'ventral bridging osteophytes': {'clinical finding': 'ventral bridging osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'ventral bridging', 'observation': 'osteophyte'}}location descriptor_fin: ['right']procedure_fin: ['nephrectomy']location descriptor_fin: ['left']clinical findings_fin: {'subcentimeter nonobstructing left renal calculi': {'clinical finding': 'subcentimeter nonobstructing left renal calculi', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter nonobstructing left renal', 'observation': 'calculi'}}

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': {}}anatomical entity_fin: {'vertebral body': {}}clinical findings_fin: {'maintained': {'clinical finding': 'maintained', 'existence': 'pos_dx', 'observation': 'maintain'}}anatomical entity_fin: {'lumbar spine': {}}clinical findings_fin: {'lumbar spine curvature': {'clinical finding': 'lumbar spine curvature', 'existence': 'pos_dx', 'descriptive_term': 'lumbar spine', 'observation': 'curvature'}, 'minimal anterolisthesis': {'clinical finding': 'minimal anterolisthesis', 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'anterolisthesis', 'strength_term': 'minimal', 'quantity_term': 'minimal'}, 'minimal retrolisthesis': {'clinical finding': 'minimal retrolisthesis', 'cf_snomed': {'retrolisthesis': 416981004}, 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'retrolisthesis', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}clinical findings_fin: {'l3-l4 and l4 - l5 noted': {'clinical finding': 'l3-l4 and l4 - l5 noted'}}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: {'multilevel degenerative changes': {'clinical finding': 'multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative', 'observation': 'change'}, 'vacuum disc phenomena': {'clinical finding': 'vacuum disc phenomena', 'existence': 'pos_dx', 'descriptive_term': 'vacuum disc', 'observation': 'phenomenon'}, 'some height loss': {'clinical finding': 'some height loss', 'existence': 'pos_dx', 'descriptive_term': 'some height', 'observation': 'loss', 'quantity_term': 'some'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'l1 - 2 there is no significant compromise to spinal canal': {'clinical finding': 'l1 - 2 there is no significant compromise to spinal canal'}}clinical findings_fin: {'minimal neural foraminal narrowing': {'clinical finding': 'minimal neural foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'minimal neural foraminal', 'observation': 'narrowing', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'spinal canal': {}, 'disc': {}, 'ligamentum flavum': {}, 'facet': {}}clinical findings_fin: {'moderate to severe spinal canal stenosis': {'clinical finding': 'moderate to severe spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate to severe spinal canal', 'observation': 'stenosis', 'strength_term': 'moderate - severe'}, 'mild anterolisthesis': {'clinical finding': 'mild anterolisthesis', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'anterolisthesis', 'strength_term': 'mild'}, 'disc bulge': {'clinical finding': 'disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'disc', 'observation': 'bulge'}, 'ligamentum flavum thickening': {'clinical finding': 'ligamentum flavum thickening', 'existence': 'pos_dx', 'descriptive_term': 'ligamentum flavum', 'observation': 'thickening'}}clinical findings_fin: {'mild neural foraminal narrowing': {'clinical finding': 'mild neural foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'mild neural foraminal', 'observation': 'narrowing', 'strength_term': 'mild'}}anatomical entity_fin: {'facet': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'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'}, 'disc bulge': {'clinical finding': 'disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'disc', 'observation': 'bulge'}, 'disc height loss': {'clinical finding': 'disc height loss', 'existence': 'pos_dx', 'descriptive_term': 'disc height', 'observation': 'loss'}}anatomical entity_fin: {'facet': {}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'mild to moderate right and moderate to severe left neural foraminal stenosis': {'clinical finding': 'mild to moderate right and moderate to severe left neural foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate right and moderate to severe left neural foraminal', 'observation': 'stenosis', 'strength_term': 'mild - moderate - moderate - severe'}, 'disc bulge': {'clinical finding': 'disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'disc', 'observation': 'bulge'}, 'endplate osteophyte': {'clinical finding': 'endplate osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'endplate', 'observation': 'osteophyte'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'l5 - s1 there is no significant compromise to spinal canal': {'clinical finding': 'l5 - s1 there is no significant compromise to spinal canal'}}anatomical entity_fin: {'facet': {}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'severe right and moderate left neural foraminal stenosis': {'clinical finding': 'severe right and moderate left neural foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'severe right and moderate left neural foraminal', 'observation': 'stenosis', 'strength_term': 'severe - moderate'}, 'prominent endplate osteophytes': {'clinical finding': 'prominent endplate osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'prominent endplate', 'observation': 'osteophyte', 'strength_term': 'prominent'}}anatomical entity_fin: {'sacroiliac joints': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}, 'ventral bridging osteophytes': {'clinical finding': 'ventral bridging osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'ventral bridging', 'observation': 'osteophyte'}}location descriptor_fin: ['right']procedure_fin: ['nephrectomy']location descriptor_fin: ['left']clinical findings_fin: {'subcentimeter nonobstructing left renal calculi': {'clinical finding': 'subcentimeter nonobstructing left renal calculi', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter nonobstructing left renal', 'observation': 'calculi'}} [/INST] For the purposes of numbering, there are 5 lumbar type vertebral bodies. Vertebral body heights are maintained. There is straightening of the lumbar spine curvature with minimal anterolisthesis of L2 on L3 and minimal retrolisthesis of L4 on L5. Evidence of prior laminectomies at L3-L4 and L4-L5 noted. No suspicious osseous lesions. Multilevel degenerative changes are seen including vacuum disc phenomena at the L3-L4 and L4-L5 levels with some height loss at these levels. At L1-2 there is no significant compromise to spinal canal. Minimal neural foraminal narrowing bilaterally. At L2-3 there is moderate to severe spinal canal stenosis related to mild anterolisthesis, disc bulge, ligamentum flavum thickening, and facet arthropathy. Mild neural foraminal narrowing bilaterally. At L3-4 there is evidence of prior decompressive laminectomy. There is moderate bilateral neural foraminal narrowing related to disc bulge, disc height loss, and facet arthropathy. At L4-5 there is evidence of prior decompressive laminectomy. There is mild to moderate right and moderate to severe left neural foraminal stenosis related to disc bulge, endplate osteophyte, and facet arthropathy. At L5-S1 there is no significant compromise to spinal canal. Severe right and moderate left neural foraminal stenosis related to prominent endplate osteophytes and facet arthropathy. Degenerative changes are noted also at the sacroiliac joints with ventral bridging osteophytes. Evidence of partial right nephrectomy. Subcentimeter nonobstructing left renal calculi are noted. </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 white matter hypodensities, which are nonspecific. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The orbits, skull and scalp soft tissues are grossly unremarkable. There is debris in the external auditory canals bilaterally. Cavum septum pellucidum is incidentally noted. There are atherosclerotic calcifications of the cavernous internal carotid arteries. The globes, lenses, extraocular muscles, optic nerves, and retroglobal spaces are symmetric and normal. No radiopaque foreign body is identified. The orbital soft tissues are normal. The osseous structures are unremarkable with no evidence of fracture. The globe and bony orbit are intact. There is minimal mucosal thickening of the maxillary sinuses and ethmoid air cells and moderate mucosal thickening of the frontal sinuses. No evidence of orbital rim fracture or soft tissue hematoma.

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 white matter hypodensities': {'clinical finding': 'patchy periventricular and subcortical white matter hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'patchy periventricular and subcortical white matter', 'observation': 'hypodensity'}}clinical findings_fin: {'ventricles and basal cisterns are normal in size and configuration': {'clinical finding': 'ventricles and basal cisterns are normal in size and configuration'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'orbits': {}, 'skull': {}, 'scalp': {}}clinical findings_fin: {'orbits , skull and scalp soft tissues are grossly unremarkable': {'clinical finding': 'orbits , skull and scalp soft tissues are grossly unremarkable'}}anatomical entity_fin: {'external auditory canals': {}}clinical findings_fin: {'debris': {'clinical finding': 'debris', 'existence': 'pos_dx', 'observation': 'debris'}}anatomical entity_fin: {'septum pellucidum': {}}clinical findings_fin: {'cavum septum pellucidum is incidentally noted': {'clinical finding': 'cavum septum pellucidum is incidentally noted'}}anatomical entity_fin: {'internal carotid arteries': {}}clinical findings_fin: {'atherosclerotic calcifications': {'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}anatomical entity_fin: {'globes': {}, 'extraocular muscles': {}, 'optic nerves': {}}clinical findings_fin: {'symmetric': {'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'}}object_fin: ['foreign body']clinical findings_fin: {'radiopaque foreign body': {'clinical finding': 'radiopaque foreign body', 'cf_snomed': {'foreign body': 125670008}, 'existence': 'neg_dx', 'descriptive_term': 'radiopaque foreign', 'observation': 'body'}}clinical findings_fin: {'orbital soft tissues are normal': {'clinical finding': 'orbital soft tissues are normal'}}clinical findings_fin: {'fracture': {'clinical finding': 'fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'observation': 'fracture'}}anatomical entity_fin: {'globe': {}, 'orbit': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'cells': {}}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'}, 'moderate mucosal thickening': {'clinical finding': 'moderate mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'moderate mucosal', 'observation': 'thickening', 'strength_term': 'moderate'}}anatomical entity_fin: {'rim': {}}imaging observation_fin: ['hematoma']clinical findings_fin: {'orbital rim fracture': {'clinical finding': 'orbital rim fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'orbital rim', 'observation': 'fracture'}, 'soft tissue hematoma': {'clinical finding': 'soft tissue hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'neg_dx', 'descriptive_term': 'soft tissue', 'observation': 'hematoma'}}

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 white matter hypodensities': {'clinical finding': 'patchy periventricular and subcortical white matter hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'patchy periventricular and subcortical white matter', 'observation': 'hypodensity'}}clinical findings_fin: {'ventricles and basal cisterns are normal in size and configuration': {'clinical finding': 'ventricles and basal cisterns are normal in size and configuration'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'orbits': {}, 'skull': {}, 'scalp': {}}clinical findings_fin: {'orbits , skull and scalp soft tissues are grossly unremarkable': {'clinical finding': 'orbits , skull and scalp soft tissues are grossly unremarkable'}}anatomical entity_fin: {'external auditory canals': {}}clinical findings_fin: {'debris': {'clinical finding': 'debris', 'existence': 'pos_dx', 'observation': 'debris'}}anatomical entity_fin: {'septum pellucidum': {}}clinical findings_fin: {'cavum septum pellucidum is incidentally noted': {'clinical finding': 'cavum septum pellucidum is incidentally noted'}}anatomical entity_fin: {'internal carotid arteries': {}}clinical findings_fin: {'atherosclerotic calcifications': {'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}anatomical entity_fin: {'globes': {}, 'extraocular muscles': {}, 'optic nerves': {}}clinical findings_fin: {'symmetric': {'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'}}object_fin: ['foreign body']clinical findings_fin: {'radiopaque foreign body': {'clinical finding': 'radiopaque foreign body', 'cf_snomed': {'foreign body': 125670008}, 'existence': 'neg_dx', 'descriptive_term': 'radiopaque foreign', 'observation': 'body'}}clinical findings_fin: {'orbital soft tissues are normal': {'clinical finding': 'orbital soft tissues are normal'}}clinical findings_fin: {'fracture': {'clinical finding': 'fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'observation': 'fracture'}}anatomical entity_fin: {'globe': {}, 'orbit': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'cells': {}}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'}, 'moderate mucosal thickening': {'clinical finding': 'moderate mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'moderate mucosal', 'observation': 'thickening', 'strength_term': 'moderate'}}anatomical entity_fin: {'rim': {}}imaging observation_fin: ['hematoma']clinical findings_fin: {'orbital rim fracture': {'clinical finding': 'orbital rim fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'orbital rim', 'observation': 'fracture'}, 'soft tissue hematoma': {'clinical finding': 'soft tissue hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'neg_dx', 'descriptive_term': 'soft tissue', 'observation': 'hematoma'}} [/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 white matter hypodensities, which are nonspecific. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The orbits, skull and scalp soft tissues are grossly unremarkable. There is debris in the external auditory canals bilaterally. Cavum septum pellucidum is incidentally noted. There are atherosclerotic calcifications of the cavernous internal carotid arteries. The globes, lenses, extraocular muscles, optic nerves, and retroglobal spaces are symmetric and normal. No radiopaque foreign body is identified. The orbital soft tissues are normal. The osseous structures are unremarkable with no evidence of fracture. The globe and bony orbit are intact. There is minimal mucosal thickening of the maxillary sinuses and ethmoid air cells and moderate mucosal thickening of the frontal sinuses. No evidence of orbital rim fracture or soft tissue hematoma. </s>

. There are multiple nonspecific subcentimeter upper lobe and peripherally predominant pulmonary nodules identified, some of which are ground glass in appearance. For reference, a left upper lobe nodule measures 8x4mm. As there are no prior chest CT examinations, and most of these are small micronodules, we cannot determine the significance of these findings. The one small left lower lobe subpleural nodule that was in the region covered by prior abdominal CT shows a similar in appearance to prior exam dated 9/24/13. Bibasilar dependent atelectasis noted. No pleural effusions. Enlarged mediastinal and right hilar lymph nodes. For reference, a right lower paratracheal lymph node measures 1.1x1.1 cm. None. No significant abnormality noted. No focal hepatic nodules or masses identified. No other significant abnormality noted. 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. Interval prostatectomy noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted

anatomical entity_fin: {'lobe': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'multiple nonspecific subcentimeter upper lobe and peripherally predominant pulmonary nodules': {'clinical finding': 'multiple nonspecific subcentimeter upper lobe and peripherally predominant pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'multiple nonspecific subcentimeter upper lobe and peripherally predominant pulmonary', 'observation': 'nodule', 'quantity_term': 'multiple'}, 'ground glass': {'clinical finding': 'ground glass', 'existence': 'pos_dx', 'descriptive_term': 'ground', 'observation': 'glass'}}size_fin: [{'size': '8x4mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'left upper lobe nodule': {'clinical finding': 'left upper lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'left upper lobe', 'observation': 'nodule'}}anatomical entity_fin: {'chest': {}}clinical findings_fin: {'small micronodules': {'clinical finding': 'small micronodules', 'existence': 'neg_dx', 'descriptive_term': 'small', 'observation': 'micronodule', 'strength_term': 'small'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}, 'abdominal': {}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'one small left lower lobe subpleural nodule': {'clinical finding': 'one small left lower lobe subpleural nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'one small left lower lobe subpleural', 'observation': 'nodule', 'strength_term': 'small'}}clinical findings_fin: {'bibasilar dependent atelectasis': {'clinical finding': 'bibasilar dependent atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'bibasilar dependent', 'observation': 'atelectasis'}}clinical findings_fin: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}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'}}size_fin: [{'size': '1.1x1.1 cm', 'size_descriptor': 'node'}]location descriptor_fin: ['right', 'lower']clinical findings_fin: {'right lower paratracheal lymph node': {'clinical finding': 'right lower paratracheal lymph node', 'cf_snomed': {'right lower paratracheal lymph node': 127935009}, 'existence': 'pos_dx', 'descriptive_term': 'right lower paratracheal lymph', 'observation': 'node'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'focal hepatic nodules': {'clinical finding': 'focal hepatic nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'focal hepatic', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'other significant abnormality': {'clinical finding': 'other significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'other significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: ['prostatectomy']clinical findings_fin: {'interval prostatectomy noted': {'clinical finding': 'interval prostatectomy 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'}}

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: {'multiple nonspecific subcentimeter upper lobe and peripherally predominant pulmonary nodules': {'clinical finding': 'multiple nonspecific subcentimeter upper lobe and peripherally predominant pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'multiple nonspecific subcentimeter upper lobe and peripherally predominant pulmonary', 'observation': 'nodule', 'quantity_term': 'multiple'}, 'ground glass': {'clinical finding': 'ground glass', 'existence': 'pos_dx', 'descriptive_term': 'ground', 'observation': 'glass'}}size_fin: [{'size': '8x4mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'left upper lobe nodule': {'clinical finding': 'left upper lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'left upper lobe', 'observation': 'nodule'}}anatomical entity_fin: {'chest': {}}clinical findings_fin: {'small micronodules': {'clinical finding': 'small micronodules', 'existence': 'neg_dx', 'descriptive_term': 'small', 'observation': 'micronodule', 'strength_term': 'small'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}, 'abdominal': {}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'one small left lower lobe subpleural nodule': {'clinical finding': 'one small left lower lobe subpleural nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'one small left lower lobe subpleural', 'observation': 'nodule', 'strength_term': 'small'}}clinical findings_fin: {'bibasilar dependent atelectasis': {'clinical finding': 'bibasilar dependent atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'bibasilar dependent', 'observation': 'atelectasis'}}clinical findings_fin: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}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'}}size_fin: [{'size': '1.1x1.1 cm', 'size_descriptor': 'node'}]location descriptor_fin: ['right', 'lower']clinical findings_fin: {'right lower paratracheal lymph node': {'clinical finding': 'right lower paratracheal lymph node', 'cf_snomed': {'right lower paratracheal lymph node': 127935009}, 'existence': 'pos_dx', 'descriptive_term': 'right lower paratracheal lymph', 'observation': 'node'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'focal hepatic nodules': {'clinical finding': 'focal hepatic nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'focal hepatic', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'other significant abnormality': {'clinical finding': 'other significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'other significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: ['prostatectomy']clinical findings_fin: {'interval prostatectomy noted': {'clinical finding': 'interval prostatectomy 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'}} [/INST] . There are multiple nonspecific subcentimeter upper lobe and peripherally predominant pulmonary nodules identified, some of which are ground glass in appearance. For reference, a left upper lobe nodule measures 8x4mm. As there are no prior chest CT examinations, and most of these are small micronodules, we cannot determine the significance of these findings. The one small left lower lobe subpleural nodule that was in the region covered by prior abdominal CT shows a similar in appearance to prior exam dated 9/24/13. Bibasilar dependent atelectasis noted. No pleural effusions. Enlarged mediastinal and right hilar lymph nodes. For reference, a right lower paratracheal lymph node measures 1.1x1.1 cm. None. No significant abnormality noted. No focal hepatic nodules or masses identified. No other significant abnormality noted. 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. Interval prostatectomy noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted </s>

There are post-operative changes involving the left facial bones. There is surgical mesh seen along the left orbital floor, relating to reconstruction of previous fracture. The left maxillary sinus is completely distorted with multiple small fracture fragments, and opacified. The residual left maxillary wall is fragmented and screws are noted along the superior margin of the left maxillary alveolar process. The expected location of the mid anterior wall of the left maxillary sinus is angulated with inward apex. The medial wall of the left maxillary sinus is absent. Bullet fragments are seen extending from the left masticator space inferolaterally to overly the left mandibular ramus. The mandible is not fractured. Prominent rounded lucency is seen in the left zygoma near the junction with the maxillary bone, of uncertain etiology, possibly post-traumatic or developmental. The left pterygopalatine fossa and the left pterygomaxillary fissure are widened, likely related to the anterior displacement of maxillary sinus wall fragments. The anterior left middle turbinate is absent, with the remainder of the turbinates in normal configuration. The residual portion of the left middle turbinate appears to curve laterally, likely post-traumatic. The orbits are symmetric in volume bilaterally. There is a chronic left lamina papyracea fracture with orbital fat extending through the fracture defect. A repaired fracture is seen in the left nasal bone. There is a comminuted fracture of the nasal septum with rightward deviation of the superior septum and leftward deviation of the inferior portion of the septum. All of the paranasal sinuses demonstrate mild mucosal thickening except the left ethmoid sinus that is partly opacified. Prominent soft tissue is seen of the posterior nasopharynx and the soft palate relate to Waldeyers ring hyperplasia. There is no evidence of collection or an abscess. There are reactive enlarged lymph nodes along the internal jugular chain bilaterally. The endotracheal tube appears to be in the trachea. Nasogastric tube is seen.

location descriptor_fin: ['left']clinical findings_fin: {'post-operative changes': {'clinical finding': 'post-operative changes', 'existence': 'pos_dx', 'descriptive_term': 'post-operative', 'observation': 'change'}}anatomical entity_fin: {'floor': {}}location descriptor_fin: ['left']clinical findings_fin: {'surgical mesh': {'clinical finding': 'surgical mesh', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'mesh'}, 'previous fracture': {'clinical finding': 'previous fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'previous', 'observation': 'fracture', 'temporal_term': 'previous'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'multiple small fracture fragments': {'clinical finding': 'multiple small fracture fragments', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'multiple small fracture', 'observation': 'fragment', 'strength_term': 'small', 'quantity_term': 'multiple'}}anatomical entity_fin: {'wall': {}}imaging observation_fin: ['margin']location descriptor_fin: ['left', 'superior']clinical findings_fin: {'residual': {'clinical finding': 'residual', 'existence': 'pos_dx', 'observation': 'residual'}, 'fragmented': {'clinical finding': 'fragmented', 'existence': 'pos_dx', 'observation': 'fragmented'}, 'left maxillary alveolar process': {'clinical finding': 'left maxillary alveolar process', 'cf_snomed': {'alveolar process': 129143008}, 'existence': 'pos_dx', 'descriptive_term': 'left maxillary alveolar', 'observation': 'process'}}anatomical entity_fin: {'wall': {'location descriptor': 'anterior'}, 'maxillary sinus': {'location descriptor': 'left'}, 'apex': {}}location descriptor_fin: ['anterior', 'left']clinical findings_fin: {'angulated': {'clinical finding': 'angulated', 'existence': 'pos_dx', 'observation': 'angulated'}}anatomical entity_fin: {'wall': {'location descriptor': 'medial'}, 'maxillary sinus': {'location descriptor': 'left'}}location descriptor_fin: ['medial', 'left']clinical findings_fin: {'absent': {'clinical finding': 'absent', 'existence': 'pos_dx', 'observation': 'absent'}}anatomical entity_fin: {'masticator space': {'location descriptor': 'left'}}location descriptor_fin: ['left']object_fin: ['bullet']clinical findings_fin: {'bullet fragments are seen': {'clinical finding': 'bullet fragments are seen'}}anatomical entity_fin: {'mandible': {}}clinical findings_fin: {'fractured': {'clinical finding': 'fractured', 'existence': 'neg_dx', 'observation': 'fractured'}}location descriptor_fin: ['left']clinical findings_fin: {'post-traumatic': {'clinical finding': 'post-traumatic', 'existence': 'unc_dx', 'observation': 'post'}}anatomical entity_fin: {'pterygopalatine fossa': {'location descriptor': 'left'}, 'pterygomaxillary fissure': {'location descriptor': 'left'}, 'maxillary sinus': {}, 'wall': {}}location descriptor_fin: ['left', 'anterior']clinical findings_fin: {'widened': {'clinical finding': 'widened', 'existence': 'pos_dx', 'observation': 'widen'}, 'anterior displacement': {'clinical finding': 'anterior displacement', 'existence': 'unc_dx', 'descriptive_term': 'anterior', 'observation': 'displacement'}}anatomical entity_fin: {'middle': {'location descriptor': 'anterior left'}}location descriptor_fin: ['anterior', 'left']clinical findings_fin: {'absent': {'clinical finding': 'absent', 'existence': 'pos_dx', 'observation': 'absent'}, 'normal configuration': {'clinical finding': 'normal configuration', 'existence': 'pos_dx', 'descriptive_term': 'normal', 'observation': 'configuration', 'strength_term': 'normal'}}anatomical entity_fin: {'middle': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'residual': {'clinical finding': 'residual', 'existence': 'pos_dx', 'observation': 'residual'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'symmetric': {'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'}}imaging observation_fin: ['fat']location descriptor_fin: ['left']clinical findings_fin: {'chronic left lamina papyracea fracture': {'clinical finding': 'chronic left lamina papyracea fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'chronic left lamina papyracea', 'observation': 'fracture', 'temporal_term': 'chronic'}, 'orbital fat': {'clinical finding': 'orbital fat', 'existence': 'pos_dx', 'descriptive_term': 'orbital', 'observation': 'fat'}, 'fracture defect': {'clinical finding': 'fracture defect', 'cf_snomed': {'fracture': 72704001, 'defect': 6920004}, 'existence': 'pos_dx', 'descriptive_term': 'fracture', 'observation': 'defect'}}anatomical entity_fin: {'nasal bone': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'repaired fracture': {'clinical finding': 'repaired fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'repaired', 'observation': 'fracture'}}location descriptor_fin: ['superior', 'inferior']clinical findings_fin: {'comminuted fracture': {'clinical finding': 'comminuted fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'comminuted', 'observation': 'fracture'}, 'nasal septum': {'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum'}, 'rightward deviation': {'clinical finding': 'rightward deviation', 'existence': 'pos_dx', 'descriptive_term': 'rightward', 'observation': 'deviation'}}anatomical entity_fin: {'paranasal sinuses': {}, 'ethmoid sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'mild mucosal thickening': {'clinical finding': 'mild mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild mucosal', 'observation': 'thickening', 'strength_term': 'mild'}}anatomical entity_fin: {'nasopharynx': {'location descriptor': 'posterior'}, 'soft palate': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'prominent soft tissue': {'clinical finding': 'prominent soft tissue', 'existence': 'pos_dx', 'descriptive_term': 'prominent soft', 'observation': 'tissue', 'strength_term': 'prominent'}, 'waldeyers ring hyperplasia': {'clinical finding': 'waldeyers ring hyperplasia', 'cf_snomed': {'hyperplasia': 76197007}, 'existence': 'pos_dx', 'descriptive_term': 'waldeyers ring', 'observation': 'hyperplasia'}}clinical findings_fin: {'abscess': {'clinical finding': 'abscess', 'cf_snomed': {'abscess': 128477000}, 'existence': 'neg_dx', 'observation': 'abscess'}}clinical findings_fin: {'reactive enlarged lymph nodes': {'clinical finding': 'reactive enlarged lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'reactive enlarged lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}anatomical entity_fin: {'trachea': {}}object_fin: ['endotracheal tube']clinical findings_fin: {'endotracheal tube': {'clinical finding': 'endotracheal tube', 'existence': 'pos_dx', 'descriptive_term': 'endotracheal', 'observation': 'tube'}}object_fin: ['nasogastric tube']clinical findings_fin: {'nasogastric tube': {'clinical finding': 'nasogastric tube', 'existence': 'pos_dx', 'descriptive_term': 'nasogastric', 'observation': 'tube'}}

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: {'post-operative changes': {'clinical finding': 'post-operative changes', 'existence': 'pos_dx', 'descriptive_term': 'post-operative', 'observation': 'change'}}anatomical entity_fin: {'floor': {}}location descriptor_fin: ['left']clinical findings_fin: {'surgical mesh': {'clinical finding': 'surgical mesh', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'mesh'}, 'previous fracture': {'clinical finding': 'previous fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'previous', 'observation': 'fracture', 'temporal_term': 'previous'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'multiple small fracture fragments': {'clinical finding': 'multiple small fracture fragments', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'multiple small fracture', 'observation': 'fragment', 'strength_term': 'small', 'quantity_term': 'multiple'}}anatomical entity_fin: {'wall': {}}imaging observation_fin: ['margin']location descriptor_fin: ['left', 'superior']clinical findings_fin: {'residual': {'clinical finding': 'residual', 'existence': 'pos_dx', 'observation': 'residual'}, 'fragmented': {'clinical finding': 'fragmented', 'existence': 'pos_dx', 'observation': 'fragmented'}, 'left maxillary alveolar process': {'clinical finding': 'left maxillary alveolar process', 'cf_snomed': {'alveolar process': 129143008}, 'existence': 'pos_dx', 'descriptive_term': 'left maxillary alveolar', 'observation': 'process'}}anatomical entity_fin: {'wall': {'location descriptor': 'anterior'}, 'maxillary sinus': {'location descriptor': 'left'}, 'apex': {}}location descriptor_fin: ['anterior', 'left']clinical findings_fin: {'angulated': {'clinical finding': 'angulated', 'existence': 'pos_dx', 'observation': 'angulated'}}anatomical entity_fin: {'wall': {'location descriptor': 'medial'}, 'maxillary sinus': {'location descriptor': 'left'}}location descriptor_fin: ['medial', 'left']clinical findings_fin: {'absent': {'clinical finding': 'absent', 'existence': 'pos_dx', 'observation': 'absent'}}anatomical entity_fin: {'masticator space': {'location descriptor': 'left'}}location descriptor_fin: ['left']object_fin: ['bullet']clinical findings_fin: {'bullet fragments are seen': {'clinical finding': 'bullet fragments are seen'}}anatomical entity_fin: {'mandible': {}}clinical findings_fin: {'fractured': {'clinical finding': 'fractured', 'existence': 'neg_dx', 'observation': 'fractured'}}location descriptor_fin: ['left']clinical findings_fin: {'post-traumatic': {'clinical finding': 'post-traumatic', 'existence': 'unc_dx', 'observation': 'post'}}anatomical entity_fin: {'pterygopalatine fossa': {'location descriptor': 'left'}, 'pterygomaxillary fissure': {'location descriptor': 'left'}, 'maxillary sinus': {}, 'wall': {}}location descriptor_fin: ['left', 'anterior']clinical findings_fin: {'widened': {'clinical finding': 'widened', 'existence': 'pos_dx', 'observation': 'widen'}, 'anterior displacement': {'clinical finding': 'anterior displacement', 'existence': 'unc_dx', 'descriptive_term': 'anterior', 'observation': 'displacement'}}anatomical entity_fin: {'middle': {'location descriptor': 'anterior left'}}location descriptor_fin: ['anterior', 'left']clinical findings_fin: {'absent': {'clinical finding': 'absent', 'existence': 'pos_dx', 'observation': 'absent'}, 'normal configuration': {'clinical finding': 'normal configuration', 'existence': 'pos_dx', 'descriptive_term': 'normal', 'observation': 'configuration', 'strength_term': 'normal'}}anatomical entity_fin: {'middle': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'residual': {'clinical finding': 'residual', 'existence': 'pos_dx', 'observation': 'residual'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'symmetric': {'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'}}imaging observation_fin: ['fat']location descriptor_fin: ['left']clinical findings_fin: {'chronic left lamina papyracea fracture': {'clinical finding': 'chronic left lamina papyracea fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'chronic left lamina papyracea', 'observation': 'fracture', 'temporal_term': 'chronic'}, 'orbital fat': {'clinical finding': 'orbital fat', 'existence': 'pos_dx', 'descriptive_term': 'orbital', 'observation': 'fat'}, 'fracture defect': {'clinical finding': 'fracture defect', 'cf_snomed': {'fracture': 72704001, 'defect': 6920004}, 'existence': 'pos_dx', 'descriptive_term': 'fracture', 'observation': 'defect'}}anatomical entity_fin: {'nasal bone': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'repaired fracture': {'clinical finding': 'repaired fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'repaired', 'observation': 'fracture'}}location descriptor_fin: ['superior', 'inferior']clinical findings_fin: {'comminuted fracture': {'clinical finding': 'comminuted fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'comminuted', 'observation': 'fracture'}, 'nasal septum': {'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum'}, 'rightward deviation': {'clinical finding': 'rightward deviation', 'existence': 'pos_dx', 'descriptive_term': 'rightward', 'observation': 'deviation'}}anatomical entity_fin: {'paranasal sinuses': {}, 'ethmoid sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'mild mucosal thickening': {'clinical finding': 'mild mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild mucosal', 'observation': 'thickening', 'strength_term': 'mild'}}anatomical entity_fin: {'nasopharynx': {'location descriptor': 'posterior'}, 'soft palate': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'prominent soft tissue': {'clinical finding': 'prominent soft tissue', 'existence': 'pos_dx', 'descriptive_term': 'prominent soft', 'observation': 'tissue', 'strength_term': 'prominent'}, 'waldeyers ring hyperplasia': {'clinical finding': 'waldeyers ring hyperplasia', 'cf_snomed': {'hyperplasia': 76197007}, 'existence': 'pos_dx', 'descriptive_term': 'waldeyers ring', 'observation': 'hyperplasia'}}clinical findings_fin: {'abscess': {'clinical finding': 'abscess', 'cf_snomed': {'abscess': 128477000}, 'existence': 'neg_dx', 'observation': 'abscess'}}clinical findings_fin: {'reactive enlarged lymph nodes': {'clinical finding': 'reactive enlarged lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'reactive enlarged lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}anatomical entity_fin: {'trachea': {}}object_fin: ['endotracheal tube']clinical findings_fin: {'endotracheal tube': {'clinical finding': 'endotracheal tube', 'existence': 'pos_dx', 'descriptive_term': 'endotracheal', 'observation': 'tube'}}object_fin: ['nasogastric tube']clinical findings_fin: {'nasogastric tube': {'clinical finding': 'nasogastric tube', 'existence': 'pos_dx', 'descriptive_term': 'nasogastric', 'observation': 'tube'}} [/INST] There are post-operative changes involving the left facial bones. There is surgical mesh seen along the left orbital floor, relating to reconstruction of previous fracture. The left maxillary sinus is completely distorted with multiple small fracture fragments, and opacified. The residual left maxillary wall is fragmented and screws are noted along the superior margin of the left maxillary alveolar process. The expected location of the mid anterior wall of the left maxillary sinus is angulated with inward apex. The medial wall of the left maxillary sinus is absent. Bullet fragments are seen extending from the left masticator space inferolaterally to overly the left mandibular ramus. The mandible is not fractured. Prominent rounded lucency is seen in the left zygoma near the junction with the maxillary bone, of uncertain etiology, possibly post-traumatic or developmental. The left pterygopalatine fossa and the left pterygomaxillary fissure are widened, likely related to the anterior displacement of maxillary sinus wall fragments. The anterior left middle turbinate is absent, with the remainder of the turbinates in normal configuration. The residual portion of the left middle turbinate appears to curve laterally, likely post-traumatic. The orbits are symmetric in volume bilaterally. There is a chronic left lamina papyracea fracture with orbital fat extending through the fracture defect. A repaired fracture is seen in the left nasal bone. There is a comminuted fracture of the nasal septum with rightward deviation of the superior septum and leftward deviation of the inferior portion of the septum. All of the paranasal sinuses demonstrate mild mucosal thickening except the left ethmoid sinus that is partly opacified. Prominent soft tissue is seen of the posterior nasopharynx and the soft palate relate to Waldeyers ring hyperplasia. There is no evidence of collection or an abscess. There are reactive enlarged lymph nodes along the internal jugular chain bilaterally. The endotracheal tube appears to be in the trachea. Nasogastric tube is seen. </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. There is a small bowel obstruction with a transition point in the pelvis at the distal ileum. This is at the site of surgery. Distally the bowel including the terminal ileum has some mucosal edema and bowel wall thickening. There is some interloop fluid. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Please see above. 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: {'bowel': {}, 'pelvis': {}, 'ileum': {'location descriptor': 'distal'}}location descriptor_fin: ['distal']clinical findings_fin: {'small bowel obstruction': {'clinical finding': 'small bowel obstruction', 'cf_snomed': {'small bowel obstruction': 281255004}, 'existence': 'pos_dx', 'descriptive_term': 'small bowel', 'observation': 'obstruction', 'strength_term': 'small'}}anatomical entity_fin: {'bowel': {}, 'terminal ileum': {}}clinical findings_fin: {'some mucosal edema': {'clinical finding': 'some mucosal edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'some mucosal', 'observation': 'edema', 'quantity_term': 'some'}, 'bowel wall thickening': {'clinical finding': 'bowel wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'bowel wall', 'observation': 'thickening'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'bowel': {}, 'pelvis': {}, 'ileum': {'location descriptor': 'distal'}}location descriptor_fin: ['distal']clinical findings_fin: {'small bowel obstruction': {'clinical finding': 'small bowel obstruction', 'cf_snomed': {'small bowel obstruction': 281255004}, 'existence': 'pos_dx', 'descriptive_term': 'small bowel', 'observation': 'obstruction', 'strength_term': 'small'}}anatomical entity_fin: {'bowel': {}, 'terminal ileum': {}}clinical findings_fin: {'some mucosal edema': {'clinical finding': 'some mucosal edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'some mucosal', 'observation': 'edema', 'quantity_term': 'some'}, 'bowel wall thickening': {'clinical finding': 'bowel wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'bowel wall', 'observation': 'thickening'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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. There is a small bowel obstruction with a transition point in the pelvis at the distal ileum. This is at the site of surgery. Distally the bowel including the terminal ileum has some mucosal edema and bowel wall thickening. There is some interloop fluid. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Please see above. No significant abnormality noted. No significant abnormality noted. </s>

Note that the lack of intravenous and oral contrast limits evaluation of solid organs, lymph nodes and viscera. No significant abnormality noted. No CT evidence of acute cholecystitis or cholelithiasis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No hydronephrosis or perinephric fat stranding. No obstructive or nonobstructive renal calculi. No significant retroperitoneal lymphadenopathy. The aorta is normal in caliber. None. The appendix is visualized and is within normal limits. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No bladder calculi. Small bilateral inguinal lymph nodes. No significant abnormality noted. There are chronic appearing bilateral pars defects at L4-L5. No significant abnormality noted

anatomical entity_fin: {'solid organs': {}}non-anatomical substance_fin: ['oral contrast']clinical findings_fin: {'lymph nodes': {'clinical finding': 'lymph nodes', 'existence': 'unc_dx', 'descriptive_term': 'lymph', 'observation': 'node'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'acute cholecystitis': {'clinical finding': 'acute cholecystitis', 'cf_snomed': {'acute cholecystitis': 65275009}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'cholecystitis', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'neg_dx', 'observation': 'cholelithiasis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}imaging observation_fin: ['fat']clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}, 'perinephric fat stranding': {'clinical finding': 'perinephric fat stranding', 'existence': 'neg_dx', 'descriptive_term': 'perinephric fat', 'observation': 'strand'}}clinical findings_fin: {'obstructive or nonobstructive renal calculi': {'clinical finding': 'obstructive or nonobstructive renal calculi', 'existence': 'neg_dx', 'descriptive_term': 'obstructive or nonobstructive renal', 'observation': 'calculi'}}clinical findings_fin: {'significant retroperitoneal lymphadenopathy': {'clinical finding': 'significant retroperitoneal lymphadenopathy', 'cf_snomed': {'retroperitoneal lymphadenopathy': 127154008}, 'existence': 'neg_dx', 'descriptive_term': 'significant retroperitoneal', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'aorta is normal in caliber': {'clinical finding': 'aorta is normal in caliber'}}anatomical entity_fin: {'appendix': {}}clinical findings_fin: {'appendix is visualized and is within normal limits': {'clinical finding': 'appendix is visualized and is within normal limits'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'bladder': {}}anatomical entity_fin: {'inguinal lymph nodes': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'small bilateral inguinal lymph nodes': {'clinical finding': 'small bilateral inguinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small bilateral inguinal lymph', 'observation': 'node', 'strength_term': 'small'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'chronic appearing bilateral pars defects': {'clinical finding': 'chronic appearing bilateral pars defects', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'descriptive_term': 'chronic appearing bilateral pars', 'observation': 'defect', 'temporal_term': 'chronic'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}

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

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'solid organs': {}}non-anatomical substance_fin: ['oral contrast']clinical findings_fin: {'lymph nodes': {'clinical finding': 'lymph nodes', 'existence': 'unc_dx', 'descriptive_term': 'lymph', 'observation': 'node'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'acute cholecystitis': {'clinical finding': 'acute cholecystitis', 'cf_snomed': {'acute cholecystitis': 65275009}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'cholecystitis', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'neg_dx', 'observation': 'cholelithiasis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}imaging observation_fin: ['fat']clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}, 'perinephric fat stranding': {'clinical finding': 'perinephric fat stranding', 'existence': 'neg_dx', 'descriptive_term': 'perinephric fat', 'observation': 'strand'}}clinical findings_fin: {'obstructive or nonobstructive renal calculi': {'clinical finding': 'obstructive or nonobstructive renal calculi', 'existence': 'neg_dx', 'descriptive_term': 'obstructive or nonobstructive renal', 'observation': 'calculi'}}clinical findings_fin: {'significant retroperitoneal lymphadenopathy': {'clinical finding': 'significant retroperitoneal lymphadenopathy', 'cf_snomed': {'retroperitoneal lymphadenopathy': 127154008}, 'existence': 'neg_dx', 'descriptive_term': 'significant retroperitoneal', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'aorta is normal in caliber': {'clinical finding': 'aorta is normal in caliber'}}anatomical entity_fin: {'appendix': {}}clinical findings_fin: {'appendix is visualized and is within normal limits': {'clinical finding': 'appendix is visualized and is within normal limits'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'bladder': {}}anatomical entity_fin: {'inguinal lymph nodes': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'small bilateral inguinal lymph nodes': {'clinical finding': 'small bilateral inguinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small bilateral inguinal lymph', 'observation': 'node', 'strength_term': 'small'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'chronic appearing bilateral pars defects': {'clinical finding': 'chronic appearing bilateral pars defects', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'descriptive_term': 'chronic appearing bilateral pars', 'observation': 'defect', 'temporal_term': 'chronic'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] Note that the lack of intravenous and oral contrast limits evaluation of solid organs, lymph nodes and viscera. No significant abnormality noted. No CT evidence of acute cholecystitis or cholelithiasis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No hydronephrosis or perinephric fat stranding. No obstructive or nonobstructive renal calculi. No significant retroperitoneal lymphadenopathy. The aorta is normal in caliber. None. The appendix is visualized and is within normal limits. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No bladder calculi. Small bilateral inguinal lymph nodes. No significant abnormality noted. There are chronic appearing bilateral pars defects at L4-L5. No significant abnormality noted </s>

Todays CT portion grossly demonstrates calcifications posterior to the spinal cord at level of the foramen magnum at the craniocervical junction which are of uncertain etiology. There are postsurgical changes of right nephrectomy with soft tissue within the surgical bed. Innumerable low and high density left renal cysts compatible with history of polycystic kidney disease. A moderate amount of ascites associated with peritoneal dialysis is present. IVC filter is unchanged. There is been interval removal of a right posterior exophytic thyroid nodule. There is diffuse osteopenia with multiple lytic regions throughout the axial spine appearing similar to prior CTs and likely related to renal osteodystrophy. Basilar linear atelectasis. Todays PET examination demonstrates a hypermetabolic right ninth rib with underlying deformity suggestive of fracture. There is a single hypermetabolic intertrochanteric right femoral osseous lesion with no definite CT correlate. In retrospect, this lesion had minimally increased activity in prior bone scan. Additional lytic lesions throughout the spine and pelvis associated with renal osteodystrophy are not hypermetabolic. Hypermetabolic nodular region along the anterior abdominal wall is likely related to peritoneal dialysis catheter. Soft tissue infiltration along the right thoracoabdominal wall which is mildly hypermetabolic is likely related to prior peritoneal dialysis catheter. There is a hypermetabolic focus along the anterior aspect of the spine at T11-T12 corresponding to a large anterior osteophyte. Of note, no increased activity is seen within the area of soft tissue thickening within the surgical bed. No hypermetabolic tumor is seen within the left kidney to suggest a second primary RCC. Hypermetabolic degenerative activity is seen within the hips and bilateral sacroiliac joints.

anatomical entity_fin: {'spinal cord': {}, 'foramen magnum': {}, 'craniocervical junction': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'calcifications': {'clinical finding': 'calcifications', 'existence': 'pos_dx', 'observation': 'calcification'}}location descriptor_fin: ['right']procedure_fin: ['nephrectomy']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'soft tissue': {'clinical finding': 'soft tissue', 'existence': 'pos_dx', 'descriptive_term': 'soft', 'observation': 'tissue'}}location descriptor_fin: ['left']clinical findings_fin: {'innumerable low and high density left renal cysts': {'clinical finding': 'innumerable low and high density left renal cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'innumerable low and high density left renal', 'observation': 'cyst'}, 'polycystic kidney disease': {'clinical finding': 'polycystic kidney disease', 'cf_snomed': {'kidney disease': 90708001}, 'existence': 'pos_dx', 'descriptive_term': 'polycystic kidney', 'observation': 'disease'}}clinical findings_fin: {'ascites': {'clinical finding': 'ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'observation': 'ascite'}, 'peritoneal dialysis': {'clinical finding': 'peritoneal dialysis', 'existence': 'pos_dx', 'descriptive_term': 'peritoneal', 'observation': 'dialysis'}}object_fin: ['filter']clinical findings_fin: {'ivc filter is unchanged': {'clinical finding': 'ivc filter is unchanged', 'change_term': 'unchanged'}}location descriptor_fin: ['right', 'posterior']clinical findings_fin: {'right posterior exophytic thyroid nodule': {'clinical finding': 'right posterior exophytic thyroid nodule', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'right posterior exophytic thyroid', 'observation': 'nodule'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'diffuse osteopenia': {'clinical finding': 'diffuse osteopenia', 'cf_snomed': {'osteopenia': 312894000}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse', 'observation': 'osteopenia'}, 'renal osteodystrophy': {'clinical finding': 'renal osteodystrophy', 'cf_snomed': {'renal osteodystrophy': 16726004}, 'existence': 'unc_dx', 'descriptive_term': 'renal', 'observation': 'osteodystrophy'}}clinical findings_fin: {'basilar linear atelectasis': {'clinical finding': 'basilar linear atelectasis', 'cf_snomed': {'linear atelectasis': 11689004}, 'existence': 'pos_dx', 'descriptive_term': 'basilar linear', 'observation': 'atelectasis'}}anatomical entity_fin: {'rib': {}}location descriptor_fin: ['right']clinical findings_fin: {'hypermetabolic': {'clinical finding': 'hypermetabolic', 'existence': 'pos_dx', 'observation': 'hypermetabolic'}, 'underlying deformity': {'clinical finding': 'underlying deformity', 'cf_snomed': {'deformity': 417893002}, 'existence': 'pos_dx', 'descriptive_term': 'underlying', 'observation': 'deformity'}, 'fracture': {'clinical finding': 'fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'unc_dx', 'observation': 'fracture'}}location descriptor_fin: ['right']clinical findings_fin: {'single hypermetabolic intertrochanteric right femoral osseous lesion': {'clinical finding': 'single hypermetabolic intertrochanteric right femoral osseous lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'single hypermetabolic intertrochanteric right femoral osseous', 'observation': 'lesion', 'quantity_term': 'single'}}clinical findings_fin: {'this lesion': {'clinical finding': 'this lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'lesion'}}anatomical entity_fin: {'spine': {}, 'pelvis': {}}clinical findings_fin: {'additional lytic lesions': {'clinical finding': 'additional lytic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'additional lytic', 'observation': 'lesion'}, 'renal osteodystrophy': {'clinical finding': 'renal osteodystrophy', 'cf_snomed': {'renal osteodystrophy': 16726004}, 'existence': 'unc_dx', 'descriptive_term': 'renal', 'observation': 'osteodystrophy'}}anatomical entity_fin: {'anterior abdominal wall': {}}object_fin: ['catheter']clinical findings_fin: {'hypermetabolic nodular': {'clinical finding': 'hypermetabolic nodular', 'existence': 'pos_dx', 'descriptive_term': 'hypermetabolic', 'observation': 'nodular'}}anatomical entity_fin: {'wall': {}}location descriptor_fin: ['right']object_fin: ['catheter']clinical findings_fin: {'soft': {'clinical finding': 'soft', 'existence': 'pos_dx', 'observation': 'soft'}, 'hypermetabolic': {'clinical finding': 'hypermetabolic', 'existence': 'unc_dx', 'observation': 'hypermetabolic'}}anatomical entity_fin: {'spine': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'hypermetabolic focus': {'clinical finding': 'hypermetabolic focus', 'existence': 'pos_dx', 'descriptive_term': 'hypermetabolic', 'observation': 'focus'}, 'large anterior osteophyte': {'clinical finding': 'large anterior osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'large anterior', 'observation': 'osteophyte', 'strength_term': 'large'}}clinical findings_fin: {'thickening': {'clinical finding': 'thickening', 'existence': 'neg_dx', 'observation': 'thickening'}}anatomical entity_fin: {'left kidney': {}}clinical findings_fin: {'hypermetabolic tumor': {'clinical finding': 'hypermetabolic tumor', 'existence': 'neg_dx', 'descriptive_term': 'hypermetabolic', 'observation': 'tumor'}, 'second primary rcc': {'clinical finding': 'second primary rcc', 'existence': 'unc_dx', 'descriptive_term': 'second primary', 'observation': 'rcc'}}anatomical entity_fin: {'hips': {}, 'sacroiliac joints': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'hypermetabolic degenerative activity': {'clinical finding': 'hypermetabolic degenerative activity', 'existence': 'pos_dx', 'descriptive_term': 'hypermetabolic degenerative', 'observation': 'activity'}}

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: {'spinal cord': {}, 'foramen magnum': {}, 'craniocervical junction': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'calcifications': {'clinical finding': 'calcifications', 'existence': 'pos_dx', 'observation': 'calcification'}}location descriptor_fin: ['right']procedure_fin: ['nephrectomy']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'soft tissue': {'clinical finding': 'soft tissue', 'existence': 'pos_dx', 'descriptive_term': 'soft', 'observation': 'tissue'}}location descriptor_fin: ['left']clinical findings_fin: {'innumerable low and high density left renal cysts': {'clinical finding': 'innumerable low and high density left renal cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'innumerable low and high density left renal', 'observation': 'cyst'}, 'polycystic kidney disease': {'clinical finding': 'polycystic kidney disease', 'cf_snomed': {'kidney disease': 90708001}, 'existence': 'pos_dx', 'descriptive_term': 'polycystic kidney', 'observation': 'disease'}}clinical findings_fin: {'ascites': {'clinical finding': 'ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'observation': 'ascite'}, 'peritoneal dialysis': {'clinical finding': 'peritoneal dialysis', 'existence': 'pos_dx', 'descriptive_term': 'peritoneal', 'observation': 'dialysis'}}object_fin: ['filter']clinical findings_fin: {'ivc filter is unchanged': {'clinical finding': 'ivc filter is unchanged', 'change_term': 'unchanged'}}location descriptor_fin: ['right', 'posterior']clinical findings_fin: {'right posterior exophytic thyroid nodule': {'clinical finding': 'right posterior exophytic thyroid nodule', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'right posterior exophytic thyroid', 'observation': 'nodule'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'diffuse osteopenia': {'clinical finding': 'diffuse osteopenia', 'cf_snomed': {'osteopenia': 312894000}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse', 'observation': 'osteopenia'}, 'renal osteodystrophy': {'clinical finding': 'renal osteodystrophy', 'cf_snomed': {'renal osteodystrophy': 16726004}, 'existence': 'unc_dx', 'descriptive_term': 'renal', 'observation': 'osteodystrophy'}}clinical findings_fin: {'basilar linear atelectasis': {'clinical finding': 'basilar linear atelectasis', 'cf_snomed': {'linear atelectasis': 11689004}, 'existence': 'pos_dx', 'descriptive_term': 'basilar linear', 'observation': 'atelectasis'}}anatomical entity_fin: {'rib': {}}location descriptor_fin: ['right']clinical findings_fin: {'hypermetabolic': {'clinical finding': 'hypermetabolic', 'existence': 'pos_dx', 'observation': 'hypermetabolic'}, 'underlying deformity': {'clinical finding': 'underlying deformity', 'cf_snomed': {'deformity': 417893002}, 'existence': 'pos_dx', 'descriptive_term': 'underlying', 'observation': 'deformity'}, 'fracture': {'clinical finding': 'fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'unc_dx', 'observation': 'fracture'}}location descriptor_fin: ['right']clinical findings_fin: {'single hypermetabolic intertrochanteric right femoral osseous lesion': {'clinical finding': 'single hypermetabolic intertrochanteric right femoral osseous lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'single hypermetabolic intertrochanteric right femoral osseous', 'observation': 'lesion', 'quantity_term': 'single'}}clinical findings_fin: {'this lesion': {'clinical finding': 'this lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'lesion'}}anatomical entity_fin: {'spine': {}, 'pelvis': {}}clinical findings_fin: {'additional lytic lesions': {'clinical finding': 'additional lytic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'additional lytic', 'observation': 'lesion'}, 'renal osteodystrophy': {'clinical finding': 'renal osteodystrophy', 'cf_snomed': {'renal osteodystrophy': 16726004}, 'existence': 'unc_dx', 'descriptive_term': 'renal', 'observation': 'osteodystrophy'}}anatomical entity_fin: {'anterior abdominal wall': {}}object_fin: ['catheter']clinical findings_fin: {'hypermetabolic nodular': {'clinical finding': 'hypermetabolic nodular', 'existence': 'pos_dx', 'descriptive_term': 'hypermetabolic', 'observation': 'nodular'}}anatomical entity_fin: {'wall': {}}location descriptor_fin: ['right']object_fin: ['catheter']clinical findings_fin: {'soft': {'clinical finding': 'soft', 'existence': 'pos_dx', 'observation': 'soft'}, 'hypermetabolic': {'clinical finding': 'hypermetabolic', 'existence': 'unc_dx', 'observation': 'hypermetabolic'}}anatomical entity_fin: {'spine': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'hypermetabolic focus': {'clinical finding': 'hypermetabolic focus', 'existence': 'pos_dx', 'descriptive_term': 'hypermetabolic', 'observation': 'focus'}, 'large anterior osteophyte': {'clinical finding': 'large anterior osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'large anterior', 'observation': 'osteophyte', 'strength_term': 'large'}}clinical findings_fin: {'thickening': {'clinical finding': 'thickening', 'existence': 'neg_dx', 'observation': 'thickening'}}anatomical entity_fin: {'left kidney': {}}clinical findings_fin: {'hypermetabolic tumor': {'clinical finding': 'hypermetabolic tumor', 'existence': 'neg_dx', 'descriptive_term': 'hypermetabolic', 'observation': 'tumor'}, 'second primary rcc': {'clinical finding': 'second primary rcc', 'existence': 'unc_dx', 'descriptive_term': 'second primary', 'observation': 'rcc'}}anatomical entity_fin: {'hips': {}, 'sacroiliac joints': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'hypermetabolic degenerative activity': {'clinical finding': 'hypermetabolic degenerative activity', 'existence': 'pos_dx', 'descriptive_term': 'hypermetabolic degenerative', 'observation': 'activity'}} [/INST] Todays CT portion grossly demonstrates calcifications posterior to the spinal cord at level of the foramen magnum at the craniocervical junction which are of uncertain etiology. There are postsurgical changes of right nephrectomy with soft tissue within the surgical bed. Innumerable low and high density left renal cysts compatible with history of polycystic kidney disease. A moderate amount of ascites associated with peritoneal dialysis is present. IVC filter is unchanged. There is been interval removal of a right posterior exophytic thyroid nodule. There is diffuse osteopenia with multiple lytic regions throughout the axial spine appearing similar to prior CTs and likely related to renal osteodystrophy. Basilar linear atelectasis. Todays PET examination demonstrates a hypermetabolic right ninth rib with underlying deformity suggestive of fracture. There is a single hypermetabolic intertrochanteric right femoral osseous lesion with no definite CT correlate. In retrospect, this lesion had minimally increased activity in prior bone scan. Additional lytic lesions throughout the spine and pelvis associated with renal osteodystrophy are not hypermetabolic. Hypermetabolic nodular region along the anterior abdominal wall is likely related to peritoneal dialysis catheter. Soft tissue infiltration along the right thoracoabdominal wall which is mildly hypermetabolic is likely related to prior peritoneal dialysis catheter. There is a hypermetabolic focus along the anterior aspect of the spine at T11-T12 corresponding to a large anterior osteophyte. Of note, no increased activity is seen within the area of soft tissue thickening within the surgical bed. No hypermetabolic tumor is seen within the left kidney to suggest a second primary RCC. Hypermetabolic degenerative activity is seen within the hips and bilateral sacroiliac joints. </s>

Again seen is hemorrhagic conversion of the previously seen right MCA territory infarct. The amount of intraparenchymal blood products is stable. There is associated surrounding vasogenic edema and mass effect resulting in sulcal effacement within the right frontal, right parietal, and right temporal lobes, effacement of the right lateral and third ventricles, and approximately 10 mm of leftward midline shift appearing similar to prior. Edema within the right mesial temporal lobe with mild effacement of the right perimesencephalic cistern appears similar to prior. No new intracranial hemorrhage. Ventricles are stable in size and configuration with stable blood products layering in the posterior horns of lateral ventricles. A partially visualized nasogastric tube is noted.

location descriptor_fin: ['right']clinical findings_fin: {'hemorrhagic': {'clinical finding': 'hemorrhagic', 'existence': 'pos_dx', 'observation': 'hemorrhagic'}, 'previously seen right mca territory infarct': {'clinical finding': 'previously seen right mca territory infarct', 'cf_snomed': {'infarct': 55641003}, 'existence': 'pos_dx', 'descriptive_term': 'previously seen right mca territory', 'observation': 'infarct'}}imaging observation_fin: ['blood products']clinical findings_fin: {'intraparenchymal blood products': {'clinical finding': 'intraparenchymal blood products', 'existence': 'pos_dx', 'descriptive_term': 'intraparenchymal blood', 'observation': 'product'}}size_fin: [{'size': '10 mm'}]anatomical entity_fin: {'right temporal lobes': {}, 'third ventricles': {}}location descriptor_fin: ['right', 'lateral', 'midline']clinical findings_fin: {'associated surrounding vasogenic edema': {'clinical finding': 'associated surrounding vasogenic edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'associated surrounding vasogenic', 'observation': 'edema'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'sulcal effacement': {'clinical finding': 'sulcal effacement', 'existence': 'pos_dx', 'descriptive_term': 'sulcal', 'observation': 'effacement'}, 'effacement': {'clinical finding': 'effacement', 'existence': 'pos_dx', 'observation': 'effacement'}, 'leftward midline shift': {'clinical finding': 'leftward midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'pos_dx', 'descriptive_term': 'leftward midline', 'observation': 'shift'}}anatomical entity_fin: {'temporal lobe': {}, 'perimesencephalic cistern': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'observation': 'edema'}, 'mild effacement': {'clinical finding': 'mild effacement', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'effacement', 'strength_term': 'mild'}}clinical findings_fin: {'new intracranial hemorrhage': {'clinical finding': 'new intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'new intracranial', 'observation': 'hemorrhage', 'temporal_term': 'new'}}anatomical entity_fin: {'lateral ventricles': {}}imaging observation_fin: ['blood products']location descriptor_fin: ['posterior']clinical findings_fin: {'stable blood products': {'clinical finding': 'stable blood products', 'existence': 'pos_dx', 'descriptive_term': 'stable blood', 'observation': 'product', 'strength_term': 'stable', 'change_term': 'stable'}}object_fin: ['nasogastric tube']clinical findings_fin: {'partially visualized nasogastric tube': {'clinical finding': 'partially visualized nasogastric tube', 'existence': 'pos_dx', 'descriptive_term': 'partially visualized nasogastric', 'observation': 'tube', 'strength_term': 'partially'}}

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: {'hemorrhagic': {'clinical finding': 'hemorrhagic', 'existence': 'pos_dx', 'observation': 'hemorrhagic'}, 'previously seen right mca territory infarct': {'clinical finding': 'previously seen right mca territory infarct', 'cf_snomed': {'infarct': 55641003}, 'existence': 'pos_dx', 'descriptive_term': 'previously seen right mca territory', 'observation': 'infarct'}}imaging observation_fin: ['blood products']clinical findings_fin: {'intraparenchymal blood products': {'clinical finding': 'intraparenchymal blood products', 'existence': 'pos_dx', 'descriptive_term': 'intraparenchymal blood', 'observation': 'product'}}size_fin: [{'size': '10 mm'}]anatomical entity_fin: {'right temporal lobes': {}, 'third ventricles': {}}location descriptor_fin: ['right', 'lateral', 'midline']clinical findings_fin: {'associated surrounding vasogenic edema': {'clinical finding': 'associated surrounding vasogenic edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'associated surrounding vasogenic', 'observation': 'edema'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'sulcal effacement': {'clinical finding': 'sulcal effacement', 'existence': 'pos_dx', 'descriptive_term': 'sulcal', 'observation': 'effacement'}, 'effacement': {'clinical finding': 'effacement', 'existence': 'pos_dx', 'observation': 'effacement'}, 'leftward midline shift': {'clinical finding': 'leftward midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'pos_dx', 'descriptive_term': 'leftward midline', 'observation': 'shift'}}anatomical entity_fin: {'temporal lobe': {}, 'perimesencephalic cistern': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'observation': 'edema'}, 'mild effacement': {'clinical finding': 'mild effacement', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'effacement', 'strength_term': 'mild'}}clinical findings_fin: {'new intracranial hemorrhage': {'clinical finding': 'new intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'new intracranial', 'observation': 'hemorrhage', 'temporal_term': 'new'}}anatomical entity_fin: {'lateral ventricles': {}}imaging observation_fin: ['blood products']location descriptor_fin: ['posterior']clinical findings_fin: {'stable blood products': {'clinical finding': 'stable blood products', 'existence': 'pos_dx', 'descriptive_term': 'stable blood', 'observation': 'product', 'strength_term': 'stable', 'change_term': 'stable'}}object_fin: ['nasogastric tube']clinical findings_fin: {'partially visualized nasogastric tube': {'clinical finding': 'partially visualized nasogastric tube', 'existence': 'pos_dx', 'descriptive_term': 'partially visualized nasogastric', 'observation': 'tube', 'strength_term': 'partially'}} [/INST] Again seen is hemorrhagic conversion of the previously seen right MCA territory infarct. The amount of intraparenchymal blood products is stable. There is associated surrounding vasogenic edema and mass effect resulting in sulcal effacement within the right frontal, right parietal, and right temporal lobes, effacement of the right lateral and third ventricles, and approximately 10 mm of leftward midline shift appearing similar to prior. Edema within the right mesial temporal lobe with mild effacement of the right perimesencephalic cistern appears similar to prior. No new intracranial hemorrhage. Ventricles are stable in size and configuration with stable blood products layering in the posterior horns of lateral ventricles. A partially visualized nasogastric tube is noted. </s>

. No suspicious new pulmonary abnormality, specifically no nodules or masses. No effusions. Mild emphysematous changes. No lymphadenopathy. The cardiac and pericardium are within limits other than pacer leads an artifactSmall hiatal hernia. Mild yet difficult to discern given artifact. Left chest wall pacemaker. Scattered degenerative changes without suspicious lytic or blastic lesions. Absence of enteric contrast material limits sensitivity for abdominal pathology. Large stable appearing right hepatic cyst and additional small hypodensities also suggestive of cysts. No suspicious new abnormalities. No significant abnormality noted. No significant abnormality noted. Stable small suspected hepatic cysts bilaterally. No significant abnormality noted. Atherosclerotic changes unchanged. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. No significant abnormality noted.

clinical findings_fin: {'suspicious new pulmonary abnormality': {'clinical finding': 'suspicious new pulmonary abnormality', 'existence': 'neg_dx', 'descriptive_term': 'suspicious new pulmonary', 'observation': 'abnormality', 'temporal_term': 'new'}, 'specifically no nodules': {'clinical finding': 'specifically no nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'specifically no', 'observation': 'nodule', 'quantity_term': 'no'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'effusions': {'clinical finding': 'effusions', 'cf_snomed': {'effusion': 41699000}, 'existence': 'neg_dx', 'observation': 'effusion'}}clinical findings_fin: {'mild emphysematous changes': {'clinical finding': 'mild emphysematous changes', 'existence': 'pos_dx', 'descriptive_term': 'mild emphysematous', 'observation': 'change', 'strength_term': 'mild'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'pericardium': {}}non-anatomical substance_fin: ['leads']clinical findings_fin: {'within limits': {'clinical finding': 'within limits', 'existence': 'pos_dx', 'descriptive_term': 'within', 'observation': 'limit'}, 'artifactsmall hiatal hernia': {'clinical finding': 'artifactsmall hiatal hernia', 'cf_snomed': {'hiatal hernia': 84089009}, 'existence': 'pos_dx', 'descriptive_term': 'artifactsmall hiatal', 'observation': 'hernia'}}clinical findings_fin: {'mild yet difficult to discern given artifact': {'clinical finding': 'mild yet difficult to discern given artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'mild yet difficult to discern given', 'observation': 'artifact', 'strength_term': 'mild'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'left'}}location descriptor_fin: ['left']object_fin: ['pacemaker']clinical findings_fin: {'scattered degenerative changes': {'clinical finding': 'scattered degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'scattered degenerative', 'observation': 'change'}, 'suspicious lytic or blastic lesions': {'clinical finding': 'suspicious lytic or blastic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious lytic or blastic', 'observation': 'lesion'}}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']clinical findings_fin: {'large stable appearing right hepatic cyst': {'clinical finding': 'large stable appearing right hepatic cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'large stable appearing right hepatic', 'observation': 'cyst', 'strength_term': 'large - stable', 'change_term': 'stable'}, 'additional small hypodensities': {'clinical finding': 'additional small hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'additional small', 'observation': 'hypodensity', 'strength_term': 'small'}, 'cysts': {'clinical finding': 'cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'unc_dx', 'observation': 'cyst'}}clinical findings_fin: {'suspicious new abnormalities': {'clinical finding': 'suspicious new abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'suspicious new', 'observation': 'abnormality', '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: {'stable small suspected hepatic cysts': {'clinical finding': 'stable small suspected hepatic cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'stable small suspected hepatic', 'observation': 'cyst', 'strength_term': 'stable - small', 'change_term': 'stable'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'atherosclerotic changes': {'clinical finding': 'atherosclerotic changes', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'change'}}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: clinical findings_fin: {'suspicious new pulmonary abnormality': {'clinical finding': 'suspicious new pulmonary abnormality', 'existence': 'neg_dx', 'descriptive_term': 'suspicious new pulmonary', 'observation': 'abnormality', 'temporal_term': 'new'}, 'specifically no nodules': {'clinical finding': 'specifically no nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'specifically no', 'observation': 'nodule', 'quantity_term': 'no'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'effusions': {'clinical finding': 'effusions', 'cf_snomed': {'effusion': 41699000}, 'existence': 'neg_dx', 'observation': 'effusion'}}clinical findings_fin: {'mild emphysematous changes': {'clinical finding': 'mild emphysematous changes', 'existence': 'pos_dx', 'descriptive_term': 'mild emphysematous', 'observation': 'change', 'strength_term': 'mild'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'pericardium': {}}non-anatomical substance_fin: ['leads']clinical findings_fin: {'within limits': {'clinical finding': 'within limits', 'existence': 'pos_dx', 'descriptive_term': 'within', 'observation': 'limit'}, 'artifactsmall hiatal hernia': {'clinical finding': 'artifactsmall hiatal hernia', 'cf_snomed': {'hiatal hernia': 84089009}, 'existence': 'pos_dx', 'descriptive_term': 'artifactsmall hiatal', 'observation': 'hernia'}}clinical findings_fin: {'mild yet difficult to discern given artifact': {'clinical finding': 'mild yet difficult to discern given artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'mild yet difficult to discern given', 'observation': 'artifact', 'strength_term': 'mild'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'left'}}location descriptor_fin: ['left']object_fin: ['pacemaker']clinical findings_fin: {'scattered degenerative changes': {'clinical finding': 'scattered degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'scattered degenerative', 'observation': 'change'}, 'suspicious lytic or blastic lesions': {'clinical finding': 'suspicious lytic or blastic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious lytic or blastic', 'observation': 'lesion'}}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']clinical findings_fin: {'large stable appearing right hepatic cyst': {'clinical finding': 'large stable appearing right hepatic cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'large stable appearing right hepatic', 'observation': 'cyst', 'strength_term': 'large - stable', 'change_term': 'stable'}, 'additional small hypodensities': {'clinical finding': 'additional small hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'additional small', 'observation': 'hypodensity', 'strength_term': 'small'}, 'cysts': {'clinical finding': 'cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'unc_dx', 'observation': 'cyst'}}clinical findings_fin: {'suspicious new abnormalities': {'clinical finding': 'suspicious new abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'suspicious new', 'observation': 'abnormality', '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: {'stable small suspected hepatic cysts': {'clinical finding': 'stable small suspected hepatic cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'stable small suspected hepatic', 'observation': 'cyst', 'strength_term': 'stable - small', 'change_term': 'stable'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'atherosclerotic changes': {'clinical finding': 'atherosclerotic changes', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'change'}}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] . No suspicious new pulmonary abnormality, specifically no nodules or masses. No effusions. Mild emphysematous changes. No lymphadenopathy. The cardiac and pericardium are within limits other than pacer leads an artifactSmall hiatal hernia. Mild yet difficult to discern given artifact. Left chest wall pacemaker. Scattered degenerative changes without suspicious lytic or blastic lesions. Absence of enteric contrast material limits sensitivity for abdominal pathology. Large stable appearing right hepatic cyst and additional small hypodensities also suggestive of cysts. No suspicious new abnormalities. No significant abnormality noted. No significant abnormality noted. Stable small suspected hepatic cysts bilaterally. No significant abnormality noted. Atherosclerotic changes unchanged. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. No significant abnormality noted. </s>

. No focal consolidation or pleural effusion. No suspicious pulmonary nodules. Liver enhances homogenously without focal lesion. Gallbladder is unremarkable. No significant abnormality noted. Pancreas is unremarkable. No adrenal nodularity or thickening. Left lower pole hypodense lesion, probable cyst, too small to characterize. No hydronephrosis or ureteronephrosis. No significant retroperitoneal lymphadenopathy. None. The stomach is normal in appearance. There is no gastric mass identified. The bowel is normal in caliber without evidence of obstruction or ileus. Metallic foreign body identified within the descending colon at the level of the iliac crest. Normal appendix identified. No significant abnormality noted. No significant abnormality noted. Intrauterine device in place. No significant abnormality noted. No inguinal, iliac chain, or pelvic lymphadenopathy. The bowel is normal in caliber without evidence of obstruction or ileus. Linear metallic foreign body identified within the descending colon at the level of the iliac crest. No significant abnormality noted. No significant abnormality noted.

clinical findings_fin: {'focal consolidation': {'clinical finding': 'focal consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'consolidation'}, 'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}clinical findings_fin: {'suspicious pulmonary nodules': {'clinical finding': 'suspicious pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'focal lesion': {'clinical finding': 'focal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'gallbladder is unremarkable': {'clinical finding': 'gallbladder is unremarkable'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'pancreas': {}}clinical findings_fin: {'pancreas is unremarkable': {'clinical finding': 'pancreas is unremarkable'}}clinical findings_fin: {'adrenal nodularity': {'clinical finding': 'adrenal nodularity', 'existence': 'neg_dx', 'descriptive_term': 'adrenal', 'observation': 'nodularity'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'neg_dx', 'observation': 'thickening'}}anatomical entity_fin: {'pole': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'left lower pole hypodense lesion': {'clinical finding': 'left lower pole hypodense lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'descriptive_term': 'left lower pole hypodense', 'observation': 'lesion'}, 'probable cyst': {'clinical finding': 'probable cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'probable', 'observation': 'cyst'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}, 'ureteronephrosis': {'clinical finding': 'ureteronephrosis', 'existence': 'neg_dx', 'observation': 'ureteronephrosis'}}clinical findings_fin: {'significant retroperitoneal lymphadenopathy': {'clinical finding': 'significant retroperitoneal lymphadenopathy', 'cf_snomed': {'retroperitoneal lymphadenopathy': 127154008}, 'existence': 'neg_dx', 'descriptive_term': 'significant retroperitoneal', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'stomach': {}}clinical findings_fin: {'stomach is normal in appearance': {'clinical finding': 'stomach is normal in appearance'}}clinical findings_fin: {'gastric mass': {'clinical finding': 'gastric mass', 'existence': 'neg_dx', 'descriptive_term': 'gastric', 'observation': 'mass'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}, 'ileus': {'clinical finding': 'ileus', 'existence': 'neg_dx', 'observation': 'ileus'}}anatomical entity_fin: {'descending colon': {}, 'iliac crest': {}}object_fin: ['foreign body']clinical findings_fin: {'metallic foreign body': {'clinical finding': 'metallic foreign body', 'cf_snomed': {'metallic foreign body': 422321007}, 'existence': 'pos_dx', 'descriptive_term': 'metallic foreign', 'observation': 'body'}}anatomical entity_fin: {'appendix': {}}clinical findings_fin: {'normal appendix identified': {'clinical finding': 'normal appendix identified'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}object_fin: ['intrauterine device']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'pelvic lymphadenopathy': {'clinical finding': 'pelvic lymphadenopathy', 'cf_snomed': {'pelvic lymphadenopathy': 127158006}, 'existence': 'neg_dx', 'descriptive_term': 'pelvic', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}, 'ileus': {'clinical finding': 'ileus', 'existence': 'neg_dx', 'observation': 'ileus'}}anatomical entity_fin: {'descending colon': {}, 'iliac crest': {}}object_fin: ['foreign body']clinical findings_fin: {'linear metallic foreign body': {'clinical finding': 'linear metallic foreign body', 'cf_snomed': {'metallic foreign body': 422321007}, 'existence': 'pos_dx', 'descriptive_term': 'linear metallic foreign', 'observation': 'body'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'focal consolidation': {'clinical finding': 'focal consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'consolidation'}, 'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}clinical findings_fin: {'suspicious pulmonary nodules': {'clinical finding': 'suspicious pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'focal lesion': {'clinical finding': 'focal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'gallbladder is unremarkable': {'clinical finding': 'gallbladder is unremarkable'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'pancreas': {}}clinical findings_fin: {'pancreas is unremarkable': {'clinical finding': 'pancreas is unremarkable'}}clinical findings_fin: {'adrenal nodularity': {'clinical finding': 'adrenal nodularity', 'existence': 'neg_dx', 'descriptive_term': 'adrenal', 'observation': 'nodularity'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'neg_dx', 'observation': 'thickening'}}anatomical entity_fin: {'pole': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'left lower pole hypodense lesion': {'clinical finding': 'left lower pole hypodense lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'descriptive_term': 'left lower pole hypodense', 'observation': 'lesion'}, 'probable cyst': {'clinical finding': 'probable cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'probable', 'observation': 'cyst'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}, 'ureteronephrosis': {'clinical finding': 'ureteronephrosis', 'existence': 'neg_dx', 'observation': 'ureteronephrosis'}}clinical findings_fin: {'significant retroperitoneal lymphadenopathy': {'clinical finding': 'significant retroperitoneal lymphadenopathy', 'cf_snomed': {'retroperitoneal lymphadenopathy': 127154008}, 'existence': 'neg_dx', 'descriptive_term': 'significant retroperitoneal', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'stomach': {}}clinical findings_fin: {'stomach is normal in appearance': {'clinical finding': 'stomach is normal in appearance'}}clinical findings_fin: {'gastric mass': {'clinical finding': 'gastric mass', 'existence': 'neg_dx', 'descriptive_term': 'gastric', 'observation': 'mass'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}, 'ileus': {'clinical finding': 'ileus', 'existence': 'neg_dx', 'observation': 'ileus'}}anatomical entity_fin: {'descending colon': {}, 'iliac crest': {}}object_fin: ['foreign body']clinical findings_fin: {'metallic foreign body': {'clinical finding': 'metallic foreign body', 'cf_snomed': {'metallic foreign body': 422321007}, 'existence': 'pos_dx', 'descriptive_term': 'metallic foreign', 'observation': 'body'}}anatomical entity_fin: {'appendix': {}}clinical findings_fin: {'normal appendix identified': {'clinical finding': 'normal appendix identified'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}object_fin: ['intrauterine device']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'pelvic lymphadenopathy': {'clinical finding': 'pelvic lymphadenopathy', 'cf_snomed': {'pelvic lymphadenopathy': 127158006}, 'existence': 'neg_dx', 'descriptive_term': 'pelvic', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}, 'ileus': {'clinical finding': 'ileus', 'existence': 'neg_dx', 'observation': 'ileus'}}anatomical entity_fin: {'descending colon': {}, 'iliac crest': {}}object_fin: ['foreign body']clinical findings_fin: {'linear metallic foreign body': {'clinical finding': 'linear metallic foreign body', 'cf_snomed': {'metallic foreign body': 422321007}, 'existence': 'pos_dx', 'descriptive_term': 'linear metallic foreign', 'observation': 'body'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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 consolidation or pleural effusion. No suspicious pulmonary nodules. Liver enhances homogenously without focal lesion. Gallbladder is unremarkable. No significant abnormality noted. Pancreas is unremarkable. No adrenal nodularity or thickening. Left lower pole hypodense lesion, probable cyst, too small to characterize. No hydronephrosis or ureteronephrosis. No significant retroperitoneal lymphadenopathy. None. The stomach is normal in appearance. There is no gastric mass identified. The bowel is normal in caliber without evidence of obstruction or ileus. Metallic foreign body identified within the descending colon at the level of the iliac crest. Normal appendix identified. No significant abnormality noted. No significant abnormality noted. Intrauterine device in place. No significant abnormality noted. No inguinal, iliac chain, or pelvic lymphadenopathy. The bowel is normal in caliber without evidence of obstruction or ileus. Linear metallic foreign body identified within the descending colon at the level of the iliac crest. No significant abnormality noted. No significant abnormality noted. </s>

. Technically adequate study to the subsegmental level. No evidence of acute pulmonary embolus. The main pulmonary artery is of normal caliber. Extensive centrilobular and paraseptal emphysema with large apical bulla. Bilateral pleural effusions and associated atelectasis. No suspicious pulmonary nodule or mass is identified. No definite pneumothorax is identified. Heart size is normal without significant pericardial effusion. Moderate pneumomediastinum tracking superiorly and out of field of view. Subcentimeter mediastinal nodes which are not enlarged by size criteria, nonspecific. Patulous esophagus and small hiatal hernia. Moderate. Extensive subcutaneous emphysema predominantly along the right chest wall, but more inferiorly also involves the left lateral body wall, likely postsurgical in nature, although somewhat greater than expected. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Foci of pneumoperitoneum in the upper abdomen is likely postsurgical in nature.

location descriptor_fin: ['subsegmental']clinical findings_fin: {'acute pulmonary embolus': {'clinical finding': 'acute pulmonary embolus', 'cf_snomed': {'embolus': 55584005}, 'existence': 'neg_dx', 'descriptive_term': 'acute pulmonary', 'observation': 'embolus', 'strength_term': 'acute', 'temporal_term': 'acute'}}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'}}anatomical entity_fin: {'bulla': {}}imaging observation_fin: ['apical']location descriptor_fin: ['centrilobular']clinical findings_fin: {'extensive centrilobular and paraseptal emphysema': {'clinical finding': 'extensive centrilobular and paraseptal emphysema', 'cf_snomed': {'paraseptal emphysema': 31898008}, 'existence': 'pos_dx', 'descriptive_term': 'extensive centrilobular and paraseptal', 'observation': 'emphysema', 'strength_term': 'extensive'}}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'}, 'associated atelectasis': {'clinical finding': 'associated atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'associated', 'observation': 'atelectasis'}}clinical findings_fin: {'suspicious pulmonary nodule': {'clinical finding': 'suspicious pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'definite pneumothorax': {'clinical finding': 'definite pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'descriptive_term': 'definite', 'observation': 'pneumothorax'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}clinical findings_fin: {'moderate pneumomediastinum': {'clinical finding': 'moderate pneumomediastinum', 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'pneumomediastinum', 'strength_term': 'moderate'}}clinical findings_fin: {'subcentimeter mediastinal nodes': {'clinical finding': 'subcentimeter mediastinal nodes', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter mediastinal', 'observation': 'node'}, 'enlarged': {'clinical finding': 'enlarged', 'existence': 'neg_dx', 'observation': 'enlarged'}}anatomical entity_fin: {'esophagus': {}}clinical findings_fin: {'small hiatal hernia': {'clinical finding': 'small hiatal hernia', 'cf_snomed': {'hiatal hernia': 84089009}, 'existence': 'pos_dx', 'descriptive_term': 'small hiatal', 'observation': 'hernia', 'strength_term': 'small'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'right'}, 'body wall': {'location descriptor': 'left lateral'}}location descriptor_fin: ['right', 'left', 'lateral']clinical findings_fin: {'extensive subcutaneous emphysema': {'clinical finding': 'extensive subcutaneous emphysema', 'cf_snomed': {'subcutaneous emphysema': 3830001}, 'existence': 'pos_dx', 'descriptive_term': 'extensive subcutaneous', 'observation': 'emphysema', 'strength_term': 'extensive'}}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': {}}imaging observation_fin: ['foci']clinical findings_fin: {'pneumoperitoneum': {'clinical finding': 'pneumoperitoneum', 'cf_snomed': {'pneumoperitoneum': 17204006}, 'existence': 'pos_dx', 'observation': 'pneumoperitoneum'}}

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: ['subsegmental']clinical findings_fin: {'acute pulmonary embolus': {'clinical finding': 'acute pulmonary embolus', 'cf_snomed': {'embolus': 55584005}, 'existence': 'neg_dx', 'descriptive_term': 'acute pulmonary', 'observation': 'embolus', 'strength_term': 'acute', 'temporal_term': 'acute'}}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'}}anatomical entity_fin: {'bulla': {}}imaging observation_fin: ['apical']location descriptor_fin: ['centrilobular']clinical findings_fin: {'extensive centrilobular and paraseptal emphysema': {'clinical finding': 'extensive centrilobular and paraseptal emphysema', 'cf_snomed': {'paraseptal emphysema': 31898008}, 'existence': 'pos_dx', 'descriptive_term': 'extensive centrilobular and paraseptal', 'observation': 'emphysema', 'strength_term': 'extensive'}}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'}, 'associated atelectasis': {'clinical finding': 'associated atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'associated', 'observation': 'atelectasis'}}clinical findings_fin: {'suspicious pulmonary nodule': {'clinical finding': 'suspicious pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'definite pneumothorax': {'clinical finding': 'definite pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'descriptive_term': 'definite', 'observation': 'pneumothorax'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}clinical findings_fin: {'moderate pneumomediastinum': {'clinical finding': 'moderate pneumomediastinum', 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'pneumomediastinum', 'strength_term': 'moderate'}}clinical findings_fin: {'subcentimeter mediastinal nodes': {'clinical finding': 'subcentimeter mediastinal nodes', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter mediastinal', 'observation': 'node'}, 'enlarged': {'clinical finding': 'enlarged', 'existence': 'neg_dx', 'observation': 'enlarged'}}anatomical entity_fin: {'esophagus': {}}clinical findings_fin: {'small hiatal hernia': {'clinical finding': 'small hiatal hernia', 'cf_snomed': {'hiatal hernia': 84089009}, 'existence': 'pos_dx', 'descriptive_term': 'small hiatal', 'observation': 'hernia', 'strength_term': 'small'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'right'}, 'body wall': {'location descriptor': 'left lateral'}}location descriptor_fin: ['right', 'left', 'lateral']clinical findings_fin: {'extensive subcutaneous emphysema': {'clinical finding': 'extensive subcutaneous emphysema', 'cf_snomed': {'subcutaneous emphysema': 3830001}, 'existence': 'pos_dx', 'descriptive_term': 'extensive subcutaneous', 'observation': 'emphysema', 'strength_term': 'extensive'}}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': {}}imaging observation_fin: ['foci']clinical findings_fin: {'pneumoperitoneum': {'clinical finding': 'pneumoperitoneum', 'cf_snomed': {'pneumoperitoneum': 17204006}, 'existence': 'pos_dx', 'observation': 'pneumoperitoneum'}} [/INST] . Technically adequate study to the subsegmental level. No evidence of acute pulmonary embolus. The main pulmonary artery is of normal caliber. Extensive centrilobular and paraseptal emphysema with large apical bulla. Bilateral pleural effusions and associated atelectasis. No suspicious pulmonary nodule or mass is identified. No definite pneumothorax is identified. Heart size is normal without significant pericardial effusion. Moderate pneumomediastinum tracking superiorly and out of field of view. Subcentimeter mediastinal nodes which are not enlarged by size criteria, nonspecific. Patulous esophagus and small hiatal hernia. Moderate. Extensive subcutaneous emphysema predominantly along the right chest wall, but more inferiorly also involves the left lateral body wall, likely postsurgical in nature, although somewhat greater than expected. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Foci of pneumoperitoneum in the upper abdomen is likely postsurgical in nature. </s>

There is no intracranial hemorrhage. Gray-white matter differentiation is preserved. There are no areas of abnormal attenuation. The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no extraaxial fluid collection. The visualized portions of the paranasal sinuses and mastoids and middle ears are grossly clear. The calvarium is intact.

clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}clinical findings_fin: {'gray-white matter differentiation': {'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'}}clinical findings_fin: {'abnormal attenuation': {'clinical finding': 'abnormal attenuation', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'attenuation'}}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: {'extraaxial fluid collection': {'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'}}anatomical entity_fin: {'paranasal sinuses': {}, 'middle ears': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}

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

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}clinical findings_fin: {'gray-white matter differentiation': {'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'}}clinical findings_fin: {'abnormal attenuation': {'clinical finding': 'abnormal attenuation', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'attenuation'}}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: {'extraaxial fluid collection': {'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'}}anatomical entity_fin: {'paranasal sinuses': {}, 'middle ears': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}} [/INST] There is no intracranial hemorrhage. Gray-white matter differentiation is preserved. There are no areas of abnormal attenuation. The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no extraaxial fluid collection. The visualized portions of the paranasal sinuses and mastoids and middle ears are grossly clear. The calvarium is intact. </s>

. Please see the separately dictated report of the dedicated CT of the chest regarding intrathoracic disease. Stable right hepatic lobe cysts. No new suspicious lesion, biliary ductal dilatation or vascular abnormality. No significant abnormality noted. Atrophic pancreas with scattered calcifications. Stable pancreatic tail hypodense lesion measuring 2.2 x 1.3 cm. No acute peripancreatic inflammatory changes. No significant abnormality noted. Bilateral simple cysts and 2 small to characterize hypodensities, likely cysts. No hydronephrosis. Retrocaval reference soft tissue nodule measures 2.1 x 1.6 cm , compared to 1.8 x 1.3 cm previously. Moderate atherosclerotic calcification at the aortic branch vessel origins. Moderate. Colonic diverticulosis without acute diverticulitis. No evidence of small bowel obstruction. Moderate volume of abdominopelvic ascites, increased from the prior study. There are regions of peritoneal thickening. There is soft tissue nodularity and thickening of the omentum appearing subjectively increased in volume compared to the prior study. This disease is difficult to accurately measure. Using similar technique to the prior the degree of soft tissue thickening in the left upper quadrant measures approximately 1.6 cm , unchanged. Degenerative changes of the thoracolumbar spine. No significant abnormality noted. Prostatomegaly. No significant abnormality noted. No significant abnormality noted. Increased abdominopelvic ascites. No significant abnormality noted. No significant abnormality noted

anatomical entity_fin: {'chest': {}}clinical findings_fin: {'intrathoracic disease': {'clinical finding': 'intrathoracic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'intrathoracic', 'observation': 'disease'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'stable right hepatic lobe cysts': {'clinical finding': 'stable right hepatic lobe cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'stable right hepatic lobe', 'observation': 'cyst', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'new suspicious lesion': {'clinical finding': 'new suspicious lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'new suspicious', 'observation': 'lesion', 'temporal_term': 'new'}, 'vascular abnormality': {'clinical finding': 'vascular abnormality', 'existence': 'neg_dx', 'descriptive_term': 'vascular', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'pancreas': {}}clinical findings_fin: {'scattered calcifications': {'clinical finding': 'scattered calcifications', 'existence': 'pos_dx', 'descriptive_term': 'scattered', 'observation': 'calcification'}}size_fin: [{'size': '2.2 x 1.3 cm', 'size_descriptor': 'lesion'}]clinical findings_fin: {'stable pancreatic tail hypodense lesion': {'clinical finding': 'stable pancreatic tail hypodense lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'stable pancreatic tail hypodense', 'observation': 'lesion', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'acute peripancreatic inflammatory changes': {'clinical finding': 'acute peripancreatic inflammatory changes', 'existence': 'neg_dx', 'descriptive_term': 'acute peripancreatic inflammatory', 'observation': 'change', 'strength_term': 'acute', 'temporal_term': 'acute'}}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 simple cysts': {'clinical finding': 'bilateral simple cysts', 'cf_snomed': {'simple cyst': 367644007}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral simple', 'observation': 'cyst'}, 'hypodensities': {'clinical finding': 'hypodensities', 'existence': 'pos_dx', 'observation': 'hypodensity'}, 'likely cysts': {'clinical finding': 'likely cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'likely', 'observation': 'cyst'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}size_fin: [{'size': '2.1 x 1.6 cm'}, {'size': '1.8 x 1.3 cm'}]clinical findings_fin: {'retrocaval reference soft tissue nodule': {'clinical finding': 'retrocaval reference soft tissue nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'retrocaval reference soft tissue', 'observation': 'nodule'}}anatomical entity_fin: {'origins': {}}clinical findings_fin: {'moderate atherosclerotic calcification': {'clinical finding': 'moderate atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'moderate atherosclerotic', 'observation': 'calcification', 'strength_term': 'moderate'}}clinical findings_fin: {'colonic diverticulosis': {'clinical finding': 'colonic diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'colonic', '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: {'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'}}clinical findings_fin: {'abdominopelvic ascites': {'clinical finding': 'abdominopelvic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'abdominopelvic', 'observation': 'ascite'}}clinical findings_fin: {'peritoneal thickening': {'clinical finding': 'peritoneal thickening', 'existence': 'pos_dx', 'descriptive_term': 'peritoneal', 'observation': 'thickening'}}anatomical entity_fin: {'omentum': {}}clinical findings_fin: {'soft tissue nodularity': {'clinical finding': 'soft tissue nodularity', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'nodularity'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}}clinical findings_fin: {'this disease': {'clinical finding': 'this disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'this', 'observation': 'disease'}}size_fin: [{'size': '1.6 cm'}]anatomical entity_fin: {'quadrant': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'soft tissue thickening': {'clinical finding': 'soft tissue thickening', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'thickening'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'increased abdominopelvic ascites': {'clinical finding': 'increased abdominopelvic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'increased abdominopelvic', 'observation': 'ascite', 'strength_term': 'increased', 'change_term': 'increased'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'chest': {}}clinical findings_fin: {'intrathoracic disease': {'clinical finding': 'intrathoracic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'intrathoracic', 'observation': 'disease'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'stable right hepatic lobe cysts': {'clinical finding': 'stable right hepatic lobe cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'stable right hepatic lobe', 'observation': 'cyst', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'new suspicious lesion': {'clinical finding': 'new suspicious lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'new suspicious', 'observation': 'lesion', 'temporal_term': 'new'}, 'vascular abnormality': {'clinical finding': 'vascular abnormality', 'existence': 'neg_dx', 'descriptive_term': 'vascular', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'pancreas': {}}clinical findings_fin: {'scattered calcifications': {'clinical finding': 'scattered calcifications', 'existence': 'pos_dx', 'descriptive_term': 'scattered', 'observation': 'calcification'}}size_fin: [{'size': '2.2 x 1.3 cm', 'size_descriptor': 'lesion'}]clinical findings_fin: {'stable pancreatic tail hypodense lesion': {'clinical finding': 'stable pancreatic tail hypodense lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'stable pancreatic tail hypodense', 'observation': 'lesion', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'acute peripancreatic inflammatory changes': {'clinical finding': 'acute peripancreatic inflammatory changes', 'existence': 'neg_dx', 'descriptive_term': 'acute peripancreatic inflammatory', 'observation': 'change', 'strength_term': 'acute', 'temporal_term': 'acute'}}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 simple cysts': {'clinical finding': 'bilateral simple cysts', 'cf_snomed': {'simple cyst': 367644007}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral simple', 'observation': 'cyst'}, 'hypodensities': {'clinical finding': 'hypodensities', 'existence': 'pos_dx', 'observation': 'hypodensity'}, 'likely cysts': {'clinical finding': 'likely cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'likely', 'observation': 'cyst'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}size_fin: [{'size': '2.1 x 1.6 cm'}, {'size': '1.8 x 1.3 cm'}]clinical findings_fin: {'retrocaval reference soft tissue nodule': {'clinical finding': 'retrocaval reference soft tissue nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'retrocaval reference soft tissue', 'observation': 'nodule'}}anatomical entity_fin: {'origins': {}}clinical findings_fin: {'moderate atherosclerotic calcification': {'clinical finding': 'moderate atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'moderate atherosclerotic', 'observation': 'calcification', 'strength_term': 'moderate'}}clinical findings_fin: {'colonic diverticulosis': {'clinical finding': 'colonic diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'colonic', '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: {'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'}}clinical findings_fin: {'abdominopelvic ascites': {'clinical finding': 'abdominopelvic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'abdominopelvic', 'observation': 'ascite'}}clinical findings_fin: {'peritoneal thickening': {'clinical finding': 'peritoneal thickening', 'existence': 'pos_dx', 'descriptive_term': 'peritoneal', 'observation': 'thickening'}}anatomical entity_fin: {'omentum': {}}clinical findings_fin: {'soft tissue nodularity': {'clinical finding': 'soft tissue nodularity', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'nodularity'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}}clinical findings_fin: {'this disease': {'clinical finding': 'this disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'this', 'observation': 'disease'}}size_fin: [{'size': '1.6 cm'}]anatomical entity_fin: {'quadrant': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'soft tissue thickening': {'clinical finding': 'soft tissue thickening', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'thickening'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'increased abdominopelvic ascites': {'clinical finding': 'increased abdominopelvic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'increased abdominopelvic', 'observation': 'ascite', 'strength_term': 'increased', 'change_term': 'increased'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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] . Please see the separately dictated report of the dedicated CT of the chest regarding intrathoracic disease. Stable right hepatic lobe cysts. No new suspicious lesion, biliary ductal dilatation or vascular abnormality. No significant abnormality noted. Atrophic pancreas with scattered calcifications. Stable pancreatic tail hypodense lesion measuring 2.2 x 1.3 cm. No acute peripancreatic inflammatory changes. No significant abnormality noted. Bilateral simple cysts and 2 small to characterize hypodensities, likely cysts. No hydronephrosis. Retrocaval reference soft tissue nodule measures 2.1 x 1.6 cm , compared to 1.8 x 1.3 cm previously. Moderate atherosclerotic calcification at the aortic branch vessel origins. Moderate. Colonic diverticulosis without acute diverticulitis. No evidence of small bowel obstruction. Moderate volume of abdominopelvic ascites, increased from the prior study. There are regions of peritoneal thickening. There is soft tissue nodularity and thickening of the omentum appearing subjectively increased in volume compared to the prior study. This disease is difficult to accurately measure. Using similar technique to the prior the degree of soft tissue thickening in the left upper quadrant measures approximately 1.6 cm , unchanged. Degenerative changes of the thoracolumbar spine. No significant abnormality noted. Prostatomegaly. No significant abnormality noted. No significant abnormality noted. Increased abdominopelvic ascites. No significant abnormality noted. No significant abnormality noted </s>

. The frontal sinus and frontoethmoidal recesses are clear. The anterior ethmoid air cells are clear. The maxillary sinuses are clear. The ostiomeatal units are clear. The posterior ethmoid air cells are clear. The sphenoid sinus and bilateral sphenoethmoidal recesses are clear. There is mild leftward nasal septal deviation with 3 mm leftward directed bony spur. There is partial paradoxical configuration of the middle turbinates. The nasal turbinate morphology is otherwise within normal limits. The nasal cavity is clear. The lamina papyracea are intact. The roof of the ethmoids is relatively symmetric. There is a punctate left-sided tonsillith.

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: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'ostiomeatal units': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'cells': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'sphenoid sinus': {}, 'sphenoethmoidal recesses': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}size_fin: [{'size': '3 mm', 'size_descriptor': 'spur'}]clinical findings_fin: {'3 mm leftward directed bony spur': {'clinical finding': '3 mm leftward directed bony spur', 'existence': 'pos_dx', 'descriptive_term': '3 mm leftward directed bony', 'observation': 'spur'}}anatomical entity_fin: {'middle': {}}clinical findings_fin: {'partial paradoxical configuration': {'clinical finding': 'partial paradoxical configuration', 'existence': 'pos_dx', 'descriptive_term': 'partial paradoxical', 'observation': 'configuration', 'strength_term': 'partial'}}anatomical entity_fin: {'nasal turbinate': {}}clinical findings_fin: {'nasal turbinate morphology is otherwise within normal limits': {'clinical finding': 'nasal turbinate morphology is otherwise within normal limits'}}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'}}location descriptor_fin: ['left']clinical findings_fin: {'punctate left-sided tonsillith': {'clinical finding': 'punctate left-sided tonsillith', 'existence': 'pos_dx', 'descriptive_term': 'punctate left-sided', 'observation': 'tonsillith'}}

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: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'ostiomeatal units': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'cells': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'sphenoid sinus': {}, 'sphenoethmoidal recesses': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}size_fin: [{'size': '3 mm', 'size_descriptor': 'spur'}]clinical findings_fin: {'3 mm leftward directed bony spur': {'clinical finding': '3 mm leftward directed bony spur', 'existence': 'pos_dx', 'descriptive_term': '3 mm leftward directed bony', 'observation': 'spur'}}anatomical entity_fin: {'middle': {}}clinical findings_fin: {'partial paradoxical configuration': {'clinical finding': 'partial paradoxical configuration', 'existence': 'pos_dx', 'descriptive_term': 'partial paradoxical', 'observation': 'configuration', 'strength_term': 'partial'}}anatomical entity_fin: {'nasal turbinate': {}}clinical findings_fin: {'nasal turbinate morphology is otherwise within normal limits': {'clinical finding': 'nasal turbinate morphology is otherwise within normal limits'}}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'}}location descriptor_fin: ['left']clinical findings_fin: {'punctate left-sided tonsillith': {'clinical finding': 'punctate left-sided tonsillith', 'existence': 'pos_dx', 'descriptive_term': 'punctate left-sided', 'observation': 'tonsillith'}} [/INST] . The frontal sinus and frontoethmoidal recesses are clear. The anterior ethmoid air cells are clear. The maxillary sinuses are clear. The ostiomeatal units are clear. The posterior ethmoid air cells are clear. The sphenoid sinus and bilateral sphenoethmoidal recesses are clear. There is mild leftward nasal septal deviation with 3 mm leftward directed bony spur. There is partial paradoxical configuration of the middle turbinates. The nasal turbinate morphology is otherwise within normal limits. The nasal cavity is clear. The lamina papyracea are intact. The roof of the ethmoids is relatively symmetric. There is a punctate left-sided tonsillith. </s>

. Small left pleural effusion with overlying atelectasis. Multiple micronodules all less than 5 mm in diameter, is at least one likely an intrapulmonary lymph node, possibly benign although given the patients metastatic disease elsewhere could just as easily be metastatic. Asymmetric thyroid enlargement. Tortuous brachiocephalic vessels. No lymphadenopathy identified. Moderate cardiomegaly. None. 11 mm left axillary lymph node, possible low density related to chronic center, with prominent left axillary nodes elsewhere. Absence of enteric contrast material limits sensitivity for abdominal pathology. See recent abdomen CT report for its description of extensive pancreatic metastatic disease.

location descriptor_fin: ['left']clinical findings_fin: {'small left pleural effusion': {'clinical finding': 'small left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'small left pleural', 'observation': 'effusion', 'strength_term': 'small'}, 'overlying atelectasis': {'clinical finding': 'overlying atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'overlying', 'observation': 'atelectasis'}}size_fin: [{'size': '5 mm'}]clinical findings_fin: {'multiple micronodules': {'clinical finding': 'multiple micronodules', 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'micronodule', 'quantity_term': 'multiple'}, 'at least one likely an intrapulmonary lymph node': {'clinical finding': 'at least one likely an intrapulmonary lymph node', 'existence': 'pos_dx', 'descriptive_term': 'at least one likely an intrapulmonary lymph', 'observation': 'node'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}, 'metastatic': {'clinical finding': 'metastatic', 'existence': 'unc_dx', 'observation': 'metastatic'}}clinical findings_fin: {'tortuous brachiocephalic vessels': {'clinical finding': 'tortuous brachiocephalic vessels'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'moderate cardiomegaly': {'clinical finding': 'moderate cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'cardiomegaly', 'strength_term': 'moderate'}}size_fin: [{'size': '11 mm', 'size_descriptor': 'node'}]anatomical entity_fin: {'axillary lymph node': {'location descriptor': 'left'}}location descriptor_fin: ['left', 'center']clinical findings_fin: {'11 mm left axillary lymph node': {'clinical finding': '11 mm left axillary lymph node', 'existence': 'pos_dx', 'descriptive_term': '11 mm left axillary lymph', 'observation': 'node'}, 'prominent left axillary nodes': {'clinical finding': 'prominent left axillary nodes', 'existence': 'pos_dx', 'descriptive_term': 'prominent left axillary', 'observation': 'node', 'strength_term': 'prominent'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'abdomen': {}}clinical findings_fin: {'extensive pancreatic metastatic disease': {'clinical finding': 'extensive pancreatic metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'extensive pancreatic metastatic', 'observation': 'disease', 'strength_term': 'extensive'}}

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 pleural effusion': {'clinical finding': 'small left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'small left pleural', 'observation': 'effusion', 'strength_term': 'small'}, 'overlying atelectasis': {'clinical finding': 'overlying atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'overlying', 'observation': 'atelectasis'}}size_fin: [{'size': '5 mm'}]clinical findings_fin: {'multiple micronodules': {'clinical finding': 'multiple micronodules', 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'micronodule', 'quantity_term': 'multiple'}, 'at least one likely an intrapulmonary lymph node': {'clinical finding': 'at least one likely an intrapulmonary lymph node', 'existence': 'pos_dx', 'descriptive_term': 'at least one likely an intrapulmonary lymph', 'observation': 'node'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}, 'metastatic': {'clinical finding': 'metastatic', 'existence': 'unc_dx', 'observation': 'metastatic'}}clinical findings_fin: {'tortuous brachiocephalic vessels': {'clinical finding': 'tortuous brachiocephalic vessels'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'moderate cardiomegaly': {'clinical finding': 'moderate cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'cardiomegaly', 'strength_term': 'moderate'}}size_fin: [{'size': '11 mm', 'size_descriptor': 'node'}]anatomical entity_fin: {'axillary lymph node': {'location descriptor': 'left'}}location descriptor_fin: ['left', 'center']clinical findings_fin: {'11 mm left axillary lymph node': {'clinical finding': '11 mm left axillary lymph node', 'existence': 'pos_dx', 'descriptive_term': '11 mm left axillary lymph', 'observation': 'node'}, 'prominent left axillary nodes': {'clinical finding': 'prominent left axillary nodes', 'existence': 'pos_dx', 'descriptive_term': 'prominent left axillary', 'observation': 'node', 'strength_term': 'prominent'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'abdomen': {}}clinical findings_fin: {'extensive pancreatic metastatic disease': {'clinical finding': 'extensive pancreatic metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'extensive pancreatic metastatic', 'observation': 'disease', 'strength_term': 'extensive'}} [/INST] . Small left pleural effusion with overlying atelectasis. Multiple micronodules all less than 5 mm in diameter, is at least one likely an intrapulmonary lymph node, possibly benign although given the patients metastatic disease elsewhere could just as easily be metastatic. Asymmetric thyroid enlargement. Tortuous brachiocephalic vessels. No lymphadenopathy identified. Moderate cardiomegaly. None. 11 mm left axillary lymph node, possible low density related to chronic center, with prominent left axillary nodes elsewhere. Absence of enteric contrast material limits sensitivity for abdominal pathology. See recent abdomen CT report for its description of extensive pancreatic metastatic disease. </s>

There is no intracranial hemorrhage, edema, midline shift, or abnormal extraaxial fluid collections. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is preserved. There is minimal periventricular white matter hypoattenuation including the anterior limb of the right internal capsule and compatible with age-indeterminate small vessel ischemic changes. A partially empty sella is incidentally noted. The osseous structures are intact. The maxillary sinuses are incompletely visualized but appear clear. The remainder of the paranasal sinuses remain clear. The mastoid air cells are clear.

anatomical entity_fin: {'fluid': {}}location descriptor_fin: ['midline']clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'observation': 'edema'}}clinical findings_fin: {'symmetric': {'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'}}clinical findings_fin: {'gray-white matter differentiation': {'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'}}anatomical entity_fin: {'right internal capsule': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'minimal periventricular white matter hypoattenuation': {'clinical finding': 'minimal periventricular white matter hypoattenuation', 'cf_snomed': {'periventricular white matter': 37065005}, 'existence': 'pos_dx', 'descriptive_term': 'minimal periventricular white matter', 'observation': 'hypoattenuation', 'strength_term': 'minimal', 'quantity_term': 'minimal'}, 'age-indeterminate small vessel ischemic changes': {'clinical finding': 'age-indeterminate small vessel ischemic changes', 'existence': 'pos_dx', 'descriptive_term': 'age-indeterminate small vessel ischemic', 'observation': 'change', 'strength_term': 'small'}}clinical findings_fin: {'empty sella is incidentally noted': {'clinical finding': 'empty sella is incidentally noted'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}

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

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'fluid': {}}location descriptor_fin: ['midline']clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'observation': 'edema'}}clinical findings_fin: {'symmetric': {'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'}}clinical findings_fin: {'gray-white matter differentiation': {'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'}}anatomical entity_fin: {'right internal capsule': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'minimal periventricular white matter hypoattenuation': {'clinical finding': 'minimal periventricular white matter hypoattenuation', 'cf_snomed': {'periventricular white matter': 37065005}, 'existence': 'pos_dx', 'descriptive_term': 'minimal periventricular white matter', 'observation': 'hypoattenuation', 'strength_term': 'minimal', 'quantity_term': 'minimal'}, 'age-indeterminate small vessel ischemic changes': {'clinical finding': 'age-indeterminate small vessel ischemic changes', 'existence': 'pos_dx', 'descriptive_term': 'age-indeterminate small vessel ischemic', 'observation': 'change', 'strength_term': 'small'}}clinical findings_fin: {'empty sella is incidentally noted': {'clinical finding': 'empty sella is incidentally noted'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}} [/INST] There is no intracranial hemorrhage, edema, midline shift, or abnormal extraaxial fluid collections. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is preserved. There is minimal periventricular white matter hypoattenuation including the anterior limb of the right internal capsule and compatible with age-indeterminate small vessel ischemic changes. A partially empty sella is incidentally noted. The osseous structures are intact. The maxillary sinuses are incompletely visualized but appear clear. The remainder of the paranasal sinuses remain clear. The mastoid air cells are clear. </s>

The CSF spaces are appropriate for the patients stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma. The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. The eye lenses are thin. Atherosclerotic calcifications are present along the distal internal carotid arteries.

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

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

<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['midline']clinical findings_fin: {'midline shift': {'clinical finding': 'midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'}}clinical findings_fin: {'abnormal mass lesions': {'clinical finding': 'abnormal mass lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'abnormal mass', 'observation': 'lesion'}}clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}anatomical entity_fin: {'brain': {}, 'parenchyma': {}}clinical findings_fin: {'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'observation': 'edema'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}anatomical entity_fin: {'eye': {}}clinical findings_fin: {'eye lenses': {'clinical finding': 'eye lenses', 'existence': 'pos_dx', 'descriptive_term': 'eye', 'observation': 'lense'}}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'}} [/INST] The CSF spaces are appropriate for the patients stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma. The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. The eye lenses are thin. Atherosclerotic calcifications are present along the distal internal carotid arteries. </s>

. Stable 5 mm right lower lobe micronodule. Cholelithiasis without acute inflammation or ductal dilatation. No significant abnormality noted. No significant abnormality noted. Stable right myelolipoma. Bilateral native renal atrophy. No significant abnormality noted. Mild. No significant abnormality noted. Renal osteodystrophy. No significant abnormality noted. Fibroid uterus. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Renal osteodystrophy. No significant abnormality noted

size_fin: [{'size': '5 mm', 'size_descriptor': 'micronodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'stable 5 mm right lower lobe micronodule': {'clinical finding': 'stable 5 mm right lower lobe micronodule', 'existence': 'pos_dx', 'descriptive_term': 'stable 5 mm right lower lobe', 'observation': 'micronodule', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'}, 'acute inflammation': {'clinical finding': 'acute inflammation', 'cf_snomed': {'acute inflammation': 4532008}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'inflammation', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'ductal dilatation': {'clinical finding': 'ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'descriptive_term': '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'}}location descriptor_fin: ['right']clinical findings_fin: {'stable right myelolipoma': {'clinical finding': 'stable right myelolipoma', 'cf_snomed': {'myelolipoma': 20810002}, 'existence': 'pos_dx', 'descriptive_term': 'stable right', 'observation': 'myelolipoma', 'strength_term': 'stable', 'change_term': 'stable'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral native renal atrophy': {'clinical finding': 'bilateral native renal atrophy', 'cf_snomed': {'atrophy': 13331008}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral native renal', 'observation': 'atrophy'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'renal osteodystrophy': {'clinical finding': 'renal osteodystrophy', 'cf_snomed': {'renal osteodystrophy': 16726004}, 'existence': 'pos_dx', 'descriptive_term': 'renal', 'observation': 'osteodystrophy'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'uterus': {}}clinical findings_fin: {'fibroid uterus': {'clinical finding': 'fibroid uterus'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'renal osteodystrophy': {'clinical finding': 'renal osteodystrophy', 'cf_snomed': {'renal osteodystrophy': 16726004}, 'existence': 'pos_dx', 'descriptive_term': 'renal', 'observation': 'osteodystrophy'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}

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

<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: [{'size': '5 mm', 'size_descriptor': 'micronodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'stable 5 mm right lower lobe micronodule': {'clinical finding': 'stable 5 mm right lower lobe micronodule', 'existence': 'pos_dx', 'descriptive_term': 'stable 5 mm right lower lobe', 'observation': 'micronodule', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'}, 'acute inflammation': {'clinical finding': 'acute inflammation', 'cf_snomed': {'acute inflammation': 4532008}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'inflammation', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'ductal dilatation': {'clinical finding': 'ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'descriptive_term': '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'}}location descriptor_fin: ['right']clinical findings_fin: {'stable right myelolipoma': {'clinical finding': 'stable right myelolipoma', 'cf_snomed': {'myelolipoma': 20810002}, 'existence': 'pos_dx', 'descriptive_term': 'stable right', 'observation': 'myelolipoma', 'strength_term': 'stable', 'change_term': 'stable'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral native renal atrophy': {'clinical finding': 'bilateral native renal atrophy', 'cf_snomed': {'atrophy': 13331008}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral native renal', 'observation': 'atrophy'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'renal osteodystrophy': {'clinical finding': 'renal osteodystrophy', 'cf_snomed': {'renal osteodystrophy': 16726004}, 'existence': 'pos_dx', 'descriptive_term': 'renal', 'observation': 'osteodystrophy'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'uterus': {}}clinical findings_fin: {'fibroid uterus': {'clinical finding': 'fibroid uterus'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'renal osteodystrophy': {'clinical finding': 'renal osteodystrophy', 'cf_snomed': {'renal osteodystrophy': 16726004}, 'existence': 'pos_dx', 'descriptive_term': 'renal', 'observation': 'osteodystrophy'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Stable 5 mm right lower lobe micronodule. Cholelithiasis without acute inflammation or ductal dilatation. No significant abnormality noted. No significant abnormality noted. Stable right myelolipoma. Bilateral native renal atrophy. No significant abnormality noted. Mild. No significant abnormality noted. Renal osteodystrophy. No significant abnormality noted. Fibroid uterus. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Renal osteodystrophy. 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. Congenitally absent right kidney. 1.8 cm cyst in the inferior pole of the left kidney. Subcentimeter hypoattenuating lesion in the mid to upper pole of the left kidney is too small to characterize and statistically most likely represents a cyst. No significant abnormality noted. Mild. Colonic diverticulosis without CT evidence of diverticulitis. Mild multilevel degenerative changes noted in the thoracolumbar spine. No significant abnormality noted. No significant abnormality noted. Moderately distended urinary bladder. No significant abnormality noted. No significant abnormality noted. Severe degenerative changes noted in the left hip. Mild-to-moderate degenerative changes noted in the right hip. 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: {'congenitally absent': {'clinical finding': 'congenitally absent', 'existence': 'pos_dx', 'descriptive_term': 'congenitally', 'observation': 'absent'}}size_fin: [{'size': '1.8 cm', 'size_descriptor': 'cyst'}]anatomical entity_fin: {'pole': {'location descriptor': 'inferior'}, 'left kidney': {}}location descriptor_fin: ['inferior']clinical findings_fin: {'1.8 cm cyst': {'clinical finding': '1.8 cm cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': '1 8 cm', 'observation': 'cyst'}}anatomical entity_fin: {'pole': {'location descriptor': 'upper'}, 'left kidney': {}}location descriptor_fin: ['upper']clinical findings_fin: {'subcentimeter hypoattenuating lesion': {'clinical finding': 'subcentimeter hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter hypoattenuating', 'observation': 'lesion'}, 'cyst': {'clinical finding': 'cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'unc_dx', 'observation': 'cyst'}}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': 'pos_dx', 'observation': 'diverticulitis'}}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'}}anatomical entity_fin: {'urinary bladder': {}}clinical findings_fin: {'moderately distended': {'clinical finding': 'moderately distended', 'existence': 'pos_dx', 'descriptive_term': 'moderately', 'observation': 'distended', 'strength_term': 'moderately'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'hip': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'severe degenerative changes': {'clinical finding': 'severe degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'severe degenerative', 'observation': 'change', 'strength_term': 'severe'}}anatomical entity_fin: {'hip': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'mild-to-moderate degenerative changes': {'clinical finding': 'mild-to-moderate degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild-to-moderate degenerative', 'observation': 'change', 'strength_term': 'mild - moderate'}}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: {'congenitally absent': {'clinical finding': 'congenitally absent', 'existence': 'pos_dx', 'descriptive_term': 'congenitally', 'observation': 'absent'}}size_fin: [{'size': '1.8 cm', 'size_descriptor': 'cyst'}]anatomical entity_fin: {'pole': {'location descriptor': 'inferior'}, 'left kidney': {}}location descriptor_fin: ['inferior']clinical findings_fin: {'1.8 cm cyst': {'clinical finding': '1.8 cm cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': '1 8 cm', 'observation': 'cyst'}}anatomical entity_fin: {'pole': {'location descriptor': 'upper'}, 'left kidney': {}}location descriptor_fin: ['upper']clinical findings_fin: {'subcentimeter hypoattenuating lesion': {'clinical finding': 'subcentimeter hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter hypoattenuating', 'observation': 'lesion'}, 'cyst': {'clinical finding': 'cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'unc_dx', 'observation': 'cyst'}}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': 'pos_dx', 'observation': 'diverticulitis'}}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'}}anatomical entity_fin: {'urinary bladder': {}}clinical findings_fin: {'moderately distended': {'clinical finding': 'moderately distended', 'existence': 'pos_dx', 'descriptive_term': 'moderately', 'observation': 'distended', 'strength_term': 'moderately'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'hip': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'severe degenerative changes': {'clinical finding': 'severe degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'severe degenerative', 'observation': 'change', 'strength_term': 'severe'}}anatomical entity_fin: {'hip': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'mild-to-moderate degenerative changes': {'clinical finding': 'mild-to-moderate degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild-to-moderate degenerative', 'observation': 'change', 'strength_term': 'mild - moderate'}}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. Congenitally absent right kidney. 1.8 cm cyst in the inferior pole of the left kidney. Subcentimeter hypoattenuating lesion in the mid to upper pole of the left kidney is too small to characterize and statistically most likely represents a cyst. No significant abnormality noted. Mild. Colonic diverticulosis without CT evidence of diverticulitis. Mild multilevel degenerative changes noted in the thoracolumbar spine. No significant abnormality noted. No significant abnormality noted. Moderately distended urinary bladder. No significant abnormality noted. No significant abnormality noted. Severe degenerative changes noted in the left hip. Mild-to-moderate degenerative changes noted in the right hip. No significant abnormality noted </s>

. Subpleural fibrosis high density material in the periphery may reflect associated dendriform ossification. Postoperative appearance on the right consistent with pleurectomy and decortication. Small loculated posterior medial pneumothorax, chronic and unchanged in size. Right diaphragmatic patch with small amount of associated fluid near the hepatic dome. Stable small volume of loculated pleural fluid anteromedially in the right. At the right cardiophrenic angle , there is a multi septated-appearing complex collection which appears new from the prior examination. Immediately above this level, pleural thickening measuring up to 22 mm is noted, previously 21 mm and not present on scans prior to that time. Localized pleural thickening adjacent to the ninth lateral rib, best appreciated on coronal series image 33 also appears to be more pronounced. Mild smooth pleural thickening elsewhere on the right without significant change and may be postoperative. Subcentimeter left low cervical lymph node, unchanged. Mildly prominent lymphatic tissue in the right hilum unchanged. Small lymph nodes elsewhere appear similar to prior studies. No pericardial fluid. Moderate cardiomegaly. Moderate. Degenerative changes of the spine with osteophyte formation. No significant intercostal or internal mammary lymphadenopathy. Postoperative changes on the right. Absence of enteric contrast material limits sensitivity for abdominal pathology. Small volume of fluid along the dome of the liver. Cholecystectomy clips. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Atherosclerotic calcifications of the abdominal aorta and its branches. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. Questionable subcentimeter focus in the anterior aspect of the left hemidiaphragm may be monitored on subsequent exams, too small to characterize.

clinical findings_fin: {'subpleural fibrosis high density material': {'clinical finding': 'subpleural fibrosis high density material', 'existence': 'pos_dx', 'descriptive_term': 'subpleural fibrosis high density', 'observation': 'material'}, 'associated dendriform ossification': {'clinical finding': 'associated dendriform ossification', 'existence': 'unc_dx', 'descriptive_term': 'associated dendriform', 'observation': 'ossification'}}location descriptor_fin: ['right']clinical findings_fin: {'postoperative appearance on the right consistent with pleurectomy and decortication': {'clinical finding': 'postoperative appearance on the right consistent with pleurectomy and decortication'}}location descriptor_fin: ['posterior', 'medial']clinical findings_fin: {'small loculated posterior medial pneumothorax': {'clinical finding': 'small loculated posterior medial pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'pos_dx', 'descriptive_term': 'small loculated posterior medial', 'observation': 'pneumothorax', 'strength_term': 'small'}}anatomical entity_fin: {'fluid': {}}location descriptor_fin: ['right']clinical findings_fin: {'right diaphragmatic patch': {'clinical finding': 'right diaphragmatic patch', 'existence': 'pos_dx', 'descriptive_term': 'right diaphragmatic', 'observation': 'patch'}}location descriptor_fin: ['right']clinical findings_fin: {'loculated pleural fluid': {'clinical finding': 'loculated pleural fluid', 'existence': 'pos_dx', 'descriptive_term': 'loculated pleural', 'observation': 'fluid'}}imaging observation_fin: ['angle']location descriptor_fin: ['right']clinical findings_fin: {'right cardiophrenic angle , there is a multi septated -appearing complex collection which appears': {'clinical finding': 'right cardiophrenic angle , there is a multi septated -appearing complex collection which appears'}}size_fin: [{'size': '22 mm'}, {'size': '21 mm'}]clinical findings_fin: {'pleural thickening': {'clinical finding': 'pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'pleural', 'observation': 'thickening'}}anatomical entity_fin: {'rib': {'location descriptor': 'lateral'}}location descriptor_fin: ['adjacent', 'lateral']clinical findings_fin: {'localized pleural thickening': {'clinical finding': 'localized pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'localized pleural', 'observation': 'thickening'}}location descriptor_fin: ['right']clinical findings_fin: {'mild smooth pleural thickening': {'clinical finding': 'mild smooth pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild smooth pleural', 'observation': 'thickening', 'strength_term': 'mild'}, 'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}}location descriptor_fin: ['left']clinical findings_fin: {'low cervical lymph node': {'clinical finding': 'low cervical lymph node', 'existence': 'pos_dx', 'descriptive_term': 'low cervical lymph', 'observation': 'node'}}anatomical entity_fin: {'hilum': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'mildly prominent lymphatic tissue': {'clinical finding': 'mildly prominent lymphatic tissue', 'cf_snomed': {'lymphatic tissue': 181768009}, 'existence': 'pos_dx', 'descriptive_term': 'mildly prominent lymphatic', 'observation': 'tissue', 'strength_term': 'mildly - prominent'}}clinical findings_fin: {'small lymph nodes': {'clinical finding': 'small lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small lymph', 'observation': 'node', 'strength_term': 'small'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'moderate cardiomegaly': {'clinical finding': 'moderate cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'cardiomegaly', 'strength_term': 'moderate'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}, 'osteophyte': {'clinical finding': 'osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'observation': 'osteophyte'}}clinical findings_fin: {'significant intercostal or internal mammary lymphadenopathy': {'clinical finding': 'significant intercostal or internal mammary lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant intercostal or internal mammary', 'observation': 'lymphadenopathy'}}location descriptor_fin: ['right']clinical findings_fin: {'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'fluid': {}, 'liver': {}}clinical findings_fin: {'small volume of fluid along the dome of the liver': {'clinical finding': 'small volume of fluid along the dome of the liver'}}object_fin: ['cholecystectomy clips']clinical findings_fin: {'cholecystectomy clips': {'clinical finding': 'cholecystectomy clips', 'existence': 'pos_dx', 'descriptive_term': 'cholecystectomy', 'observation': 'clip'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal aorta': {}}clinical findings_fin: {'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'}}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'}}anatomical entity_fin: {'left hemidiaphragm': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'subcentimeter focus': {'clinical finding': 'subcentimeter focus', 'existence': 'unc_dx', 'descriptive_term': 'subcentimeter', 'observation': 'focus'}}

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: {'subpleural fibrosis high density material': {'clinical finding': 'subpleural fibrosis high density material', 'existence': 'pos_dx', 'descriptive_term': 'subpleural fibrosis high density', 'observation': 'material'}, 'associated dendriform ossification': {'clinical finding': 'associated dendriform ossification', 'existence': 'unc_dx', 'descriptive_term': 'associated dendriform', 'observation': 'ossification'}}location descriptor_fin: ['right']clinical findings_fin: {'postoperative appearance on the right consistent with pleurectomy and decortication': {'clinical finding': 'postoperative appearance on the right consistent with pleurectomy and decortication'}}location descriptor_fin: ['posterior', 'medial']clinical findings_fin: {'small loculated posterior medial pneumothorax': {'clinical finding': 'small loculated posterior medial pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'pos_dx', 'descriptive_term': 'small loculated posterior medial', 'observation': 'pneumothorax', 'strength_term': 'small'}}anatomical entity_fin: {'fluid': {}}location descriptor_fin: ['right']clinical findings_fin: {'right diaphragmatic patch': {'clinical finding': 'right diaphragmatic patch', 'existence': 'pos_dx', 'descriptive_term': 'right diaphragmatic', 'observation': 'patch'}}location descriptor_fin: ['right']clinical findings_fin: {'loculated pleural fluid': {'clinical finding': 'loculated pleural fluid', 'existence': 'pos_dx', 'descriptive_term': 'loculated pleural', 'observation': 'fluid'}}imaging observation_fin: ['angle']location descriptor_fin: ['right']clinical findings_fin: {'right cardiophrenic angle , there is a multi septated -appearing complex collection which appears': {'clinical finding': 'right cardiophrenic angle , there is a multi septated -appearing complex collection which appears'}}size_fin: [{'size': '22 mm'}, {'size': '21 mm'}]clinical findings_fin: {'pleural thickening': {'clinical finding': 'pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'pleural', 'observation': 'thickening'}}anatomical entity_fin: {'rib': {'location descriptor': 'lateral'}}location descriptor_fin: ['adjacent', 'lateral']clinical findings_fin: {'localized pleural thickening': {'clinical finding': 'localized pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'localized pleural', 'observation': 'thickening'}}location descriptor_fin: ['right']clinical findings_fin: {'mild smooth pleural thickening': {'clinical finding': 'mild smooth pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild smooth pleural', 'observation': 'thickening', 'strength_term': 'mild'}, 'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}}location descriptor_fin: ['left']clinical findings_fin: {'low cervical lymph node': {'clinical finding': 'low cervical lymph node', 'existence': 'pos_dx', 'descriptive_term': 'low cervical lymph', 'observation': 'node'}}anatomical entity_fin: {'hilum': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'mildly prominent lymphatic tissue': {'clinical finding': 'mildly prominent lymphatic tissue', 'cf_snomed': {'lymphatic tissue': 181768009}, 'existence': 'pos_dx', 'descriptive_term': 'mildly prominent lymphatic', 'observation': 'tissue', 'strength_term': 'mildly - prominent'}}clinical findings_fin: {'small lymph nodes': {'clinical finding': 'small lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small lymph', 'observation': 'node', 'strength_term': 'small'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'moderate cardiomegaly': {'clinical finding': 'moderate cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'cardiomegaly', 'strength_term': 'moderate'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}, 'osteophyte': {'clinical finding': 'osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'observation': 'osteophyte'}}clinical findings_fin: {'significant intercostal or internal mammary lymphadenopathy': {'clinical finding': 'significant intercostal or internal mammary lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant intercostal or internal mammary', 'observation': 'lymphadenopathy'}}location descriptor_fin: ['right']clinical findings_fin: {'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'fluid': {}, 'liver': {}}clinical findings_fin: {'small volume of fluid along the dome of the liver': {'clinical finding': 'small volume of fluid along the dome of the liver'}}object_fin: ['cholecystectomy clips']clinical findings_fin: {'cholecystectomy clips': {'clinical finding': 'cholecystectomy clips', 'existence': 'pos_dx', 'descriptive_term': 'cholecystectomy', 'observation': 'clip'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal aorta': {}}clinical findings_fin: {'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'}}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'}}anatomical entity_fin: {'left hemidiaphragm': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'subcentimeter focus': {'clinical finding': 'subcentimeter focus', 'existence': 'unc_dx', 'descriptive_term': 'subcentimeter', 'observation': 'focus'}} [/INST] . Subpleural fibrosis high density material in the periphery may reflect associated dendriform ossification. Postoperative appearance on the right consistent with pleurectomy and decortication. Small loculated posterior medial pneumothorax, chronic and unchanged in size. Right diaphragmatic patch with small amount of associated fluid near the hepatic dome. Stable small volume of loculated pleural fluid anteromedially in the right. At the right cardiophrenic angle , there is a multi septated-appearing complex collection which appears new from the prior examination. Immediately above this level, pleural thickening measuring up to 22 mm is noted, previously 21 mm and not present on scans prior to that time. Localized pleural thickening adjacent to the ninth lateral rib, best appreciated on coronal series image 33 also appears to be more pronounced. Mild smooth pleural thickening elsewhere on the right without significant change and may be postoperative. Subcentimeter left low cervical lymph node, unchanged. Mildly prominent lymphatic tissue in the right hilum unchanged. Small lymph nodes elsewhere appear similar to prior studies. No pericardial fluid. Moderate cardiomegaly. Moderate. Degenerative changes of the spine with osteophyte formation. No significant intercostal or internal mammary lymphadenopathy. Postoperative changes on the right. Absence of enteric contrast material limits sensitivity for abdominal pathology. Small volume of fluid along the dome of the liver. Cholecystectomy clips. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Atherosclerotic calcifications of the abdominal aorta and its branches. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. Questionable subcentimeter focus in the anterior aspect of the left hemidiaphragm may be monitored on subsequent exams, too small to characterize. </s>

The ventricles and sulci are prominent, consistent with mild age-related volume loss. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are scattered punctate and confluent areas of abnormal low density in the periventricular and subcortical white matter, consistent with stable mild chronic small vessel ischemic changes. There is no new extraaxial fluid collection on the with previously seen left holohemispheric subdural collection resolved. There is mild fluid within the right mastoid. The remainder of the visualized portions of the paranasal sinuses and mastoids or middle ears are grossly clear. There is right supraorbital frontal soft tissue swelling. There has been interval near complete hyperdense replacement of the left globe contents consistent with silicone oral injection for treatment of retinal attachment.

clinical findings_fin: {'prominent': {'clinical finding': 'prominent', 'existence': 'pos_dx', 'observation': 'prominent'}, 'mild age-related volume loss': {'clinical finding': 'mild age-related volume loss', 'cf_snomed': {'related': 262094002}, 'existence': 'pos_dx', 'descriptive_term': 'mild age-related volume', 'observation': 'loss', 'strength_term': 'mild'}}location descriptor_fin: ['midline']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}clinical findings_fin: {'abnormal low density': {'clinical finding': 'abnormal low density', 'existence': 'pos_dx', 'descriptive_term': 'abnormal low', 'observation': 'density'}, 'stable mild chronic small vessel ischemic changes': {'clinical finding': 'stable mild chronic small vessel ischemic changes', 'existence': 'pos_dx', 'descriptive_term': 'stable mild chronic small vessel ischemic', 'observation': 'change', 'strength_term': 'stable - mild - small', 'temporal_term': 'chronic', 'change_term': 'stable'}}location descriptor_fin: ['left']clinical findings_fin: {'new extraaxial fluid collection': {'clinical finding': 'new extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'new extraaxial fluid', 'observation': 'collection', 'temporal_term': 'new'}, 'previously seen left holohemispheric subdural': {'clinical finding': 'previously seen left holohemispheric subdural', 'existence': 'neg_dx', 'descriptive_term': 'previously seen left holohemispheric', 'observation': 'subdural'}}anatomical entity_fin: {'fluid': {}}location descriptor_fin: ['right']clinical findings_fin: {'is mild fluid within the right mastoid': {'clinical finding': 'is mild fluid within the right mastoid'}}anatomical entity_fin: {'paranasal sinuses': {}, 'middle ears': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}location descriptor_fin: ['right']clinical findings_fin: {'supraorbital frontal soft tissue swelling': {'clinical finding': 'supraorbital frontal soft tissue swelling', 'cf_snomed': {'soft tissue swelling': 298349001}, 'existence': 'pos_dx', 'descriptive_term': 'supraorbital frontal soft tissue', 'observation': 'swell'}}anatomical entity_fin: {'globe': {'location descriptor': 'left'}, 'contents': {}}imaging observation_fin: ['attachment']location descriptor_fin: ['left']procedure_fin: ['treatment']clinical findings_fin: {'silicone oral injection': {'clinical finding': 'silicone oral injection', 'existence': 'pos_dx', 'descriptive_term': 'silicone oral', 'observation': 'injection'}, 'retinal attachment': {'clinical finding': 'retinal attachment', 'existence': 'pos_dx', 'descriptive_term': 'retinal', 'observation': 'attachment'}}

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: {'prominent': {'clinical finding': 'prominent', 'existence': 'pos_dx', 'observation': 'prominent'}, 'mild age-related volume loss': {'clinical finding': 'mild age-related volume loss', 'cf_snomed': {'related': 262094002}, 'existence': 'pos_dx', 'descriptive_term': 'mild age-related volume', 'observation': 'loss', 'strength_term': 'mild'}}location descriptor_fin: ['midline']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}clinical findings_fin: {'abnormal low density': {'clinical finding': 'abnormal low density', 'existence': 'pos_dx', 'descriptive_term': 'abnormal low', 'observation': 'density'}, 'stable mild chronic small vessel ischemic changes': {'clinical finding': 'stable mild chronic small vessel ischemic changes', 'existence': 'pos_dx', 'descriptive_term': 'stable mild chronic small vessel ischemic', 'observation': 'change', 'strength_term': 'stable - mild - small', 'temporal_term': 'chronic', 'change_term': 'stable'}}location descriptor_fin: ['left']clinical findings_fin: {'new extraaxial fluid collection': {'clinical finding': 'new extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'new extraaxial fluid', 'observation': 'collection', 'temporal_term': 'new'}, 'previously seen left holohemispheric subdural': {'clinical finding': 'previously seen left holohemispheric subdural', 'existence': 'neg_dx', 'descriptive_term': 'previously seen left holohemispheric', 'observation': 'subdural'}}anatomical entity_fin: {'fluid': {}}location descriptor_fin: ['right']clinical findings_fin: {'is mild fluid within the right mastoid': {'clinical finding': 'is mild fluid within the right mastoid'}}anatomical entity_fin: {'paranasal sinuses': {}, 'middle ears': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}location descriptor_fin: ['right']clinical findings_fin: {'supraorbital frontal soft tissue swelling': {'clinical finding': 'supraorbital frontal soft tissue swelling', 'cf_snomed': {'soft tissue swelling': 298349001}, 'existence': 'pos_dx', 'descriptive_term': 'supraorbital frontal soft tissue', 'observation': 'swell'}}anatomical entity_fin: {'globe': {'location descriptor': 'left'}, 'contents': {}}imaging observation_fin: ['attachment']location descriptor_fin: ['left']procedure_fin: ['treatment']clinical findings_fin: {'silicone oral injection': {'clinical finding': 'silicone oral injection', 'existence': 'pos_dx', 'descriptive_term': 'silicone oral', 'observation': 'injection'}, 'retinal attachment': {'clinical finding': 'retinal attachment', 'existence': 'pos_dx', 'descriptive_term': 'retinal', 'observation': 'attachment'}} [/INST] The ventricles and sulci are prominent, consistent with mild age-related volume loss. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are scattered punctate and confluent areas of abnormal low density in the periventricular and subcortical white matter, consistent with stable mild chronic small vessel ischemic changes. There is no new extraaxial fluid collection on the with previously seen left holohemispheric subdural collection resolved. There is mild fluid within the right mastoid. The remainder of the visualized portions of the paranasal sinuses and mastoids or middle ears are grossly clear. There is right supraorbital frontal soft tissue swelling. There has been interval near complete hyperdense replacement of the left globe contents consistent with silicone oral injection for treatment of retinal attachment. </s>

. Technically adequate study without evidence of pulmonary embolus. There is very mild, upper lobe predominant centrilobular emphysema. Scattered, peribronchial groundglass nodules are seen both in the right lower lobe and in the lingula along with bronchial wall thickening. There is minimal bibasilar atelectasis. The heart and pericardium are unremarkable. The aortic arch is unremarkable. There are mildly enlarged precarinal lymph nodes measuring up to 14 mm. Mild. Mildly prominent axillary lymph nodes are noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted.

clinical findings_fin: {'pulmonary embolus': {'clinical finding': 'pulmonary embolus', 'cf_snomed': {'embolus': 55584005}, 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolus'}}anatomical entity_fin: {'lobe': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'very mild, upper lobe predominant centrilobular emphysema': {'clinical finding': 'very mild, upper lobe predominant centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'very mild upper lobe predominant centrilobular', 'observation': 'emphysema', 'strength_term': 'mild'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}, 'lingula': {}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'scattered, peribronchial groundglass nodules': {'clinical finding': 'scattered, peribronchial groundglass nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'scattered peribronchial groundglass', 'observation': 'nodule'}, 'bronchial wall thickening': {'clinical finding': 'bronchial wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'bronchial wall', 'observation': 'thickening'}}clinical findings_fin: {'minimal bibasilar atelectasis': {'clinical finding': 'minimal bibasilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'minimal bibasilar', 'observation': 'atelectasis', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'heart': {}, 'pericardium': {}}clinical findings_fin: {'heart and pericardium are unremarkable': {'clinical finding': 'heart and pericardium are unremarkable'}}anatomical entity_fin: {'aortic arch': {}}clinical findings_fin: {'aortic arch is unremarkable': {'clinical finding': 'aortic arch is unremarkable'}}size_fin: [{'size': '14 mm', 'size_descriptor': 'nodes'}]clinical findings_fin: {'mildly enlarged precarinal lymph nodes': {'clinical finding': 'mildly enlarged precarinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly enlarged precarinal lymph', 'observation': 'node', 'strength_term': 'mildly - enlarged', 'change_term': 'enlarged'}}anatomical entity_fin: {'axillary lymph nodes': {}}clinical findings_fin: {'mildly prominent axillary lymph nodes': {'clinical finding': 'mildly prominent axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly prominent axillary lymph', 'observation': 'node', 'strength_term': 'mildly - prominent'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}

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

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'pulmonary embolus': {'clinical finding': 'pulmonary embolus', 'cf_snomed': {'embolus': 55584005}, 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolus'}}anatomical entity_fin: {'lobe': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'very mild, upper lobe predominant centrilobular emphysema': {'clinical finding': 'very mild, upper lobe predominant centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'very mild upper lobe predominant centrilobular', 'observation': 'emphysema', 'strength_term': 'mild'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}, 'lingula': {}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'scattered, peribronchial groundglass nodules': {'clinical finding': 'scattered, peribronchial groundglass nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'scattered peribronchial groundglass', 'observation': 'nodule'}, 'bronchial wall thickening': {'clinical finding': 'bronchial wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'bronchial wall', 'observation': 'thickening'}}clinical findings_fin: {'minimal bibasilar atelectasis': {'clinical finding': 'minimal bibasilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'minimal bibasilar', 'observation': 'atelectasis', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'heart': {}, 'pericardium': {}}clinical findings_fin: {'heart and pericardium are unremarkable': {'clinical finding': 'heart and pericardium are unremarkable'}}anatomical entity_fin: {'aortic arch': {}}clinical findings_fin: {'aortic arch is unremarkable': {'clinical finding': 'aortic arch is unremarkable'}}size_fin: [{'size': '14 mm', 'size_descriptor': 'nodes'}]clinical findings_fin: {'mildly enlarged precarinal lymph nodes': {'clinical finding': 'mildly enlarged precarinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly enlarged precarinal lymph', 'observation': 'node', 'strength_term': 'mildly - enlarged', 'change_term': 'enlarged'}}anatomical entity_fin: {'axillary lymph nodes': {}}clinical findings_fin: {'mildly prominent axillary lymph nodes': {'clinical finding': 'mildly prominent axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly prominent axillary lymph', 'observation': 'node', 'strength_term': 'mildly - prominent'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Technically adequate study without evidence of pulmonary embolus. There is very mild, upper lobe predominant centrilobular emphysema. Scattered, peribronchial groundglass nodules are seen both in the right lower lobe and in the lingula along with bronchial wall thickening. There is minimal bibasilar atelectasis. The heart and pericardium are unremarkable. The aortic arch is unremarkable. There are mildly enlarged precarinal lymph nodes measuring up to 14 mm. Mild. Mildly prominent axillary lymph nodes are noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. </s>

. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Subcentimeter lesion in the segment 4 is unchanged. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Bilateral renal cysts are unchanged. Interval decrease in the size of the previously described right retrocrural node. This node now measures 1 x 0.8 cm on image number 92, series number No significant abnormality noted. Sclerosis vertebral body with mild compression fracture compatible with metastatic disease. No significant abnormality noted. Enlarged prostate. Significantly distended bladder. Internal iliac node is significantly smaller measuring 7 x 6 mm image number 161, series number Index right inguinal lymph node measures 2.2 x 1.8 cm on image number 198 on series number 3, not significantly changed compared to previous study. No significant abnormality noted. Subcentimeter sclerotic lesion in left iliac wing is unchanged. 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: {'subcentimeter lesion': {'clinical finding': 'subcentimeter lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter', 'observation': 'lesion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}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: {'previously described right retrocrural node': {'clinical finding': 'previously described right retrocrural node', 'existence': 'pos_dx', 'descriptive_term': 'previously described right retrocrural', 'observation': 'node'}}size_fin: [{'size': '1 x 0.8 cm'}]clinical findings_fin: {'this node': {'clinical finding': 'this node', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'node'}, 'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'vertebral body': {}}clinical findings_fin: {'sclerosis': {'clinical finding': 'sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'observation': 'sclerosis'}, 'mild compression fracture': {'clinical finding': 'mild compression fracture', 'cf_snomed': {'compression fracture': 443395009}, 'existence': 'pos_dx', 'descriptive_term': 'mild compression', 'observation': 'fracture', 'strength_term': 'mild'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'prostate': {}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}anatomical entity_fin: {'bladder': {}}clinical findings_fin: {'significantly distended': {'clinical finding': 'significantly distended', 'existence': 'pos_dx', 'descriptive_term': 'significantly', 'observation': 'distended'}}size_fin: [{'size': '7 x 6 mm'}, {'size': '2.2 x 1.8 cm'}]anatomical entity_fin: {'inguinal lymph node': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'internal iliac node': {'clinical finding': 'internal iliac node', 'cf_snomed': {'internal iliac node': 245357003}, 'existence': 'pos_dx', 'descriptive_term': 'internal iliac', 'observation': 'node'}, 'inguinal lymph node': {'clinical finding': 'inguinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'inguinal lymph', 'observation': 'node'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'iliac wing': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'subcentimeter sclerotic lesion': {'clinical finding': 'subcentimeter sclerotic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter sclerotic', '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: {'subcentimeter lesion': {'clinical finding': 'subcentimeter lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter', 'observation': 'lesion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}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: {'previously described right retrocrural node': {'clinical finding': 'previously described right retrocrural node', 'existence': 'pos_dx', 'descriptive_term': 'previously described right retrocrural', 'observation': 'node'}}size_fin: [{'size': '1 x 0.8 cm'}]clinical findings_fin: {'this node': {'clinical finding': 'this node', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'node'}, 'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'vertebral body': {}}clinical findings_fin: {'sclerosis': {'clinical finding': 'sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'observation': 'sclerosis'}, 'mild compression fracture': {'clinical finding': 'mild compression fracture', 'cf_snomed': {'compression fracture': 443395009}, 'existence': 'pos_dx', 'descriptive_term': 'mild compression', 'observation': 'fracture', 'strength_term': 'mild'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'prostate': {}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}anatomical entity_fin: {'bladder': {}}clinical findings_fin: {'significantly distended': {'clinical finding': 'significantly distended', 'existence': 'pos_dx', 'descriptive_term': 'significantly', 'observation': 'distended'}}size_fin: [{'size': '7 x 6 mm'}, {'size': '2.2 x 1.8 cm'}]anatomical entity_fin: {'inguinal lymph node': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'internal iliac node': {'clinical finding': 'internal iliac node', 'cf_snomed': {'internal iliac node': 245357003}, 'existence': 'pos_dx', 'descriptive_term': 'internal iliac', 'observation': 'node'}, 'inguinal lymph node': {'clinical finding': 'inguinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'inguinal lymph', 'observation': 'node'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'iliac wing': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'subcentimeter sclerotic lesion': {'clinical finding': 'subcentimeter sclerotic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter sclerotic', '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. Subcentimeter lesion in the segment 4 is unchanged. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Bilateral renal cysts are unchanged. Interval decrease in the size of the previously described right retrocrural node. This node now measures 1 x 0.8 cm on image number 92, series number No significant abnormality noted. Sclerosis vertebral body with mild compression fracture compatible with metastatic disease. No significant abnormality noted. Enlarged prostate. Significantly distended bladder. Internal iliac node is significantly smaller measuring 7 x 6 mm image number 161, series number Index right inguinal lymph node measures 2.2 x 1.8 cm on image number 198 on series number 3, not significantly changed compared to previous study. No significant abnormality noted. Subcentimeter sclerotic lesion in left iliac wing is unchanged. No significant abnormality noted </s>

. No pleural fluid. Subtle nodularity of the fissures and pleura noted, suspicious for early pleural or perilymphatic metastases, present previously but more pronounced on the current study. Scattered 1-3 mm micronodules, about the same. Bilateral mediastinal and hilar lymphadenopathy, some of the lymph nodes appear slightly larger. 12 mm right hilar lymph node, previously 10-mm. A second right hilar region lymph node measures 14 mm, previously 12-mm. Right paratracheal lymph node 10 mm, unchanged. AP window or subaortic lymph node 9 mm, previously 10-mm. Normal heart size. No pericardial fluid. Mild coronary artery calcifications. Surgical clip in the region of the thyroid bed. Lytic destructive metastasis involving the right scapular tip with pathologic fracture, present previously. Lytic metastases in the humeral heads bilaterally, the left scapula and the sternal body unchanged. Thoracic spine lesions involving vertebral bodies T12, T11, T8, T7 and T2 unchanged with pathologic fracture of superior endplates again seen. Scattered rib lesions, present previously. Absence of enteric contrast material limits sensitivity for abdominal pathology. Hepatic metastases about the same with reference lesion measuring 13 x 8 mm, previously 10 x 8mm. No significant abnormality noted. Right adrenal gland nodule 19 x 14 mm, previously 19 x 12 mm. Hypoattenuating lesions in the left kidney, one of which is larger in the interpolar region. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. In the level of the pelvic inlet, bowel abuts the anterior peritoneum, incompletely assessed the should be monitored on subsequent examinations. Lytic metastases involving L1, L3 and the right iliac wing. L1 spinous process lesion. No significant abnormality noted.

clinical findings_fin: {'pleural fluid': {'clinical finding': 'pleural fluid', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'fluid'}}anatomical entity_fin: {'pleura': {}}clinical findings_fin: {'subtle nodularity': {'clinical finding': 'subtle nodularity', 'existence': 'pos_dx', 'descriptive_term': 'subtle', 'observation': 'nodularity', 'strength_term': 'subtle'}, 'fissures': {'clinical finding': 'fissures', 'cf_snomed': {'fissure': 47393002}, 'existence': 'pos_dx', 'observation': 'fissure'}, 'early pleural or perilymphatic metastases': {'clinical finding': 'early pleural or perilymphatic metastases', 'existence': 'unc_dx', 'descriptive_term': 'early pleural or perilymphatic', 'observation': 'metastase'}}size_fin: [{'size': '3 mm', 'size_descriptor': 'micronodules'}]clinical findings_fin: {'1-3 mm micronodules': {'clinical finding': '1-3 mm micronodules', 'existence': 'pos_dx', 'descriptive_term': '1-3 mm', 'observation': 'micronodule'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'observation': 'lymphadenopathy'}, 'lymph nodes': {'clinical finding': 'lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'lymph', 'observation': 'node'}}size_fin: [{'size': '12 mm'}, {'size': '10-mm'}]location descriptor_fin: ['right']clinical findings_fin: {'right hilar lymph node': {'clinical finding': 'right hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right hilar lymph', 'observation': 'node'}}size_fin: [{'size': '14 mm'}, {'size': '12-mm'}]location descriptor_fin: ['right']clinical findings_fin: {'second right hilar region lymph node': {'clinical finding': 'second right hilar region lymph node', 'existence': 'pos_dx', 'descriptive_term': 'second right hilar region lymph', 'observation': 'node'}}size_fin: [{'size': '10 mm', 'size_descriptor': 'node'}]location descriptor_fin: ['right']clinical findings_fin: {'right paratracheal lymph node': {'clinical finding': 'right paratracheal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right paratracheal lymph', 'observation': 'node'}}size_fin: [{'size': '9 mm'}, {'size': '10-mm'}]clinical findings_fin: {'subaortic lymph node': {'clinical finding': 'subaortic lymph node', 'existence': 'unc_dx', 'descriptive_term': 'subaortic lymph', 'observation': 'node'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'normal heart size': {'clinical finding': 'normal heart size'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'mild coronary artery calcifications': {'clinical finding': 'mild coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'mild coronary artery', 'observation': 'calcification', 'strength_term': 'mild'}}object_fin: ['surgical clip']clinical findings_fin: {'surgical clip': {'clinical finding': 'surgical clip', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'clip'}}location descriptor_fin: ['right']clinical findings_fin: {'lytic destructive metastasis': {'clinical finding': 'lytic destructive metastasis', 'existence': 'pos_dx', 'descriptive_term': 'lytic destructive', 'observation': 'metastasis'}, 'pathologic fracture': {'clinical finding': 'pathologic fracture', 'cf_snomed': {'pathologic fracture': 22640007}, 'existence': 'pos_dx', 'descriptive_term': 'pathologic', 'observation': 'fracture'}}anatomical entity_fin: {'heads': {}, 'left scapula': {}, 'body': {}}clinical findings_fin: {'lytic metastases': {'clinical finding': 'lytic metastases', 'existence': 'pos_dx', 'descriptive_term': 'lytic', 'observation': 'metastase'}, 'unchanged': {'clinical finding': 'unchanged', 'existence': 'pos_dx', 'observation': 'unchanged'}}anatomical entity_fin: {'spine': {}, 'vertebral bodies': {}, 'endplates': {'location descriptor': 'superior'}}location descriptor_fin: ['superior']clinical findings_fin: {'thoracic spine lesions': {'clinical finding': 'thoracic spine lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'thoracic spine', 'observation': 'lesion'}, 'pathologic fracture': {'clinical finding': 'pathologic fracture', 'cf_snomed': {'pathologic fracture': 22640007}, 'existence': 'pos_dx', 'descriptive_term': 'pathologic', 'observation': 'fracture'}}anatomical entity_fin: {'rib': {}}clinical findings_fin: {'scattered rib lesions': {'clinical finding': 'scattered rib lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'scattered rib', 'observation': 'lesion'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}size_fin: [{'size': '13 x 8 mm'}, {'size': '10 x 8mm'}]clinical findings_fin: {'hepatic metastases': {'clinical finding': 'hepatic metastases', 'existence': 'pos_dx', 'descriptive_term': 'hepatic', 'observation': 'metastase'}, 'reference lesion': {'clinical finding': 'reference lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference', 'observation': 'lesion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '19 x 14 mm'}, {'size': '19 x 12 mm'}]anatomical entity_fin: {'right adrenal gland': {}}clinical findings_fin: {'right adrenal gland nodule': {'clinical finding': 'right adrenal gland nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'right adrenal gland', 'observation': 'nodule'}}anatomical entity_fin: {'left kidney': {}}clinical findings_fin: {'hypoattenuating lesions': {'clinical finding': 'hypoattenuating lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating', '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: {'pelvic inlet': {}, 'bowel': {}, 'peritoneum': {'location descriptor': 'anterior'}}location descriptor_fin: ['anterior']clinical findings_fin: {'level of the pelvic inlet , bowel abuts': {'clinical finding': 'level of the pelvic inlet , bowel abuts'}}anatomical entity_fin: {'iliac wing': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'lytic metastases': {'clinical finding': 'lytic metastases', 'existence': 'pos_dx', 'descriptive_term': 'lytic', 'observation': 'metastase'}}anatomical entity_fin: {'spinous': {}}clinical findings_fin: {'l1 spinous process lesion': {'clinical finding': 'l1 spinous process lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'l1 spinous process', '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: {'pleural fluid': {'clinical finding': 'pleural fluid', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'fluid'}}anatomical entity_fin: {'pleura': {}}clinical findings_fin: {'subtle nodularity': {'clinical finding': 'subtle nodularity', 'existence': 'pos_dx', 'descriptive_term': 'subtle', 'observation': 'nodularity', 'strength_term': 'subtle'}, 'fissures': {'clinical finding': 'fissures', 'cf_snomed': {'fissure': 47393002}, 'existence': 'pos_dx', 'observation': 'fissure'}, 'early pleural or perilymphatic metastases': {'clinical finding': 'early pleural or perilymphatic metastases', 'existence': 'unc_dx', 'descriptive_term': 'early pleural or perilymphatic', 'observation': 'metastase'}}size_fin: [{'size': '3 mm', 'size_descriptor': 'micronodules'}]clinical findings_fin: {'1-3 mm micronodules': {'clinical finding': '1-3 mm micronodules', 'existence': 'pos_dx', 'descriptive_term': '1-3 mm', 'observation': 'micronodule'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'observation': 'lymphadenopathy'}, 'lymph nodes': {'clinical finding': 'lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'lymph', 'observation': 'node'}}size_fin: [{'size': '12 mm'}, {'size': '10-mm'}]location descriptor_fin: ['right']clinical findings_fin: {'right hilar lymph node': {'clinical finding': 'right hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right hilar lymph', 'observation': 'node'}}size_fin: [{'size': '14 mm'}, {'size': '12-mm'}]location descriptor_fin: ['right']clinical findings_fin: {'second right hilar region lymph node': {'clinical finding': 'second right hilar region lymph node', 'existence': 'pos_dx', 'descriptive_term': 'second right hilar region lymph', 'observation': 'node'}}size_fin: [{'size': '10 mm', 'size_descriptor': 'node'}]location descriptor_fin: ['right']clinical findings_fin: {'right paratracheal lymph node': {'clinical finding': 'right paratracheal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right paratracheal lymph', 'observation': 'node'}}size_fin: [{'size': '9 mm'}, {'size': '10-mm'}]clinical findings_fin: {'subaortic lymph node': {'clinical finding': 'subaortic lymph node', 'existence': 'unc_dx', 'descriptive_term': 'subaortic lymph', 'observation': 'node'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'normal heart size': {'clinical finding': 'normal heart size'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'mild coronary artery calcifications': {'clinical finding': 'mild coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'mild coronary artery', 'observation': 'calcification', 'strength_term': 'mild'}}object_fin: ['surgical clip']clinical findings_fin: {'surgical clip': {'clinical finding': 'surgical clip', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'clip'}}location descriptor_fin: ['right']clinical findings_fin: {'lytic destructive metastasis': {'clinical finding': 'lytic destructive metastasis', 'existence': 'pos_dx', 'descriptive_term': 'lytic destructive', 'observation': 'metastasis'}, 'pathologic fracture': {'clinical finding': 'pathologic fracture', 'cf_snomed': {'pathologic fracture': 22640007}, 'existence': 'pos_dx', 'descriptive_term': 'pathologic', 'observation': 'fracture'}}anatomical entity_fin: {'heads': {}, 'left scapula': {}, 'body': {}}clinical findings_fin: {'lytic metastases': {'clinical finding': 'lytic metastases', 'existence': 'pos_dx', 'descriptive_term': 'lytic', 'observation': 'metastase'}, 'unchanged': {'clinical finding': 'unchanged', 'existence': 'pos_dx', 'observation': 'unchanged'}}anatomical entity_fin: {'spine': {}, 'vertebral bodies': {}, 'endplates': {'location descriptor': 'superior'}}location descriptor_fin: ['superior']clinical findings_fin: {'thoracic spine lesions': {'clinical finding': 'thoracic spine lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'thoracic spine', 'observation': 'lesion'}, 'pathologic fracture': {'clinical finding': 'pathologic fracture', 'cf_snomed': {'pathologic fracture': 22640007}, 'existence': 'pos_dx', 'descriptive_term': 'pathologic', 'observation': 'fracture'}}anatomical entity_fin: {'rib': {}}clinical findings_fin: {'scattered rib lesions': {'clinical finding': 'scattered rib lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'scattered rib', 'observation': 'lesion'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}size_fin: [{'size': '13 x 8 mm'}, {'size': '10 x 8mm'}]clinical findings_fin: {'hepatic metastases': {'clinical finding': 'hepatic metastases', 'existence': 'pos_dx', 'descriptive_term': 'hepatic', 'observation': 'metastase'}, 'reference lesion': {'clinical finding': 'reference lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference', 'observation': 'lesion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '19 x 14 mm'}, {'size': '19 x 12 mm'}]anatomical entity_fin: {'right adrenal gland': {}}clinical findings_fin: {'right adrenal gland nodule': {'clinical finding': 'right adrenal gland nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'right adrenal gland', 'observation': 'nodule'}}anatomical entity_fin: {'left kidney': {}}clinical findings_fin: {'hypoattenuating lesions': {'clinical finding': 'hypoattenuating lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating', '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: {'pelvic inlet': {}, 'bowel': {}, 'peritoneum': {'location descriptor': 'anterior'}}location descriptor_fin: ['anterior']clinical findings_fin: {'level of the pelvic inlet , bowel abuts': {'clinical finding': 'level of the pelvic inlet , bowel abuts'}}anatomical entity_fin: {'iliac wing': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'lytic metastases': {'clinical finding': 'lytic metastases', 'existence': 'pos_dx', 'descriptive_term': 'lytic', 'observation': 'metastase'}}anatomical entity_fin: {'spinous': {}}clinical findings_fin: {'l1 spinous process lesion': {'clinical finding': 'l1 spinous process lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'l1 spinous process', 'observation': 'lesion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . No pleural fluid. Subtle nodularity of the fissures and pleura noted, suspicious for early pleural or perilymphatic metastases, present previously but more pronounced on the current study. Scattered 1-3 mm micronodules, about the same. Bilateral mediastinal and hilar lymphadenopathy, some of the lymph nodes appear slightly larger. 12 mm right hilar lymph node, previously 10-mm. A second right hilar region lymph node measures 14 mm, previously 12-mm. Right paratracheal lymph node 10 mm, unchanged. AP window or subaortic lymph node 9 mm, previously 10-mm. Normal heart size. No pericardial fluid. Mild coronary artery calcifications. Surgical clip in the region of the thyroid bed. Lytic destructive metastasis involving the right scapular tip with pathologic fracture, present previously. Lytic metastases in the humeral heads bilaterally, the left scapula and the sternal body unchanged. Thoracic spine lesions involving vertebral bodies T12, T11, T8, T7 and T2 unchanged with pathologic fracture of superior endplates again seen. Scattered rib lesions, present previously. Absence of enteric contrast material limits sensitivity for abdominal pathology. Hepatic metastases about the same with reference lesion measuring 13 x 8 mm, previously 10 x 8mm. No significant abnormality noted. Right adrenal gland nodule 19 x 14 mm, previously 19 x 12 mm. Hypoattenuating lesions in the left kidney, one of which is larger in the interpolar region. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. In the level of the pelvic inlet, bowel abuts the anterior peritoneum, incompletely assessed the should be monitored on subsequent examinations. Lytic metastases involving L1, L3 and the right iliac wing. L1 spinous process lesion. No significant abnormality noted. </s>

Again seen is evidence of hemorrhagic conversion of previously seen infarct in the right middle cerebral artery territory. Compared to 9 hours prior, this is slight increase in size of intraparenchymal hematoma measuring approximately 68 mm in the AP dimension, 32 mm in the transverse dimensions, and 50 mm in the craniocaudal dimension. There is surrounding edema and mass effect including complete effacement of the right lateral and third ventricles and leftward midline shift measuring 12 at the foramen of Monro, previously 10 mm. Large right middle cerebral artery territory infarct demonstrates evolution with increasing areas of hypoattenuation. There is effacement of the right cerebral hemispheric sulci similar to prior. Intraventricular hemorrhagic extension is again noted with blood products layering within the occipital horns. Small left parietal subarachnoid blood also again noted. No hydrocephalus. No uncal herniation.

anatomical entity_fin: {'right middle cerebral artery': {}}clinical findings_fin: {'hemorrhagic': {'clinical finding': 'hemorrhagic', 'existence': 'pos_dx', 'observation': 'hemorrhagic'}, 'previously seen infarct': {'clinical finding': 'previously seen infarct', 'cf_snomed': {'infarct': 55641003}, 'existence': 'pos_dx', 'descriptive_term': 'previously seen', 'observation': 'infarct'}}size_fin: [{'size': '68 mm'}, {'size': '32 mm'}, {'size': '50 mm'}]imaging observation_fin: ['hematoma']clinical findings_fin: {'intraparenchymal hematoma': {'clinical finding': 'intraparenchymal hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'pos_dx', 'descriptive_term': 'intraparenchymal', 'observation': 'hematoma'}}size_fin: [{'size': '10 mm'}]anatomical entity_fin: {'third ventricles': {}, 'foramen': {}}location descriptor_fin: ['right', 'lateral', 'midline']clinical findings_fin: {'surrounding edema': {'clinical finding': 'surrounding edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'surrounding', 'observation': 'edema'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'complete effacement': {'clinical finding': 'complete effacement', 'existence': 'pos_dx', 'descriptive_term': 'complete', 'observation': 'effacement'}}anatomical entity_fin: {'right middle cerebral artery': {}}clinical findings_fin: {'large right middle cerebral artery territory infarct': {'clinical finding': 'large right middle cerebral artery territory infarct', 'cf_snomed': {'infarct': 55641003}, 'existence': 'pos_dx', 'descriptive_term': 'large right middle cerebral artery territory', 'observation': 'infarct', 'strength_term': 'large'}, 'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}}location descriptor_fin: ['right']clinical findings_fin: {'effacement': {'clinical finding': 'effacement', 'existence': 'pos_dx', 'observation': 'effacement'}, 'right cerebral hemispheric sulci': {'clinical finding': 'right cerebral hemispheric sulci', 'existence': 'pos_dx', 'descriptive_term': 'right cerebral hemispheric', 'observation': 'sulci'}}imaging observation_fin: ['blood products']clinical findings_fin: {'intraventricular hemorrhagic': {'clinical finding': 'intraventricular hemorrhagic', 'existence': 'pos_dx', 'descriptive_term': 'intraventricular', 'observation': 'hemorrhagic'}, 'blood products': {'clinical finding': 'blood products', 'existence': 'pos_dx', 'descriptive_term': 'blood', 'observation': 'product'}}imaging observation_fin: ['blood']location descriptor_fin: ['left']clinical findings_fin: {'small left parietal subarachnoid blood': {'clinical finding': 'small left parietal subarachnoid blood', 'existence': 'pos_dx', 'descriptive_term': 'small left parietal subarachnoid', 'observation': 'blood', 'strength_term': 'small'}}clinical findings_fin: {'hydrocephalus': {'clinical finding': 'hydrocephalus', 'cf_snomed': {'hydrocephalus': 230745008}, 'existence': 'neg_dx', 'observation': 'hydrocephalus'}}clinical findings_fin: {'uncal herniation': {'clinical finding': 'uncal herniation', 'existence': 'neg_dx', 'descriptive_term': 'uncal', 'observation': 'herniation'}}

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

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'right middle cerebral artery': {}}clinical findings_fin: {'hemorrhagic': {'clinical finding': 'hemorrhagic', 'existence': 'pos_dx', 'observation': 'hemorrhagic'}, 'previously seen infarct': {'clinical finding': 'previously seen infarct', 'cf_snomed': {'infarct': 55641003}, 'existence': 'pos_dx', 'descriptive_term': 'previously seen', 'observation': 'infarct'}}size_fin: [{'size': '68 mm'}, {'size': '32 mm'}, {'size': '50 mm'}]imaging observation_fin: ['hematoma']clinical findings_fin: {'intraparenchymal hematoma': {'clinical finding': 'intraparenchymal hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'pos_dx', 'descriptive_term': 'intraparenchymal', 'observation': 'hematoma'}}size_fin: [{'size': '10 mm'}]anatomical entity_fin: {'third ventricles': {}, 'foramen': {}}location descriptor_fin: ['right', 'lateral', 'midline']clinical findings_fin: {'surrounding edema': {'clinical finding': 'surrounding edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'surrounding', 'observation': 'edema'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'complete effacement': {'clinical finding': 'complete effacement', 'existence': 'pos_dx', 'descriptive_term': 'complete', 'observation': 'effacement'}}anatomical entity_fin: {'right middle cerebral artery': {}}clinical findings_fin: {'large right middle cerebral artery territory infarct': {'clinical finding': 'large right middle cerebral artery territory infarct', 'cf_snomed': {'infarct': 55641003}, 'existence': 'pos_dx', 'descriptive_term': 'large right middle cerebral artery territory', 'observation': 'infarct', 'strength_term': 'large'}, 'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}}location descriptor_fin: ['right']clinical findings_fin: {'effacement': {'clinical finding': 'effacement', 'existence': 'pos_dx', 'observation': 'effacement'}, 'right cerebral hemispheric sulci': {'clinical finding': 'right cerebral hemispheric sulci', 'existence': 'pos_dx', 'descriptive_term': 'right cerebral hemispheric', 'observation': 'sulci'}}imaging observation_fin: ['blood products']clinical findings_fin: {'intraventricular hemorrhagic': {'clinical finding': 'intraventricular hemorrhagic', 'existence': 'pos_dx', 'descriptive_term': 'intraventricular', 'observation': 'hemorrhagic'}, 'blood products': {'clinical finding': 'blood products', 'existence': 'pos_dx', 'descriptive_term': 'blood', 'observation': 'product'}}imaging observation_fin: ['blood']location descriptor_fin: ['left']clinical findings_fin: {'small left parietal subarachnoid blood': {'clinical finding': 'small left parietal subarachnoid blood', 'existence': 'pos_dx', 'descriptive_term': 'small left parietal subarachnoid', 'observation': 'blood', 'strength_term': 'small'}}clinical findings_fin: {'hydrocephalus': {'clinical finding': 'hydrocephalus', 'cf_snomed': {'hydrocephalus': 230745008}, 'existence': 'neg_dx', 'observation': 'hydrocephalus'}}clinical findings_fin: {'uncal herniation': {'clinical finding': 'uncal herniation', 'existence': 'neg_dx', 'descriptive_term': 'uncal', 'observation': 'herniation'}} [/INST] Again seen is evidence of hemorrhagic conversion of previously seen infarct in the right middle cerebral artery territory. Compared to 9 hours prior, this is slight increase in size of intraparenchymal hematoma measuring approximately 68 mm in the AP dimension, 32 mm in the transverse dimensions, and 50 mm in the craniocaudal dimension. There is surrounding edema and mass effect including complete effacement of the right lateral and third ventricles and leftward midline shift measuring 12 at the foramen of Monro, previously 10 mm. Large right middle cerebral artery territory infarct demonstrates evolution with increasing areas of hypoattenuation. There is effacement of the right cerebral hemispheric sulci similar to prior. Intraventricular hemorrhagic extension is again noted with blood products layering within the occipital horns. Small left parietal subarachnoid blood also again noted. No hydrocephalus. No uncal herniation. </s>

. No pulmonary embolism. The main pulmonary artery is normal in caliber. No evidence of right heart strain. A segmental left upper lobe branch supplying the anterior segment is diminutive and its distal branches are not well opacified however this appears similar to the prior study. A 24 x 15 mm left upper lobe paramediastinal mass with spiculated margins and satellite nodules is again seen , unchanged. Thickened airways anteriorly within the left upper lobe may be secondary to prior radiation or a result of tumor involvement. Numerous 3 - 8 mm pleural and intraparenchymal nodules are again present bilaterally, more numerous in the upper lobes. The referenced peripheral left upper lobe nodule measures 6 mm. No pleural effusion or pneumothorax. Enhancing soft tissue within the right lobe of the thyroid gland with mild tracheal deviation. Soft tissue extends inferiorly from the thyroid and encases the origins of the great vessels with a thickness of 18 mm , unchanged. Please refer to the report for the neck CT for additional findings. The heart size is normal, there is no pericardial effusion. The bilateral hilar lymphadenopathy. Right hilar lymph node measures 10 mm in short axis. None. No axillary lymphadenopathy. Bilateral breast implants. Patchy sclerosis of the manubrium was also seen on the previous neck CT. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Atrophic left kidney containing cysts which were better characterized on the recent abdominal CT.

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 artery is normal in caliber': {'clinical finding': 'main pulmonary artery is normal in caliber'}}anatomical entity_fin: {'heart': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right heart strain': {'clinical finding': 'right heart strain', 'existence': 'neg_dx', 'descriptive_term': 'right heart', 'observation': 'strain'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper', 'anterior', 'distal']clinical findings_fin: {'segmental left upper lobe branch supplying the anterior segment is diminutive and its distal branches are not well opacified': {'clinical finding': 'segmental left upper lobe branch supplying the anterior segment is diminutive and its distal branches are not well opacified', 'change_term': 'opacified'}}size_fin: [{'size': '24 x 15 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}imaging observation_fin: ['spiculated margins', 'satellite nodules']location descriptor_fin: ['left', 'upper']clinical findings_fin: {'24 x 15 mm left upper lobe paramediastinal mass': {'clinical finding': '24 x 15 mm left upper lobe paramediastinal mass', 'existence': 'pos_dx', 'descriptive_term': '24 x 15 mm left upper lobe paramediastinal', 'observation': 'mass'}, 'satellite nodules': {'clinical finding': 'satellite nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'satellite', 'observation': 'nodule'}}anatomical entity_fin: {'airways': {}, 'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'tumor': {'clinical finding': 'tumor', 'existence': 'unc_dx', 'observation': 'tumor'}}size_fin: [{'size': '8 mm', 'size_descriptor': 'nodules'}]anatomical entity_fin: {'lobes': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'numerous 3 - 8 mm pleural and intraparenchymal nodules': {'clinical finding': 'numerous 3 - 8 mm pleural and intraparenchymal nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'numerous 3 - 8 mm pleural and intraparenchymal', 'observation': 'nodule', 'quantity_term': 'numerous'}}size_fin: [{'size': '6 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['peripheral', 'left', 'upper']clinical findings_fin: {'referenced peripheral left upper lobe nodule': {'clinical finding': 'referenced peripheral left upper lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'referenced peripheral left upper lobe', 'observation': 'nodule'}}clinical findings_fin: {'pleural effusion': {'clinical finding': 'pleural effusion', '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'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right'}, 'thyroid gland': {}}imaging observation_fin: ['enhancing']location descriptor_fin: ['right']clinical findings_fin: {'soft tissue': {'clinical finding': 'soft tissue', 'existence': 'pos_dx', 'descriptive_term': 'soft', 'observation': 'tissue'}}size_fin: [{'size': '18 mm', 'size_descriptor': 'tissue'}]anatomical entity_fin: {'origins': {}}clinical findings_fin: {'soft tissue': {'clinical finding': 'soft tissue', 'existence': 'pos_dx', 'descriptive_term': 'soft', 'observation': 'tissue'}}anatomical entity_fin: {'neck': {}}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'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral hilar lymphadenopathy': {'clinical finding': 'bilateral hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral hilar', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '10 mm', 'size_descriptor': 'node'}]anatomical entity_fin: {'axis': {}}location descriptor_fin: ['right']clinical findings_fin: {'hilar lymph node': {'clinical finding': 'hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'hilar lymph', 'observation': 'node'}}clinical findings_fin: {'axillary lymphadenopathy': {'clinical finding': 'axillary lymphadenopathy', 'cf_snomed': {'axillary lymphadenopathy': 127189005}, 'existence': 'neg_dx', 'descriptive_term': 'axillary', 'observation': 'lymphadenopathy'}}imaging observation_fin: ['breast implants']location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral breast implants': {'clinical finding': 'bilateral breast implants', 'existence': 'pos_dx', 'descriptive_term': 'bilateral breast', 'observation': 'implant'}}anatomical entity_fin: {'manubrium': {}, 'neck': {}}clinical findings_fin: {'patchy sclerosis': {'clinical finding': 'patchy sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'descriptive_term': 'patchy', 'observation': 'sclerosis'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'left kidney': {}, 'abdominal': {}}clinical findings_fin: {'cysts': {'clinical finding': 'cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'observation': 'cyst'}}

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 artery is normal in caliber': {'clinical finding': 'main pulmonary artery is normal in caliber'}}anatomical entity_fin: {'heart': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right heart strain': {'clinical finding': 'right heart strain', 'existence': 'neg_dx', 'descriptive_term': 'right heart', 'observation': 'strain'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper', 'anterior', 'distal']clinical findings_fin: {'segmental left upper lobe branch supplying the anterior segment is diminutive and its distal branches are not well opacified': {'clinical finding': 'segmental left upper lobe branch supplying the anterior segment is diminutive and its distal branches are not well opacified', 'change_term': 'opacified'}}size_fin: [{'size': '24 x 15 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}imaging observation_fin: ['spiculated margins', 'satellite nodules']location descriptor_fin: ['left', 'upper']clinical findings_fin: {'24 x 15 mm left upper lobe paramediastinal mass': {'clinical finding': '24 x 15 mm left upper lobe paramediastinal mass', 'existence': 'pos_dx', 'descriptive_term': '24 x 15 mm left upper lobe paramediastinal', 'observation': 'mass'}, 'satellite nodules': {'clinical finding': 'satellite nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'satellite', 'observation': 'nodule'}}anatomical entity_fin: {'airways': {}, 'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'tumor': {'clinical finding': 'tumor', 'existence': 'unc_dx', 'observation': 'tumor'}}size_fin: [{'size': '8 mm', 'size_descriptor': 'nodules'}]anatomical entity_fin: {'lobes': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'numerous 3 - 8 mm pleural and intraparenchymal nodules': {'clinical finding': 'numerous 3 - 8 mm pleural and intraparenchymal nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'numerous 3 - 8 mm pleural and intraparenchymal', 'observation': 'nodule', 'quantity_term': 'numerous'}}size_fin: [{'size': '6 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['peripheral', 'left', 'upper']clinical findings_fin: {'referenced peripheral left upper lobe nodule': {'clinical finding': 'referenced peripheral left upper lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'referenced peripheral left upper lobe', 'observation': 'nodule'}}clinical findings_fin: {'pleural effusion': {'clinical finding': 'pleural effusion', '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'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right'}, 'thyroid gland': {}}imaging observation_fin: ['enhancing']location descriptor_fin: ['right']clinical findings_fin: {'soft tissue': {'clinical finding': 'soft tissue', 'existence': 'pos_dx', 'descriptive_term': 'soft', 'observation': 'tissue'}}size_fin: [{'size': '18 mm', 'size_descriptor': 'tissue'}]anatomical entity_fin: {'origins': {}}clinical findings_fin: {'soft tissue': {'clinical finding': 'soft tissue', 'existence': 'pos_dx', 'descriptive_term': 'soft', 'observation': 'tissue'}}anatomical entity_fin: {'neck': {}}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'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral hilar lymphadenopathy': {'clinical finding': 'bilateral hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral hilar', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '10 mm', 'size_descriptor': 'node'}]anatomical entity_fin: {'axis': {}}location descriptor_fin: ['right']clinical findings_fin: {'hilar lymph node': {'clinical finding': 'hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'hilar lymph', 'observation': 'node'}}clinical findings_fin: {'axillary lymphadenopathy': {'clinical finding': 'axillary lymphadenopathy', 'cf_snomed': {'axillary lymphadenopathy': 127189005}, 'existence': 'neg_dx', 'descriptive_term': 'axillary', 'observation': 'lymphadenopathy'}}imaging observation_fin: ['breast implants']location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral breast implants': {'clinical finding': 'bilateral breast implants', 'existence': 'pos_dx', 'descriptive_term': 'bilateral breast', 'observation': 'implant'}}anatomical entity_fin: {'manubrium': {}, 'neck': {}}clinical findings_fin: {'patchy sclerosis': {'clinical finding': 'patchy sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'descriptive_term': 'patchy', 'observation': 'sclerosis'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'left kidney': {}, 'abdominal': {}}clinical findings_fin: {'cysts': {'clinical finding': 'cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'observation': 'cyst'}} [/INST] . No pulmonary embolism. The main pulmonary artery is normal in caliber. No evidence of right heart strain. A segmental left upper lobe branch supplying the anterior segment is diminutive and its distal branches are not well opacified however this appears similar to the prior study. A 24 x 15 mm left upper lobe paramediastinal mass with spiculated margins and satellite nodules is again seen , unchanged. Thickened airways anteriorly within the left upper lobe may be secondary to prior radiation or a result of tumor involvement. Numerous 3 - 8 mm pleural and intraparenchymal nodules are again present bilaterally, more numerous in the upper lobes. The referenced peripheral left upper lobe nodule measures 6 mm. No pleural effusion or pneumothorax. Enhancing soft tissue within the right lobe of the thyroid gland with mild tracheal deviation. Soft tissue extends inferiorly from the thyroid and encases the origins of the great vessels with a thickness of 18 mm , unchanged. Please refer to the report for the neck CT for additional findings. The heart size is normal, there is no pericardial effusion. The bilateral hilar lymphadenopathy. Right hilar lymph node measures 10 mm in short axis. None. No axillary lymphadenopathy. Bilateral breast implants. Patchy sclerosis of the manubrium was also seen on the previous neck CT. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Atrophic left kidney containing cysts which were better characterized on the recent abdominal CT. </s>

. No pleural effusion. No focal pulmonary opacities. The heart size is normal. No pericardial effusion. No significant mediastinal or hilar lymphadenopathy. No cardiophrenic, retrocrural, or axillary lymphadenopathy. No focal hepatic lesions. Gallbladder is within normal limits. No intrahepatic or extrahepatic biliary dilatation. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. There is severe hydroureteronephrosis of the right kidney with increased parenchymal thinning. The left kidney is within normal limits. Reference lymph node measures approximately 6 mm, unchanged since the prior exam. No significant lymphadenopathy is identified. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Bladder wall is thickened which may be confounded by underdistention. No significant abnormality noted. Postsurgical changes and surgical clips are noted in the right hemipelvis. Ill-defined mass in the right hemipelvis within the surgical bed appears unchanged. The bowel is within normal limits without evidence of obstruction. Appendix is well-visualized and within normal limits. No significant abnormality is noted. No significant abnormality noted

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: {'focal pulmonary opacities': {'clinical finding': 'focal pulmonary opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'neg_dx', 'descriptive_term': 'focal pulmonary', 'observation': 'opacity'}}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 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'}}clinical findings_fin: {'cardiophrenic, retrocrural, or axillary lymphadenopathy': {'clinical finding': 'cardiophrenic, retrocrural, or axillary lymphadenopathy', 'cf_snomed': {'axillary lymphadenopathy': 127189005}, 'existence': 'neg_dx', 'descriptive_term': 'cardiophrenic retrocrural or axillary', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'focal hepatic lesions': {'clinical finding': 'focal hepatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal hepatic', 'observation': 'lesion'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'gallbladder is within normal limits': {'clinical finding': 'gallbladder is within normal limits'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'right kidney': {}}clinical findings_fin: {'severe hydroureteronephrosis': {'clinical finding': 'severe hydroureteronephrosis', 'cf_snomed': {'hydroureteronephrosis': 40068008}, 'existence': 'pos_dx', 'descriptive_term': 'severe', 'observation': 'hydroureteronephrosis', 'strength_term': 'severe'}, 'increased parenchymal thinning': {'clinical finding': 'increased parenchymal thinning', 'existence': 'pos_dx', 'descriptive_term': 'increased parenchymal', 'observation': 'thinning', 'strength_term': 'increased', 'change_term': 'increased'}}anatomical entity_fin: {'left kidney': {}}clinical findings_fin: {'left kidney is within normal limits': {'clinical finding': 'left kidney is within normal limits'}}size_fin: [{'size': '6 mm'}]clinical findings_fin: {'reference lymph node': {'clinical finding': 'reference lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference lymph', 'observation': 'node'}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', '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'}}anatomical entity_fin: {'bladder': {}, 'wall': {}}clinical findings_fin: {'thickened': {'clinical finding': 'thickened', 'existence': 'pos_dx', 'observation': 'thickened'}, 'underdistention': {'clinical finding': 'underdistention', 'existence': 'unc_dx', 'observation': 'underdistention'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['right']object_fin: ['surgical clips']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'surgical clips': {'clinical finding': 'surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'clip'}}location descriptor_fin: ['right']clinical findings_fin: {'ill-defined mass': {'clinical finding': 'ill-defined mass', 'existence': 'pos_dx', 'descriptive_term': 'ill-defined', 'observation': 'mass', 'strength_term': 'ill-defined'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}anatomical entity_fin: {'appendix': {}}clinical findings_fin: {'well - visualized and within normal limits': {'clinical finding': 'well - visualized and within normal limits'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}

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: {'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}clinical findings_fin: {'focal pulmonary opacities': {'clinical finding': 'focal pulmonary opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'neg_dx', 'descriptive_term': 'focal pulmonary', 'observation': 'opacity'}}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 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'}}clinical findings_fin: {'cardiophrenic, retrocrural, or axillary lymphadenopathy': {'clinical finding': 'cardiophrenic, retrocrural, or axillary lymphadenopathy', 'cf_snomed': {'axillary lymphadenopathy': 127189005}, 'existence': 'neg_dx', 'descriptive_term': 'cardiophrenic retrocrural or axillary', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'focal hepatic lesions': {'clinical finding': 'focal hepatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal hepatic', 'observation': 'lesion'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'gallbladder is within normal limits': {'clinical finding': 'gallbladder is within normal limits'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'right kidney': {}}clinical findings_fin: {'severe hydroureteronephrosis': {'clinical finding': 'severe hydroureteronephrosis', 'cf_snomed': {'hydroureteronephrosis': 40068008}, 'existence': 'pos_dx', 'descriptive_term': 'severe', 'observation': 'hydroureteronephrosis', 'strength_term': 'severe'}, 'increased parenchymal thinning': {'clinical finding': 'increased parenchymal thinning', 'existence': 'pos_dx', 'descriptive_term': 'increased parenchymal', 'observation': 'thinning', 'strength_term': 'increased', 'change_term': 'increased'}}anatomical entity_fin: {'left kidney': {}}clinical findings_fin: {'left kidney is within normal limits': {'clinical finding': 'left kidney is within normal limits'}}size_fin: [{'size': '6 mm'}]clinical findings_fin: {'reference lymph node': {'clinical finding': 'reference lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference lymph', 'observation': 'node'}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', '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'}}anatomical entity_fin: {'bladder': {}, 'wall': {}}clinical findings_fin: {'thickened': {'clinical finding': 'thickened', 'existence': 'pos_dx', 'observation': 'thickened'}, 'underdistention': {'clinical finding': 'underdistention', 'existence': 'unc_dx', 'observation': 'underdistention'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['right']object_fin: ['surgical clips']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'surgical clips': {'clinical finding': 'surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'clip'}}location descriptor_fin: ['right']clinical findings_fin: {'ill-defined mass': {'clinical finding': 'ill-defined mass', 'existence': 'pos_dx', 'descriptive_term': 'ill-defined', 'observation': 'mass', 'strength_term': 'ill-defined'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}anatomical entity_fin: {'appendix': {}}clinical findings_fin: {'well - visualized and within normal limits': {'clinical finding': 'well - visualized and within normal limits'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . No pleural effusion. No focal pulmonary opacities. The heart size is normal. No pericardial effusion. No significant mediastinal or hilar lymphadenopathy. No cardiophrenic, retrocrural, or axillary lymphadenopathy. No focal hepatic lesions. Gallbladder is within normal limits. No intrahepatic or extrahepatic biliary dilatation. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. There is severe hydroureteronephrosis of the right kidney with increased parenchymal thinning. The left kidney is within normal limits. Reference lymph node measures approximately 6 mm, unchanged since the prior exam. No significant lymphadenopathy is identified. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Bladder wall is thickened which may be confounded by underdistention. No significant abnormality noted. Postsurgical changes and surgical clips are noted in the right hemipelvis. Ill-defined mass in the right hemipelvis within the surgical bed appears unchanged. The bowel is within normal limits without evidence of obstruction. Appendix is well-visualized and within normal limits. No significant abnormality is noted. No significant abnormality noted </s>

. No suspicious pulmonary mass or nodule. No focal consolidation, pleural effusions or pneumothorax. No supraclavicular, mediastinal or hilar lymphadenopathy measuring greater than 1 cm. No pericardial effusion. Severe. No axillary lymphadenopathy by size criteria. Degenerative changes. No focal suspicious liver lesion, biliary ductal dilatation or vascular abnormality. Contracted gallbladder without calcified gallstones. No significant abnormality noted. No significant abnormality noted. Homogeneous 2.3 x 1.9 cm left adrenal nodule , unchanged dating back to 2010. Probable subcentimeter left adrenal gland body myelolipoma, unchanged. Several probable simple cysts and too small to characterize renal hypodensities are not significantly changed in size. Interval increase in retroperitoneal lymphadenopathy. The reference left para-aortic lymphadenopathy measures 3.7 x 3.3 cm , compared to 3.0 x 2.6 cm previously. Infrarenal abdominal aortic aneurysm with asymmetric mural thrombus measures 4.1 x 3.2 cm, compared to 3.7 x 3.0 cm previously. Severe. Small hiatal hernia. Marked diverticulosis of the descending and sigmoid colon without diverticulitis. Large fat-containing umbilical hernia without complication. No significant abnormality noted. No significant abnormality noted. Contracted urinary bladder with circumferential wall thickening appears chronic. The reference right common iliac lymph node measures 1.3 x 1.2 cm compared to 1.1 x 1.0 cm previously. Additional prominent pelvic lymph nodes are not significantly changed. Diverticulosis without diverticulitis. Degenerative changes. Grade 2/3 anterolisthesis of L4 on L5, unchanged. Vascular calcifications. No significant abnormality noted

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'}}size_fin: [{'size': '1 cm', 'size_descriptor': 'lymphadenopathy'}]clinical findings_fin: {'supraclavicular, mediastinal or hilar lymphadenopathy': {'clinical finding': 'supraclavicular, mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'supraclavicular mediastinal or hilar', '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: {'axillary lymphadenopathy': {'clinical finding': 'axillary lymphadenopathy', 'cf_snomed': {'axillary lymphadenopathy': 127189005}, 'existence': 'neg_dx', 'descriptive_term': 'axillary', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'focal suspicious liver lesion': {'clinical finding': 'focal suspicious liver lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal suspicious liver', 'observation': 'lesion'}, 'biliary ductal dilatation': {'clinical finding': 'biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'descriptive_term': 'biliary ductal', 'observation': 'dilatation'}, 'vascular abnormality': {'clinical finding': 'vascular abnormality', 'existence': 'neg_dx', 'descriptive_term': 'vascular', 'observation': 'abnormality'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'calcified gallstones': {'clinical finding': 'calcified gallstones', 'cf_snomed': {'gallstone': 235919008}, 'existence': 'neg_dx', 'descriptive_term': 'calcified', 'observation': 'gallstone', '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'}}size_fin: [{'size': '2.3 x 1.9 cm'}]anatomical entity_fin: {'back': {}}location descriptor_fin: ['left']clinical findings_fin: {'homogeneous 2.3 x 1.9 cm left adrenal nodule': {'clinical finding': 'homogeneous 2.3 x 1.9 cm left adrenal nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'homogeneous 2 3 x 1 9 cm left adrenal', 'observation': 'nodule'}}anatomical entity_fin: {'left adrenal gland': {}, 'body': {}}clinical findings_fin: {'probable subcentimeter left adrenal gland body myelolipoma': {'clinical finding': 'probable subcentimeter left adrenal gland body myelolipoma', 'cf_snomed': {'myelolipoma': 20810002}, 'existence': 'pos_dx', 'descriptive_term': 'probable subcentimeter left adrenal gland body', 'observation': 'myelolipoma'}}clinical findings_fin: {'several probable simple cysts': {'clinical finding': 'several probable simple cysts', 'cf_snomed': {'simple cyst': 367644007}, 'existence': 'pos_dx', 'descriptive_term': 'several probable simple', 'observation': 'cyst', 'quantity_term': 'several'}, 'renal hypodensities': {'clinical finding': 'renal hypodensities', 'existence': 'unc_dx', 'descriptive_term': 'renal', 'observation': 'hypodensity'}}clinical findings_fin: {'retroperitoneal lymphadenopathy': {'clinical finding': 'retroperitoneal lymphadenopathy', 'cf_snomed': {'retroperitoneal lymphadenopathy': 127154008}, 'existence': 'pos_dx', 'descriptive_term': 'retroperitoneal', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '3.7 x 3.3 cm'}, {'size': '3.0 x 2.6 cm'}]location descriptor_fin: ['left']clinical findings_fin: {'reference left para-aortic lymphadenopathy': {'clinical finding': 'reference left para-aortic lymphadenopathy', 'cf_snomed': {'aortic lymphadenopathy': 127140000}, 'existence': 'pos_dx', 'descriptive_term': 'reference left para-aortic', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '4.1 x 3.2 cm'}, {'size': '3.7 x 3.0 cm'}]anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'infrarenal abdominal aortic aneurysm': {'clinical finding': 'infrarenal abdominal aortic aneurysm', 'cf_snomed': {'abdominal aortic aneurysm': 233985008}, 'existence': 'pos_dx', 'descriptive_term': 'infrarenal abdominal aortic', 'observation': 'aneurysm'}, 'asymmetric mural thrombus': {'clinical finding': 'asymmetric mural thrombus', 'cf_snomed': {'mural thrombus': 51670003}, 'existence': 'pos_dx', 'descriptive_term': 'asymmetric mural', 'observation': 'thrombus'}}clinical findings_fin: {'small hiatal hernia': {'clinical finding': 'small hiatal hernia', 'cf_snomed': {'hiatal hernia': 84089009}, 'existence': 'pos_dx', 'descriptive_term': 'small hiatal', 'observation': 'hernia', 'strength_term': 'small'}}anatomical entity_fin: {'sigmoid colon': {}}clinical findings_fin: {'marked diverticulosis': {'clinical finding': 'marked diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'marked', 'observation': 'diverticulosis'}, 'diverticulitis': {'clinical finding': 'diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'observation': 'diverticulitis'}}imaging observation_fin: ['fat']clinical findings_fin: {'large fat-containing umbilical hernia': {'clinical finding': 'large fat-containing umbilical hernia', 'cf_snomed': {'umbilical hernia': 396347007}, 'existence': 'pos_dx', 'descriptive_term': 'large fat-containing umbilical', 'observation': 'hernia', 'strength_term': 'large'}, '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'}}anatomical entity_fin: {'urinary bladder': {}}clinical findings_fin: {'contracted': {'clinical finding': 'contracted', 'existence': 'pos_dx', 'observation': 'contract'}, 'circumferential wall thickening': {'clinical finding': 'circumferential wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'circumferential wall', 'observation': 'thickening'}}size_fin: [{'size': '1.3 x 1.2 cm'}, {'size': '1.1 x 1.0 cm'}]anatomical entity_fin: {'common iliac lymph node': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'reference right common iliac lymph node': {'clinical finding': 'reference right common iliac lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference right common iliac lymph', 'observation': 'node'}}clinical findings_fin: {'additional prominent pelvic lymph nodes': {'clinical finding': 'additional prominent pelvic lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'additional prominent pelvic lymph', 'observation': 'node', 'strength_term': 'prominent'}}clinical findings_fin: {'diverticulosis': {'clinical finding': 'diverticulosis', 'existence': 'pos_dx', 'observation': 'diverticulosis'}, 'diverticulitis': {'clinical finding': 'diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'observation': 'diverticulitis'}}clinical findings_fin: {'grade 2/3 anterolisthesis': {'clinical finding': 'grade 2/3 anterolisthesis', 'existence': 'pos_dx', 'descriptive_term': 'grade 2/3', 'observation': 'anterolisthesis'}}clinical findings_fin: {'vascular calcifications': {'clinical finding': 'vascular calcifications', 'cf_snomed': {'vascular calcification': 237897009}, 'existence': 'pos_dx', 'descriptive_term': 'vascular', 'observation': 'calcification'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}

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

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'suspicious pulmonary 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'}}size_fin: [{'size': '1 cm', 'size_descriptor': 'lymphadenopathy'}]clinical findings_fin: {'supraclavicular, mediastinal or hilar lymphadenopathy': {'clinical finding': 'supraclavicular, mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'supraclavicular mediastinal or hilar', '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: {'axillary lymphadenopathy': {'clinical finding': 'axillary lymphadenopathy', 'cf_snomed': {'axillary lymphadenopathy': 127189005}, 'existence': 'neg_dx', 'descriptive_term': 'axillary', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'focal suspicious liver lesion': {'clinical finding': 'focal suspicious liver lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal suspicious liver', 'observation': 'lesion'}, 'biliary ductal dilatation': {'clinical finding': 'biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'descriptive_term': 'biliary ductal', 'observation': 'dilatation'}, 'vascular abnormality': {'clinical finding': 'vascular abnormality', 'existence': 'neg_dx', 'descriptive_term': 'vascular', 'observation': 'abnormality'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'calcified gallstones': {'clinical finding': 'calcified gallstones', 'cf_snomed': {'gallstone': 235919008}, 'existence': 'neg_dx', 'descriptive_term': 'calcified', 'observation': 'gallstone', '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'}}size_fin: [{'size': '2.3 x 1.9 cm'}]anatomical entity_fin: {'back': {}}location descriptor_fin: ['left']clinical findings_fin: {'homogeneous 2.3 x 1.9 cm left adrenal nodule': {'clinical finding': 'homogeneous 2.3 x 1.9 cm left adrenal nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'homogeneous 2 3 x 1 9 cm left adrenal', 'observation': 'nodule'}}anatomical entity_fin: {'left adrenal gland': {}, 'body': {}}clinical findings_fin: {'probable subcentimeter left adrenal gland body myelolipoma': {'clinical finding': 'probable subcentimeter left adrenal gland body myelolipoma', 'cf_snomed': {'myelolipoma': 20810002}, 'existence': 'pos_dx', 'descriptive_term': 'probable subcentimeter left adrenal gland body', 'observation': 'myelolipoma'}}clinical findings_fin: {'several probable simple cysts': {'clinical finding': 'several probable simple cysts', 'cf_snomed': {'simple cyst': 367644007}, 'existence': 'pos_dx', 'descriptive_term': 'several probable simple', 'observation': 'cyst', 'quantity_term': 'several'}, 'renal hypodensities': {'clinical finding': 'renal hypodensities', 'existence': 'unc_dx', 'descriptive_term': 'renal', 'observation': 'hypodensity'}}clinical findings_fin: {'retroperitoneal lymphadenopathy': {'clinical finding': 'retroperitoneal lymphadenopathy', 'cf_snomed': {'retroperitoneal lymphadenopathy': 127154008}, 'existence': 'pos_dx', 'descriptive_term': 'retroperitoneal', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '3.7 x 3.3 cm'}, {'size': '3.0 x 2.6 cm'}]location descriptor_fin: ['left']clinical findings_fin: {'reference left para-aortic lymphadenopathy': {'clinical finding': 'reference left para-aortic lymphadenopathy', 'cf_snomed': {'aortic lymphadenopathy': 127140000}, 'existence': 'pos_dx', 'descriptive_term': 'reference left para-aortic', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '4.1 x 3.2 cm'}, {'size': '3.7 x 3.0 cm'}]anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'infrarenal abdominal aortic aneurysm': {'clinical finding': 'infrarenal abdominal aortic aneurysm', 'cf_snomed': {'abdominal aortic aneurysm': 233985008}, 'existence': 'pos_dx', 'descriptive_term': 'infrarenal abdominal aortic', 'observation': 'aneurysm'}, 'asymmetric mural thrombus': {'clinical finding': 'asymmetric mural thrombus', 'cf_snomed': {'mural thrombus': 51670003}, 'existence': 'pos_dx', 'descriptive_term': 'asymmetric mural', 'observation': 'thrombus'}}clinical findings_fin: {'small hiatal hernia': {'clinical finding': 'small hiatal hernia', 'cf_snomed': {'hiatal hernia': 84089009}, 'existence': 'pos_dx', 'descriptive_term': 'small hiatal', 'observation': 'hernia', 'strength_term': 'small'}}anatomical entity_fin: {'sigmoid colon': {}}clinical findings_fin: {'marked diverticulosis': {'clinical finding': 'marked diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'marked', 'observation': 'diverticulosis'}, 'diverticulitis': {'clinical finding': 'diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'observation': 'diverticulitis'}}imaging observation_fin: ['fat']clinical findings_fin: {'large fat-containing umbilical hernia': {'clinical finding': 'large fat-containing umbilical hernia', 'cf_snomed': {'umbilical hernia': 396347007}, 'existence': 'pos_dx', 'descriptive_term': 'large fat-containing umbilical', 'observation': 'hernia', 'strength_term': 'large'}, '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'}}anatomical entity_fin: {'urinary bladder': {}}clinical findings_fin: {'contracted': {'clinical finding': 'contracted', 'existence': 'pos_dx', 'observation': 'contract'}, 'circumferential wall thickening': {'clinical finding': 'circumferential wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'circumferential wall', 'observation': 'thickening'}}size_fin: [{'size': '1.3 x 1.2 cm'}, {'size': '1.1 x 1.0 cm'}]anatomical entity_fin: {'common iliac lymph node': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'reference right common iliac lymph node': {'clinical finding': 'reference right common iliac lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference right common iliac lymph', 'observation': 'node'}}clinical findings_fin: {'additional prominent pelvic lymph nodes': {'clinical finding': 'additional prominent pelvic lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'additional prominent pelvic lymph', 'observation': 'node', 'strength_term': 'prominent'}}clinical findings_fin: {'diverticulosis': {'clinical finding': 'diverticulosis', 'existence': 'pos_dx', 'observation': 'diverticulosis'}, 'diverticulitis': {'clinical finding': 'diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'observation': 'diverticulitis'}}clinical findings_fin: {'grade 2/3 anterolisthesis': {'clinical finding': 'grade 2/3 anterolisthesis', 'existence': 'pos_dx', 'descriptive_term': 'grade 2/3', 'observation': 'anterolisthesis'}}clinical findings_fin: {'vascular calcifications': {'clinical finding': 'vascular calcifications', 'cf_snomed': {'vascular calcification': 237897009}, 'existence': 'pos_dx', 'descriptive_term': 'vascular', 'observation': 'calcification'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . No suspicious pulmonary mass or nodule. No focal consolidation, pleural effusions or pneumothorax. No supraclavicular, mediastinal or hilar lymphadenopathy measuring greater than 1 cm. No pericardial effusion. Severe. No axillary lymphadenopathy by size criteria. Degenerative changes. No focal suspicious liver lesion, biliary ductal dilatation or vascular abnormality. Contracted gallbladder without calcified gallstones. No significant abnormality noted. No significant abnormality noted. Homogeneous 2.3 x 1.9 cm left adrenal nodule , unchanged dating back to 2010. Probable subcentimeter left adrenal gland body myelolipoma, unchanged. Several probable simple cysts and too small to characterize renal hypodensities are not significantly changed in size. Interval increase in retroperitoneal lymphadenopathy. The reference left para-aortic lymphadenopathy measures 3.7 x 3.3 cm , compared to 3.0 x 2.6 cm previously. Infrarenal abdominal aortic aneurysm with asymmetric mural thrombus measures 4.1 x 3.2 cm, compared to 3.7 x 3.0 cm previously. Severe. Small hiatal hernia. Marked diverticulosis of the descending and sigmoid colon without diverticulitis. Large fat-containing umbilical hernia without complication. No significant abnormality noted. No significant abnormality noted. Contracted urinary bladder with circumferential wall thickening appears chronic. The reference right common iliac lymph node measures 1.3 x 1.2 cm compared to 1.1 x 1.0 cm previously. Additional prominent pelvic lymph nodes are not significantly changed. Diverticulosis without diverticulitis. Degenerative changes. Grade 2/3 anterolisthesis of L4 on L5, unchanged. Vascular calcifications. No significant abnormality noted </s>

There is redemonstration of intraventricular blood and a hematoma centered in right thalamus associated with some hypodensity adjacent to the right thalamic hematoma. Compared to the prior exam there is no significant change in the extent of the hematoma appeared the hematoma is less dense on the current exam. Atherosclerotic calcifications are present along the distal internal carotid arteries. A punctate calcification is present along the posterior aspect of the pons. The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. The eyeball lenses are thin.

anatomical entity_fin: {'right thalamus': {}}imaging observation_fin: ['blood', 'hematoma']location descriptor_fin: ['adjacent', 'right']clinical findings_fin: {'intraventricular blood': {'clinical finding': 'intraventricular blood', 'existence': 'pos_dx', 'descriptive_term': 'intraventricular', 'observation': 'blood'}, 'hematoma': {'clinical finding': 'hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'pos_dx', 'observation': 'hematoma'}, 'some hypodensity': {'clinical finding': 'some hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'some', 'observation': 'hypodensity', 'quantity_term': 'some'}, 'right thalamic hematoma': {'clinical finding': 'right thalamic hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'pos_dx', 'descriptive_term': 'right thalamic', 'observation': 'hematoma'}}imaging observation_fin: ['hematoma']clinical findings_fin: {'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}, 'hematoma_1': {'clinical finding': 'hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'neg_dx', 'observation': 'hematoma'}, 'hematoma_2': {'clinical finding': 'hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'pos_dx', 'observation': 'hematoma'}}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'}}anatomical entity_fin: {'pons': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'punctate calcification': {'clinical finding': 'punctate calcification', 'cf_snomed': {'punctate calcification': 129755006}, 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'calcification'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}clinical findings_fin: {'eyeball lenses': {'clinical finding': 'eyeball lenses', 'existence': 'pos_dx', 'descriptive_term': 'eyeball', 'observation': 'lense'}}

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 thalamus': {}}imaging observation_fin: ['blood', 'hematoma']location descriptor_fin: ['adjacent', 'right']clinical findings_fin: {'intraventricular blood': {'clinical finding': 'intraventricular blood', 'existence': 'pos_dx', 'descriptive_term': 'intraventricular', 'observation': 'blood'}, 'hematoma': {'clinical finding': 'hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'pos_dx', 'observation': 'hematoma'}, 'some hypodensity': {'clinical finding': 'some hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'some', 'observation': 'hypodensity', 'quantity_term': 'some'}, 'right thalamic hematoma': {'clinical finding': 'right thalamic hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'pos_dx', 'descriptive_term': 'right thalamic', 'observation': 'hematoma'}}imaging observation_fin: ['hematoma']clinical findings_fin: {'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}, 'hematoma_1': {'clinical finding': 'hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'neg_dx', 'observation': 'hematoma'}, 'hematoma_2': {'clinical finding': 'hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'pos_dx', 'observation': 'hematoma'}}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'}}anatomical entity_fin: {'pons': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'punctate calcification': {'clinical finding': 'punctate calcification', 'cf_snomed': {'punctate calcification': 129755006}, 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'calcification'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}clinical findings_fin: {'eyeball lenses': {'clinical finding': 'eyeball lenses', 'existence': 'pos_dx', 'descriptive_term': 'eyeball', 'observation': 'lense'}} [/INST] There is redemonstration of intraventricular blood and a hematoma centered in right thalamus associated with some hypodensity adjacent to the right thalamic hematoma. Compared to the prior exam there is no significant change in the extent of the hematoma appeared the hematoma is less dense on the current exam. Atherosclerotic calcifications are present along the distal internal carotid arteries. A punctate calcification is present along the posterior aspect of the pons. The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. The eyeball lenses are thin. </s>

. Pulmonary embolus identified in a right middle lobe segmental pulmonary artery. This embolus is linear and eccentric, suggesting a degree of chronicity. No CT evidence of pulmonary hypertension or right heart strain. Small right pleural effusion and right lower lobe subsegmental atelectasis. Minimal left lower lobe subsegmental atelectasis. No evidence of edema or infection. Moderate centrilobular emphysema. No mediastinal or hilar lymphadenopathy. Normal-sized heart without pericardial effusion. Mild. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Hypoattenuating left hepatic lobe lesion, incompletely characterized. Colonic diverticulosis.

anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}, 'segmental pulmonary artery': {}}location descriptor_fin: ['right']clinical findings_fin: {'pulmonary embolus': {'clinical finding': 'pulmonary embolus', 'cf_snomed': {'embolus': 55584005}, 'existence': 'pos_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolus'}, 'right middle lobe segmental pulmonary': {'clinical finding': 'right middle lobe segmental pulmonary', 'existence': 'pos_dx', 'descriptive_term': 'right middle lobe segmental', 'observation': 'pulmonary'}}clinical findings_fin: {'this embolus': {'clinical finding': 'this embolus', 'cf_snomed': {'embolus': 55584005}, 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'embolus'}, 'chronicity': {'clinical finding': 'chronicity', 'existence': 'unc_dx', 'observation': 'chronicity'}}anatomical entity_fin: {'heart': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'pulmonary hypertension': {'clinical finding': 'pulmonary hypertension', 'cf_snomed': {'pulmonary hypertension': 70995007}, 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'hypertension'}, 'right heart strain': {'clinical finding': 'right heart strain', 'existence': 'neg_dx', 'descriptive_term': 'right heart', 'observation': 'strain'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower', 'subsegmental']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'}, 'right lower lobe subsegmental atelectasis': {'clinical finding': 'right lower lobe subsegmental atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'right lower lobe subsegmental', 'observation': 'atelectasis'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower', 'subsegmental']clinical findings_fin: {'minimal left lower lobe subsegmental atelectasis': {'clinical finding': 'minimal left lower lobe subsegmental atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'minimal left lower lobe subsegmental', 'observation': 'atelectasis', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}clinical findings_fin: {'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'observation': 'edema'}, 'infection': {'clinical finding': 'infection', 'existence': 'neg_dx', 'observation': 'infection'}}clinical findings_fin: {'moderate centrilobular emphysema': {'clinical finding': 'moderate centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'moderate centrilobular', 'observation': 'emphysema', 'strength_term': 'moderate'}}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: {'lobe': {}}location descriptor_fin: ['left']clinical findings_fin: {'hypoattenuating left hepatic lobe lesion': {'clinical finding': 'hypoattenuating left hepatic lobe lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating left hepatic lobe', 'observation': 'lesion'}}clinical findings_fin: {'colonic diverticulosis': {'clinical finding': 'colonic diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'colonic', 'observation': 'diverticulosis'}}

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: {'middle': {'location descriptor': 'right'}, 'lobe': {}, 'segmental pulmonary artery': {}}location descriptor_fin: ['right']clinical findings_fin: {'pulmonary embolus': {'clinical finding': 'pulmonary embolus', 'cf_snomed': {'embolus': 55584005}, 'existence': 'pos_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolus'}, 'right middle lobe segmental pulmonary': {'clinical finding': 'right middle lobe segmental pulmonary', 'existence': 'pos_dx', 'descriptive_term': 'right middle lobe segmental', 'observation': 'pulmonary'}}clinical findings_fin: {'this embolus': {'clinical finding': 'this embolus', 'cf_snomed': {'embolus': 55584005}, 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'embolus'}, 'chronicity': {'clinical finding': 'chronicity', 'existence': 'unc_dx', 'observation': 'chronicity'}}anatomical entity_fin: {'heart': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'pulmonary hypertension': {'clinical finding': 'pulmonary hypertension', 'cf_snomed': {'pulmonary hypertension': 70995007}, 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'hypertension'}, 'right heart strain': {'clinical finding': 'right heart strain', 'existence': 'neg_dx', 'descriptive_term': 'right heart', 'observation': 'strain'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower', 'subsegmental']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'}, 'right lower lobe subsegmental atelectasis': {'clinical finding': 'right lower lobe subsegmental atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'right lower lobe subsegmental', 'observation': 'atelectasis'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower', 'subsegmental']clinical findings_fin: {'minimal left lower lobe subsegmental atelectasis': {'clinical finding': 'minimal left lower lobe subsegmental atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'minimal left lower lobe subsegmental', 'observation': 'atelectasis', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}clinical findings_fin: {'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'observation': 'edema'}, 'infection': {'clinical finding': 'infection', 'existence': 'neg_dx', 'observation': 'infection'}}clinical findings_fin: {'moderate centrilobular emphysema': {'clinical finding': 'moderate centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'moderate centrilobular', 'observation': 'emphysema', 'strength_term': 'moderate'}}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: {'lobe': {}}location descriptor_fin: ['left']clinical findings_fin: {'hypoattenuating left hepatic lobe lesion': {'clinical finding': 'hypoattenuating left hepatic lobe lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating left hepatic lobe', 'observation': 'lesion'}}clinical findings_fin: {'colonic diverticulosis': {'clinical finding': 'colonic diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'colonic', 'observation': 'diverticulosis'}} [/INST] . Pulmonary embolus identified in a right middle lobe segmental pulmonary artery. This embolus is linear and eccentric, suggesting a degree of chronicity. No CT evidence of pulmonary hypertension or right heart strain. Small right pleural effusion and right lower lobe subsegmental atelectasis. Minimal left lower lobe subsegmental atelectasis. No evidence of edema or infection. Moderate centrilobular emphysema. No mediastinal or hilar lymphadenopathy. Normal-sized heart without pericardial effusion. Mild. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Hypoattenuating left hepatic lobe lesion, incompletely characterized. Colonic diverticulosis. </s>

. Scattered pulmonary micronodules. They have not significantly changed compared to previous study. No significant abnormality noted. None. No significant abnormality noted. Stable intrahepatic biliary dilatation. Interval development of pneumobilia. Metallic stent has been removed within the interval. No significant abnormality noted. Body and tail of the pancreas is atrophic. Patients presumed mass in the head of the pancreas measures 1.8 x 1.4 cm on image #105, series #3, not significantly changed compared to previous study. No significant abnormality noted. No significant abnormality noted. 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. Left hip total arthroplasty, unchanged. No significant abnormality noted.

clinical findings_fin: {'scattered pulmonary micronodules': {'clinical finding': 'scattered pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered pulmonary', 'observation': 'micronodule'}}clinical findings_fin: {'not significantly changed compared to previous study': {'clinical finding': 'not significantly changed compared to previous study', 'change_term': 'changed'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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 intrahepatic biliary dilatation': {'clinical finding': 'stable intrahepatic biliary dilatation', 'cf_snomed': {'dilatation': 25322007}, 'change_term': 'stable'}}clinical findings_fin: {'pneumobilia': {'clinical finding': 'pneumobilia', 'existence': 'pos_dx', 'observation': 'pneumobilia'}}clinical findings_fin: {'metallic stent': {'clinical finding': 'metallic stent', 'existence': 'pos_dx', 'descriptive_term': 'metallic', 'observation': 'stent'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'body': {}, 'pancreas': {}}clinical findings_fin: {'tail': {'clinical finding': 'tail', 'existence': 'pos_dx', 'observation': 'tail'}, 'atrophic': {'clinical finding': 'atrophic', 'existence': 'pos_dx', 'observation': 'atrophic'}}size_fin: [{'size': '1.8 x 1.4 cm', 'size_descriptor': 'mass'}]anatomical entity_fin: {'head': {}, 'pancreas': {}}clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'unc_dx', 'observation': 'mass'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'hip': {'location descriptor': 'left'}}location descriptor_fin: ['left']procedure_fin: ['arthroplasty']clinical findings_fin: {'left hip total arthroplasty , unchanged': {'clinical finding': 'left hip total arthroplasty , 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: clinical findings_fin: {'scattered pulmonary micronodules': {'clinical finding': 'scattered pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered pulmonary', 'observation': 'micronodule'}}clinical findings_fin: {'not significantly changed compared to previous study': {'clinical finding': 'not significantly changed compared to previous study', 'change_term': 'changed'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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 intrahepatic biliary dilatation': {'clinical finding': 'stable intrahepatic biliary dilatation', 'cf_snomed': {'dilatation': 25322007}, 'change_term': 'stable'}}clinical findings_fin: {'pneumobilia': {'clinical finding': 'pneumobilia', 'existence': 'pos_dx', 'observation': 'pneumobilia'}}clinical findings_fin: {'metallic stent': {'clinical finding': 'metallic stent', 'existence': 'pos_dx', 'descriptive_term': 'metallic', 'observation': 'stent'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'body': {}, 'pancreas': {}}clinical findings_fin: {'tail': {'clinical finding': 'tail', 'existence': 'pos_dx', 'observation': 'tail'}, 'atrophic': {'clinical finding': 'atrophic', 'existence': 'pos_dx', 'observation': 'atrophic'}}size_fin: [{'size': '1.8 x 1.4 cm', 'size_descriptor': 'mass'}]anatomical entity_fin: {'head': {}, 'pancreas': {}}clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'unc_dx', 'observation': 'mass'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'hip': {'location descriptor': 'left'}}location descriptor_fin: ['left']procedure_fin: ['arthroplasty']clinical findings_fin: {'left hip total arthroplasty , unchanged': {'clinical finding': 'left hip total arthroplasty , unchanged', 'change_term': 'unchanged'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Scattered pulmonary micronodules. They have not significantly changed compared to previous study. No significant abnormality noted. None. No significant abnormality noted. Stable intrahepatic biliary dilatation. Interval development of pneumobilia. Metallic stent has been removed within the interval. No significant abnormality noted. Body and tail of the pancreas is atrophic. Patients presumed mass in the head of the pancreas measures 1.8 x 1.4 cm on image #105, series #3, not significantly changed compared to previous study. No significant abnormality noted. No significant abnormality noted. 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. Left hip total arthroplasty, unchanged. No significant abnormality noted. </s>

. Bilateral pleural effusions with interval decrease in size compared to the prior exam. Interval improvement of interstitial edema. Clearing of the nonspecific airspace opacities in the lingula and middle lobe most likely related to aspiration. The debris noted within the precarinal trachea. Redemonstration of bilateral apical post radiation changes in left basilar atelectasis. No new suspicious pulmonary nodules or masses. Stable appearance of mildly enlarged right paratracheal lymph node. Cardiac enlargement without evidence of a pericardial effusion. Severe. Status post median sternotomy with evidence of a prior CABG. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Stable appearance of multiple large bilateral 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: ['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'}}clinical findings_fin: {'interstitial edema': {'clinical finding': 'interstitial edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'interstitial', 'observation': 'edema'}}anatomical entity_fin: {'airspace': {}, 'lingula': {}, 'middle': {}, 'lobe': {}}clinical findings_fin: {'nonspecific airspace opacities': {'clinical finding': 'nonspecific airspace opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'nonspecific airspace', 'observation': 'opacity'}, 'aspiration': {'clinical finding': 'aspiration', 'existence': 'unc_dx', 'observation': 'aspiration'}}anatomical entity_fin: {'trachea': {}}clinical findings_fin: {'debris': {'clinical finding': 'debris', 'existence': 'pos_dx', 'observation': 'debris'}}imaging observation_fin: ['apical']location descriptor_fin: ['bilateral', 'left']clinical findings_fin: {'bilateral apical post radiation changes': {'clinical finding': 'bilateral apical post radiation changes', 'existence': 'pos_dx', 'descriptive_term': 'bilateral apical post radiation', 'observation': 'change'}, 'left basilar atelectasis': {'clinical finding': 'left basilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'left basilar', 'observation': 'atelectasis'}}clinical findings_fin: {'new suspicious pulmonary nodules': {'clinical finding': 'new suspicious pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'new suspicious pulmonary', 'observation': 'nodule', 'temporal_term': 'new'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}location descriptor_fin: ['right']clinical findings_fin: {'mildly enlarged right paratracheal lymph node': {'clinical finding': 'mildly enlarged right paratracheal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'mildly enlarged right paratracheal lymph', 'observation': 'node', 'strength_term': 'mildly - 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'}}location descriptor_fin: ['median']clinical findings_fin: {'post median sternotomy': {'clinical finding': 'post median sternotomy', 'existence': 'pos_dx', 'descriptive_term': 'post median', 'observation': 'sternotomy'}}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: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'multiple large bilateral renal cysts': {'clinical finding': 'multiple large bilateral renal cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple large bilateral renal', 'observation': 'cyst', 'strength_term': 'large', 'quantity_term': 'multiple'}}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: ['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'}}clinical findings_fin: {'interstitial edema': {'clinical finding': 'interstitial edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'interstitial', 'observation': 'edema'}}anatomical entity_fin: {'airspace': {}, 'lingula': {}, 'middle': {}, 'lobe': {}}clinical findings_fin: {'nonspecific airspace opacities': {'clinical finding': 'nonspecific airspace opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'nonspecific airspace', 'observation': 'opacity'}, 'aspiration': {'clinical finding': 'aspiration', 'existence': 'unc_dx', 'observation': 'aspiration'}}anatomical entity_fin: {'trachea': {}}clinical findings_fin: {'debris': {'clinical finding': 'debris', 'existence': 'pos_dx', 'observation': 'debris'}}imaging observation_fin: ['apical']location descriptor_fin: ['bilateral', 'left']clinical findings_fin: {'bilateral apical post radiation changes': {'clinical finding': 'bilateral apical post radiation changes', 'existence': 'pos_dx', 'descriptive_term': 'bilateral apical post radiation', 'observation': 'change'}, 'left basilar atelectasis': {'clinical finding': 'left basilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'left basilar', 'observation': 'atelectasis'}}clinical findings_fin: {'new suspicious pulmonary nodules': {'clinical finding': 'new suspicious pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'new suspicious pulmonary', 'observation': 'nodule', 'temporal_term': 'new'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}location descriptor_fin: ['right']clinical findings_fin: {'mildly enlarged right paratracheal lymph node': {'clinical finding': 'mildly enlarged right paratracheal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'mildly enlarged right paratracheal lymph', 'observation': 'node', 'strength_term': 'mildly - 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'}}location descriptor_fin: ['median']clinical findings_fin: {'post median sternotomy': {'clinical finding': 'post median sternotomy', 'existence': 'pos_dx', 'descriptive_term': 'post median', 'observation': 'sternotomy'}}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: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'multiple large bilateral renal cysts': {'clinical finding': 'multiple large bilateral renal cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple large bilateral renal', 'observation': 'cyst', 'strength_term': 'large', 'quantity_term': 'multiple'}}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] . Bilateral pleural effusions with interval decrease in size compared to the prior exam. Interval improvement of interstitial edema. Clearing of the nonspecific airspace opacities in the lingula and middle lobe most likely related to aspiration. The debris noted within the precarinal trachea. Redemonstration of bilateral apical post radiation changes in left basilar atelectasis. No new suspicious pulmonary nodules or masses. Stable appearance of mildly enlarged right paratracheal lymph node. Cardiac enlargement without evidence of a pericardial effusion. Severe. Status post median sternotomy with evidence of a prior CABG. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Stable appearance of multiple large bilateral 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>

There is a right frontal approach ventriculoperitoneal shunt catheter with the tip terminating in the right paramedian mid body of the right lateral ventricle. There is persistent diffuse enlargement of the lateral and third ventricles, compared roughly similar in size to the prior examination, although precise measurements are limited by changes in patient positioning. There is no evidence of transependymal cerebrospinal fluid. There is no midline shift or mass effect. There is no intracranial hemorrhage or areas of abnormal attenuation. There are secretions within the sphenoid sinuses.

anatomical entity_fin: {'body': {}, 'right lateral ventricle': {}}location descriptor_fin: ['right']object_fin: ['ventriculoperitoneal shunt', 'catheter']clinical findings_fin: {'right frontal approach ventriculoperitoneal': {'clinical finding': 'right frontal approach ventriculoperitoneal', 'existence': 'pos_dx', 'descriptive_term': 'right frontal approach', 'observation': 'ventriculoperitoneal'}}anatomical entity_fin: {'third ventricles': {}}location descriptor_fin: ['lateral']clinical findings_fin: {'persistent diffuse enlargement': {'clinical finding': 'persistent diffuse enlargement', 'cf_snomed': {'enlargement': 442021009}, 'existence': 'pos_dx', 'descriptive_term': 'persistent diffuse', 'observation': 'enlargement', 'temporal_term': 'persistent'}, 'changes': {'clinical finding': 'changes', 'existence': 'pos_dx', 'observation': 'change'}}anatomical entity_fin: {'fluid': {}}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'}}

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: {'body': {}, 'right lateral ventricle': {}}location descriptor_fin: ['right']object_fin: ['ventriculoperitoneal shunt', 'catheter']clinical findings_fin: {'right frontal approach ventriculoperitoneal': {'clinical finding': 'right frontal approach ventriculoperitoneal', 'existence': 'pos_dx', 'descriptive_term': 'right frontal approach', 'observation': 'ventriculoperitoneal'}}anatomical entity_fin: {'third ventricles': {}}location descriptor_fin: ['lateral']clinical findings_fin: {'persistent diffuse enlargement': {'clinical finding': 'persistent diffuse enlargement', 'cf_snomed': {'enlargement': 442021009}, 'existence': 'pos_dx', 'descriptive_term': 'persistent diffuse', 'observation': 'enlargement', 'temporal_term': 'persistent'}, 'changes': {'clinical finding': 'changes', 'existence': 'pos_dx', 'observation': 'change'}}anatomical entity_fin: {'fluid': {}}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'}} [/INST] There is a right frontal approach ventriculoperitoneal shunt catheter with the tip terminating in the right paramedian mid body of the right lateral ventricle. There is persistent diffuse enlargement of the lateral and third ventricles, compared roughly similar in size to the prior examination, although precise measurements are limited by changes in patient positioning. There is no evidence of transependymal cerebrospinal fluid. There is no midline shift or mass effect. There is no intracranial hemorrhage or areas of abnormal attenuation. There are secretions within the sphenoid sinuses. </s>

. No focal consolidation or pleural effusion. No suspicious pulmonary nodules. There is loculated air in the anterior left chest wall overlying the left fifth and sixth ribs etiology is unclear and correlation with procedural history is recommended. Fluid collection in the right axilla is incompletely imaged and measures up to 7 x 2 cm may represent postoperative seroma though abscess should be excluded clinically. Liver enhances homogenously without focal lesion. Gallbladder is unremarkable. No significant abnormality noted. Pancreas is unremarkable. No adrenal nodularity or thickening. The kidneys enhance symmetrically without focal lesion. No hydronephrosis or ureteronephrosis. No significant retroperitoneal lymphadenopathy. None. Ventral hernias containing omental fat are noted, unchanged. No significant abnormality noted. No significant abnormality noted. Uterus is atrophic or absent. A loculated right adnexal fluid-filled structure and a small round fat attenuation focus in the left adnexa are not significantly changed in appearance. These can be further evaluated with ultrasound if clinically indicated. No significant abnormality noted. No inguinal, iliac chain, or pelvic lymphadenopathy. Questionable rectal wall thickening correlate clinically for proctitis. No significant abnormality noted. No significant abnormality noted.

clinical findings_fin: {'focal consolidation': {'clinical finding': 'focal consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'consolidation'}, 'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}clinical findings_fin: {'suspicious pulmonary nodules': {'clinical finding': 'suspicious pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'anterior left'}, 'ribs': {}}location descriptor_fin: ['anterior', 'left']clinical findings_fin: {'is loculated air in the anterior left chest wall overlying the left fifth and sixth ribs etiology is unclear and correlation with procedural history is recommended': {'clinical finding': 'is loculated air in the anterior left chest wall overlying the left fifth and sixth ribs etiology is unclear and correlation with procedural history is recommended'}}size_fin: [{'size': '7 x 2 cm'}]anatomical entity_fin: {'axilla': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'fluid collection': {'clinical finding': 'fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'fluid', 'observation': 'collection'}, 'postoperative seroma': {'clinical finding': 'postoperative seroma', 'cf_snomed': {'postoperative seroma': 429494008}, 'existence': 'unc_dx', 'descriptive_term': 'postoperative', 'observation': 'seroma'}, 'abscess': {'clinical finding': 'abscess', 'cf_snomed': {'abscess': 128477000}, 'existence': 'unc_dx', 'observation': 'abscess'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'focal lesion': {'clinical finding': 'focal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'gallbladder is unremarkable': {'clinical finding': 'gallbladder is unremarkable'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'pancreas': {}}clinical findings_fin: {'pancreas is unremarkable': {'clinical finding': 'pancreas is unremarkable'}}clinical findings_fin: {'adrenal nodularity': {'clinical finding': 'adrenal nodularity', 'existence': 'neg_dx', 'descriptive_term': 'adrenal', 'observation': 'nodularity'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'neg_dx', 'observation': 'thickening'}}anatomical entity_fin: {'kidneys': {}}clinical findings_fin: {'focal lesion': {'clinical finding': 'focal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}, 'ureteronephrosis': {'clinical finding': 'ureteronephrosis', 'existence': 'neg_dx', 'observation': 'ureteronephrosis'}}clinical findings_fin: {'significant retroperitoneal lymphadenopathy': {'clinical finding': 'significant retroperitoneal lymphadenopathy', 'cf_snomed': {'retroperitoneal lymphadenopathy': 127154008}, 'existence': 'neg_dx', 'descriptive_term': 'significant retroperitoneal', 'observation': 'lymphadenopathy'}}imaging observation_fin: ['fat']clinical findings_fin: {'ventral hernias': {'clinical finding': 'ventral hernias', 'existence': 'pos_dx', 'descriptive_term': 'ventral', 'observation': 'hernias'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'uterus': {}}clinical findings_fin: {'atrophic': {'clinical finding': 'atrophic', 'existence': 'unc_dx', 'observation': 'atrophic'}, 'absent': {'clinical finding': 'absent', 'existence': 'unc_dx', 'observation': 'absent'}}anatomical entity_fin: {'fluid': {}}imaging observation_fin: ['fat']location descriptor_fin: ['right', 'left']clinical findings_fin: {'loculated right adnexal fluid-filled': {'clinical finding': 'loculated right adnexal fluid-filled', 'existence': 'pos_dx', 'descriptive_term': 'loculated right adnexal', 'observation': 'fluid'}, 'small round fat attenuation focus': {'clinical finding': 'small round fat attenuation focus', 'existence': 'pos_dx', 'descriptive_term': 'small round fat attenuation', 'observation': 'focus', 'strength_term': 'small'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'pelvic lymphadenopathy': {'clinical finding': 'pelvic lymphadenopathy', 'cf_snomed': {'pelvic lymphadenopathy': 127158006}, 'existence': 'neg_dx', 'descriptive_term': 'pelvic', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'rectal wall thickening': {'clinical finding': 'rectal wall thickening', 'existence': 'unc_dx', 'descriptive_term': 'rectal wall', 'observation': 'thickening'}, 'proctitis': {'clinical finding': 'proctitis', 'cf_snomed': {'proctitis': 3951002}, 'existence': 'unc_dx', 'observation': 'proctitis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'focal consolidation': {'clinical finding': 'focal consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'consolidation'}, 'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}clinical findings_fin: {'suspicious pulmonary nodules': {'clinical finding': 'suspicious pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'anterior left'}, 'ribs': {}}location descriptor_fin: ['anterior', 'left']clinical findings_fin: {'is loculated air in the anterior left chest wall overlying the left fifth and sixth ribs etiology is unclear and correlation with procedural history is recommended': {'clinical finding': 'is loculated air in the anterior left chest wall overlying the left fifth and sixth ribs etiology is unclear and correlation with procedural history is recommended'}}size_fin: [{'size': '7 x 2 cm'}]anatomical entity_fin: {'axilla': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'fluid collection': {'clinical finding': 'fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'fluid', 'observation': 'collection'}, 'postoperative seroma': {'clinical finding': 'postoperative seroma', 'cf_snomed': {'postoperative seroma': 429494008}, 'existence': 'unc_dx', 'descriptive_term': 'postoperative', 'observation': 'seroma'}, 'abscess': {'clinical finding': 'abscess', 'cf_snomed': {'abscess': 128477000}, 'existence': 'unc_dx', 'observation': 'abscess'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'focal lesion': {'clinical finding': 'focal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'gallbladder is unremarkable': {'clinical finding': 'gallbladder is unremarkable'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'pancreas': {}}clinical findings_fin: {'pancreas is unremarkable': {'clinical finding': 'pancreas is unremarkable'}}clinical findings_fin: {'adrenal nodularity': {'clinical finding': 'adrenal nodularity', 'existence': 'neg_dx', 'descriptive_term': 'adrenal', 'observation': 'nodularity'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'neg_dx', 'observation': 'thickening'}}anatomical entity_fin: {'kidneys': {}}clinical findings_fin: {'focal lesion': {'clinical finding': 'focal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}, 'ureteronephrosis': {'clinical finding': 'ureteronephrosis', 'existence': 'neg_dx', 'observation': 'ureteronephrosis'}}clinical findings_fin: {'significant retroperitoneal lymphadenopathy': {'clinical finding': 'significant retroperitoneal lymphadenopathy', 'cf_snomed': {'retroperitoneal lymphadenopathy': 127154008}, 'existence': 'neg_dx', 'descriptive_term': 'significant retroperitoneal', 'observation': 'lymphadenopathy'}}imaging observation_fin: ['fat']clinical findings_fin: {'ventral hernias': {'clinical finding': 'ventral hernias', 'existence': 'pos_dx', 'descriptive_term': 'ventral', 'observation': 'hernias'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'uterus': {}}clinical findings_fin: {'atrophic': {'clinical finding': 'atrophic', 'existence': 'unc_dx', 'observation': 'atrophic'}, 'absent': {'clinical finding': 'absent', 'existence': 'unc_dx', 'observation': 'absent'}}anatomical entity_fin: {'fluid': {}}imaging observation_fin: ['fat']location descriptor_fin: ['right', 'left']clinical findings_fin: {'loculated right adnexal fluid-filled': {'clinical finding': 'loculated right adnexal fluid-filled', 'existence': 'pos_dx', 'descriptive_term': 'loculated right adnexal', 'observation': 'fluid'}, 'small round fat attenuation focus': {'clinical finding': 'small round fat attenuation focus', 'existence': 'pos_dx', 'descriptive_term': 'small round fat attenuation', 'observation': 'focus', 'strength_term': 'small'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'pelvic lymphadenopathy': {'clinical finding': 'pelvic lymphadenopathy', 'cf_snomed': {'pelvic lymphadenopathy': 127158006}, 'existence': 'neg_dx', 'descriptive_term': 'pelvic', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'rectal wall thickening': {'clinical finding': 'rectal wall thickening', 'existence': 'unc_dx', 'descriptive_term': 'rectal wall', 'observation': 'thickening'}, 'proctitis': {'clinical finding': 'proctitis', 'cf_snomed': {'proctitis': 3951002}, 'existence': 'unc_dx', 'observation': 'proctitis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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 consolidation or pleural effusion. No suspicious pulmonary nodules. There is loculated air in the anterior left chest wall overlying the left fifth and sixth ribs etiology is unclear and correlation with procedural history is recommended. Fluid collection in the right axilla is incompletely imaged and measures up to 7 x 2 cm may represent postoperative seroma though abscess should be excluded clinically. Liver enhances homogenously without focal lesion. Gallbladder is unremarkable. No significant abnormality noted. Pancreas is unremarkable. No adrenal nodularity or thickening. The kidneys enhance symmetrically without focal lesion. No hydronephrosis or ureteronephrosis. No significant retroperitoneal lymphadenopathy. None. Ventral hernias containing omental fat are noted, unchanged. No significant abnormality noted. No significant abnormality noted. Uterus is atrophic or absent. A loculated right adnexal fluid-filled structure and a small round fat attenuation focus in the left adnexa are not significantly changed in appearance. These can be further evaluated with ultrasound if clinically indicated. No significant abnormality noted. No inguinal, iliac chain, or pelvic lymphadenopathy. Questionable rectal wall thickening correlate clinically for proctitis. No significant abnormality noted. No significant abnormality noted. </s>