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<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['right']clinical findings_fin: 'small diffuse hyperdense focus': 'clinical finding': 'small diffuse hyperdense focus', 'existence': 'pos_dx', 'descriptive_term': 'small diffuse hyperdense', 'observation': 'focus', 'strength_term': 'small', 'right sylvian fissure': 'clinical finding': 'right sylvian fissure', 'existence': 'pos_dx', 'descriptive_term': 'right sylvian', 'observation': 'fissure', 'small subarachnoid hemorrhage': 'clinical finding': 'small subarachnoid hemorrhage', 'existence': 'pos_dx', 'descriptive_term': 'small subarachnoid', 'observation': 'hemorrhage', 'strength_term': 'small'anatomical entity_fin: 'perimesencephalic cistern': 'location descriptor': 'left'imaging observation_fin: ['foci']location descriptor_fin: ['left']clinical findings_fin: 'minimal hyperdense foci': 'clinical finding': 'minimal hyperdense foci', 'existence': 'pos_dx', 'descriptive_term': 'minimal hyperdense', 'observation': 'foci', 'strength_term': 'minimal', 'quantity_term': 'minimal', 'left sylvian fissure': 'clinical finding': 'left sylvian fissure', 'existence': 'pos_dx', 'descriptive_term': 'left sylvian', 'observation': 'fissure', 'subarachnoid hemorrhage': 'clinical finding': 'subarachnoid hemorrhage', 'existence': 'pos_dx', 'descriptive_term': 'subarachnoid', 'observation': 'hemorrhage'clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass', 'significant parenchymal edema': 'clinical finding': 'significant parenchymal edema', 'existence': 'neg_dx', 'descriptive_term': 'significant parenchymal', 'observation': 'edema'imaging observation_fin: ['blood']clinical findings_fin: 'parenchymal hemorrhage': 'clinical finding': 'parenchymal hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'parenchymal', 'observation': 'hemorrhage', 'ventricular blood': 'clinical finding': 'ventricular blood', 'existence': 'neg_dx', 'descriptive_term': 'ventricular', 'observation': 'blood', 'extracranial bleed': 'clinical finding': 'extracranial bleed', 'existence': 'neg_dx', 'descriptive_term': 'extracranial', 'observation': 'bleed'clinical findings_fin: 'ventricles and basal cisterns are normal in size and configuration': 'clinical finding': 'ventricles and basal cisterns are normal in size and configuration'anatomical entity_fin: 'skull': , 'base': clinical findings_fin: 'calvaria and skull base are radiographically normal': 'clinical finding': 'calvaria and skull base are radiographically normal'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'clinical findings_fin: 'maxillofacial': 'clinical finding': 'maxillofacial', 'existence': 'pos_dx', 'observation': 'maxillofacial'anatomical entity_fin: 'wall': 'location descriptor': 'anterior', 'maxillary sinus': 'location descriptor': 'right', 'nasolacrimal duct': , 'base': , 'nasal bone': 'location descriptor': 'right'location descriptor_fin: ['anterior', 'right']clinical findings_fin: 'nondisplaced linear fracture': 'clinical finding': 'nondisplaced linear fracture', 'existence': 'pos_dx', 'descriptive_term': 'nondisplaced linear', 'observation': 'fracture'location descriptor_fin: ['right']clinical findings_fin: 'periapical abscess': 'clinical finding': 'periapical abscess', 'existence': 'unc_dx', 'descriptive_term': 'periapical', 'observation': 'abscess'anatomical entity_fin: 'maxillary sinus': 'location descriptor': 'right', 'ostiomeatal unit': location descriptor_fin: ['left', 'right']clinical findings_fin: 'left maxillary incisor': 'clinical finding': 'left maxillary incisor', 'existence': 'pos_dx', 'descriptive_term': 'left maxillary', 'observation': 'incisor', 'periapical abscess': 'clinical finding': 'periapical abscess', 'existence': 'unc_dx', 'descriptive_term': 'periapical', 'observation': 'abscess', 'slight mucosal thickening': 'clinical finding': 'slight mucosal thickening', 'existence': 'unc_dx', 'descriptive_term': 'slight mucosal', 'observation': 'thickening', 'obstruction': 'clinical finding': 'obstruction', 'existence': 'pos_dx', 'observation': 'obstruction', 'chronic sinus disease': 'clinical finding': 'chronic sinus disease', 'existence': 'unc_dx', 'descriptive_term': 'chronic sinus', 'observation': 'disease', 'temporal_term': 'chronic' [/INST] [RESP] Brain. Small diffuse hyperdense focus in the right sylvian fissure, consistent with a small subarachnoid hemorrhage. In addition, there are minimal hyperdense foci in the left sylvian fissure and left perimesencephalic cistern consistent with the subarachnoid hemorrhage. No evidence of mass or significant parenchymal edema. No evidence of parenchymal hemorrhage, ventricular blood, or extracranial bleed. The ventricles and basal cisterns are normal in size and configuration. The calvaria and skull base are radiographically normal. Limited views of the paranasal sinuses and mastoid air cells are normally pneumatized. Maxillofacial. There is a nondisplaced linear fracture of the anterior wall of right maxillary sinus extending to the nasolacrimal duct and the base of the right nasal bone. There is a periapical lucency in the mandibular right molar, concerning for periapical abscess. In addition, in the left maxillary incisor, there is also likely a periapical abscess Slight mucosal thickening in the right maxillary sinus with obstruction of the right maxillary ostiomeatal unit, likely due to chronic sinus disease. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['right']clinical findings_fin: 'small diffuse hyperdense focus': 'clinical finding': 'small diffuse hyperdense focus', 'existence': 'pos_dx', 'descriptive_term': 'small diffuse hyperdense', 'observation': 'focus', 'strength_term': 'small', 'right sylvian fissure': 'clinical finding': 'right sylvian fissure', 'existence': 'pos_dx', 'descriptive_term': 'right sylvian', 'observation': 'fissure', 'small subarachnoid hemorrhage': 'clinical finding': 'small subarachnoid hemorrhage', 'existence': 'pos_dx', 'descriptive_term': 'small subarachnoid', 'observation': 'hemorrhage', 'strength_term': 'small'anatomical entity_fin: 'perimesencephalic cistern': 'location descriptor': 'left'imaging observation_fin: ['foci']location descriptor_fin: ['left']clinical findings_fin: 'minimal hyperdense foci': 'clinical finding': 'minimal hyperdense foci', 'existence': 'pos_dx', 'descriptive_term': 'minimal hyperdense', 'observation': 'foci', 'strength_term': 'minimal', 'quantity_term': 'minimal', 'left sylvian fissure': 'clinical finding': 'left sylvian fissure', 'existence': 'pos_dx', 'descriptive_term': 'left sylvian', 'observation': 'fissure', 'subarachnoid hemorrhage': 'clinical finding': 'subarachnoid hemorrhage', 'existence': 'pos_dx', 'descriptive_term': 'subarachnoid', 'observation': 'hemorrhage'clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass', 'significant parenchymal edema': 'clinical finding': 'significant parenchymal edema', 'existence': 'neg_dx', 'descriptive_term': 'significant parenchymal', 'observation': 'edema'imaging observation_fin: ['blood']clinical findings_fin: 'parenchymal hemorrhage': 'clinical finding': 'parenchymal hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'parenchymal', 'observation': 'hemorrhage', 'ventricular blood': 'clinical finding': 'ventricular blood', 'existence': 'neg_dx', 'descriptive_term': 'ventricular', 'observation': 'blood', 'extracranial bleed': 'clinical finding': 'extracranial bleed', 'existence': 'neg_dx', 'descriptive_term': 'extracranial', 'observation': 'bleed'clinical findings_fin: 'ventricles and basal cisterns are normal in size and configuration': 'clinical finding': 'ventricles and basal cisterns are normal in size and configuration'anatomical entity_fin: 'skull': , 'base': clinical findings_fin: 'calvaria and skull base are radiographically normal': 'clinical finding': 'calvaria and skull base are radiographically normal'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'clinical findings_fin: 'maxillofacial': 'clinical finding': 'maxillofacial', 'existence': 'pos_dx', 'observation': 'maxillofacial'anatomical entity_fin: 'wall': 'location descriptor': 'anterior', 'maxillary sinus': 'location descriptor': 'right', 'nasolacrimal duct': , 'base': , 'nasal bone': 'location descriptor': 'right'location descriptor_fin: ['anterior', 'right']clinical findings_fin: 'nondisplaced linear fracture': 'clinical finding': 'nondisplaced linear fracture', 'existence': 'pos_dx', 'descriptive_term': 'nondisplaced linear', 'observation': 'fracture'location descriptor_fin: ['right']clinical findings_fin: 'periapical abscess': 'clinical finding': 'periapical abscess', 'existence': 'unc_dx', 'descriptive_term': 'periapical', 'observation': 'abscess'anatomical entity_fin: 'maxillary sinus': 'location descriptor': 'right', 'ostiomeatal unit': location descriptor_fin: ['left', 'right']clinical findings_fin: 'left maxillary incisor': 'clinical finding': 'left maxillary incisor', 'existence': 'pos_dx', 'descriptive_term': 'left maxillary', 'observation': 'incisor', 'periapical abscess': 'clinical finding': 'periapical abscess', 'existence': 'unc_dx', 'descriptive_term': 'periapical', 'observation': 'abscess', 'slight mucosal thickening': 'clinical finding': 'slight mucosal thickening', 'existence': 'unc_dx', 'descriptive_term': 'slight mucosal', 'observation': 'thickening', 'obstruction': 'clinical finding': 'obstruction', 'existence': 'pos_dx', 'observation': 'obstruction', 'chronic sinus disease': 'clinical finding': 'chronic sinus disease', 'existence': 'unc_dx', 'descriptive_term': 'chronic sinus', 'observation': 'disease', 'temporal_term': 'chronic' [/INST] [RESP]
Brain. Small diffuse hyperdense focus in the right sylvian fissure, consistent with a small subarachnoid hemorrhage. In addition, there are minimal hyperdense foci in the left sylvian fissure and left perimesencephalic cistern consistent with the subarachnoid hemorrhage. No evidence of mass or significant parenchymal edema. No evidence of parenchymal hemorrhage, ventricular blood, or extracranial bleed. The ventricles and basal cisterns are normal in size and configuration. The calvaria and skull base are radiographically normal. Limited views of the paranasal sinuses and mastoid air cells are normally pneumatized. Maxillofacial. There is a nondisplaced linear fracture of the anterior wall of right maxillary sinus extending to the nasolacrimal duct and the base of the right nasal bone. There is a periapical lucency in the mandibular right molar, concerning for periapical abscess. In addition, in the left maxillary incisor, there is also likely a periapical abscess Slight mucosal thickening in the right maxillary sinus with obstruction of the right maxillary ostiomeatal unit, likely due to chronic sinus disease. [/RESP]</s>
There is redemonstrated small diffuse hyperdense focus within the right Sylvian fissure, which may represent a small subarachnoid hemorrhage.[/RESP]. Minimal hyperdense foci along the left perimesencephalic cistern, consistent with minimal subarachnoid hemorrhage. No mass or significant parenchymal edema. The ventricles and basal cisterns are normal in size and configuration. The calvarias and skull base are radiographically normal. The visualized paranasal sinuses and mastoid air cells are normally pneumatized. Maxillofacial structures are unremarkable. Nondisplaced linear fracture of the anterior wall of the right maxillary sinus, nasolacrimal duct, and nasal bone base. Right maxillary sinus opacification with periapical abscess. Left maxillary incisor has been resected. Slight mucosal thickening at the ostiomeatal unit compatible with chronic sinus disease. [/RESP]
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'right temporal lobe': , 'basal ganglia': , 'corona radiata': location descriptor_fin: ['right']clinical findings_fin: 'hypoattenuation': 'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation', 'right mca infarction': 'clinical finding': 'right mca infarction', 'existence': 'pos_dx', 'descriptive_term': 'right mca', 'observation': 'infarction'clinical findings_fin: 'petechial or gross hemorrhagic transformation': 'clinical finding': 'petechial or gross hemorrhagic transformation', 'existence': 'neg_dx', 'descriptive_term': 'petechial or gross hemorrhagic', 'observation': 'transformation'clinical findings_fin: 'infarction': 'clinical finding': 'infarction', 'existence': 'neg_dx', 'observation': 'infarction'location descriptor_fin: ['midline']clinical findings_fin: 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'anatomical entity_fin: 'brain': clinical findings_fin: 'basal cistern effacement': 'clinical finding': 'basal cistern effacement', 'existence': 'neg_dx', 'descriptive_term': 'basal cistern', 'observation': 'effacement', 'frank brain herniation': 'clinical finding': 'frank brain herniation', 'existence': 'neg_dx', 'descriptive_term': 'frank brain', 'observation': 'herniation'anatomical entity_fin: 'right lateral ventricle': clinical findings_fin: 'effaced': 'clinical finding': 'effaced', 'existence': 'pos_dx', 'observation': 'effaced'anatomical entity_fin: 'fluid': clinical findings_fin: 'abnormal fluid collections are present': 'clinical finding': 'abnormal fluid collections are present'anatomical entity_fin: 'contents': clinical findings_fin: 'visualized orbital contents are unremarkable': 'clinical finding': 'visualized orbital contents are unremarkable'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP] Examination again shows a large area of hypoattenuation in the right temporal lobe, peri-insular region, basal ganglia, corona radiata, and portions of the centrum semiovale consistent with right MCA infarction. There is no petechial or gross hemorrhagic transformation of the infarcted territory. There are no additional sites of infarction. There is no midline shift. There remains no basal cistern effacement or frank brain herniation. The ventricular system appears normal apart from the effaced right lateral ventricle. No abnormal fluid collections are present. Visualized orbital contents are unremarkable. Paranasal sinuses and mastoid air cells are clear. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'right temporal lobe': , 'basal ganglia': , 'corona radiata': location descriptor_fin: ['right']clinical findings_fin: 'hypoattenuation': 'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation', 'right mca infarction': 'clinical finding': 'right mca infarction', 'existence': 'pos_dx', 'descriptive_term': 'right mca', 'observation': 'infarction'clinical findings_fin: 'petechial or gross hemorrhagic transformation': 'clinical finding': 'petechial or gross hemorrhagic transformation', 'existence': 'neg_dx', 'descriptive_term': 'petechial or gross hemorrhagic', 'observation': 'transformation'clinical findings_fin: 'infarction': 'clinical finding': 'infarction', 'existence': 'neg_dx', 'observation': 'infarction'location descriptor_fin: ['midline']clinical findings_fin: 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'anatomical entity_fin: 'brain': clinical findings_fin: 'basal cistern effacement': 'clinical finding': 'basal cistern effacement', 'existence': 'neg_dx', 'descriptive_term': 'basal cistern', 'observation': 'effacement', 'frank brain herniation': 'clinical finding': 'frank brain herniation', 'existence': 'neg_dx', 'descriptive_term': 'frank brain', 'observation': 'herniation'anatomical entity_fin: 'right lateral ventricle': clinical findings_fin: 'effaced': 'clinical finding': 'effaced', 'existence': 'pos_dx', 'observation': 'effaced'anatomical entity_fin: 'fluid': clinical findings_fin: 'abnormal fluid collections are present': 'clinical finding': 'abnormal fluid collections are present'anatomical entity_fin: 'contents': clinical findings_fin: 'visualized orbital contents are unremarkable': 'clinical finding': 'visualized orbital contents are unremarkable'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP]
Examination again shows a large area of hypoattenuation in the right temporal lobe, peri-insular region, basal ganglia, corona radiata, and portions of the centrum semiovale consistent with right MCA infarction. There is no petechial or gross hemorrhagic transformation of the infarcted territory. There are no additional sites of infarction. There is no midline shift. There remains no basal cistern effacement or frank brain herniation. The ventricular system appears normal apart from the effaced right lateral ventricle. No abnormal fluid collections are present. Visualized orbital contents are unremarkable. Paranasal sinuses and mastoid air cells are clear. [/RESP]</s>
Hypoattenuation is seen in the right temporal lobe, basal ganglia and corona radiata consistent with right MCA infarction. . No petechial or gross hemorrhagic transformation is identified. There is no evidence of infarction. The CSF spaces are appropriate in size for the patients stated age without midline shift. The gray-white matter differentiation is preserved. There is no evidence of basal cistern effacement or frank brain herniation. The third ventricles are slightly effaced but not significantly larger than expected for patient age. The fourth ventricle is also slightly effaced. The right lateral ventricle is more severely effaced. Abnormal fluid collections are present. Visualized orbital contents are unremarkable. Paranasal sinuses and mastoid air cells are clear. [/RESP]
<s>[INST] Write the finding section for a radiology report based on the following information: 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', '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', 'existence': 'neg_dx', 'observation': 'fracture'location descriptor_fin: ['left', 'anterior']clinical findings_fin: 'severe acute sinus disease': 'clinical finding': 'severe acute sinus disease', 'existence': 'pos_dx', 'descriptive_term': 'severe acute sinus', 'observation': 'disease', 'strength_term': 'severe - acute', 'temporal_term': 'acute'anatomical entity_fin: 'maxillary sinus': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'chronic mucosal thickening': 'clinical finding': 'chronic mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'chronic mucosal', 'observation': 'thickening', 'temporal_term': 'chronic', 'occlusion': 'clinical finding': 'occlusion', 'existence': 'pos_dx', 'observation': 'occlusion'clinical findings_fin: 'intersphenoid septum is normal': 'clinical finding': 'intersphenoid septum is normal'anatomical entity_fin: 'nasal turbinates': clinical findings_fin: 'nasal septum': 'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum'anatomical entity_fin: 'cribriform plate': , 'fovea ethmoidalis': location descriptor_fin: ['lateral']clinical findings_fin: 'cribriform plate , lateral lamellae , fovea ethmoidalis and lamina papyraceae appear normal': 'clinical finding': 'cribriform plate , lateral lamellae , fovea ethmoidalis and lamina papyraceae appear normal'clinical findings_fin: 'osseous structures are unremarkable': 'clinical finding': 'osseous structures are unremarkable'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'location descriptor_fin: ['midline']clinical findings_fin: 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', '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', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'osseous structures are unremarkable': 'clinical finding': 'osseous structures are unremarkable'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP] . 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. There is severe acute sinus disease of the left frontal and left anterior ethmoid sinuses. Chronic mucosal thickening is also noted in the left maxillary sinus with occlusion of the left ostiomeatal complex. The intersphenoid septum is normal. The nasal turbinates and nasal septum are normal. The cribriform plate, lateral lamellae, fovea ethmoidalis and lamina papyraceae appear normal. The osseous structures are unremarkable. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is preserved. There is no mass effect, midline shift, intra- or extra-axial fluid collection or acute hemorrhage. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: 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', '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', 'existence': 'neg_dx', 'observation': 'fracture'location descriptor_fin: ['left', 'anterior']clinical findings_fin: 'severe acute sinus disease': 'clinical finding': 'severe acute sinus disease', 'existence': 'pos_dx', 'descriptive_term': 'severe acute sinus', 'observation': 'disease', 'strength_term': 'severe - acute', 'temporal_term': 'acute'anatomical entity_fin: 'maxillary sinus': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'chronic mucosal thickening': 'clinical finding': 'chronic mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'chronic mucosal', 'observation': 'thickening', 'temporal_term': 'chronic', 'occlusion': 'clinical finding': 'occlusion', 'existence': 'pos_dx', 'observation': 'occlusion'clinical findings_fin: 'intersphenoid septum is normal': 'clinical finding': 'intersphenoid septum is normal'anatomical entity_fin: 'nasal turbinates': clinical findings_fin: 'nasal septum': 'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum'anatomical entity_fin: 'cribriform plate': , 'fovea ethmoidalis': location descriptor_fin: ['lateral']clinical findings_fin: 'cribriform plate , lateral lamellae , fovea ethmoidalis and lamina papyraceae appear normal': 'clinical finding': 'cribriform plate , lateral lamellae , fovea ethmoidalis and lamina papyraceae appear normal'clinical findings_fin: 'osseous structures are unremarkable': 'clinical finding': 'osseous structures are unremarkable'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'location descriptor_fin: ['midline']clinical findings_fin: 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', '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', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'osseous structures are unremarkable': 'clinical finding': 'osseous structures are unremarkable'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP]
. 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. There is severe acute sinus disease of the left frontal and left anterior ethmoid sinuses. Chronic mucosal thickening is also noted in the left maxillary sinus with occlusion of the left ostiomeatal complex. The intersphenoid septum is normal. The nasal turbinates and nasal septum are normal. The cribriform plate, lateral lamellae, fovea ethmoidalis and lamina papyraceae appear normal. The osseous structures are unremarkable. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is preserved. There is no mass effect, midline shift, intra- or extra-axial fluid collection or acute hemorrhage. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear. [/RESP]</s>
The globes, lenses, extraocular muscles, optic nerves, and retroglobal plexus are symmetric. . No evidence of a radiopaque foreign body. The orbital soft tissues are normal. There is no evidence of fracture. Severe acute sinus disease involving the left anterior ethmoid complex with complete opacification of the maxillary sinus. Chronic mucosal thickening and occlusion of the left maxillary sinus. Intersphenoid septum is normal. Nasal turbinates and nasal septum are normal. Cribriform plate, lateral lamellae, fovea ethmoidalis and lamina papyraceae appear normal. Osseous structures are unremarkable. Ventricles, sulci, and cisterns are symmetric. The gray-white matter differentiation is preserved. There is no mass effect, midline shift, intra- or extra-axial fluid collection or acute hemorrhage. The osseous structures are unremarkable. Paranasal sinuses and mastoid air cells are clear. [/RESP]
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'pulmonary arteries': clinical findings_fin: 'pulmonary embolism': 'clinical finding': 'pulmonary embolism', 'existence': 'unc_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolism', 'poor opacification': 'clinical finding': 'poor opacification', 'existence': 'pos_dx', 'descriptive_term': 'poor', 'observation': 'opacification'anatomical entity_fin: 'origin': , 'pulmonary arteries': clinical findings_fin: 'large embolus': 'clinical finding': 'large embolus', 'existence': 'neg_dx', 'descriptive_term': 'large', 'observation': 'embolus', 'strength_term': 'large'anatomical entity_fin: 'arteries': clinical findings_fin: 'pe': 'clinical finding': 'pe', 'existence': 'unc_dx', 'observation': 'pe'anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'nodular ground glass opacities': 'clinical finding': 'nodular ground glass opacities', 'existence': 'unc_dx', 'descriptive_term': 'nodular ground glass', 'observation': 'opacity', 'infection': 'clinical finding': 'infection', 'existence': 'unc_dx', 'observation': 'infection'clinical findings_fin: 'pleural effusions': 'clinical finding': 'pleural effusions', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'anatomical entity_fin: 'heart': clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'clinical findings_fin: 'enlarged mediastinal or hilar lymph nodes': 'clinical finding': 'enlarged mediastinal or hilar lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'enlarged mediastinal or hilar lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'anatomical entity_fin: 'thymus': clinical findings_fin: 'prevascular space soft tissue , likely physiologic thymus': 'clinical finding': 'prevascular space soft tissue , likely physiologic thymus'anatomical entity_fin: 'lobe': location descriptor_fin: ['left']clinical findings_fin: 'small left thyroid lobe hypodense lesion': 'clinical finding': 'small left thyroid lobe hypodense lesion', 'existence': 'pos_dx', 'descriptive_term': 'small left thyroid lobe hypodense', 'observation': 'lesion', 'strength_term': 'small', 'cyst': 'clinical finding': 'cyst', 'existence': 'unc_dx', 'observation': 'cyst', 'nodule': 'clinical finding': 'nodule', 'existence': 'unc_dx', 'observation': 'nodule'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'focal splenic hypodense lesion': 'clinical finding': 'focal splenic hypodense lesion', 'existence': 'pos_dx', 'descriptive_term': 'focal splenic hypodense', 'observation': 'lesion', 'contrast enhancement': 'clinical finding': 'contrast enhancement', 'existence': 'unc_dx', 'descriptive_term': 'contrast', 'observation': 'enhancement' [/INST] [RESP] . Nondiagnostic evaluation for pulmonary embolism due to poor opacification of the pulmonary arteries secondary to delayed triggering of the scan. No evidence of large embolus up to the origin of the lobar pulmonary arteries. Segmental arteries are not well evaluated on this examination -- if further evaluation for PE is clinically warranted, consider repeat examination. Right upper lobe nodular ground glass opacities is suspicious for infection. No pleural effusions. Heart size is normal, no pericardial effusion. No enlarged mediastinal or hilar lymph nodes. Prevascular space soft tissue, likely physiologic thymus. Small left thyroid lobe hypodense lesion, may represent a cyst or nodule. No significant abnormality noted. Focal splenic hypodense lesion is nonspecific and may be secondary to phase of contrast enhancement. If further imaging evaluation is warranted, consider ultrasound evaluation. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'pulmonary arteries': clinical findings_fin: 'pulmonary embolism': 'clinical finding': 'pulmonary embolism', 'existence': 'unc_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolism', 'poor opacification': 'clinical finding': 'poor opacification', 'existence': 'pos_dx', 'descriptive_term': 'poor', 'observation': 'opacification'anatomical entity_fin: 'origin': , 'pulmonary arteries': clinical findings_fin: 'large embolus': 'clinical finding': 'large embolus', 'existence': 'neg_dx', 'descriptive_term': 'large', 'observation': 'embolus', 'strength_term': 'large'anatomical entity_fin: 'arteries': clinical findings_fin: 'pe': 'clinical finding': 'pe', 'existence': 'unc_dx', 'observation': 'pe'anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'nodular ground glass opacities': 'clinical finding': 'nodular ground glass opacities', 'existence': 'unc_dx', 'descriptive_term': 'nodular ground glass', 'observation': 'opacity', 'infection': 'clinical finding': 'infection', 'existence': 'unc_dx', 'observation': 'infection'clinical findings_fin: 'pleural effusions': 'clinical finding': 'pleural effusions', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'anatomical entity_fin: 'heart': clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'clinical findings_fin: 'enlarged mediastinal or hilar lymph nodes': 'clinical finding': 'enlarged mediastinal or hilar lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'enlarged mediastinal or hilar lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'anatomical entity_fin: 'thymus': clinical findings_fin: 'prevascular space soft tissue , likely physiologic thymus': 'clinical finding': 'prevascular space soft tissue , likely physiologic thymus'anatomical entity_fin: 'lobe': location descriptor_fin: ['left']clinical findings_fin: 'small left thyroid lobe hypodense lesion': 'clinical finding': 'small left thyroid lobe hypodense lesion', 'existence': 'pos_dx', 'descriptive_term': 'small left thyroid lobe hypodense', 'observation': 'lesion', 'strength_term': 'small', 'cyst': 'clinical finding': 'cyst', 'existence': 'unc_dx', 'observation': 'cyst', 'nodule': 'clinical finding': 'nodule', 'existence': 'unc_dx', 'observation': 'nodule'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'focal splenic hypodense lesion': 'clinical finding': 'focal splenic hypodense lesion', 'existence': 'pos_dx', 'descriptive_term': 'focal splenic hypodense', 'observation': 'lesion', 'contrast enhancement': 'clinical finding': 'contrast enhancement', 'existence': 'unc_dx', 'descriptive_term': 'contrast', 'observation': 'enhancement' [/INST] [RESP]
. Nondiagnostic evaluation for pulmonary embolism due to poor opacification of the pulmonary arteries secondary to delayed triggering of the scan. No evidence of large embolus up to the origin of the lobar pulmonary arteries. Segmental arteries are not well evaluated on this examination -- if further evaluation for PE is clinically warranted, consider repeat examination. Right upper lobe nodular ground glass opacities is suspicious for infection. No pleural effusions. Heart size is normal, no pericardial effusion. No enlarged mediastinal or hilar lymph nodes. Prevascular space soft tissue, likely physiologic thymus. Small left thyroid lobe hypodense lesion, may represent a cyst or nodule. No significant abnormality noted. Focal splenic hypodense lesion is nonspecific and may be secondary to phase of contrast enhancement. If further imaging evaluation is warranted, consider ultrasound evaluation. [/RESP]</s>
. Technically adequate examination with no evidence of pulmonary embolism. The pulmonary artery branches are poorly opacified, but there is no evidence of large embolus originating from the pulmonary arteries. There is mild prominence of the main pulmonary arteries without evidence of PE. Nodular ground glass opacities in the right upper lobe may represent infection. No pleural effusions. Heart size is normal and there is no pericardial effusion. No enlarged mediastinal or hilar lymph nodes. Prevascular space soft tissue, likely physiologic thymus. Small left thyroid lobe hypodense lesion compatible with cyst or nodule. None. No significant abnormality noted. Focal splenic hypodense lesion not well visualized due to lack of contrast enhancement. [/RESP]
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage', 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass', 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema'clinical findings_fin: 'ventricles and basal cisterns are normal in size and configuration': 'clinical finding': 'ventricles and basal cisterns are normal in size and configuration'anatomical entity_fin: 'skull': , 'base': clinical findings_fin: 'calvaria and skull base are radiographically normal': 'clinical finding': 'calvaria and skull base are radiographically normal'clinical findings_fin: 'mucosal thickening': 'clinical finding': 'mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'thickening'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'anatomical entity_fin: 'airway': , 'epiglottis': , 'larynx': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'anatomical entity_fin: 'cervical spine': clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'anatomical entity_fin: 'neuroforaminal': 'location descriptor': 'left'location descriptor_fin: ['bilateral', 'right', 'left']clinical findings_fin: 'uncovertebral degeneration': 'clinical finding': 'uncovertebral degeneration', 'existence': 'pos_dx', 'descriptive_term': 'uncovertebral', 'observation': 'degeneration', 'bilateral neuroforaminal narrowing': 'clinical finding': 'bilateral neuroforaminal narrowing', 'existence': 'pos_dx', 'descriptive_term': 'bilateral neuroforaminal', 'observation': 'narrowing', 'right neuroforaminal narrowing': 'clinical finding': 'right neuroforaminal narrowing', 'existence': 'pos_dx', 'descriptive_term': 'right neuroforaminal', 'observation': 'narrowing', 'left neuroforaminal narrowing': 'clinical finding': 'left neuroforaminal narrowing', 'existence': 'pos_dx', 'descriptive_term': 'left neuroforaminal', 'observation': 'narrowing'anatomical entity_fin: 'spinal': clinical findings_fin: 'spinal stenosis': 'clinical finding': 'spinal stenosis', 'existence': 'pos_dx', 'descriptive_term': 'spinal', 'observation': 'stenosis'clinical findings_fin: 'cervical spinal stenosis': 'clinical finding': 'cervical spinal stenosis', 'existence': 'pos_dx', 'descriptive_term': 'cervical spinal', 'observation': 'stenosis', 'congenital cervical stenosis': 'clinical finding': 'congenital cervical stenosis', 'existence': 'unc_dx', 'descriptive_term': 'congenital cervical', 'observation': 'stenosis'anatomical entity_fin: 'neck': imaging observation_fin: ['reversal']clinical findings_fin: 'cervical lordosis': 'clinical finding': 'cervical lordosis', 'existence': 'pos_dx', 'descriptive_term': 'cervical', 'observation': 'lordosis', 'neck muscle spasm': 'clinical finding': 'neck muscle spasm', 'existence': 'unc_dx', 'descriptive_term': 'neck muscle', 'observation': 'spasm'anatomical entity_fin: 'spine': , 'vertebral body': clinical findings_fin: 'normal alignment': 'clinical finding': 'normal alignment', 'existence': 'pos_dx', 'descriptive_term': 'normal', 'observation': 'alignment', 'strength_term': 'normal' [/INST] [RESP] .There is no evidence of intracranial hemorrhage, mass or edema. The ventricles and basal cisterns are normal in size and configuration. The calvaria and skull base are radiographically normal. Mucosal thickening is seen in the ethmoid and maxillary sinuses. The remaining visualized paranasal sinuses and mastoid air cells are normally pneumatized. The airway is patent and the epiglottis, vallecula, piriform sinuses, and larynx are normal. Degenerative changes are seen throughout the cervical spine, most early at C5-C6. Uncovertebral degeneration causes bilateral neuroforaminal narrowing at C3-C4 and C4-C5, right neuroforaminal narrowing at C2-C3, and left neuroforaminal narrowing at C5-C6. Diffuse disk bulges are seen at the levels of the C3-C4 and C4-C5 likely causing spinal stenosis. The degree of cervical spinal stenosis suggests a congenital cervical stenosis. There is mild reversal of cervical lordosis which may be positional or related to neck muscle spasm. The cervical spine is otherwise in normal alignment and the vertebral body heights are maintained. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage', 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass', 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema'clinical findings_fin: 'ventricles and basal cisterns are normal in size and configuration': 'clinical finding': 'ventricles and basal cisterns are normal in size and configuration'anatomical entity_fin: 'skull': , 'base': clinical findings_fin: 'calvaria and skull base are radiographically normal': 'clinical finding': 'calvaria and skull base are radiographically normal'clinical findings_fin: 'mucosal thickening': 'clinical finding': 'mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'thickening'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'anatomical entity_fin: 'airway': , 'epiglottis': , 'larynx': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'anatomical entity_fin: 'cervical spine': clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'anatomical entity_fin: 'neuroforaminal': 'location descriptor': 'left'location descriptor_fin: ['bilateral', 'right', 'left']clinical findings_fin: 'uncovertebral degeneration': 'clinical finding': 'uncovertebral degeneration', 'existence': 'pos_dx', 'descriptive_term': 'uncovertebral', 'observation': 'degeneration', 'bilateral neuroforaminal narrowing': 'clinical finding': 'bilateral neuroforaminal narrowing', 'existence': 'pos_dx', 'descriptive_term': 'bilateral neuroforaminal', 'observation': 'narrowing', 'right neuroforaminal narrowing': 'clinical finding': 'right neuroforaminal narrowing', 'existence': 'pos_dx', 'descriptive_term': 'right neuroforaminal', 'observation': 'narrowing', 'left neuroforaminal narrowing': 'clinical finding': 'left neuroforaminal narrowing', 'existence': 'pos_dx', 'descriptive_term': 'left neuroforaminal', 'observation': 'narrowing'anatomical entity_fin: 'spinal': clinical findings_fin: 'spinal stenosis': 'clinical finding': 'spinal stenosis', 'existence': 'pos_dx', 'descriptive_term': 'spinal', 'observation': 'stenosis'clinical findings_fin: 'cervical spinal stenosis': 'clinical finding': 'cervical spinal stenosis', 'existence': 'pos_dx', 'descriptive_term': 'cervical spinal', 'observation': 'stenosis', 'congenital cervical stenosis': 'clinical finding': 'congenital cervical stenosis', 'existence': 'unc_dx', 'descriptive_term': 'congenital cervical', 'observation': 'stenosis'anatomical entity_fin: 'neck': imaging observation_fin: ['reversal']clinical findings_fin: 'cervical lordosis': 'clinical finding': 'cervical lordosis', 'existence': 'pos_dx', 'descriptive_term': 'cervical', 'observation': 'lordosis', 'neck muscle spasm': 'clinical finding': 'neck muscle spasm', 'existence': 'unc_dx', 'descriptive_term': 'neck muscle', 'observation': 'spasm'anatomical entity_fin: 'spine': , 'vertebral body': clinical findings_fin: 'normal alignment': 'clinical finding': 'normal alignment', 'existence': 'pos_dx', 'descriptive_term': 'normal', 'observation': 'alignment', 'strength_term': 'normal' [/INST] [RESP]
.There is no evidence of intracranial hemorrhage, mass or edema. The ventricles and basal cisterns are normal in size and configuration. The calvaria and skull base are radiographically normal. Mucosal thickening is seen in the ethmoid and maxillary sinuses. The remaining visualized paranasal sinuses and mastoid air cells are normally pneumatized. The airway is patent and the epiglottis, vallecula, piriform sinuses, and larynx are normal. Degenerative changes are seen throughout the cervical spine, most early at C5-C6. Uncovertebral degeneration causes bilateral neuroforaminal narrowing at C3-C4 and C4-C5, right neuroforaminal narrowing at C2-C3, and left neuroforaminal narrowing at C5-C6. Diffuse disk bulges are seen at the levels of the C3-C4 and C4-C5 likely causing spinal stenosis. The degree of cervical spinal stenosis suggests a congenital cervical stenosis. There is mild reversal of cervical lordosis which may be positional or related to neck muscle spasm. The cervical spine is otherwise in normal alignment and the vertebral body heights are maintained. [/RESP]</s>
. There is no evidence of intracranial hemorrhage, mass or edema. The ventricles and basal cisterns are normal in size and configuration. The calvaria and skull base are radiographically normal. Mucosal thickening is present within the maxillary sinus. The paranasal sinuses and mastoid air cells are normally pneumatized. The airway course including the epiglottis and larynx is patent. Degenerative changes affect the cervical spine with uncovertebral degeneration at C5-6, bilateral neuroforaminal narrowing at C4-5, right neuroforaminal narrowing at C3-4 and left neuroforaminal narrowing at C2-3. Spinal stenosis is present at multiple levels. At C7-T1 there is mild to moderate loss of disc height and minimal facet hypertrophy which may be secondary to congenital cervical stenosis. Cervical lordosis is preserved although neck muscle spasm may contribute to reversal of the cervicothoracic junction. Normal alignment of the thoracolumbar spine with preservation of vertebral body height. [/RESP]
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'dependent atelectasis': 'clinical finding': 'dependent atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'dependent', 'observation': 'atelectasis', 'air trapping': 'clinical finding': 'air trapping', 'existence': 'neg_dx', 'descriptive_term': 'air', 'observation': 'trapping'clinical findings_fin: 'parenchymal sarcoid': 'clinical finding': 'parenchymal sarcoid', 'existence': 'neg_dx', 'descriptive_term': 'parenchymal', 'observation': 'sarcoid'clinical findings_fin: 'significant mediastinal or hilar lymphadenopathy': 'clinical finding': 'significant mediastinal or hilar lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant mediastinal or hilar', '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' [/INST] [RESP] . Dependent atelectasis bilaterally without evidence of air trapping. No evidence of parenchymal sarcoid involvement. No significant mediastinal or hilar lymphadenopathy. No significant abnormality noted. No significant abnormality noted. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'dependent atelectasis': 'clinical finding': 'dependent atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'dependent', 'observation': 'atelectasis', 'air trapping': 'clinical finding': 'air trapping', 'existence': 'neg_dx', 'descriptive_term': 'air', 'observation': 'trapping'clinical findings_fin: 'parenchymal sarcoid': 'clinical finding': 'parenchymal sarcoid', 'existence': 'neg_dx', 'descriptive_term': 'parenchymal', 'observation': 'sarcoid'clinical findings_fin: 'significant mediastinal or hilar lymphadenopathy': 'clinical finding': 'significant mediastinal or hilar lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant mediastinal or hilar', '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' [/INST] [RESP]
. Dependent atelectasis bilaterally without evidence of air trapping. No evidence of parenchymal sarcoid involvement. No significant mediastinal or hilar lymphadenopathy. No significant abnormality noted. No significant abnormality noted. [/RESP]</s>
. Dependent atelectasis and air trapping. No evidence of parenchymal sarcoid disease. No significant mediastinal or hilar lymphadenopathy. No significant abnormality noted. No significant abnormality noted. [/RESP]
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'emphysematous': 'clinical finding': 'emphysematous', 'existence': 'pos_dx', 'observation': 'emphysematous'clinical findings_fin: 'pleural effusions': 'clinical finding': 'pleural effusions', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'clinical findings_fin: 'fresh hemorrhage': 'clinical finding': 'fresh hemorrhage', 'existence': 'pos_dx', 'descriptive_term': 'fresh', 'observation': 'hemorrhage'anatomical entity_fin: 'peritoneal fluid': clinical findings_fin: 'infrahepatic free peritoneal fluid': 'clinical finding': 'infrahepatic free peritoneal fluid', 'existence': 'pos_dx', 'descriptive_term': 'infrahepatic free peritoneal', 'observation': 'fluid'anatomical entity_fin: 'liver parenchyma': clinical findings_fin: 'biliary tract dilatation': 'clinical finding': 'biliary tract dilatation', 'existence': 'neg_dx', 'descriptive_term': 'biliary tract', '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'anatomical entity_fin: 'kidneys': , 'fluid': location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral atrophic': 'clinical finding': 'bilateral atrophic', 'existence': 'pos_dx', 'descriptive_term': 'bilateral', 'observation': 'atrophic', 'scarring': 'clinical finding': 'scarring', 'existence': 'pos_dx', 'observation': 'scarr', 'exophytic hypoattenuating lesions': 'clinical finding': 'exophytic hypoattenuating lesions', 'existence': 'pos_dx', 'descriptive_term': 'exophytic hypoattenuating', 'observation': 'lesion', 'benign cysts': 'clinical finding': 'benign cysts', 'existence': 'pos_dx', 'descriptive_term': 'benign', 'observation': 'cyst', 'strength_term': 'benign'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'free fluid': 'clinical finding': 'free fluid', 'existence': 'pos_dx', 'descriptive_term': 'free', 'observation': 'fluid'size_fin: ['size': '8.5 x 6.9 cm', 'size_descriptor': 'mass']anatomical entity_fin: 'flank': 'location descriptor': 'right'imaging observation_fin: ['foci', 'hematoma']location descriptor_fin: ['right']clinical findings_fin: '8.5 x 6.9 cm complex right flank heterogeneous mass': 'clinical finding': '8.5 x 6.9 cm complex right flank heterogeneous mass', 'existence': 'pos_dx', 'descriptive_term': '8 5 x 6 9 cm complex right flank heterogeneous', 'observation': 'mass', 'higher attenuation foci': 'clinical finding': 'higher attenuation foci', 'existence': 'pos_dx', 'descriptive_term': 'higher attenuation', 'observation': 'foci', 'acute hematoma': 'clinical finding': 'acute hematoma', 'existence': 'pos_dx', 'descriptive_term': 'acute', 'observation': 'hematoma', 'strength_term': 'acute', 'temporal_term': 'acute'anatomical entity_fin: 'abdomen': clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'uterus': clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality', 'pessary': 'clinical finding': 'pessary', 'existence': 'neg_dx', 'observation': 'pessary'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: 'peritoneal fluid': clinical findings_fin: 'free dependent pelvic peritoneal fluid': 'clinical finding': 'free dependent pelvic peritoneal fluid', 'existence': 'pos_dx', 'descriptive_term': 'free dependent pelvic peritoneal', 'observation': 'fluid'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Emphysematous changes. No pleural effusions. Extensive high attenuation perihepatic diffuse collection consistent with fresh hemorrhage. Small amount of infrahepatic free peritoneal fluid. Liver parenchyma appears normal and no biliary tract dilatation. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Bilateral atrophic kidneys with multiple areas of scarring and exophytic hypoattenuating lesions measuring near fluid density also be represent benign cysts. No significant abnormality noted. Small amount of free fluid. 8.5 x 6.9 cm complex right flank heterogeneous mass with higher attenuation foci consistent with acute hematoma. Extends into abdomen but does not extend into peritoneal space. No significant abnormality noted. Small uterus -- No significant abnormality noted pessary in place. No significant abnormality noted. No significant abnormality noted. Small amount of free dependent pelvic peritoneal fluid. No significant abnormality noted. No significant abnormality noted [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'emphysematous': 'clinical finding': 'emphysematous', 'existence': 'pos_dx', 'observation': 'emphysematous'clinical findings_fin: 'pleural effusions': 'clinical finding': 'pleural effusions', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'clinical findings_fin: 'fresh hemorrhage': 'clinical finding': 'fresh hemorrhage', 'existence': 'pos_dx', 'descriptive_term': 'fresh', 'observation': 'hemorrhage'anatomical entity_fin: 'peritoneal fluid': clinical findings_fin: 'infrahepatic free peritoneal fluid': 'clinical finding': 'infrahepatic free peritoneal fluid', 'existence': 'pos_dx', 'descriptive_term': 'infrahepatic free peritoneal', 'observation': 'fluid'anatomical entity_fin: 'liver parenchyma': clinical findings_fin: 'biliary tract dilatation': 'clinical finding': 'biliary tract dilatation', 'existence': 'neg_dx', 'descriptive_term': 'biliary tract', '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'anatomical entity_fin: 'kidneys': , 'fluid': location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral atrophic': 'clinical finding': 'bilateral atrophic', 'existence': 'pos_dx', 'descriptive_term': 'bilateral', 'observation': 'atrophic', 'scarring': 'clinical finding': 'scarring', 'existence': 'pos_dx', 'observation': 'scarr', 'exophytic hypoattenuating lesions': 'clinical finding': 'exophytic hypoattenuating lesions', 'existence': 'pos_dx', 'descriptive_term': 'exophytic hypoattenuating', 'observation': 'lesion', 'benign cysts': 'clinical finding': 'benign cysts', 'existence': 'pos_dx', 'descriptive_term': 'benign', 'observation': 'cyst', 'strength_term': 'benign'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'free fluid': 'clinical finding': 'free fluid', 'existence': 'pos_dx', 'descriptive_term': 'free', 'observation': 'fluid'size_fin: ['size': '8.5 x 6.9 cm', 'size_descriptor': 'mass']anatomical entity_fin: 'flank': 'location descriptor': 'right'imaging observation_fin: ['foci', 'hematoma']location descriptor_fin: ['right']clinical findings_fin: '8.5 x 6.9 cm complex right flank heterogeneous mass': 'clinical finding': '8.5 x 6.9 cm complex right flank heterogeneous mass', 'existence': 'pos_dx', 'descriptive_term': '8 5 x 6 9 cm complex right flank heterogeneous', 'observation': 'mass', 'higher attenuation foci': 'clinical finding': 'higher attenuation foci', 'existence': 'pos_dx', 'descriptive_term': 'higher attenuation', 'observation': 'foci', 'acute hematoma': 'clinical finding': 'acute hematoma', 'existence': 'pos_dx', 'descriptive_term': 'acute', 'observation': 'hematoma', 'strength_term': 'acute', 'temporal_term': 'acute'anatomical entity_fin: 'abdomen': clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'uterus': clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality', 'pessary': 'clinical finding': 'pessary', 'existence': 'neg_dx', 'observation': 'pessary'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: 'peritoneal fluid': clinical findings_fin: 'free dependent pelvic peritoneal fluid': 'clinical finding': 'free dependent pelvic peritoneal fluid', 'existence': 'pos_dx', 'descriptive_term': 'free dependent pelvic peritoneal', 'observation': 'fluid'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP]
. Emphysematous changes. No pleural effusions. Extensive high attenuation perihepatic diffuse collection consistent with fresh hemorrhage. Small amount of infrahepatic free peritoneal fluid. Liver parenchyma appears normal and no biliary tract dilatation. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Bilateral atrophic kidneys with multiple areas of scarring and exophytic hypoattenuating lesions measuring near fluid density also be represent benign cysts. No significant abnormality noted. Small amount of free fluid. 8.5 x 6.9 cm complex right flank heterogeneous mass with higher attenuation foci consistent with acute hematoma. Extends into abdomen but does not extend into peritoneal space. No significant abnormality noted. Small uterus -- No significant abnormality noted pessary in place. No significant abnormality noted. No significant abnormality noted. Small amount of free dependent pelvic peritoneal fluid. No significant abnormality noted. No significant abnormality noted [/RESP]</s>
. Emphysematous appearance of the visceral pleura is noted. No pleural effusions are identified. There is no evidence of fresh hemorrhage. Infrahepatic free peritoneal fluid is present, with minimal air in the intestinal lumen. The liver parenchyma and biliary tract dilatation is unremarkable. No significant abnormality is seen. No significant abnormality is seen. Bilateral atrophic kidneys with scarring and exophytic hypoattenuating lesions compatible with benign cysts. No significant abnormality is seen. Free fluid is noted within the splenorenal region. 8.5 x 6.9 cm complex right flank heterogeneous mass containing higher attenuation foci consistent with acute hematoma. Absence of CT enterography limits evaluation of the abdomen. Uterus appears normal without pessary. No significant abnormality is seen. None. No significant abnormality is seen. Free dependent pelvic peritoneal fluid is noted. No significant abnormality is seen. [/RESP]
<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', 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'location descriptor_fin: ['right']clinical findings_fin: 'encephalomalacia': 'clinical finding': 'encephalomalacia', 'existence': 'pos_dx', 'observation': 'encephalomalacia', 'prior infarction': 'clinical finding': 'prior infarction', 'existence': 'pos_dx', 'descriptive_term': 'prior', 'observation': 'infarction'clinical findings_fin: 'minimal periventricular hypoattenuation': 'clinical finding': 'minimal periventricular hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'minimal periventricular', 'observation': 'hypoattenuation', 'strength_term': 'minimal', 'quantity_term': 'minimal', 'mild chronic small vessel ischemic disease': 'clinical finding': 'mild chronic small vessel ischemic disease', 'existence': 'pos_dx', 'descriptive_term': 'mild chronic small vessel ischemic', 'observation': 'disease', 'strength_term': 'mild - small', 'temporal_term': 'chronic'clinical findings_fin: 'ventricles and sulci are within normal limits': 'clinical finding': 'ventricles and sulci are within normal limits'location descriptor_fin: ['midline']clinical findings_fin: 'extraaxial fluid collection': 'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection', 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'external auditory canals': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'debris': 'clinical finding': 'debris', 'existence': 'pos_dx', 'observation': 'debris', 'cerumen': 'clinical finding': 'cerumen', 'existence': 'pos_dx', 'observation': 'cerumen'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP] There is no acute intracranial hemorrhage. There is a small focus of encephalomalacia within the right cerebellar hemisphere, which is compatible with an area of prior infarction and is unchanged from prior. There is minimal periventricular hypoattenuation, which is compatible with mild chronic small vessel ischemic disease and appears unchanged. The ventricles and sulci are within normal limits. There is no extraaxial fluid collection, midline shift, or mass effect. The osseous structures are intact. Small amount of debris within the bilateral external auditory canals likely represents cerumen. The visualized portions of the paranasal sinuses and mastoid air cells are grossly clear. [/RESP]</s>
<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', 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'location descriptor_fin: ['right']clinical findings_fin: 'encephalomalacia': 'clinical finding': 'encephalomalacia', 'existence': 'pos_dx', 'observation': 'encephalomalacia', 'prior infarction': 'clinical finding': 'prior infarction', 'existence': 'pos_dx', 'descriptive_term': 'prior', 'observation': 'infarction'clinical findings_fin: 'minimal periventricular hypoattenuation': 'clinical finding': 'minimal periventricular hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'minimal periventricular', 'observation': 'hypoattenuation', 'strength_term': 'minimal', 'quantity_term': 'minimal', 'mild chronic small vessel ischemic disease': 'clinical finding': 'mild chronic small vessel ischemic disease', 'existence': 'pos_dx', 'descriptive_term': 'mild chronic small vessel ischemic', 'observation': 'disease', 'strength_term': 'mild - small', 'temporal_term': 'chronic'clinical findings_fin: 'ventricles and sulci are within normal limits': 'clinical finding': 'ventricles and sulci are within normal limits'location descriptor_fin: ['midline']clinical findings_fin: 'extraaxial fluid collection': 'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection', 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'external auditory canals': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'debris': 'clinical finding': 'debris', 'existence': 'pos_dx', 'observation': 'debris', 'cerumen': 'clinical finding': 'cerumen', 'existence': 'pos_dx', 'observation': 'cerumen'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP]
There is no acute intracranial hemorrhage. There is a small focus of encephalomalacia within the right cerebellar hemisphere, which is compatible with an area of prior infarction and is unchanged from prior. There is minimal periventricular hypoattenuation, which is compatible with mild chronic small vessel ischemic disease and appears unchanged. The ventricles and sulci are within normal limits. There is no extraaxial fluid collection, midline shift, or mass effect. The osseous structures are intact. Small amount of debris within the bilateral external auditory canals likely represents cerumen. The visualized portions of the paranasal sinuses and mastoid air cells are grossly clear. [/RESP]</s>
No evidence of acute intracranial hemorrhage. The encephalomalacia in the right frontoparietal lobe is consistent with prior infarct. Minimal periventricular hypoattenuation is present, compatible with mild chronic small vessel ischemic disease. The ventricles and sulci are within normal limits. There is no extraaxial fluid collection or mass effect. The osseous structures are intact. Debris is noted in the bilateral external auditory canals likely due to cerumen. The paranasal sinuses and mastoid air cells are clear. [/RESP]
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'right lower', 'airspace': imaging observation_fin: ['air bronchograms']location descriptor_fin: ['right', 'lower']clinical findings_fin: 'new right lower lobe airspace opacity': 'clinical finding': 'new right lower lobe airspace opacity', 'existence': 'pos_dx', 'descriptive_term': 'new right lower lobe airspace', 'observation': 'opacity', 'temporal_term': 'new', 'surrounding groundglass opacity': 'clinical finding': 'surrounding groundglass opacity', 'existence': 'pos_dx', 'descriptive_term': 'surrounding groundglass', 'observation': 'opacity'anatomical entity_fin: 'middle': 'location descriptor': 'right', 'lobe': location descriptor_fin: ['right']clinical findings_fin: 'air space disease': 'clinical finding': 'air space disease', 'existence': 'pos_dx', 'descriptive_term': 'air space', 'observation': 'disease'size_fin: ['size': '2-mm', 'size_descriptor': 'micronodules']clinical findings_fin: 'innumerable scattered one to 2-mm micronodules': 'clinical finding': 'innumerable scattered one to 2-mm micronodules', 'existence': 'pos_dx', 'descriptive_term': 'innumerable scattered one to 2-mm', 'observation': 'micronodule', 'micronodules': 'clinical finding': 'micronodules', 'existence': 'pos_dx', 'observation': 'micronodule'location descriptor_fin: ['right']clinical findings_fin: 'mediastinal and hilar adenopathy': 'clinical finding': 'mediastinal and hilar adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'mediastinal and hilar', 'observation': 'adenopathy', 'right hilar reference lesion': 'clinical finding': 'right hilar reference lesion', 'existence': 'unc_dx', 'descriptive_term': 'right hilar reference', 'observation': 'lesion'size_fin: ['size': '27 x 25 mm', 'size': '29 x 25 mm']clinical findings_fin: 'reference precarinal node': 'clinical finding': 'reference precarinal node', 'existence': 'pos_dx', 'descriptive_term': 'reference precarinal', 'observation': 'node'size_fin: ['size': '49 x 21 mm', 'size': '44 x 19 mm']clinical findings_fin: 'precarinal reference node': 'clinical finding': 'precarinal reference node', 'existence': 'pos_dx', 'descriptive_term': 'precarinal reference', 'observation': 'node'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral axillary, supraclavicular and subpectoral adenopathy': 'clinical finding': 'bilateral axillary, supraclavicular and subpectoral adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'bilateral axillary supraclavicular and subpectoral', 'observation': 'adenopathy'size_fin: ['size': '25 x 18 mm', 'size_descriptor': 'reference', 'size': '22 x 20 mm', 'size_descriptor': 'node']anatomical entity_fin: 'thyroid gland': location descriptor_fin: ['right']clinical findings_fin: 'reference right supraclavicular node': 'clinical finding': 'reference right supraclavicular node', 'existence': 'pos_dx', 'descriptive_term': 'reference right supraclavicular', 'observation': 'node', 'nodes': 'clinical finding': 'nodes', 'existence': 'pos_dx', 'observation': 'node'clinical findings_fin: 'hepato- splenomegaly': 'clinical finding': 'hepato- splenomegaly', 'existence': 'pos_dx', 'descriptive_term': 'hepato-', 'observation': 'splenomegaly'anatomical entity_fin: 'pole': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'simple cyst': 'clinical finding': 'simple cyst', 'existence': 'pos_dx', 'descriptive_term': 'simple', 'observation': 'cyst'clinical findings_fin: 'multiple small retroperitoneal lymph nodes': 'clinical finding': 'multiple small retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple small retroperitoneal lymph', 'observation': 'node', 'strength_term': 'small', 'quantity_term': 'multiple'anatomical entity_fin: 'spleen': location descriptor_fin: ['posterior']clinical findings_fin: 'stable hyperdense nodule': 'clinical finding': 'stable hyperdense nodule', 'existence': 'pos_dx', 'descriptive_term': 'stable hyperdense', 'observation': 'nodule', 'strength_term': 'stable', 'change_term': 'stable' [/INST] [RESP] . New right lower lobe airspace opacity with air bronchograms and surrounding groundglass opacity. There is also a small amount of air space disease in the right middle lobe, though this is decreased compared to the prior study. Innumerable scattered one to 2-mm micronodules are again seen, though the overall number of micronodules appears less than on the prior study. Overall degree of mediastinal and hilar adenopathy appears similar to the prior study, however the right hilar reference lesion is difficult to accurately measure on this examination. Reference precarinal node measures 27 x 25 mm on image 42/126, not significantly changed from prior measurements of 29 x 25 mm. Precarinal reference node measures 49 x 21 mm on image 55/126, compared to prior measurements of 44 x 19 mm. Bilateral axillary, supraclavicular and subpectoral adenopathy again seen. The reference right supraclavicular node or conglomerate of nodes at the level of the thyroid gland measures 25 x 18 mm on image 7/126, compared to prior measurements of 22 x 20 mm. Hepato- splenomegaly. Left upper pole simple cyst. Multiple small retroperitoneal lymph nodes are again seen. Stable hyperdense nodule posterior to the spleen. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'right lower', 'airspace': imaging observation_fin: ['air bronchograms']location descriptor_fin: ['right', 'lower']clinical findings_fin: 'new right lower lobe airspace opacity': 'clinical finding': 'new right lower lobe airspace opacity', 'existence': 'pos_dx', 'descriptive_term': 'new right lower lobe airspace', 'observation': 'opacity', 'temporal_term': 'new', 'surrounding groundglass opacity': 'clinical finding': 'surrounding groundglass opacity', 'existence': 'pos_dx', 'descriptive_term': 'surrounding groundglass', 'observation': 'opacity'anatomical entity_fin: 'middle': 'location descriptor': 'right', 'lobe': location descriptor_fin: ['right']clinical findings_fin: 'air space disease': 'clinical finding': 'air space disease', 'existence': 'pos_dx', 'descriptive_term': 'air space', 'observation': 'disease'size_fin: ['size': '2-mm', 'size_descriptor': 'micronodules']clinical findings_fin: 'innumerable scattered one to 2-mm micronodules': 'clinical finding': 'innumerable scattered one to 2-mm micronodules', 'existence': 'pos_dx', 'descriptive_term': 'innumerable scattered one to 2-mm', 'observation': 'micronodule', 'micronodules': 'clinical finding': 'micronodules', 'existence': 'pos_dx', 'observation': 'micronodule'location descriptor_fin: ['right']clinical findings_fin: 'mediastinal and hilar adenopathy': 'clinical finding': 'mediastinal and hilar adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'mediastinal and hilar', 'observation': 'adenopathy', 'right hilar reference lesion': 'clinical finding': 'right hilar reference lesion', 'existence': 'unc_dx', 'descriptive_term': 'right hilar reference', 'observation': 'lesion'size_fin: ['size': '27 x 25 mm', 'size': '29 x 25 mm']clinical findings_fin: 'reference precarinal node': 'clinical finding': 'reference precarinal node', 'existence': 'pos_dx', 'descriptive_term': 'reference precarinal', 'observation': 'node'size_fin: ['size': '49 x 21 mm', 'size': '44 x 19 mm']clinical findings_fin: 'precarinal reference node': 'clinical finding': 'precarinal reference node', 'existence': 'pos_dx', 'descriptive_term': 'precarinal reference', 'observation': 'node'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral axillary, supraclavicular and subpectoral adenopathy': 'clinical finding': 'bilateral axillary, supraclavicular and subpectoral adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'bilateral axillary supraclavicular and subpectoral', 'observation': 'adenopathy'size_fin: ['size': '25 x 18 mm', 'size_descriptor': 'reference', 'size': '22 x 20 mm', 'size_descriptor': 'node']anatomical entity_fin: 'thyroid gland': location descriptor_fin: ['right']clinical findings_fin: 'reference right supraclavicular node': 'clinical finding': 'reference right supraclavicular node', 'existence': 'pos_dx', 'descriptive_term': 'reference right supraclavicular', 'observation': 'node', 'nodes': 'clinical finding': 'nodes', 'existence': 'pos_dx', 'observation': 'node'clinical findings_fin: 'hepato- splenomegaly': 'clinical finding': 'hepato- splenomegaly', 'existence': 'pos_dx', 'descriptive_term': 'hepato-', 'observation': 'splenomegaly'anatomical entity_fin: 'pole': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'simple cyst': 'clinical finding': 'simple cyst', 'existence': 'pos_dx', 'descriptive_term': 'simple', 'observation': 'cyst'clinical findings_fin: 'multiple small retroperitoneal lymph nodes': 'clinical finding': 'multiple small retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple small retroperitoneal lymph', 'observation': 'node', 'strength_term': 'small', 'quantity_term': 'multiple'anatomical entity_fin: 'spleen': location descriptor_fin: ['posterior']clinical findings_fin: 'stable hyperdense nodule': 'clinical finding': 'stable hyperdense nodule', 'existence': 'pos_dx', 'descriptive_term': 'stable hyperdense', 'observation': 'nodule', 'strength_term': 'stable', 'change_term': 'stable' [/INST] [RESP]
. New right lower lobe airspace opacity with air bronchograms and surrounding groundglass opacity. There is also a small amount of air space disease in the right middle lobe, though this is decreased compared to the prior study. Innumerable scattered one to 2-mm micronodules are again seen, though the overall number of micronodules appears less than on the prior study. Overall degree of mediastinal and hilar adenopathy appears similar to the prior study, however the right hilar reference lesion is difficult to accurately measure on this examination. Reference precarinal node measures 27 x 25 mm on image 42/126, not significantly changed from prior measurements of 29 x 25 mm. Precarinal reference node measures 49 x 21 mm on image 55/126, compared to prior measurements of 44 x 19 mm. Bilateral axillary, supraclavicular and subpectoral adenopathy again seen. The reference right supraclavicular node or conglomerate of nodes at the level of the thyroid gland measures 25 x 18 mm on image 7/126, compared to prior measurements of 22 x 20 mm. Hepato- splenomegaly. Left upper pole simple cyst. Multiple small retroperitoneal lymph nodes are again seen. Stable hyperdense nodule posterior to the spleen. [/RESP]</s>
. New right lower lobe airspace opacity with surrounding groundglass opacity.[/RESP]. Air space disease in the right middle lobe. Innumerable scattered one to 2-mm micronodules. Mediastinal and hilar adenopathy including a right hilar reference lesion. Reference precarinal node measures 27 x 25 mm, previously 29 x 25 mm. Precarinal reference node measures 49 x 21 mm, previously 44 x 19 mm. Bilateral axillary, supraclavicular and subpectoral adenopathy. Reference right supraclavicular node measures 25 x 18 mm, previously 22 x 20 mm. Hepato- splenomegaly. Simple cyst left upper pole. Multiple small retroperitoneal lymph nodes. Stable hyperdense nodule posterior spleen. [/RESP]
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'effusion': 'clinical finding': 'effusion', 'existence': 'neg_dx', 'observation': 'effusion', 'consolidation': 'clinical finding': 'consolidation', 'existence': 'neg_dx', 'observation': 'consolidation', 'pneumothorax': 'clinical finding': 'pneumothorax', 'existence': 'neg_dx', 'observation': 'pneumothorax'clinical findings_fin: 'focal lesion': 'clinical finding': 'focal lesion', 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'lesion', 'biliary dilatation': 'clinical finding': 'biliary dilatation', 'existence': 'neg_dx', 'descriptive_term': 'biliary', 'observation': 'dilatation'clinical findings_fin: 'focal lesions': 'clinical finding': 'focal lesions', 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'lesion'clinical findings_fin: 'focal lesions': 'clinical finding': 'focal lesions', 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'lesion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'nephrolithiasis': 'clinical finding': 'nephrolithiasis', 'existence': 'neg_dx', 'observation': 'nephrolithiasis', 'nephroureterolithiasis': 'clinical finding': 'nephroureterolithiasis', 'existence': 'neg_dx', 'observation': 'nephroureterolithiasis', 'obstructive uropathy': 'clinical finding': 'obstructive uropathy', 'existence': 'neg_dx', 'descriptive_term': 'obstructive', 'observation': 'uropathy'clinical findings_fin: 'lymphadenopathy': 'clinical finding': 'lymphadenopathy', 'existence': 'neg_dx', 'observation': 'lymphadenopathy'anatomical entity_fin: 'bowel': clinical findings_fin: 'lytic or blastic osseous lesions': 'clinical finding': 'lytic or blastic osseous lesions', 'existence': 'neg_dx', 'descriptive_term': 'lytic or blastic osseous', 'observation': 'lesion'size_fin: ['size': '5.0 x 5.0 cm', 'size_descriptor': 'collection']location descriptor_fin: ['right']clinical findings_fin: '5.0 x 5.0 cm, well-defined, hypodense fluid collection': 'clinical finding': '5.0 x 5.0 cm, well-defined, hypodense fluid collection', 'existence': 'pos_dx', 'descriptive_term': '5 0 x 5 0 cm well-defined hypodense fluid', 'observation': 'collection', 'ovarian cystic lesion': 'clinical finding': 'ovarian cystic lesion', 'existence': 'unc_dx', 'descriptive_term': 'ovarian cystic', 'observation': 'lesion'anatomical entity_fin: 'wall': clinical findings_fin: 'contour': 'clinical finding': 'contour', 'existence': 'pos_dx', 'observation': 'contour'anatomical entity_fin: 'inguinal lymph nodes': clinical findings_fin: 'few prominent, nonenlarged, inguinal lymph nodes': 'clinical finding': 'few prominent, nonenlarged, inguinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'few prominent nonenlarged inguinal lymph', 'observation': 'node', 'strength_term': 'prominent', 'quantity_term': 'few'anatomical entity_fin: 'bowel': clinical findings_fin: 'lytic or blastic osseous lesions': 'clinical finding': 'lytic or blastic osseous lesions', 'existence': 'neg_dx', 'descriptive_term': 'lytic or blastic osseous', 'observation': 'lesion' [/INST] [RESP] . No effusion, consolidation or pneumothorax. No focal lesion or biliary dilatation. No focal lesions. No focal lesions. No significant abnormality noted. No nephrolithiasis, nephroureterolithiasis, or obstructive uropathy. No lymphadenopathy, although limited evaluation on a noncontrast study. No bowel dilatation. No lytic or blastic osseous lesions. 5.0 x 5.0 cm, well-defined, hypodense fluid collection in the right adnexa is nonspecific, but probably represents an ovarian cystic lesion. Normal wall thickness and contour. Few prominent, nonenlarged, inguinal lymph nodes. No bowel dilatation. No lytic or blastic osseous lesions. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'effusion': 'clinical finding': 'effusion', 'existence': 'neg_dx', 'observation': 'effusion', 'consolidation': 'clinical finding': 'consolidation', 'existence': 'neg_dx', 'observation': 'consolidation', 'pneumothorax': 'clinical finding': 'pneumothorax', 'existence': 'neg_dx', 'observation': 'pneumothorax'clinical findings_fin: 'focal lesion': 'clinical finding': 'focal lesion', 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'lesion', 'biliary dilatation': 'clinical finding': 'biliary dilatation', 'existence': 'neg_dx', 'descriptive_term': 'biliary', 'observation': 'dilatation'clinical findings_fin: 'focal lesions': 'clinical finding': 'focal lesions', 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'lesion'clinical findings_fin: 'focal lesions': 'clinical finding': 'focal lesions', 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'lesion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'nephrolithiasis': 'clinical finding': 'nephrolithiasis', 'existence': 'neg_dx', 'observation': 'nephrolithiasis', 'nephroureterolithiasis': 'clinical finding': 'nephroureterolithiasis', 'existence': 'neg_dx', 'observation': 'nephroureterolithiasis', 'obstructive uropathy': 'clinical finding': 'obstructive uropathy', 'existence': 'neg_dx', 'descriptive_term': 'obstructive', 'observation': 'uropathy'clinical findings_fin: 'lymphadenopathy': 'clinical finding': 'lymphadenopathy', 'existence': 'neg_dx', 'observation': 'lymphadenopathy'anatomical entity_fin: 'bowel': clinical findings_fin: 'lytic or blastic osseous lesions': 'clinical finding': 'lytic or blastic osseous lesions', 'existence': 'neg_dx', 'descriptive_term': 'lytic or blastic osseous', 'observation': 'lesion'size_fin: ['size': '5.0 x 5.0 cm', 'size_descriptor': 'collection']location descriptor_fin: ['right']clinical findings_fin: '5.0 x 5.0 cm, well-defined, hypodense fluid collection': 'clinical finding': '5.0 x 5.0 cm, well-defined, hypodense fluid collection', 'existence': 'pos_dx', 'descriptive_term': '5 0 x 5 0 cm well-defined hypodense fluid', 'observation': 'collection', 'ovarian cystic lesion': 'clinical finding': 'ovarian cystic lesion', 'existence': 'unc_dx', 'descriptive_term': 'ovarian cystic', 'observation': 'lesion'anatomical entity_fin: 'wall': clinical findings_fin: 'contour': 'clinical finding': 'contour', 'existence': 'pos_dx', 'observation': 'contour'anatomical entity_fin: 'inguinal lymph nodes': clinical findings_fin: 'few prominent, nonenlarged, inguinal lymph nodes': 'clinical finding': 'few prominent, nonenlarged, inguinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'few prominent nonenlarged inguinal lymph', 'observation': 'node', 'strength_term': 'prominent', 'quantity_term': 'few'anatomical entity_fin: 'bowel': clinical findings_fin: 'lytic or blastic osseous lesions': 'clinical finding': 'lytic or blastic osseous lesions', 'existence': 'neg_dx', 'descriptive_term': 'lytic or blastic osseous', 'observation': 'lesion' [/INST] [RESP]
. No effusion, consolidation or pneumothorax. No focal lesion or biliary dilatation. No focal lesions. No focal lesions. No significant abnormality noted. No nephrolithiasis, nephroureterolithiasis, or obstructive uropathy. No lymphadenopathy, although limited evaluation on a noncontrast study. No bowel dilatation. No lytic or blastic osseous lesions. 5.0 x 5.0 cm, well-defined, hypodense fluid collection in the right adnexa is nonspecific, but probably represents an ovarian cystic lesion. Normal wall thickness and contour. Few prominent, nonenlarged, inguinal lymph nodes. No bowel dilatation. No lytic or blastic osseous lesions. [/RESP]</s>
. No effusion or consolidation. No pneumothorax. No focal lesion and no biliary dilatation. No focal lesions. No significant abnormality. Nephrolithiasis is not identified. There are no nephroureterolithiasis or obstructive uropathy. No lymphadenopathy. No lytic or blastic osseous lesions. A 5.0 x 5.0 cm, well-defined, hypodense fluid collection in the right adnexa compatible with an ovarian cystic lesion. The wall contours are slightly irregular. Few prominent, nonenlarged, inguinal lymph nodes. No lytic or blastic osseous lesions. [/RESP]
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'right hemithorax': , 'lung': clinical findings_fin: 'right hemithorax': 'clinical finding': 'right hemithorax', 'existence': 'pos_dx', 'descriptive_term': 'right', 'observation': 'hemithorax', 'scattered visceral pleural nodules': 'clinical finding': 'scattered visceral pleural nodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered visceral pleural', 'observation': 'nodule', 'fissures': 'clinical finding': 'fissures', 'existence': 'pos_dx', 'observation': 'fissure', 'mesothelioma': 'clinical finding': 'mesothelioma', 'existence': 'pos_dx', 'observation': 'mesothelioma'anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'right upper lobe subpleural nodule': 'clinical finding': 'right upper lobe subpleural nodule', 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe subpleural', 'observation': 'nodule'size_fin: ['size': '13 mm']anatomical entity_fin: 'aortic valve': imaging observation_fin: ['epicardial fat pad']clinical findings_fin: 'reference focal pleural thickening': 'clinical finding': 'reference focal pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'reference focal pleural', 'observation': 'thickening', 'epicardial fat pad': 'clinical finding': 'epicardial fat pad', 'existence': 'pos_dx', 'descriptive_term': 'epicardial fat', 'observation': 'pad', 'volume averaging': 'clinical finding': 'volume averaging', 'existence': 'unc_dx', 'descriptive_term': 'volume', 'observation': 'average'clinical findings_fin: 'this thickening': 'clinical finding': 'this thickening', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'thickening'anatomical entity_fin: 'costophrenic sulcus': clinical findings_fin: 'residual pleural tumor': 'clinical finding': 'residual pleural tumor', 'existence': 'pos_dx', 'descriptive_term': 'residual pleural', 'observation': 'tumor', 'temporal_term': 'residual'anatomical entity_fin: 'right lung': , 'apex': size_fin: ['size': '2-mm', 'size': '3 mm']clinical findings_fin: '2-mm decreased from 3 mm at 5 oclock': 'clinical finding': '2-mm decreased from 3 mm at 5 oclock', 'change_term': 'decreased'anatomical entity_fin: 'aortic arch': size_fin: ['size': '3 mm', 'size': '2 mm']size_fin: ['size': '22 x 14 mm']location descriptor_fin: ['right']clinical findings_fin: 'right hilar lymphadenopathy': 'clinical finding': 'right hilar lymphadenopathy', 'existence': 'pos_dx', 'descriptive_term': 'right hilar', 'observation': 'lymphadenopathy'location descriptor_fin: ['right']clinical findings_fin: 'mediastinal and right pericardiophrenic lymphadenopathy': 'clinical finding': 'mediastinal and right pericardiophrenic lymphadenopathy', 'existence': 'pos_dx', 'descriptive_term': 'mediastinal and right pericardiophrenic', 'observation': 'lymphadenopathy'anatomical entity_fin: 'thorax': location descriptor_fin: ['right']clinical findings_fin: 'tumor': 'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Volume loss right hemithorax with scattered visceral pleural nodules in the lung periphery and fissures consistent with provided history of mesothelioma. Right upper lobe subpleural nodule on image 50 is minimally larger. Reference focal pleural thickening seen at approximately the level of the aortic valve is stable at 13 mm at 12 oclock, but difficult to measure as it occurs at the top of the epicardial fat pad, making volume averaging problematic. Craniocaudally, this thickening is decreased, visible only on a single image , where as previously it was present on at least 3 images and should be dropped as a point of future reference. Residual pleural tumor at the costophrenic sulcus appears similar. Right lung apex. 2-mm decreased from 3 mm at 5 oclock. Just above the aortic arch. 3 mm, previously 2 mm at 5 oclock. Reference right hilar lymphadenopathy stable at 22 x 14 mm on image 57. Mediastinal and right pericardiophrenic lymphadenopathy appears similar. Tumor outside of the bony thorax and the right difficult to see because it occurs between layers of muscle but may have been present previously given the benefit of retrospect, unchanged. No significant abnormality noted. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'right hemithorax': , 'lung': clinical findings_fin: 'right hemithorax': 'clinical finding': 'right hemithorax', 'existence': 'pos_dx', 'descriptive_term': 'right', 'observation': 'hemithorax', 'scattered visceral pleural nodules': 'clinical finding': 'scattered visceral pleural nodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered visceral pleural', 'observation': 'nodule', 'fissures': 'clinical finding': 'fissures', 'existence': 'pos_dx', 'observation': 'fissure', 'mesothelioma': 'clinical finding': 'mesothelioma', 'existence': 'pos_dx', 'observation': 'mesothelioma'anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'right upper lobe subpleural nodule': 'clinical finding': 'right upper lobe subpleural nodule', 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe subpleural', 'observation': 'nodule'size_fin: ['size': '13 mm']anatomical entity_fin: 'aortic valve': imaging observation_fin: ['epicardial fat pad']clinical findings_fin: 'reference focal pleural thickening': 'clinical finding': 'reference focal pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'reference focal pleural', 'observation': 'thickening', 'epicardial fat pad': 'clinical finding': 'epicardial fat pad', 'existence': 'pos_dx', 'descriptive_term': 'epicardial fat', 'observation': 'pad', 'volume averaging': 'clinical finding': 'volume averaging', 'existence': 'unc_dx', 'descriptive_term': 'volume', 'observation': 'average'clinical findings_fin: 'this thickening': 'clinical finding': 'this thickening', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'thickening'anatomical entity_fin: 'costophrenic sulcus': clinical findings_fin: 'residual pleural tumor': 'clinical finding': 'residual pleural tumor', 'existence': 'pos_dx', 'descriptive_term': 'residual pleural', 'observation': 'tumor', 'temporal_term': 'residual'anatomical entity_fin: 'right lung': , 'apex': size_fin: ['size': '2-mm', 'size': '3 mm']clinical findings_fin: '2-mm decreased from 3 mm at 5 oclock': 'clinical finding': '2-mm decreased from 3 mm at 5 oclock', 'change_term': 'decreased'anatomical entity_fin: 'aortic arch': size_fin: ['size': '3 mm', 'size': '2 mm']size_fin: ['size': '22 x 14 mm']location descriptor_fin: ['right']clinical findings_fin: 'right hilar lymphadenopathy': 'clinical finding': 'right hilar lymphadenopathy', 'existence': 'pos_dx', 'descriptive_term': 'right hilar', 'observation': 'lymphadenopathy'location descriptor_fin: ['right']clinical findings_fin: 'mediastinal and right pericardiophrenic lymphadenopathy': 'clinical finding': 'mediastinal and right pericardiophrenic lymphadenopathy', 'existence': 'pos_dx', 'descriptive_term': 'mediastinal and right pericardiophrenic', 'observation': 'lymphadenopathy'anatomical entity_fin: 'thorax': location descriptor_fin: ['right']clinical findings_fin: 'tumor': 'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP]
. Volume loss right hemithorax with scattered visceral pleural nodules in the lung periphery and fissures consistent with provided history of mesothelioma. Right upper lobe subpleural nodule on image 50 is minimally larger. Reference focal pleural thickening seen at approximately the level of the aortic valve is stable at 13 mm at 12 oclock, but difficult to measure as it occurs at the top of the epicardial fat pad, making volume averaging problematic. Craniocaudally, this thickening is decreased, visible only on a single image , where as previously it was present on at least 3 images and should be dropped as a point of future reference. Residual pleural tumor at the costophrenic sulcus appears similar. Right lung apex. 2-mm decreased from 3 mm at 5 oclock. Just above the aortic arch. 3 mm, previously 2 mm at 5 oclock. Reference right hilar lymphadenopathy stable at 22 x 14 mm on image 57. Mediastinal and right pericardiophrenic lymphadenopathy appears similar. Tumor outside of the bony thorax and the right difficult to see because it occurs between layers of muscle but may have been present previously given the benefit of retrospect, unchanged. No significant abnormality noted. [/RESP]</s>
. Right hemithorax with scattered visceral pleural nodules, fissures, and mesothelioma. The reference focus of right upper lobe subpleural nodule measures up to 13 mm in diameter. Reference focal pleural thickening overlying the epicardial fat pad is unchanged but may be due to volume averaging. This thickening has been present since prior study. Residual pleural tumor along the costophrenic sulcus. Right lung apex with 2-mm decrease from 3 mm at 5 oclock. 2-mm decreased from 3 mm at 5 oclock. Right hilar lymphadenopathy measuring approximately 22 x 14 mm. Mediastinal and right pericardiophrenic lymphadenopathy. Tumor involving the right thoracic wall. No significant abnormality noted. [/RESP]
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'subcentimeter nodules': 'clinical finding': 'subcentimeter nodules', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter', 'observation': 'nodule', 'decreased': 'clinical finding': 'decreased', 'existence': 'pos_dx', 'observation': 'decrease'size_fin: ['size': '6 mm', 'size_descriptor': 'nodule']anatomical entity_fin: 'lobe': 'location descriptor': 'left lower'location descriptor_fin: ['left', 'lower']clinical findings_fin: 'reference subpleural left lower lobe nodule': 'clinical finding': 'reference subpleural left lower lobe nodule', 'existence': 'pos_dx', 'descriptive_term': 'reference subpleural left lower lobe', 'observation': 'nodule'clinical findings_fin: 'extensive pleural thickening': 'clinical finding': 'extensive pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'extensive pleural', 'observation': 'thickening', 'strength_term': 'extensive', 'metastases': 'clinical finding': 'metastases', 'existence': 'pos_dx', 'observation': 'metastase'anatomical entity_fin: 'fluid': , 'hemithorax': 'location descriptor': 'right posterior'location descriptor_fin: ['right', 'posterior']clinical findings_fin: 'residual': 'clinical finding': 'residual', 'existence': 'pos_dx', 'observation': 'residual'object_fin: ['tube']clinical findings_fin: 'fissures': 'clinical finding': 'fissures', 'existence': 'pos_dx', 'observation': 'fissure'clinical findings_fin: 'new pulmonary metastases': 'clinical finding': 'new pulmonary metastases', 'existence': 'neg_dx', 'descriptive_term': 'new pulmonary', 'observation': 'metastase', 'temporal_term': 'new'size_fin: ['size': '14 x 9 mm', 'size_descriptor': 'disease']clinical findings_fin: 'stable metastatic disease': 'clinical finding': 'stable metastatic disease', 'existence': 'pos_dx', 'descriptive_term': 'stable metastatic', 'observation': 'disease', 'strength_term': 'stable', 'change_term': 'stable', 'reference pretracheal node': 'clinical finding': 'reference pretracheal node', 'existence': 'pos_dx', 'descriptive_term': 'reference pretracheal', 'observation': 'node'size_fin: ['size': '10 x 8 mm', 'size_descriptor': 'lesion']location descriptor_fin: ['right', 'midline']clinical findings_fin: 'second reference lesion': 'clinical finding': 'second reference lesion', 'existence': 'pos_dx', 'descriptive_term': 'second reference', 'observation': 'lesion'clinical findings_fin: 'coronary calcification': 'clinical finding': 'coronary calcification', 'existence': 'pos_dx', 'descriptive_term': 'coronary', 'observation': 'calcification'clinical findings_fin: 'stable metastases': 'clinical finding': 'stable metastases', 'existence': 'pos_dx', 'descriptive_term': 'stable', 'observation': 'metastase', 'strength_term': 'stable', 'change_term': 'stable'imaging observation_fin: ['fat']location descriptor_fin: ['inferior']clinical findings_fin: 'stable metastases': 'clinical finding': 'stable metastases', 'existence': 'pos_dx', 'descriptive_term': 'stable', 'observation': 'metastase', 'strength_term': 'stable', 'change_term': 'stable', 'paracaval fat': 'clinical finding': 'paracaval fat', 'existence': 'pos_dx', 'descriptive_term': 'paracaval', 'observation': 'fat'location descriptor_fin: ['right']clinical findings_fin: 'stable cholelithiasis': 'clinical finding': 'stable cholelithiasis', 'existence': 'pos_dx', 'descriptive_term': 'stable', 'observation': 'cholelithiasis', 'strength_term': 'stable', 'change_term': 'stable'clinical findings_fin: 'stable renal cysts': 'clinical finding': 'stable renal cysts', 'existence': 'pos_dx', 'descriptive_term': 'stable renal', 'observation': 'cyst', 'strength_term': 'stable', 'change_term': 'stable'anatomical entity_fin: 'left adrenal gland': clinical findings_fin: 'stable subcentimeter nodule': 'clinical finding': 'stable subcentimeter nodule', 'existence': 'pos_dx', 'descriptive_term': 'stable subcentimeter', 'observation': 'nodule', 'strength_term': 'stable', 'change_term': 'stable', 'possibly an adenoma': 'clinical finding': 'possibly an adenoma', 'existence': 'pos_dx', 'descriptive_term': 'possibly an', 'observation': 'adenoma'clinical findings_fin: 'retrocrural adenopathy': 'clinical finding': 'retrocrural adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'retrocrural', 'observation': 'adenopathy' [/INST] [RESP] . The subcentimeter nodules in the left upper lobe have marginally decreased in size. The reference subpleural left lower lobe nodule is stable at 6 mm. Extensive pleural thickening compatible with metastases is unchanged. There is residual loculated fluid in the right posterior hemithorax, unchanged in volume. The pleural drain is unchanged in position with the tip in the collection but the majority of the tube traversing the fissures. No new pulmonary metastases. Stable metastatic disease in the thyroid bed with the reference pretracheal node measuring 14 x 9 mm on image 15/149. The second reference lesion just to the right of midline again measures 10 x 8 mm on image 13/149. Coronary calcification. Stable metastases involving the cardiophrenic space. Stable metastases in the paracaval fat at the level of the inferior cavoatrial junction. Right-sided pleural drain. Stable cholelithiasis. Negative. Stable renal cysts. Stable subcentimeter nodule possibly an adenoma in the left adrenal gland. Negative. Retrocrural adenopathy stable. Negative. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'subcentimeter nodules': 'clinical finding': 'subcentimeter nodules', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter', 'observation': 'nodule', 'decreased': 'clinical finding': 'decreased', 'existence': 'pos_dx', 'observation': 'decrease'size_fin: ['size': '6 mm', 'size_descriptor': 'nodule']anatomical entity_fin: 'lobe': 'location descriptor': 'left lower'location descriptor_fin: ['left', 'lower']clinical findings_fin: 'reference subpleural left lower lobe nodule': 'clinical finding': 'reference subpleural left lower lobe nodule', 'existence': 'pos_dx', 'descriptive_term': 'reference subpleural left lower lobe', 'observation': 'nodule'clinical findings_fin: 'extensive pleural thickening': 'clinical finding': 'extensive pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'extensive pleural', 'observation': 'thickening', 'strength_term': 'extensive', 'metastases': 'clinical finding': 'metastases', 'existence': 'pos_dx', 'observation': 'metastase'anatomical entity_fin: 'fluid': , 'hemithorax': 'location descriptor': 'right posterior'location descriptor_fin: ['right', 'posterior']clinical findings_fin: 'residual': 'clinical finding': 'residual', 'existence': 'pos_dx', 'observation': 'residual'object_fin: ['tube']clinical findings_fin: 'fissures': 'clinical finding': 'fissures', 'existence': 'pos_dx', 'observation': 'fissure'clinical findings_fin: 'new pulmonary metastases': 'clinical finding': 'new pulmonary metastases', 'existence': 'neg_dx', 'descriptive_term': 'new pulmonary', 'observation': 'metastase', 'temporal_term': 'new'size_fin: ['size': '14 x 9 mm', 'size_descriptor': 'disease']clinical findings_fin: 'stable metastatic disease': 'clinical finding': 'stable metastatic disease', 'existence': 'pos_dx', 'descriptive_term': 'stable metastatic', 'observation': 'disease', 'strength_term': 'stable', 'change_term': 'stable', 'reference pretracheal node': 'clinical finding': 'reference pretracheal node', 'existence': 'pos_dx', 'descriptive_term': 'reference pretracheal', 'observation': 'node'size_fin: ['size': '10 x 8 mm', 'size_descriptor': 'lesion']location descriptor_fin: ['right', 'midline']clinical findings_fin: 'second reference lesion': 'clinical finding': 'second reference lesion', 'existence': 'pos_dx', 'descriptive_term': 'second reference', 'observation': 'lesion'clinical findings_fin: 'coronary calcification': 'clinical finding': 'coronary calcification', 'existence': 'pos_dx', 'descriptive_term': 'coronary', 'observation': 'calcification'clinical findings_fin: 'stable metastases': 'clinical finding': 'stable metastases', 'existence': 'pos_dx', 'descriptive_term': 'stable', 'observation': 'metastase', 'strength_term': 'stable', 'change_term': 'stable'imaging observation_fin: ['fat']location descriptor_fin: ['inferior']clinical findings_fin: 'stable metastases': 'clinical finding': 'stable metastases', 'existence': 'pos_dx', 'descriptive_term': 'stable', 'observation': 'metastase', 'strength_term': 'stable', 'change_term': 'stable', 'paracaval fat': 'clinical finding': 'paracaval fat', 'existence': 'pos_dx', 'descriptive_term': 'paracaval', 'observation': 'fat'location descriptor_fin: ['right']clinical findings_fin: 'stable cholelithiasis': 'clinical finding': 'stable cholelithiasis', 'existence': 'pos_dx', 'descriptive_term': 'stable', 'observation': 'cholelithiasis', 'strength_term': 'stable', 'change_term': 'stable'clinical findings_fin: 'stable renal cysts': 'clinical finding': 'stable renal cysts', 'existence': 'pos_dx', 'descriptive_term': 'stable renal', 'observation': 'cyst', 'strength_term': 'stable', 'change_term': 'stable'anatomical entity_fin: 'left adrenal gland': clinical findings_fin: 'stable subcentimeter nodule': 'clinical finding': 'stable subcentimeter nodule', 'existence': 'pos_dx', 'descriptive_term': 'stable subcentimeter', 'observation': 'nodule', 'strength_term': 'stable', 'change_term': 'stable', 'possibly an adenoma': 'clinical finding': 'possibly an adenoma', 'existence': 'pos_dx', 'descriptive_term': 'possibly an', 'observation': 'adenoma'clinical findings_fin: 'retrocrural adenopathy': 'clinical finding': 'retrocrural adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'retrocrural', 'observation': 'adenopathy' [/INST] [RESP]
. The subcentimeter nodules in the left upper lobe have marginally decreased in size. The reference subpleural left lower lobe nodule is stable at 6 mm. Extensive pleural thickening compatible with metastases is unchanged. There is residual loculated fluid in the right posterior hemithorax, unchanged in volume. The pleural drain is unchanged in position with the tip in the collection but the majority of the tube traversing the fissures. No new pulmonary metastases. Stable metastatic disease in the thyroid bed with the reference pretracheal node measuring 14 x 9 mm on image 15/149. The second reference lesion just to the right of midline again measures 10 x 8 mm on image 13/149. Coronary calcification. Stable metastases involving the cardiophrenic space. Stable metastases in the paracaval fat at the level of the inferior cavoatrial junction. Right-sided pleural drain. Stable cholelithiasis. Negative. Stable renal cysts. Stable subcentimeter nodule possibly an adenoma in the left adrenal gland. Negative. Retrocrural adenopathy stable. Negative. [/RESP]</s>
. Subcentimeter nodules in the left upper lobe, decreased from prior exam.[/RESP]. Reference subpleural left lower lobe nodule measures 6 mm. Extensive pleural thickening with areas of air bronchograms and reticular opacity compatible with metastases. Residual fluid in the right posterior hemithorax. Tube in place. Fissures are stable. No new pulmonary metastases. Stable metastatic disease including reference pretracheal node measuring 14 x 9 mm. Second reference lesion in the right midline measuring 10 x 8 mm. Coronary calcification. Stable metastases. Paracaval fat. Stable cholelithiasis. Stable renal cysts. Stable subcentimeter nodule in the left adrenal gland possibly an adenoma. Retrocrural adenopathy. [/RESP]
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'fascial defect': 'clinical finding': 'fascial defect', 'existence': 'neg_dx', 'descriptive_term': 'fascial', 'observation': 'defect', 'hernia': 'clinical finding': 'hernia', 'existence': 'neg_dx', 'observation': 'hernia'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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] [RESP] . No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. None. No significant abnormality noted. No fascial defect or hernia. 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 [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'fascial defect': 'clinical finding': 'fascial defect', 'existence': 'neg_dx', 'descriptive_term': 'fascial', 'observation': 'defect', 'hernia': 'clinical finding': 'hernia', 'existence': 'neg_dx', 'observation': 'hernia'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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] [RESP]
. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. None. No significant abnormality noted. No fascial defect or hernia. 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 [/RESP]</s>
. No significant abnormality. The examination is unremarkable. No significant abnormality. The examination is unremarkable and there is no evidence of any significant abnormality. There is no evidence of any significant abnormality. The examination is negative for any significant abnormality. There is no evidence of any significant abnormality. The examination is negative for any significant abnormality. There is no evidence of any significant abnormality. The examination is negative for any significant abnormality. There is no evidence of any significant abnormality. [/RESP]
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['left']clinical findings_fin: 'streaky bibasilar atelectasis': 'clinical finding': 'streaky bibasilar atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'streaky bibasilar', 'observation': 'atelectasis', 'left pleural effusion': 'clinical finding': 'left pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'left pleural', 'observation': 'effusion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'spleen': , 'splenic artery': imaging observation_fin: ['wedge']procedure_fin: ['embolization']clinical findings_fin: 'wedge-shaped hypodensity': 'clinical finding': 'wedge-shaped hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'wedge-shaped', 'observation': 'hypodensity'clinical findings_fin: 'peri-splenic fluid collection': 'clinical finding': 'peri-splenic fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'peri-splenic fluid', 'observation': 'collection'anatomical entity_fin: 'pancreas': clinical findings_fin: 'atrophic': 'clinical finding': 'atrophic', 'existence': 'pos_dx', 'observation': 'atrophic'clinical findings_fin: 'minimal peripancreatic inflammation': 'clinical finding': 'minimal peripancreatic inflammation', 'existence': 'pos_dx', 'descriptive_term': 'minimal peripancreatic', 'observation': 'inflammation', 'strength_term': 'minimal', 'quantity_term': 'minimal'anatomical entity_fin: 'pancreas': location descriptor_fin: ['adjacent']clinical findings_fin: 'small fluid collection': 'clinical finding': 'small fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'small fluid', 'observation': 'collection', 'strength_term': 'small', 'tail': 'clinical finding': 'tail', 'existence': 'pos_dx', 'observation': 'tail'object_fin: ['tube']procedure_fin: ['gastrostomy']clinical findings_fin: 'cyst': 'clinical finding': 'cyst', 'existence': 'pos_dx', 'observation': 'cyst'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant normality': 'clinical finding': 'significant normality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'normality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['left']clinical findings_fin: 'indeterminate subcutaneous nodule': 'clinical finding': 'indeterminate subcutaneous nodule', 'existence': 'pos_dx', 'descriptive_term': 'indeterminate subcutaneous', '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'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormalities': 'clinical finding': 'significant abnormalities', 'existence': '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] [RESP] . There is streaky bibasilar atelectasis and a trace left pleural effusion. These findings are improved since the previous study. No significant abnormality noted. There is a wedge-shaped hypodensity within the spleen consistent with patients prior history of splenic artery embolization. A peri-splenic fluid collection is decreased in size since the prior study. The pancreas is atrophic. There is minimal peripancreatic inflammation. There is a small fluid collection adjacent to the tail of the pancreas which is decreased in size from the prior study. There is been interval removal of the cyst gastrostomy tube. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant normality noted. No significant abnormality noted. There is an indeterminate subcutaneous nodule in the left buttock. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormalities noted. No significant abnormality noted [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['left']clinical findings_fin: 'streaky bibasilar atelectasis': 'clinical finding': 'streaky bibasilar atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'streaky bibasilar', 'observation': 'atelectasis', 'left pleural effusion': 'clinical finding': 'left pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'left pleural', 'observation': 'effusion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'spleen': , 'splenic artery': imaging observation_fin: ['wedge']procedure_fin: ['embolization']clinical findings_fin: 'wedge-shaped hypodensity': 'clinical finding': 'wedge-shaped hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'wedge-shaped', 'observation': 'hypodensity'clinical findings_fin: 'peri-splenic fluid collection': 'clinical finding': 'peri-splenic fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'peri-splenic fluid', 'observation': 'collection'anatomical entity_fin: 'pancreas': clinical findings_fin: 'atrophic': 'clinical finding': 'atrophic', 'existence': 'pos_dx', 'observation': 'atrophic'clinical findings_fin: 'minimal peripancreatic inflammation': 'clinical finding': 'minimal peripancreatic inflammation', 'existence': 'pos_dx', 'descriptive_term': 'minimal peripancreatic', 'observation': 'inflammation', 'strength_term': 'minimal', 'quantity_term': 'minimal'anatomical entity_fin: 'pancreas': location descriptor_fin: ['adjacent']clinical findings_fin: 'small fluid collection': 'clinical finding': 'small fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'small fluid', 'observation': 'collection', 'strength_term': 'small', 'tail': 'clinical finding': 'tail', 'existence': 'pos_dx', 'observation': 'tail'object_fin: ['tube']procedure_fin: ['gastrostomy']clinical findings_fin: 'cyst': 'clinical finding': 'cyst', 'existence': 'pos_dx', 'observation': 'cyst'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant normality': 'clinical finding': 'significant normality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'normality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['left']clinical findings_fin: 'indeterminate subcutaneous nodule': 'clinical finding': 'indeterminate subcutaneous nodule', 'existence': 'pos_dx', 'descriptive_term': 'indeterminate subcutaneous', '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'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormalities': 'clinical finding': 'significant abnormalities', 'existence': '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] [RESP]
. There is streaky bibasilar atelectasis and a trace left pleural effusion. These findings are improved since the previous study. No significant abnormality noted. There is a wedge-shaped hypodensity within the spleen consistent with patients prior history of splenic artery embolization. A peri-splenic fluid collection is decreased in size since the prior study. The pancreas is atrophic. There is minimal peripancreatic inflammation. There is a small fluid collection adjacent to the tail of the pancreas which is decreased in size from the prior study. There is been interval removal of the cyst gastrostomy tube. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant normality noted. No significant abnormality noted. There is an indeterminate subcutaneous nodule in the left buttock. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormalities noted. No significant abnormality noted [/RESP]</s>
. Streaky bibasilar atelectasis and left pleural effusion. The pulmonary vasculature is not significantly enlarged or occluded. No significant abnormality noted. Wedge-shaped hypodensity in the spleen, likely due to embolization of the splenic artery. Peri-splenic fluid collection. Atrophic pancreas. Minimal peripancreatic inflammation. Small fluid collection adjacent to the tail of the pancreas. Gastrostomy tube tip within cyst. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. [/RESP]
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'solid organs': , 'kidneys': clinical findings_fin: 'lesions': 'clinical finding': 'lesions', 'existence': 'neg_dx', 'observation': 'lesion', 'intravenous contrast': 'clinical finding': 'intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'cholelithiasis': 'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'clinical findings_fin: 'biliary dilatation': 'clinical finding': 'biliary dilatation', 'existence': 'neg_dx', 'descriptive_term': 'biliary', 'observation': 'dilatation'anatomical entity_fin: 'liver': clinical findings_fin: 'definite focal liver lesions': 'clinical finding': 'definite focal liver lesions', 'existence': 'neg_dx', 'descriptive_term': 'definite focal liver', 'observation': 'lesion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'right kidney': clinical findings_fin: 'small unchanged': 'clinical finding': 'small unchanged', 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'unchanged', 'strength_term': 'small'clinical findings_fin: 'normal contour': 'clinical finding': 'normal contour', 'existence': 'pos_dx', 'descriptive_term': 'normal', 'observation': 'contour', 'strength_term': 'normal'anatomical entity_fin: 'left kidney': clinical findings_fin: 'mild lobulation': 'clinical finding': 'mild lobulation', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'lobulation', 'strength_term': 'mild', 'left kidney contour': 'clinical finding': 'left kidney contour', 'existence': 'pos_dx', 'descriptive_term': 'left kidney', 'observation': 'contour'clinical findings_fin: 'hydronephrosis': 'clinical finding': 'hydronephrosis', 'existence': 'neg_dx', 'observation': 'hydronephrosis', 'hydroureter': 'clinical finding': 'hydroureter', 'existence': 'neg_dx', 'observation': 'hydroureter'imaging observation_fin: ['fat']clinical findings_fin: 'perinephric fat stranding': 'clinical finding': 'perinephric fat stranding', 'existence': 'neg_dx', 'descriptive_term': 'perinephric fat', 'observation': 'strand'clinical findings_fin: 'severe atherosclerotic changes': 'clinical finding': 'severe atherosclerotic changes', 'existence': 'pos_dx', 'descriptive_term': 'severe atherosclerotic', 'observation': 'change', 'strength_term': 'severe'clinical findings_fin: 'aneurysm': 'clinical finding': 'aneurysm', 'existence': 'neg_dx', 'observation': 'aneurysm'clinical findings_fin: 'small shotty nodes': 'clinical finding': 'small shotty nodes', 'existence': 'neg_dx', 'descriptive_term': 'small shotty', 'observation': 'node', 'strength_term': 'small'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'atrophic': 'clinical finding': 'atrophic', 'existence': 'pos_dx', 'observation': 'atrophic'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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': 'right'location descriptor_fin: ['right']procedure_fin: ['arthroplasty']clinical findings_fin: 'lytic or blastic disease': 'clinical finding': 'lytic or blastic disease', 'existence': 'neg_dx', 'descriptive_term': 'lytic or blastic', 'observation': 'disease'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] Exam is not sensitive for detecting lesions in the solid organs or collecting system of the kidneys to the lack of intravenous contrast. No significant abnormality noted. Cholelithiasis. No biliary dilatation. No definite focal liver lesions. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Right kidney small unchanged. Normal contour. Mild lobulation of the left kidney contour unchanged. No hydronephrosis or hydroureter. No perinephric fat stranding. Severe atherosclerotic changes. No evidence of aneurysm. Small shotty nodes not pathologic by size. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Atrophic. Postsurgical changes. No significant abnormality noted. No significant abnormality noted. Arthroplasty right hip. No lytic or blastic disease. No significant abnormality noted [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'solid organs': , 'kidneys': clinical findings_fin: 'lesions': 'clinical finding': 'lesions', 'existence': 'neg_dx', 'observation': 'lesion', 'intravenous contrast': 'clinical finding': 'intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'cholelithiasis': 'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'clinical findings_fin: 'biliary dilatation': 'clinical finding': 'biliary dilatation', 'existence': 'neg_dx', 'descriptive_term': 'biliary', 'observation': 'dilatation'anatomical entity_fin: 'liver': clinical findings_fin: 'definite focal liver lesions': 'clinical finding': 'definite focal liver lesions', 'existence': 'neg_dx', 'descriptive_term': 'definite focal liver', 'observation': 'lesion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'right kidney': clinical findings_fin: 'small unchanged': 'clinical finding': 'small unchanged', 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'unchanged', 'strength_term': 'small'clinical findings_fin: 'normal contour': 'clinical finding': 'normal contour', 'existence': 'pos_dx', 'descriptive_term': 'normal', 'observation': 'contour', 'strength_term': 'normal'anatomical entity_fin: 'left kidney': clinical findings_fin: 'mild lobulation': 'clinical finding': 'mild lobulation', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'lobulation', 'strength_term': 'mild', 'left kidney contour': 'clinical finding': 'left kidney contour', 'existence': 'pos_dx', 'descriptive_term': 'left kidney', 'observation': 'contour'clinical findings_fin: 'hydronephrosis': 'clinical finding': 'hydronephrosis', 'existence': 'neg_dx', 'observation': 'hydronephrosis', 'hydroureter': 'clinical finding': 'hydroureter', 'existence': 'neg_dx', 'observation': 'hydroureter'imaging observation_fin: ['fat']clinical findings_fin: 'perinephric fat stranding': 'clinical finding': 'perinephric fat stranding', 'existence': 'neg_dx', 'descriptive_term': 'perinephric fat', 'observation': 'strand'clinical findings_fin: 'severe atherosclerotic changes': 'clinical finding': 'severe atherosclerotic changes', 'existence': 'pos_dx', 'descriptive_term': 'severe atherosclerotic', 'observation': 'change', 'strength_term': 'severe'clinical findings_fin: 'aneurysm': 'clinical finding': 'aneurysm', 'existence': 'neg_dx', 'observation': 'aneurysm'clinical findings_fin: 'small shotty nodes': 'clinical finding': 'small shotty nodes', 'existence': 'neg_dx', 'descriptive_term': 'small shotty', 'observation': 'node', 'strength_term': 'small'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'atrophic': 'clinical finding': 'atrophic', 'existence': 'pos_dx', 'observation': 'atrophic'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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': 'right'location descriptor_fin: ['right']procedure_fin: ['arthroplasty']clinical findings_fin: 'lytic or blastic disease': 'clinical finding': 'lytic or blastic disease', 'existence': 'neg_dx', 'descriptive_term': 'lytic or blastic', 'observation': 'disease'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP]
Exam is not sensitive for detecting lesions in the solid organs or collecting system of the kidneys to the lack of intravenous contrast. No significant abnormality noted. Cholelithiasis. No biliary dilatation. No definite focal liver lesions. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Right kidney small unchanged. Normal contour. Mild lobulation of the left kidney contour unchanged. No hydronephrosis or hydroureter. No perinephric fat stranding. Severe atherosclerotic changes. No evidence of aneurysm. Small shotty nodes not pathologic by size. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Atrophic. Postsurgical changes. No significant abnormality noted. No significant abnormality noted. Arthroplasty right hip. No lytic or blastic disease. No significant abnormality noted [/RESP]</s>
. Solid organs are not adequately evaluated due to lack of intravenous contrast.[/RESP]. No significant abnormality noted. Cholelithiasis is present. There is no biliary dilatation. The liver shows no definite focal liver lesions. No significant abnormality noted. None. No significant abnormality. Small unchanged right kidney. Normal contour left kidney with mild lobulation. No hydronephrosis or hydroureter. Perinephric fat stranding is absent. Severe atherosclerotic changes. Aneurysm is not identified. Small shotty nodes are seen in the thyroid bed. No significant abnormality noted. No significant abnormality. Atrophic appearance of the lungs. No significant abnormality. Atrophic appearance of the hip joints. Lytic or blastic disease is not suspected. No significant abnormality. [/RESP]
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'previously described, pleural-based micronodule': 'clinical finding': 'previously described, pleural-based micronodule', 'existence': 'pos_dx', 'descriptive_term': 'previously described pleural-based', 'observation': 'micronodule'anatomical entity_fin: 'right major fissure': clinical findings_fin: 'additional pulmonary micronodules': 'clinical finding': 'additional pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'additional pulmonary', 'observation': 'micronodule', 'intrapulmonary lymph node': 'clinical finding': 'intrapulmonary lymph node', 'existence': 'pos_dx', 'descriptive_term': 'intrapulmonary lymph', 'observation': 'node'anatomical entity_fin: 'lobes': 'location descriptor': 'lower'imaging observation_fin: ['foci']location descriptor_fin: ['posterior', 'lower']clinical findings_fin: 'ground glass opacities': 'clinical finding': 'ground glass opacities', 'existence': 'pos_dx', 'descriptive_term': 'ground glass', 'observation': 'opacity', 'atelectasis': 'clinical finding': 'atelectasis', 'existence': 'pos_dx', 'observation': 'atelectasis'clinical findings_fin: 'interval interlobular septal thickening': 'clinical finding': 'interval interlobular septal thickening', 'existence': 'neg_dx', 'descriptive_term': 'interval interlobular septal', 'observation': 'thickening', 'bronchiectasis': 'clinical finding': 'bronchiectasis', 'existence': 'neg_dx', 'observation': 'bronchiectasis'clinical findings_fin: 'air trapping': 'clinical finding': 'air trapping', 'existence': 'neg_dx', 'descriptive_term': 'air', 'observation': 'trapping'clinical findings_fin: 'triple vessel coronary artery calcification': 'clinical finding': 'triple vessel coronary artery calcification', 'existence': 'pos_dx', 'descriptive_term': 'triple vessel coronary artery', 'observation': 'calcification'size_fin: ['size': '33 mm', 'size_descriptor': 'transverse']anatomical entity_fin: 'main pulmonary artery': clinical findings_fin: 'dilatation': 'clinical finding': 'dilatation', 'existence': 'pos_dx', 'observation': 'dilatation'clinical findings_fin: 'prominent': 'clinical finding': 'prominent', 'existence': 'pos_dx', 'observation': 'prominent', 'contrast': 'clinical finding': 'contrast', 'existence': 'neg_dx', 'observation': 'contrast', 'pulmonary': 'clinical finding': 'pulmonary', 'existence': 'unc_dx', 'observation': 'pulmonary'location descriptor_fin: ['upper', 'left']clinical findings_fin: 'mild left atrial and ventricular enlargement': 'clinical finding': 'mild left atrial and ventricular enlargement', 'existence': 'pos_dx', 'descriptive_term': 'mild left atrial and ventricular', 'observation': 'enlargement', 'strength_term': 'mild'location descriptor_fin: ['distal', 'superior']clinical findings_fin: 'circumferential distal esophageal wall thickening': 'clinical finding': 'circumferential distal esophageal wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'circumferential distal esophageal wall', 'observation': 'thickening', 'small hiatal hernia': 'clinical finding': 'small hiatal hernia', 'existence': 'pos_dx', 'descriptive_term': 'small hiatal', 'observation': 'hernia', 'strength_term': 'small'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . The previously described, pleural-based micronodule is unchanged. An additional pulmonary micronodules in the right major fissure is unchanged and likely intrapulmonary lymph node. There are scattered foci of ground glass opacities in the posterior basal segments of both lower lobes compatible with atelectasis. No interval interlobular septal thickening, pathologic groundglass, or bronchiectasis is identified. No air trapping is present. Triple vessel coronary artery calcification. There is dilatation of the main pulmonary artery, measuring up to 33 mm transverse. The hilar regions are prominent, incompletely characterized without contrast, but likely due to pulmonary arterial enlargement. The cardiac size is upper limits of normal with mild left atrial and ventricular enlargement. There is circumferential distal esophageal wall thickening superior to a small hiatal hernia. No significant abnormality noted. No significant abnormality noted. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'previously described, pleural-based micronodule': 'clinical finding': 'previously described, pleural-based micronodule', 'existence': 'pos_dx', 'descriptive_term': 'previously described pleural-based', 'observation': 'micronodule'anatomical entity_fin: 'right major fissure': clinical findings_fin: 'additional pulmonary micronodules': 'clinical finding': 'additional pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'additional pulmonary', 'observation': 'micronodule', 'intrapulmonary lymph node': 'clinical finding': 'intrapulmonary lymph node', 'existence': 'pos_dx', 'descriptive_term': 'intrapulmonary lymph', 'observation': 'node'anatomical entity_fin: 'lobes': 'location descriptor': 'lower'imaging observation_fin: ['foci']location descriptor_fin: ['posterior', 'lower']clinical findings_fin: 'ground glass opacities': 'clinical finding': 'ground glass opacities', 'existence': 'pos_dx', 'descriptive_term': 'ground glass', 'observation': 'opacity', 'atelectasis': 'clinical finding': 'atelectasis', 'existence': 'pos_dx', 'observation': 'atelectasis'clinical findings_fin: 'interval interlobular septal thickening': 'clinical finding': 'interval interlobular septal thickening', 'existence': 'neg_dx', 'descriptive_term': 'interval interlobular septal', 'observation': 'thickening', 'bronchiectasis': 'clinical finding': 'bronchiectasis', 'existence': 'neg_dx', 'observation': 'bronchiectasis'clinical findings_fin: 'air trapping': 'clinical finding': 'air trapping', 'existence': 'neg_dx', 'descriptive_term': 'air', 'observation': 'trapping'clinical findings_fin: 'triple vessel coronary artery calcification': 'clinical finding': 'triple vessel coronary artery calcification', 'existence': 'pos_dx', 'descriptive_term': 'triple vessel coronary artery', 'observation': 'calcification'size_fin: ['size': '33 mm', 'size_descriptor': 'transverse']anatomical entity_fin: 'main pulmonary artery': clinical findings_fin: 'dilatation': 'clinical finding': 'dilatation', 'existence': 'pos_dx', 'observation': 'dilatation'clinical findings_fin: 'prominent': 'clinical finding': 'prominent', 'existence': 'pos_dx', 'observation': 'prominent', 'contrast': 'clinical finding': 'contrast', 'existence': 'neg_dx', 'observation': 'contrast', 'pulmonary': 'clinical finding': 'pulmonary', 'existence': 'unc_dx', 'observation': 'pulmonary'location descriptor_fin: ['upper', 'left']clinical findings_fin: 'mild left atrial and ventricular enlargement': 'clinical finding': 'mild left atrial and ventricular enlargement', 'existence': 'pos_dx', 'descriptive_term': 'mild left atrial and ventricular', 'observation': 'enlargement', 'strength_term': 'mild'location descriptor_fin: ['distal', 'superior']clinical findings_fin: 'circumferential distal esophageal wall thickening': 'clinical finding': 'circumferential distal esophageal wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'circumferential distal esophageal wall', 'observation': 'thickening', 'small hiatal hernia': 'clinical finding': 'small hiatal hernia', 'existence': 'pos_dx', 'descriptive_term': 'small hiatal', 'observation': 'hernia', 'strength_term': 'small'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP]
. The previously described, pleural-based micronodule is unchanged. An additional pulmonary micronodules in the right major fissure is unchanged and likely intrapulmonary lymph node. There are scattered foci of ground glass opacities in the posterior basal segments of both lower lobes compatible with atelectasis. No interval interlobular septal thickening, pathologic groundglass, or bronchiectasis is identified. No air trapping is present. Triple vessel coronary artery calcification. There is dilatation of the main pulmonary artery, measuring up to 33 mm transverse. The hilar regions are prominent, incompletely characterized without contrast, but likely due to pulmonary arterial enlargement. The cardiac size is upper limits of normal with mild left atrial and ventricular enlargement. There is circumferential distal esophageal wall thickening superior to a small hiatal hernia. No significant abnormality noted. No significant abnormality noted. [/RESP]</s>
. Previously described, pleural-based micronodule is unchanged. The additional pulmonary micronodules in the right major fissure are also stable. There are foci of ground glass opacity within the posterior lower lobes which may represent atelectasis. Interval interval interlobular septal thickening or bronchiectasis has not progressed. No air trapping. Triple vessel coronary artery calcification. Main pulmonary artery dilatation measures 33 mm transverse. Heart size is mildly prominent without contrast enhancement. Mild left atrial and ventricular enlargement. Circumferential distal esophageal wall thickening with small hiatal hernia. No significant abnormality noted. No significant abnormality observed. [/RESP]
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'right lung': , 'base': clinical findings_fin: 'calcified granuloma': 'clinical finding': 'calcified granuloma', 'existence': 'pos_dx', 'descriptive_term': 'calcified', 'observation': 'granuloma', 'change_term': 'calcified'anatomical entity_fin: 'mediastinum': clinical findings_fin: 'several small lymph nodes': 'clinical finding': 'several small lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'several small lymph', 'observation': 'node', 'strength_term': 'small', 'quantity_term': 'several'size_fin: ['size': '9 x 11 mm', 'size_descriptor': 'node']location descriptor_fin: ['right']clinical findings_fin: '9 x 11 mm right paratracheal lymph node': 'clinical finding': '9 x 11 mm right paratracheal lymph node', 'existence': 'pos_dx', 'descriptive_term': '9 x 11 mm right paratracheal lymph', 'observation': 'node'clinical findings_fin: 'coronary calcifications': 'clinical finding': 'coronary calcifications', 'existence': 'pos_dx', 'descriptive_term': 'coronary', 'observation': 'calcification'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'small retroperitoneal lymph nodes': 'clinical finding': 'small retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small retroperitoneal lymph', 'observation': 'node', 'strength_term': 'small'size_fin: ['size': '1.4 x 1.0', 'size_descriptor': 'cm']clinical findings_fin: '1.4 x 1.0-cm ge junction lymph node': 'clinical finding': '1.4 x 1.0-cm ge junction lymph node', 'existence': 'pos_dx', 'descriptive_term': '1 4 x 1 0-cm ge junction lymph', 'observation': 'node'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Calcified granuloma the right lung base. Several small lymph nodes noted in the mediastinum. For reference purposes, there is a 9 x 11 mm right paratracheal lymph node. Coronary calcifications. 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 retroperitoneal lymph nodes. For reference purposes, there is a 1.4 X 1.0-cm GE junction lymph node. 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 [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'right lung': , 'base': clinical findings_fin: 'calcified granuloma': 'clinical finding': 'calcified granuloma', 'existence': 'pos_dx', 'descriptive_term': 'calcified', 'observation': 'granuloma', 'change_term': 'calcified'anatomical entity_fin: 'mediastinum': clinical findings_fin: 'several small lymph nodes': 'clinical finding': 'several small lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'several small lymph', 'observation': 'node', 'strength_term': 'small', 'quantity_term': 'several'size_fin: ['size': '9 x 11 mm', 'size_descriptor': 'node']location descriptor_fin: ['right']clinical findings_fin: '9 x 11 mm right paratracheal lymph node': 'clinical finding': '9 x 11 mm right paratracheal lymph node', 'existence': 'pos_dx', 'descriptive_term': '9 x 11 mm right paratracheal lymph', 'observation': 'node'clinical findings_fin: 'coronary calcifications': 'clinical finding': 'coronary calcifications', 'existence': 'pos_dx', 'descriptive_term': 'coronary', 'observation': 'calcification'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'small retroperitoneal lymph nodes': 'clinical finding': 'small retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small retroperitoneal lymph', 'observation': 'node', 'strength_term': 'small'size_fin: ['size': '1.4 x 1.0', 'size_descriptor': 'cm']clinical findings_fin: '1.4 x 1.0-cm ge junction lymph node': 'clinical finding': '1.4 x 1.0-cm ge junction lymph node', 'existence': 'pos_dx', 'descriptive_term': '1 4 x 1 0-cm ge junction lymph', 'observation': 'node'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP]
. Calcified granuloma the right lung base. Several small lymph nodes noted in the mediastinum. For reference purposes, there is a 9 x 11 mm right paratracheal lymph node. Coronary calcifications. 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 retroperitoneal lymph nodes. For reference purposes, there is a 1.4 X 1.0-cm GE junction lymph node. 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 [/RESP]</s>
. Calcified granuloma in the right lung base. Several small lymph nodes are present within the mediastinum. The largest is 9 x 11 mm and located in the right paratracheal region. [/RESP]
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'clinical findings_fin: 'intracranial mass': 'clinical finding': 'intracranial mass', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'mass', 'mass-effect': 'clinical finding': 'mass-effect', 'existence': 'neg_dx', 'observation': 'mass'location descriptor_fin: ['midline']clinical findings_fin: 'herniation': 'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'clinical findings_fin: 'gray-white differentiation is maintained': 'clinical finding': 'gray-white differentiation is maintained', 'change_term': 'maintained'clinical findings_fin: 'scattered dystrophic appearing calcifications': 'clinical finding': 'scattered dystrophic appearing calcifications', 'existence': 'pos_dx', 'descriptive_term': 'scattered dystrophic appearing', 'observation': 'calcification'clinical findings_fin: 'hydrocephalus': 'clinical finding': 'hydrocephalus', 'existence': 'neg_dx', 'observation': 'hydrocephalus'anatomical entity_fin: 'paranasal sinuses': , 'maxillary sinus': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'near complete opacification': 'clinical finding': 'near complete opacification', 'existence': 'pos_dx', 'descriptive_term': 'near complete', 'observation': 'opacification', 'hyperdense material': 'clinical finding': 'hyperdense material', 'existence': 'pos_dx', 'descriptive_term': 'hyperdense', 'observation': 'material', 'wall thickening': 'clinical finding': 'wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'wall', 'observation': 'thickening'anatomical entity_fin: 'mastoid air cells': 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: 'lens': location descriptor_fin: ['bilateral'] [/INST] [RESP] No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or herniation. Gray-white differentiation is maintained. There are scattered dystrophic appearing calcifications. Sulci and ventricles are within normal limits for age without evidence of hydrocephalus. No extra-axial collections. The visualized portions of the paranasal sinuses demonstrate near complete opacification of the right maxillary sinus with hyperdense material and wall thickening. Mastoid air cells are clear. Calvarium is intact. Evidence of bilateral intraocular lens implants. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'clinical findings_fin: 'intracranial mass': 'clinical finding': 'intracranial mass', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'mass', 'mass-effect': 'clinical finding': 'mass-effect', 'existence': 'neg_dx', 'observation': 'mass'location descriptor_fin: ['midline']clinical findings_fin: 'herniation': 'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'clinical findings_fin: 'gray-white differentiation is maintained': 'clinical finding': 'gray-white differentiation is maintained', 'change_term': 'maintained'clinical findings_fin: 'scattered dystrophic appearing calcifications': 'clinical finding': 'scattered dystrophic appearing calcifications', 'existence': 'pos_dx', 'descriptive_term': 'scattered dystrophic appearing', 'observation': 'calcification'clinical findings_fin: 'hydrocephalus': 'clinical finding': 'hydrocephalus', 'existence': 'neg_dx', 'observation': 'hydrocephalus'anatomical entity_fin: 'paranasal sinuses': , 'maxillary sinus': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'near complete opacification': 'clinical finding': 'near complete opacification', 'existence': 'pos_dx', 'descriptive_term': 'near complete', 'observation': 'opacification', 'hyperdense material': 'clinical finding': 'hyperdense material', 'existence': 'pos_dx', 'descriptive_term': 'hyperdense', 'observation': 'material', 'wall thickening': 'clinical finding': 'wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'wall', 'observation': 'thickening'anatomical entity_fin: 'mastoid air cells': 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: 'lens': location descriptor_fin: ['bilateral'] [/INST] [RESP]
No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or herniation. Gray-white differentiation is maintained. There are scattered dystrophic appearing calcifications. Sulci and ventricles are within normal limits for age without evidence of hydrocephalus. No extra-axial collections. The visualized portions of the paranasal sinuses demonstrate near complete opacification of the right maxillary sinus with hyperdense material and wall thickening. Mastoid air cells are clear. Calvarium is intact. Evidence of bilateral intraocular lens implants. [/RESP]</s>
No intracranial hemorrhage. The CSF spaces are patent. There is no evidence of intracranial mass or mass-effect. The midline is within normal limits and there is no herniation. The gray-white differentiation is maintained. Scattered dystrophic appearing calcifications are present bilaterally, unchanged. The ventricles are stable in size with no hydrocephalus. Near complete opacification of the right maxillary sinus with hyperdense material along the wall thickening. The mastoid air cells are clear. The calvarium is intact. Bilateral lenses are partially imaged. [/RESP]
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'pulmonary embolus': 'clinical finding': 'pulmonary embolus', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolus'location descriptor_fin: ['right']clinical findings_fin: 'right pleural effusion': 'clinical finding': 'right pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'right pleural', 'observation': 'effusion', 'compressive atelectasis': 'clinical finding': 'compressive atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'compressive', 'observation': 'atelectasis'location descriptor_fin: ['left']clinical findings_fin: 'left pleural effusion': 'clinical finding': 'left pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'left pleural', 'observation': 'effusion'location descriptor_fin: ['bilateral', 'left', 'right']clinical findings_fin: 'bilateral basilar predominant bronchiectasis': 'clinical finding': 'bilateral basilar predominant bronchiectasis', 'existence': 'pos_dx', 'descriptive_term': 'bilateral basilar predominant', 'observation': 'bronchiectasis'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral ground glass opacity': 'clinical finding': 'bilateral ground glass opacity', 'existence': 'pos_dx', 'descriptive_term': 'bilateral ground glass', 'observation': 'opacity', 'interlobular septal thickening': 'clinical finding': 'interlobular septal thickening', 'existence': 'pos_dx', 'descriptive_term': 'interlobular septal', 'observation': 'thickening'anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'right upper lobe calcified micronodule': 'clinical finding': 'right upper lobe calcified micronodule', 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe calcified', 'observation': 'micronodule', 'change_term': 'calcified', 'prior healed granulomatous disease': 'clinical finding': 'prior healed granulomatous disease', 'existence': 'pos_dx', 'descriptive_term': 'prior healed granulomatous', 'observation': 'disease', 'strength_term': 'healed', 'change_term': 'healed'anatomical entity_fin: 'mediastinum': , 'fluid': clinical findings_fin: 'previously identified reference lymph node': 'clinical finding': 'previously identified reference lymph node', 'existence': 'pos_dx', 'descriptive_term': 'previously identified reference lymph', 'observation': 'node'clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'location descriptor_fin: ['right']object_fin: ['port']anatomical entity_fin: 'thoracic vertebral body': clinical findings_fin: 'mildly sclerotic mid-thoracic vertebral body': 'clinical finding': 'mildly sclerotic mid-thoracic vertebral body', 'existence': 'pos_dx', 'descriptive_term': 'mildly sclerotic mid-thoracic vertebral', 'observation': 'body', 'strength_term': 'mildly'clinical findings_fin: 'incompletely evaluated biliary stent': 'clinical finding': 'incompletely evaluated biliary stent', 'existence': 'pos_dx', 'descriptive_term': 'incompletely evaluated biliary', 'observation': 'stent' [/INST] [RESP] . No pulmonary embolus. Interval increase in right pleural effusion with compressive atelectasis. Interval development of left pleural effusion. Interval development of bilateral basilar predominant bronchiectasis, left greater than right. Bilateral ground glass opacity without interlobular septal thickening. Right upper lobe calcified micronodule likely represents prior healed granulomatous disease. Previously identified reference lymph node within the mediastinum is difficult to measure given extensive mediastinal fluid. Pericardial effusion. Right port with tip in the SVC. Mildly sclerotic mid-thoracic vertebral body, nonspecific. Incompletely evaluated biliary stent. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'pulmonary embolus': 'clinical finding': 'pulmonary embolus', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolus'location descriptor_fin: ['right']clinical findings_fin: 'right pleural effusion': 'clinical finding': 'right pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'right pleural', 'observation': 'effusion', 'compressive atelectasis': 'clinical finding': 'compressive atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'compressive', 'observation': 'atelectasis'location descriptor_fin: ['left']clinical findings_fin: 'left pleural effusion': 'clinical finding': 'left pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'left pleural', 'observation': 'effusion'location descriptor_fin: ['bilateral', 'left', 'right']clinical findings_fin: 'bilateral basilar predominant bronchiectasis': 'clinical finding': 'bilateral basilar predominant bronchiectasis', 'existence': 'pos_dx', 'descriptive_term': 'bilateral basilar predominant', 'observation': 'bronchiectasis'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral ground glass opacity': 'clinical finding': 'bilateral ground glass opacity', 'existence': 'pos_dx', 'descriptive_term': 'bilateral ground glass', 'observation': 'opacity', 'interlobular septal thickening': 'clinical finding': 'interlobular septal thickening', 'existence': 'pos_dx', 'descriptive_term': 'interlobular septal', 'observation': 'thickening'anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'right upper lobe calcified micronodule': 'clinical finding': 'right upper lobe calcified micronodule', 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe calcified', 'observation': 'micronodule', 'change_term': 'calcified', 'prior healed granulomatous disease': 'clinical finding': 'prior healed granulomatous disease', 'existence': 'pos_dx', 'descriptive_term': 'prior healed granulomatous', 'observation': 'disease', 'strength_term': 'healed', 'change_term': 'healed'anatomical entity_fin: 'mediastinum': , 'fluid': clinical findings_fin: 'previously identified reference lymph node': 'clinical finding': 'previously identified reference lymph node', 'existence': 'pos_dx', 'descriptive_term': 'previously identified reference lymph', 'observation': 'node'clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'location descriptor_fin: ['right']object_fin: ['port']anatomical entity_fin: 'thoracic vertebral body': clinical findings_fin: 'mildly sclerotic mid-thoracic vertebral body': 'clinical finding': 'mildly sclerotic mid-thoracic vertebral body', 'existence': 'pos_dx', 'descriptive_term': 'mildly sclerotic mid-thoracic vertebral', 'observation': 'body', 'strength_term': 'mildly'clinical findings_fin: 'incompletely evaluated biliary stent': 'clinical finding': 'incompletely evaluated biliary stent', 'existence': 'pos_dx', 'descriptive_term': 'incompletely evaluated biliary', 'observation': 'stent' [/INST] [RESP]
. No pulmonary embolus. Interval increase in right pleural effusion with compressive atelectasis. Interval development of left pleural effusion. Interval development of bilateral basilar predominant bronchiectasis, left greater than right. Bilateral ground glass opacity without interlobular septal thickening. Right upper lobe calcified micronodule likely represents prior healed granulomatous disease. Previously identified reference lymph node within the mediastinum is difficult to measure given extensive mediastinal fluid. Pericardial effusion. Right port with tip in the SVC. Mildly sclerotic mid-thoracic vertebral body, nonspecific. Incompletely evaluated biliary stent. [/RESP]</s>
. No evidence of pulmonary embolus. The right pleural effusion is unchanged with compressive atelectasis. Left pleural effusion has decreased in size. Bilateral basilar predominant bronchiectasis, left greater than right. Bilateral ground glass opacity and interlobular septal thickening are unchanged. Right upper lobe calcified micronodule compatible with prior healed granulomatous disease. Previously identified reference lymph node within the mediastinum contains fluid which may be related to recent surgery. Pericardial effusion is unchanged. Right port tip at SVC junction. Mildly sclerotic mid-thoracic vertebral body. Incompletely evaluated biliary stent. [/RESP]
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['left', 'upper']clinical findings_fin: 'postsurgical changes': 'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change', 'left upper lobectomy': 'clinical finding': 'left upper lobectomy', 'existence': 'pos_dx', 'descriptive_term': 'left upper', 'observation': 'lobectomy'anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper', 'left']clinical findings_fin: 'volume loss': 'clinical finding': 'volume loss', 'existence': 'pos_dx', 'descriptive_term': 'volume', 'observation': 'loss', 'consolidation': 'clinical finding': 'consolidation', 'existence': 'pos_dx', 'observation': 'consolidation'anatomical entity_fin: 'lobe': 'location descriptor': 'left lower'location descriptor_fin: ['left', 'lower']clinical findings_fin: 'is slight worsening of aeration of the left lower lobe': 'clinical finding': 'is slight worsening of aeration of the left lower lobe', 'change_term': 'worsening'anatomical entity_fin: 'right lung': clinical findings_fin: 'multiple small pulmonary micronodules': 'clinical finding': 'multiple small pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'multiple small pulmonary', 'observation': 'micronodule', 'strength_term': 'small', 'quantity_term': 'multiple'clinical findings_fin: 'roughly stable since the prior examination in 9/09': 'clinical finding': 'roughly stable since the prior examination in 9/09', 'change_term': 'stable'location descriptor_fin: ['left', 'adjacent']clinical findings_fin: 'left hilar adenopathy': 'clinical finding': 'left hilar adenopathy', 'existence': 'unc_dx', 'descriptive_term': 'left hilar', 'observation': 'adenopathy', 'adjacent consolidation': 'clinical finding': 'adjacent consolidation', 'existence': 'pos_dx', 'descriptive_term': 'adjacent', 'observation': 'consolidation', 'intravenous contrast': 'clinical finding': 'intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'clinical findings_fin: 'small to moderate pericardial effusion': 'clinical finding': 'small to moderate pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'small to moderate pericardial', 'observation': 'effusion', 'strength_term': 'small - moderate'anatomical entity_fin: 'subcutaneous fat': clinical findings_fin: 'multiple lobulated soft tissue masses': 'clinical finding': 'multiple lobulated soft tissue masses', 'existence': 'pos_dx', 'descriptive_term': 'multiple lobulated soft tissue', 'observation': 'mass', 'quantity_term': 'multiple', 'change_term': 'lobulated'clinical findings_fin: 'some of these appear larger than before': 'clinical finding': 'some of these appear larger than before'size_fin: ['size': '5.1 x 4.9 cm', 'size': '4.5 x 3.8 cm']anatomical entity_fin: 'back': 'location descriptor': 'right', 'l1 vertebral bodies': location descriptor_fin: ['right']clinical findings_fin: 'lesion': 'clinical finding': 'lesion', 'existence': 'pos_dx', 'observation': 'lesion'object_fin: ['cholecystectomy clips']clinical findings_fin: 'cholecystectomy clips': 'clinical finding': 'cholecystectomy clips', 'existence': 'pos_dx', 'descriptive_term': 'cholecystectomy', 'observation': 'clip'clinical findings_fin: 'lesions': 'clinical finding': 'lesions', 'existence': 'pos_dx', 'observation': 'lesion', 'intravenous contrast': 'clinical finding': 'intravenous contrast', 'existence': 'pos_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast' [/INST] [RESP] . Postsurgical changes compatible with left upper lobectomy. There are areas of volume loss and consolidation in the right upper lobe and left midlung. There is slight worsening of aeration of the left lower lobe. Multiple small pulmonary micronodules are seen in throughout the right lung. These are roughly stable since the prior examination in 9/09. Left hilar adenopathy appears is difficult to measure accurately due to the adjacent consolidation and lack of intravenous contrast. Small to moderate pericardial effusion is not significantly changed from prior. Multiple lobulated soft tissue masses are seen in the subcutaneous fat. Some of these appear larger than before. For example, a lesion in the right back approximately at the level of the T12/L1 vertebral bodies, measures 5.1 x 4.9 cm, previously measured 4.5 x 3.8 cm. Cholecystectomy clips are noted. One of the lesions described on the prior study is identified but is very difficult to delineate due to lack of intravenous contrast. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['left', 'upper']clinical findings_fin: 'postsurgical changes': 'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change', 'left upper lobectomy': 'clinical finding': 'left upper lobectomy', 'existence': 'pos_dx', 'descriptive_term': 'left upper', 'observation': 'lobectomy'anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper', 'left']clinical findings_fin: 'volume loss': 'clinical finding': 'volume loss', 'existence': 'pos_dx', 'descriptive_term': 'volume', 'observation': 'loss', 'consolidation': 'clinical finding': 'consolidation', 'existence': 'pos_dx', 'observation': 'consolidation'anatomical entity_fin: 'lobe': 'location descriptor': 'left lower'location descriptor_fin: ['left', 'lower']clinical findings_fin: 'is slight worsening of aeration of the left lower lobe': 'clinical finding': 'is slight worsening of aeration of the left lower lobe', 'change_term': 'worsening'anatomical entity_fin: 'right lung': clinical findings_fin: 'multiple small pulmonary micronodules': 'clinical finding': 'multiple small pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'multiple small pulmonary', 'observation': 'micronodule', 'strength_term': 'small', 'quantity_term': 'multiple'clinical findings_fin: 'roughly stable since the prior examination in 9/09': 'clinical finding': 'roughly stable since the prior examination in 9/09', 'change_term': 'stable'location descriptor_fin: ['left', 'adjacent']clinical findings_fin: 'left hilar adenopathy': 'clinical finding': 'left hilar adenopathy', 'existence': 'unc_dx', 'descriptive_term': 'left hilar', 'observation': 'adenopathy', 'adjacent consolidation': 'clinical finding': 'adjacent consolidation', 'existence': 'pos_dx', 'descriptive_term': 'adjacent', 'observation': 'consolidation', 'intravenous contrast': 'clinical finding': 'intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'clinical findings_fin: 'small to moderate pericardial effusion': 'clinical finding': 'small to moderate pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'small to moderate pericardial', 'observation': 'effusion', 'strength_term': 'small - moderate'anatomical entity_fin: 'subcutaneous fat': clinical findings_fin: 'multiple lobulated soft tissue masses': 'clinical finding': 'multiple lobulated soft tissue masses', 'existence': 'pos_dx', 'descriptive_term': 'multiple lobulated soft tissue', 'observation': 'mass', 'quantity_term': 'multiple', 'change_term': 'lobulated'clinical findings_fin: 'some of these appear larger than before': 'clinical finding': 'some of these appear larger than before'size_fin: ['size': '5.1 x 4.9 cm', 'size': '4.5 x 3.8 cm']anatomical entity_fin: 'back': 'location descriptor': 'right', 'l1 vertebral bodies': location descriptor_fin: ['right']clinical findings_fin: 'lesion': 'clinical finding': 'lesion', 'existence': 'pos_dx', 'observation': 'lesion'object_fin: ['cholecystectomy clips']clinical findings_fin: 'cholecystectomy clips': 'clinical finding': 'cholecystectomy clips', 'existence': 'pos_dx', 'descriptive_term': 'cholecystectomy', 'observation': 'clip'clinical findings_fin: 'lesions': 'clinical finding': 'lesions', 'existence': 'pos_dx', 'observation': 'lesion', 'intravenous contrast': 'clinical finding': 'intravenous contrast', 'existence': 'pos_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast' [/INST] [RESP]
. Postsurgical changes compatible with left upper lobectomy. There are areas of volume loss and consolidation in the right upper lobe and left midlung. There is slight worsening of aeration of the left lower lobe. Multiple small pulmonary micronodules are seen in throughout the right lung. These are roughly stable since the prior examination in 9/09. Left hilar adenopathy appears is difficult to measure accurately due to the adjacent consolidation and lack of intravenous contrast. Small to moderate pericardial effusion is not significantly changed from prior. Multiple lobulated soft tissue masses are seen in the subcutaneous fat. Some of these appear larger than before. For example, a lesion in the right back approximately at the level of the T12/L1 vertebral bodies, measures 5.1 x 4.9 cm, previously measured 4.5 x 3.8 cm. Cholecystectomy clips are noted. One of the lesions described on the prior study is identified but is very difficult to delineate due to lack of intravenous contrast. [/RESP]</s>
. Postsurgical changes related to left upper lobectomy are again seen. There is volume loss and consolidation of the right upper lobe, which has progressed slightly from the previous study. There is also slight worsening of aeration of the left lower lobe. Multiple small pulmonary micronodules are present within the right lung, roughly stable since the prior examination in 9/09. Left hilar adenopathy with adjacent consolidation is unchanged without intravenous contrast. Small to moderate pericardial effusion is unchanged. There are multiple lobulated soft tissue masses involving the subcutaneous fat planes bilaterally, some of these appear larger than before. The largest lesion measures 5.1 x 4.9 cm on image 26/71 and 4.5 x 3.8 cm on image 27/71 on the right back at L1 vertebral bodies. Cholecystectomy clips are noted. Lesions identified on the previous study are again seen on this study without intravenous contrast. [/RESP]
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'neck': procedure_fin: ['treatment']clinical findings_fin: 'post-treatment': 'clinical finding': 'post-treatment', 'existence': 'pos_dx', 'observation': 'post', 'persistent diffuse edema': 'clinical finding': 'persistent diffuse edema', 'existence': 'pos_dx', 'descriptive_term': 'persistent diffuse', 'observation': 'edema', 'temporal_term': 'persistent'clinical findings_fin: 'measurable mass lesions': 'clinical finding': 'measurable mass lesions', 'existence': 'neg_dx', 'descriptive_term': 'measurable mass', 'observation': 'lesion', 'significant cervical lymphadenopathy': 'clinical finding': 'significant cervical lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant cervical', 'observation': 'lymphadenopathy'anatomical entity_fin: 'major salivary glands': clinical findings_fin: 'thyroid and major salivary glands are unchanged': 'clinical finding': 'thyroid and major salivary glands are unchanged', 'change_term': 'unchanged'location descriptor_fin: ['bilateral']clinical findings_fin: 'osseous structures are unchanged': 'clinical finding': 'osseous structures are unchanged', 'change_term': 'unchanged'size_fin: ['size': '5 mm', 'size_descriptor': 'aneurysm']anatomical entity_fin: 'internal carotid artery': location descriptor_fin: ['right']clinical findings_fin: 'unchanged 5 mm wide right supraclinoid internal carotid artery aneurysm': 'clinical finding': 'unchanged 5 mm wide right supraclinoid internal carotid artery aneurysm', 'existence': 'pos_dx', 'descriptive_term': 'unchanged 5 mm wide right supraclinoid internal carotid artery', 'observation': 'aneurysm', 'strength_term': 'unchanged - wide', 'change_term': 'unchanged'anatomical entity_fin: 'lungs': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'lens': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral'] [/INST] [RESP] There are post-treatment findings in the neck, including persistent diffuse edema in the supraglottic region. There is no evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria. The thyroid and major salivary glands are unchanged. There is plaque at the bilateral carotid bifurcations. The osseous structures are unchanged. There is an unchanged 5 mm wide right supraclinoid internal carotid artery aneurysm. The imaged portions of the lungs are clear. There are bilateral lens implants. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'neck': procedure_fin: ['treatment']clinical findings_fin: 'post-treatment': 'clinical finding': 'post-treatment', 'existence': 'pos_dx', 'observation': 'post', 'persistent diffuse edema': 'clinical finding': 'persistent diffuse edema', 'existence': 'pos_dx', 'descriptive_term': 'persistent diffuse', 'observation': 'edema', 'temporal_term': 'persistent'clinical findings_fin: 'measurable mass lesions': 'clinical finding': 'measurable mass lesions', 'existence': 'neg_dx', 'descriptive_term': 'measurable mass', 'observation': 'lesion', 'significant cervical lymphadenopathy': 'clinical finding': 'significant cervical lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant cervical', 'observation': 'lymphadenopathy'anatomical entity_fin: 'major salivary glands': clinical findings_fin: 'thyroid and major salivary glands are unchanged': 'clinical finding': 'thyroid and major salivary glands are unchanged', 'change_term': 'unchanged'location descriptor_fin: ['bilateral']clinical findings_fin: 'osseous structures are unchanged': 'clinical finding': 'osseous structures are unchanged', 'change_term': 'unchanged'size_fin: ['size': '5 mm', 'size_descriptor': 'aneurysm']anatomical entity_fin: 'internal carotid artery': location descriptor_fin: ['right']clinical findings_fin: 'unchanged 5 mm wide right supraclinoid internal carotid artery aneurysm': 'clinical finding': 'unchanged 5 mm wide right supraclinoid internal carotid artery aneurysm', 'existence': 'pos_dx', 'descriptive_term': 'unchanged 5 mm wide right supraclinoid internal carotid artery', 'observation': 'aneurysm', 'strength_term': 'unchanged - wide', 'change_term': 'unchanged'anatomical entity_fin: 'lungs': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'lens': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral'] [/INST] [RESP]
There are post-treatment findings in the neck, including persistent diffuse edema in the supraglottic region. There is no evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria. The thyroid and major salivary glands are unchanged. There is plaque at the bilateral carotid bifurcations. The osseous structures are unchanged. There is an unchanged 5 mm wide right supraclinoid internal carotid artery aneurysm. The imaged portions of the lungs are clear. There are bilateral lens implants. [/RESP]</s>
Post-treatment changes in the neck with persistent diffuse edema. . There is evidence of post treatment change in the soft tissues of the neck, including persistent diffuse edema. No measurable mass lesions or significant cervical lymphadenopathy by CT criteria. The thyroid and major salivary glands are unchanged. The osseous structures are unchanged. Unchanged 5 mm wide right supraclinoid internal carotid artery aneurysm. Lung air space opacity is stable. Bilateral lenses have been removed. [/RESP]

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