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<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'small vessel ischemic disease': 'clinical finding': 'small vessel ischemic disease', 'existence': 'unc_dx', 'descriptive_term': 'small vessel ischemic', 'observation': 'disease', 'strength_term': 'small'location descriptor_fin: ['left']clinical findings_fin: 'left frontal subcortical ischemia': 'clinical finding': 'left frontal subcortical ischemia', 'existence': 'pos_dx', 'descriptive_term': 'left frontal subcortical', 'observation': 'ischemia'anatomical entity_fin: 'brainstem': clinical findings_fin: 'otherwise normal in attenuation and morphology': 'clinical finding': 'otherwise normal in attenuation and morphology'location descriptor_fin: ['midline']clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage', 'mass or mass effect': 'clinical finding': 'mass or mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass or mass', 'observation': 'effect', 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema', 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'clinical findings_fin: 'abnormal enhancement': 'clinical finding': 'abnormal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement'anatomical entity_fin: 'fluid': clinical findings_fin: 'abnormal extra-axial fluid is present': 'clinical finding': 'abnormal extra-axial fluid is present'clinical findings_fin: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized', 'gross abnormality': 'clinical finding': 'gross abnormality', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'anatomical entity_fin: 'neck': clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass', 'mucosal irregularity': 'clinical finding': 'mucosal irregularity', 'existence': 'neg_dx', 'descriptive_term': 'mucosal', 'observation': 'irregularity', 'abnormal enhancement': 'clinical finding': 'abnormal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement', 'pathologically enlarged lymph nodes': 'clinical finding': 'pathologically enlarged lymph nodes', 'existence': 'unc_dx', 'descriptive_term': 'pathologically enlarged lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'location descriptor_fin: ['right']clinical findings_fin: 'small right paratracheal lymph node': 'clinical finding': 'small right paratracheal lymph node', 'existence': 'unc_dx', 'descriptive_term': 'small right paratracheal lymph', 'observation': 'node', 'strength_term': 'small'anatomical entity_fin: 'esophagus': clinical findings_fin: 'patulous': 'clinical finding': 'patulous', 'existence': 'pos_dx', 'observation': 'patulous' [/INST] [RESP] Periventricular subcortical low attenuation likely representing small vessel ischemic disease of indeterminate age. Focus of left frontal subcortical ischemia of indeterminate age is unchanged. The cerebral and cerebellar hemispheres and brainstem are otherwise normal in attenuation and morphology. No intracranial hemorrhage, mass or mass effect, edema or midline shift is noted. No abnormal enhancement. No abnormal extra-axial fluid is present. The ventricles and basal cisterns are symmetric and normal in size. The visualized paranasal sinuses and mastoid air cells are normally pneumatized, and the bones of the calvarium demonstrate no gross abnormality. The soft tissue structures of the neck are unremarkable with no evidence of mass, mucosal irregularity, abnormal enhancement or pathologically enlarged lymph nodes. A small right paratracheal lymph node may be slightly smaller. The esophagus is patulous. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'small vessel ischemic disease': 'clinical finding': 'small vessel ischemic disease', 'existence': 'unc_dx', 'descriptive_term': 'small vessel ischemic', 'observation': 'disease', 'strength_term': 'small'location descriptor_fin: ['left']clinical findings_fin: 'left frontal subcortical ischemia': 'clinical finding': 'left frontal subcortical ischemia', 'existence': 'pos_dx', 'descriptive_term': 'left frontal subcortical', 'observation': 'ischemia'anatomical entity_fin: 'brainstem': clinical findings_fin: 'otherwise normal in attenuation and morphology': 'clinical finding': 'otherwise normal in attenuation and morphology'location descriptor_fin: ['midline']clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage', 'mass or mass effect': 'clinical finding': 'mass or mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass or mass', 'observation': 'effect', 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema', 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'clinical findings_fin: 'abnormal enhancement': 'clinical finding': 'abnormal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement'anatomical entity_fin: 'fluid': clinical findings_fin: 'abnormal extra-axial fluid is present': 'clinical finding': 'abnormal extra-axial fluid is present'clinical findings_fin: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized', 'gross abnormality': 'clinical finding': 'gross abnormality', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'anatomical entity_fin: 'neck': clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass', 'mucosal irregularity': 'clinical finding': 'mucosal irregularity', 'existence': 'neg_dx', 'descriptive_term': 'mucosal', 'observation': 'irregularity', 'abnormal enhancement': 'clinical finding': 'abnormal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement', 'pathologically enlarged lymph nodes': 'clinical finding': 'pathologically enlarged lymph nodes', 'existence': 'unc_dx', 'descriptive_term': 'pathologically enlarged lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'location descriptor_fin: ['right']clinical findings_fin: 'small right paratracheal lymph node': 'clinical finding': 'small right paratracheal lymph node', 'existence': 'unc_dx', 'descriptive_term': 'small right paratracheal lymph', 'observation': 'node', 'strength_term': 'small'anatomical entity_fin: 'esophagus': clinical findings_fin: 'patulous': 'clinical finding': 'patulous', 'existence': 'pos_dx', 'observation': 'patulous' [/INST] [RESP]

Periventricular subcortical low attenuation likely representing small vessel ischemic disease of indeterminate age. Focus of left frontal subcortical ischemia of indeterminate age is unchanged. The cerebral and cerebellar hemispheres and brainstem are otherwise normal in attenuation and morphology. No intracranial hemorrhage, mass or mass effect, edema or midline shift is noted. No abnormal enhancement. No abnormal extra-axial fluid is present. The ventricles and basal cisterns are symmetric and normal in size. The visualized paranasal sinuses and mastoid air cells are normally pneumatized, and the bones of the calvarium demonstrate no gross abnormality. The soft tissue structures of the neck are unremarkable with no evidence of mass, mucosal irregularity, abnormal enhancement or pathologically enlarged lymph nodes. A small right paratracheal lymph node may be slightly smaller. The esophagus is patulous. [/RESP]</s>

Small vessel ischemic disease. The left frontal subcortical ischemia has improved since prior examination. Otherwise, otherwise normal in attenuation and morphology of the deep white matter and cerebellar vermis. No evidence of midline shift, intracranial hemorrhage, mass or mass effect, edema or midline shift. There is no abnormal enhancement. Abnormal extra-axial fluid is not detected. The ventricles are symmetric and within normal limits. The visualized portions of the paranasal sinuses and mastoid air cells are normally pneumatized with no gross abnormality. Limited view of the neck shows no mass, mucosal irregularity or abnormal enhancement to suggest pathologically enlarged lymph nodes. A small right paratracheal lymph node may be seen. Esophagus appears patulous. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'orbits': clinical findings_fin: 'orbits are unremarkable': 'clinical finding': 'orbits are unremarkable'clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'clinical findings_fin: 'limited view of the intracranial structure': 'clinical finding': 'limited view of the intracranial structure'anatomical entity_fin: 'oral cavity': , 'nasopharynx': , 'hypopharynx': , 'larynx': , 'airways': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'anatomical entity_fin: 'epiglottis': imaging observation_fin: ['cords']clinical findings_fin: 'epiglottis , vallecula , piriform sinuses , and vocal cords are normal': 'clinical finding': 'epiglottis , vallecula , piriform sinuses , and vocal cords are normal'anatomical entity_fin: 'thyroid glands': clinical findings_fin: 'parotid , submandibular , and thyroid glands are unremarkable': 'clinical finding': 'parotid , submandibular , and thyroid glands are unremarkable'clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass', 'lymphadenopathy': 'clinical finding': 'lymphadenopathy', 'existence': 'neg_dx', 'observation': 'lymphadenopathy'anatomical entity_fin: 'arteries': , 'veins': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change', 'multilevel neuroforaminal narrowing': 'clinical finding': 'multilevel neuroforaminal narrowing', 'existence': 'pos_dx', 'descriptive_term': 'multilevel neuroforaminal', 'observation': 'narrowing'anatomical entity_fin: 'chest': clinical findings_fin: 'limited view of the chest': 'clinical finding': 'limited view of the chest'anatomical entity_fin: 'fluids': , 'nasal cavity': 'location descriptor': 'left'location descriptor_fin: ['bilateral', 'left']clinical findings_fin: 'air bubbles': 'clinical finding': 'air bubbles', 'existence': 'pos_dx', 'descriptive_term': 'air', 'observation': 'bubbles'clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'clinical findings_fin: 'osteomeatal complexes': 'clinical finding': 'osteomeatal complexes', 'existence': 'pos_dx', 'descriptive_term': 'osteomeatal', 'observation': 'complex', 'occluded': 'clinical finding': 'occluded', 'existence': 'pos_dx', 'observation': 'occlude'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': clinical findings_fin: 'cribriform plate , fovea ethmoidalis and lamina papyraceae appear normal': 'clinical finding': 'cribriform plate , fovea ethmoidalis and lamina papyraceae appear normal'clinical findings_fin: 'osseous structures are unremarkable': 'clinical finding': 'osseous structures are unremarkable' [/INST] [RESP] The orbits are unremarkable. The mastoids are clear. Limited view of the intracranial structure is unremarkable. The oral cavity, oro or nasopharynx, hypopharynx, larynx and subglottic airways are unremarkable or patent. The epiglottis, vallecula, piriform sinuses, and vocal cords are normal. The parotid, submandibular, and thyroid glands are unremarkable. No mass or lymphadenopathy is noted. The carotid arteries and jugular veins are patent. The osseous structures are unremarkable except for degenerative changes of the cervical spine including multilevel neuroforaminal narrowing. Limited view of the chest is unremarkable. Examination shows fluids mixed with air bubbles in the bilateral maxillary and ethmoid sinuses and left nasal cavity. The frontal sinuses and sphenoid sinuses are well developed and clear. The osteomeatal complexes are occluded. The intersphenoid septum is normal. The nasal turbinates and nasal septum are normal. The cribriform plate, fovea ethmoidalis and lamina papyraceae appear normal. The osseous structures are unremarkable. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'orbits': clinical findings_fin: 'orbits are unremarkable': 'clinical finding': 'orbits are unremarkable'clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'clinical findings_fin: 'limited view of the intracranial structure': 'clinical finding': 'limited view of the intracranial structure'anatomical entity_fin: 'oral cavity': , 'nasopharynx': , 'hypopharynx': , 'larynx': , 'airways': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'anatomical entity_fin: 'epiglottis': imaging observation_fin: ['cords']clinical findings_fin: 'epiglottis , vallecula , piriform sinuses , and vocal cords are normal': 'clinical finding': 'epiglottis , vallecula , piriform sinuses , and vocal cords are normal'anatomical entity_fin: 'thyroid glands': clinical findings_fin: 'parotid , submandibular , and thyroid glands are unremarkable': 'clinical finding': 'parotid , submandibular , and thyroid glands are unremarkable'clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass', 'lymphadenopathy': 'clinical finding': 'lymphadenopathy', 'existence': 'neg_dx', 'observation': 'lymphadenopathy'anatomical entity_fin: 'arteries': , 'veins': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change', 'multilevel neuroforaminal narrowing': 'clinical finding': 'multilevel neuroforaminal narrowing', 'existence': 'pos_dx', 'descriptive_term': 'multilevel neuroforaminal', 'observation': 'narrowing'anatomical entity_fin: 'chest': clinical findings_fin: 'limited view of the chest': 'clinical finding': 'limited view of the chest'anatomical entity_fin: 'fluids': , 'nasal cavity': 'location descriptor': 'left'location descriptor_fin: ['bilateral', 'left']clinical findings_fin: 'air bubbles': 'clinical finding': 'air bubbles', 'existence': 'pos_dx', 'descriptive_term': 'air', 'observation': 'bubbles'clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'clinical findings_fin: 'osteomeatal complexes': 'clinical finding': 'osteomeatal complexes', 'existence': 'pos_dx', 'descriptive_term': 'osteomeatal', 'observation': 'complex', 'occluded': 'clinical finding': 'occluded', 'existence': 'pos_dx', 'observation': 'occlude'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': clinical findings_fin: 'cribriform plate , fovea ethmoidalis and lamina papyraceae appear normal': 'clinical finding': 'cribriform plate , fovea ethmoidalis and lamina papyraceae appear normal'clinical findings_fin: 'osseous structures are unremarkable': 'clinical finding': 'osseous structures are unremarkable' [/INST] [RESP]

The orbits are unremarkable. The mastoids are clear. Limited view of the intracranial structure is unremarkable. The oral cavity, oro or nasopharynx, hypopharynx, larynx and subglottic airways are unremarkable or patent. The epiglottis, vallecula, piriform sinuses, and vocal cords are normal. The parotid, submandibular, and thyroid glands are unremarkable. No mass or lymphadenopathy is noted. The carotid arteries and jugular veins are patent. The osseous structures are unremarkable except for degenerative changes of the cervical spine including multilevel neuroforaminal narrowing. Limited view of the chest is unremarkable. Examination shows fluids mixed with air bubbles in the bilateral maxillary and ethmoid sinuses and left nasal cavity. The frontal sinuses and sphenoid sinuses are well developed and clear. The osteomeatal complexes are occluded. The intersphenoid septum is normal. The nasal turbinates and nasal septum are normal. The cribriform plate, fovea ethmoidalis and lamina papyraceae appear normal. The osseous structures are unremarkable. [/RESP]</s>

The orbits are unremarkable. . Limited view of the intracranial structure. The oral cavity, oro-nasopharynx, hypopharynx, laryngopharynx and subglottic airways are unremarkable. The epiglottis, vallecula, piriform sinuses, and vocal cords are normal. The parotid, submandibular, and thyroid glands are unremarkable. No mass or lymphadenopathy is noted. The carotid arteries and jugular veins are patent. Degenerative changes affect the cervical spine with multilevel neuroforaminal narrowing at C4-5, C5-6, C6-7, C7-T1 levels. Limited view of the chest. Air bubbles in bilateral maxillary sinus and left nasal cavity. The frontal sinuses are clear. The osteomeatal complexes are occluded. The intersphenoid septum is normal. The nasal septum and nasal turbinates are normal. The cribriform plate, fovea ethmoidalis and lamina papyraceae appear normal. The osseous structures are unremarkable. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['right', 'adjacent', 'left']object_fin: ['shunt catheter']clinical findings_fin: 'right frontal approach ventricular shunt catheter': 'clinical finding': 'right frontal approach ventricular shunt catheter', 'existence': 'pos_dx', 'descriptive_term': 'right frontal approach ventricular shunt', 'observation': 'catheter'object_fin: ['catheter']clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'clinical findings_fin: 'decompressed': 'clinical finding': 'decompressed', 'existence': 'pos_dx', 'observation': 'decompressed'clinical findings_fin: 'fourth ventricular caliber is normal': 'clinical finding': 'fourth ventricular caliber is normal'clinical findings_fin: 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'focal parenchymal edema': 'clinical finding': 'focal parenchymal edema', 'existence': 'neg_dx', 'descriptive_term': 'focal parenchymal', 'observation': 'edema'clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage', 'abnormal extra-axial fluid collection': 'clinical finding': 'abnormal extra-axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'abnormal extra-axial fluid', 'observation': 'collection'clinical findings_fin: 'changes': 'clinical finding': 'changes', 'existence': 'pos_dx', 'observation': 'change', 'suboccipital craniectomy': 'clinical finding': 'suboccipital craniectomy', 'existence': 'unc_dx', 'descriptive_term': 'suboccipital', 'observation': 'craniectomy', 'decompression': 'clinical finding': 'decompression', 'existence': 'unc_dx', 'observation': 'decompression'anatomical entity_fin: 'tonsils': clinical findings_fin: 'low-lying': 'clinical finding': 'low-lying', 'existence': 'pos_dx', 'observation': 'low' [/INST] [RESP] Right frontal approach ventricular shunt catheter in stable position, tip adjacent to the left caudothalamic groove. The visualized radiopaque portions of the catheter are intact. The supratentorial ventricular system remains decompressed, similar to the prior examination. Fourth ventricular caliber is normal. No mass effect or focal parenchymal edema is seen. No intracranial hemorrhage or abnormal extra-axial fluid collection is detected. Changes related to a suboccipital craniectomy or decompression are again seen. The cerebellar tonsils remain low-lying similar to the prior exam. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['right', 'adjacent', 'left']object_fin: ['shunt catheter']clinical findings_fin: 'right frontal approach ventricular shunt catheter': 'clinical finding': 'right frontal approach ventricular shunt catheter', 'existence': 'pos_dx', 'descriptive_term': 'right frontal approach ventricular shunt', 'observation': 'catheter'object_fin: ['catheter']clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'clinical findings_fin: 'decompressed': 'clinical finding': 'decompressed', 'existence': 'pos_dx', 'observation': 'decompressed'clinical findings_fin: 'fourth ventricular caliber is normal': 'clinical finding': 'fourth ventricular caliber is normal'clinical findings_fin: 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'focal parenchymal edema': 'clinical finding': 'focal parenchymal edema', 'existence': 'neg_dx', 'descriptive_term': 'focal parenchymal', 'observation': 'edema'clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage', 'abnormal extra-axial fluid collection': 'clinical finding': 'abnormal extra-axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'abnormal extra-axial fluid', 'observation': 'collection'clinical findings_fin: 'changes': 'clinical finding': 'changes', 'existence': 'pos_dx', 'observation': 'change', 'suboccipital craniectomy': 'clinical finding': 'suboccipital craniectomy', 'existence': 'unc_dx', 'descriptive_term': 'suboccipital', 'observation': 'craniectomy', 'decompression': 'clinical finding': 'decompression', 'existence': 'unc_dx', 'observation': 'decompression'anatomical entity_fin: 'tonsils': clinical findings_fin: 'low-lying': 'clinical finding': 'low-lying', 'existence': 'pos_dx', 'observation': 'low' [/INST] [RESP]

Right frontal approach ventricular shunt catheter in stable position, tip adjacent to the left caudothalamic groove. The visualized radiopaque portions of the catheter are intact. The supratentorial ventricular system remains decompressed, similar to the prior examination. Fourth ventricular caliber is normal. No mass effect or focal parenchymal edema is seen. No intracranial hemorrhage or abnormal extra-axial fluid collection is detected. Changes related to a suboccipital craniectomy or decompression are again seen. The cerebellar tonsils remain low-lying similar to the prior exam. [/RESP]</s>

Right frontal approach ventricular shunt catheter with tip in right lateral ventricle and adjacent to left lateral ventricle. . The catheter appears intact. The fourth ventricular caliber is decompressed. Fourth ventricular caliber measures 10 mm, unchanged from prior study. There is no mass effect or focal parenchymal edema. No evidence of intracranial hemorrhage or abnormal extra-axial fluid collection. CT venogram demonstrates changes consistent with suboccipital craniectomy and decompression. Tonsiles are low-lying. [/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', 'any abnormal extra axial fluid collection': 'clinical finding': 'any abnormal extra axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'any abnormal extra axial fluid', 'observation': 'collection'clinical findings_fin: 'gray-white differentiation': 'clinical finding': 'gray-white differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white', 'observation': 'differentiation'clinical findings_fin: 'parenchymal edema': 'clinical finding': 'parenchymal edema', 'existence': 'neg_dx', 'descriptive_term': 'parenchymal', 'observation': 'edema', 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'clinical findings_fin: 'ill-defined periventricular hypoattenuation': 'clinical finding': 'ill-defined periventricular hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'ill-defined periventricular', 'observation': 'hypoattenuation', 'strength_term': 'ill-defined', 'indeterminate microvascular ischemic disease': 'clinical finding': 'indeterminate microvascular ischemic disease', 'existence': 'pos_dx', 'descriptive_term': 'indeterminate microvascular ischemic', 'observation': 'disease'clinical findings_fin: 'normal size and morphology': 'clinical finding': 'normal size and morphology'clinical findings_fin: 'prominent': 'clinical finding': 'prominent', 'existence': 'pos_dx', 'observation': 'prominent', 'parenchymal volume loss': 'clinical finding': 'parenchymal volume loss', 'existence': 'pos_dx', 'descriptive_term': 'parenchymal volume', 'observation': 'loss'anatomical entity_fin: 'skull': , 'paranasal sinuses': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact', 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear' [/INST] [RESP] No evidence of intracranial hemorrhage or any abnormal extra axial fluid collection is seen. The gray-white differentiation is preserved. No parenchymal edema or mass effect is seen. Ill-defined periventricular hypoattenuation is unchanged and likely indicates age indeterminate microvascular ischemic disease. The ventricular system is of normal size and morphology. The sulci are slightly prominent compatible with parenchymal volume loss. The osseous structures of the skull are intact and the paranasal sinuses as partially visualized are clear. [/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', 'any abnormal extra axial fluid collection': 'clinical finding': 'any abnormal extra axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'any abnormal extra axial fluid', 'observation': 'collection'clinical findings_fin: 'gray-white differentiation': 'clinical finding': 'gray-white differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white', 'observation': 'differentiation'clinical findings_fin: 'parenchymal edema': 'clinical finding': 'parenchymal edema', 'existence': 'neg_dx', 'descriptive_term': 'parenchymal', 'observation': 'edema', 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'clinical findings_fin: 'ill-defined periventricular hypoattenuation': 'clinical finding': 'ill-defined periventricular hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'ill-defined periventricular', 'observation': 'hypoattenuation', 'strength_term': 'ill-defined', 'indeterminate microvascular ischemic disease': 'clinical finding': 'indeterminate microvascular ischemic disease', 'existence': 'pos_dx', 'descriptive_term': 'indeterminate microvascular ischemic', 'observation': 'disease'clinical findings_fin: 'normal size and morphology': 'clinical finding': 'normal size and morphology'clinical findings_fin: 'prominent': 'clinical finding': 'prominent', 'existence': 'pos_dx', 'observation': 'prominent', 'parenchymal volume loss': 'clinical finding': 'parenchymal volume loss', 'existence': 'pos_dx', 'descriptive_term': 'parenchymal volume', 'observation': 'loss'anatomical entity_fin: 'skull': , 'paranasal sinuses': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact', 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear' [/INST] [RESP]

No evidence of intracranial hemorrhage or any abnormal extra axial fluid collection is seen. The gray-white differentiation is preserved. No parenchymal edema or mass effect is seen. Ill-defined periventricular hypoattenuation is unchanged and likely indicates age indeterminate microvascular ischemic disease. The ventricular system is of normal size and morphology. The sulci are slightly prominent compatible with parenchymal volume loss. The osseous structures of the skull are intact and the paranasal sinuses as partially visualized are clear. [/RESP]</s>

No intracranial hemorrhage or any abnormal extra axial fluid collection. The gray-white differentiation is preserved. There is no evidence of parenchymal edema or mass effect. Ill-defined periventricular hypoattenuation compatible with indeterminate microvascular ischemic disease. Normal size and morphology. Prominent ventricles are consistent with parenchymal volume loss. The skull, calvarium and visualized paranasal sinuses are grossly unremarkable. [/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: ['anterior', 'left', 'upper']clinical findings_fin: 'slightly decreased anterior left upper lobe subpleural opacity': 'clinical finding': 'slightly decreased anterior left upper lobe subpleural opacity', 'existence': 'pos_dx', 'descriptive_term': 'slightly decreased anterior left upper lobe subpleural', 'observation': 'opacity', 'strength_term': 'decreased', 'change_term': 'decreased'size_fin: ['size': '26 x26 mm', 'size': '29 x 25 mm']anatomical entity_fin: 'lobe': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'left upper lobe reference nodule': 'clinical finding': 'left upper lobe reference nodule', 'existence': 'pos_dx', 'descriptive_term': 'left upper lobe reference', 'observation': 'nodule'clinical findings_fin: 'significant lymphadenopathy': 'clinical finding': 'significant lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'anatomical entity_fin: 'breast': 'location descriptor': 'left', 'axilla': 'location descriptor': 'left'location descriptor_fin: ['left']object_fin: ['surgical clips']clinical findings_fin: 'surgical clips': 'clinical finding': 'surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'clip'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'size_fin: ['size': '8 x 12 mm', 'size_descriptor': 'hypodensity']anatomical entity_fin: 'lobe': 'location descriptor': 'right', 'liver': location descriptor_fin: ['right']clinical findings_fin: 'approximately 8 x 12 mm hypodensity': 'clinical finding': 'approximately 8 x 12 mm hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'approximately 8 x 12 mm', 'observation': 'hypodensity'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast', 'gi': 'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'clinical findings_fin: 'gross abnormalities': 'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Slightly decreased anterior left upper lobe subpleural opacity, likely inflammatory. Left upper lobe reference nodule mm, 26 x26 mm on the axial sections and more accurately measured at 29 x 25 mm on coronal sections, not significantly changed from previous. No significant lymphadenopathy. Surgical clips in the left breast and left axilla. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Approximately 8 x 12 mm hypodensity in the right lobe of the liver, not significantly changed. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for GI pathology. No gross abnormalities 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: 'lobe': 'location descriptor': 'left upper'location descriptor_fin: ['anterior', 'left', 'upper']clinical findings_fin: 'slightly decreased anterior left upper lobe subpleural opacity': 'clinical finding': 'slightly decreased anterior left upper lobe subpleural opacity', 'existence': 'pos_dx', 'descriptive_term': 'slightly decreased anterior left upper lobe subpleural', 'observation': 'opacity', 'strength_term': 'decreased', 'change_term': 'decreased'size_fin: ['size': '26 x26 mm', 'size': '29 x 25 mm']anatomical entity_fin: 'lobe': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'left upper lobe reference nodule': 'clinical finding': 'left upper lobe reference nodule', 'existence': 'pos_dx', 'descriptive_term': 'left upper lobe reference', 'observation': 'nodule'clinical findings_fin: 'significant lymphadenopathy': 'clinical finding': 'significant lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'anatomical entity_fin: 'breast': 'location descriptor': 'left', 'axilla': 'location descriptor': 'left'location descriptor_fin: ['left']object_fin: ['surgical clips']clinical findings_fin: 'surgical clips': 'clinical finding': 'surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'clip'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'size_fin: ['size': '8 x 12 mm', 'size_descriptor': 'hypodensity']anatomical entity_fin: 'lobe': 'location descriptor': 'right', 'liver': location descriptor_fin: ['right']clinical findings_fin: 'approximately 8 x 12 mm hypodensity': 'clinical finding': 'approximately 8 x 12 mm hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'approximately 8 x 12 mm', 'observation': 'hypodensity'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast', 'gi': 'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'clinical findings_fin: 'gross abnormalities': 'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP]

. Slightly decreased anterior left upper lobe subpleural opacity, likely inflammatory. Left upper lobe reference nodule mm, 26 x26 mm on the axial sections and more accurately measured at 29 x 25 mm on coronal sections, not significantly changed from previous. No significant lymphadenopathy. Surgical clips in the left breast and left axilla. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Approximately 8 x 12 mm hypodensity in the right lobe of the liver, not significantly changed. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. No significant abnormality noted. [/RESP]</s>

. Slightly decreased anterior left upper lobe subpleural opacity. The largest of these measures approximately 26 x 26 mm, previously measuring 30 x 47 mm. Left upper lobe reference nodule measures 26 x 26 mm, previously measured at 29 x 25 mm. No significant lymphadenopathy is noted. Status post surgery with surgical clips in the breast and left axillary region. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Approximately 8 x 12 mm hypodensity in right hepatic lobe, unchanged from prior study. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. 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: clinical findings_fin: 'visible soft tissue swelling': 'clinical finding': 'visible soft tissue swelling', 'existence': 'neg_dx', 'descriptive_term': 'visible soft tissue', 'observation': 'swell'anatomical entity_fin: 'skull': clinical findings_fin: 'skull fracture': 'clinical finding': 'skull fracture', 'existence': 'neg_dx', 'descriptive_term': 'skull', 'observation': 'fracture'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'clinical findings_fin: 'ventricles and the sulci fall within expected range for age of 87 years': 'clinical finding': 'ventricles and the sulci fall within expected range for age of 87 years'anatomical entity_fin: 'brain': , 'parenchyma': clinical findings_fin: 'periventricular': 'clinical finding': 'periventricular', 'existence': 'pos_dx', 'observation': 'periventricular', 'subcortical white matter hypodensity': 'clinical finding': 'subcortical white matter hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'subcortical white matter', 'observation': 'hypodensity'clinical findings_fin: 'small vessel ischemic disease': 'clinical finding': 'small vessel ischemic disease', 'existence': 'unc_dx', 'descriptive_term': 'small vessel ischemic', 'observation': 'disease', 'strength_term': 'small'clinical findings_fin: 'acute territorial ischemia': 'clinical finding': 'acute territorial ischemia', 'existence': 'neg_dx', 'descriptive_term': 'acute territorial', 'observation': 'ischemia', 'strength_term': 'acute', 'temporal_term': 'acute'location descriptor_fin: ['midline']clinical findings_fin: 'intracranial mass lesion': 'clinical finding': 'intracranial mass lesion', 'existence': 'neg_dx', 'descriptive_term': 'intracranial mass', 'observation': 'lesion', 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'effacement': 'clinical finding': 'effacement', 'existence': 'pos_dx', 'observation': 'effacement'anatomical entity_fin: 'internal carotid arteries': , 'basilar artery': clinical findings_fin: 'moderate intracranial vascular calcification': 'clinical finding': 'moderate intracranial vascular calcification', 'existence': 'pos_dx', 'descriptive_term': 'moderate intracranial vascular', 'observation': 'calcification', 'strength_term': 'moderate', 'slightly ectatic': 'clinical finding': 'slightly ectatic', 'existence': 'pos_dx', 'descriptive_term': 'slightly', 'observation': 'ectatic'anatomical entity_fin: 'maxillary sinus': 'location descriptor': 'left', 'mucus': location descriptor_fin: ['left']clinical findings_fin: 'moderate sized left maxillary sinus mucus retention cyst': 'clinical finding': 'moderate sized left maxillary sinus mucus retention cyst', 'existence': 'pos_dx', 'descriptive_term': 'moderate sized left maxillary sinus mucus retention', 'observation': 'cyst', 'strength_term': 'moderate', 'polyps': 'clinical finding': 'polyps', 'existence': 'unc_dx', 'observation': 'polyps'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'contents': , 'insertions': , 'extraocular muscles': clinical findings_fin: 'senescent calcifications': 'clinical finding': 'senescent calcifications', 'existence': 'pos_dx', 'descriptive_term': 'senescent', 'observation': 'calcification' [/INST] [RESP] There is no visible soft tissue swelling. There is no skull fracture. There is no acute intracranial hemorrhage or extra-axial collection. The ventricles and the sulci fall within expected range for age of 87 years. Brain parenchyma is notable for moderate periventricular and deep, to a lesser extent subcortical white matter hypodensity. This is a nonspecific finding which most commonly represents age indeterminate small vessel ischemic disease in a patient this age. There is no CT evidence of acute territorial ischemia. There is no intracranial mass lesion, mass effect, midline shift or basal cistern effacement. There is moderate intracranial vascular calcification with slightly ectatic appearance of the supraclinoid internal carotid arteries and basilar artery. Moderate sized left maxillary sinus mucus retention cyst or polyps are present. Paranasal sinuses and mastoid air cells are otherwise clear. Orbital contents are unremarkable apart from senescent calcifications at the tendinous insertions of the extraocular muscles. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'visible soft tissue swelling': 'clinical finding': 'visible soft tissue swelling', 'existence': 'neg_dx', 'descriptive_term': 'visible soft tissue', 'observation': 'swell'anatomical entity_fin: 'skull': clinical findings_fin: 'skull fracture': 'clinical finding': 'skull fracture', 'existence': 'neg_dx', 'descriptive_term': 'skull', 'observation': 'fracture'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'clinical findings_fin: 'ventricles and the sulci fall within expected range for age of 87 years': 'clinical finding': 'ventricles and the sulci fall within expected range for age of 87 years'anatomical entity_fin: 'brain': , 'parenchyma': clinical findings_fin: 'periventricular': 'clinical finding': 'periventricular', 'existence': 'pos_dx', 'observation': 'periventricular', 'subcortical white matter hypodensity': 'clinical finding': 'subcortical white matter hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'subcortical white matter', 'observation': 'hypodensity'clinical findings_fin: 'small vessel ischemic disease': 'clinical finding': 'small vessel ischemic disease', 'existence': 'unc_dx', 'descriptive_term': 'small vessel ischemic', 'observation': 'disease', 'strength_term': 'small'clinical findings_fin: 'acute territorial ischemia': 'clinical finding': 'acute territorial ischemia', 'existence': 'neg_dx', 'descriptive_term': 'acute territorial', 'observation': 'ischemia', 'strength_term': 'acute', 'temporal_term': 'acute'location descriptor_fin: ['midline']clinical findings_fin: 'intracranial mass lesion': 'clinical finding': 'intracranial mass lesion', 'existence': 'neg_dx', 'descriptive_term': 'intracranial mass', 'observation': 'lesion', 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'effacement': 'clinical finding': 'effacement', 'existence': 'pos_dx', 'observation': 'effacement'anatomical entity_fin: 'internal carotid arteries': , 'basilar artery': clinical findings_fin: 'moderate intracranial vascular calcification': 'clinical finding': 'moderate intracranial vascular calcification', 'existence': 'pos_dx', 'descriptive_term': 'moderate intracranial vascular', 'observation': 'calcification', 'strength_term': 'moderate', 'slightly ectatic': 'clinical finding': 'slightly ectatic', 'existence': 'pos_dx', 'descriptive_term': 'slightly', 'observation': 'ectatic'anatomical entity_fin: 'maxillary sinus': 'location descriptor': 'left', 'mucus': location descriptor_fin: ['left']clinical findings_fin: 'moderate sized left maxillary sinus mucus retention cyst': 'clinical finding': 'moderate sized left maxillary sinus mucus retention cyst', 'existence': 'pos_dx', 'descriptive_term': 'moderate sized left maxillary sinus mucus retention', 'observation': 'cyst', 'strength_term': 'moderate', 'polyps': 'clinical finding': 'polyps', 'existence': 'unc_dx', 'observation': 'polyps'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'contents': , 'insertions': , 'extraocular muscles': clinical findings_fin: 'senescent calcifications': 'clinical finding': 'senescent calcifications', 'existence': 'pos_dx', 'descriptive_term': 'senescent', 'observation': 'calcification' [/INST] [RESP]

There is no visible soft tissue swelling. There is no skull fracture. There is no acute intracranial hemorrhage or extra-axial collection. The ventricles and the sulci fall within expected range for age of 87 years. Brain parenchyma is notable for moderate periventricular and deep, to a lesser extent subcortical white matter hypodensity. This is a nonspecific finding which most commonly represents age indeterminate small vessel ischemic disease in a patient this age. There is no CT evidence of acute territorial ischemia. There is no intracranial mass lesion, mass effect, midline shift or basal cistern effacement. There is moderate intracranial vascular calcification with slightly ectatic appearance of the supraclinoid internal carotid arteries and basilar artery. Moderate sized left maxillary sinus mucus retention cyst or polyps are present. Paranasal sinuses and mastoid air cells are otherwise clear. Orbital contents are unremarkable apart from senescent calcifications at the tendinous insertions of the extraocular muscles. [/RESP]</s>

The orbits are unremarkable. There is no visible soft tissue swelling. The skull fracture is not seen. No acute intracranial hemorrhage is identified. The ventricles and the sulci fall within expected range for age of 87 year. The brain parenchyma demonstrates periventricular and subcortical white matter hypodensity, which may represent small vessel ischemic disease. No evidence of acute territorial ischemia is noted. No intracranial mass lesion, mass effect, midline shift, or effacement of the cortical sulci. Moderate intracranial vascular calcification involving the internal carotid arteries with slightly ectatic basilar artery. A moderate sized left maxillary sinus mucus retention cyst containing polyps. The remaining visualized portions of the paranasal sinuses and mastoid air cells are clear. The contents of the globe, extraocular muscles, optic nerves, and their insertions demonstrate senescent calcifications. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'head': clinical findings_fin: 'nonenhanced head': 'clinical finding': 'nonenhanced head'location descriptor_fin: ['right', 'anterior', 'inferior']clinical findings_fin: 'right anterior or inferior frontal mass': 'clinical finding': 'right anterior or inferior frontal mass', 'existence': 'pos_dx', 'descriptive_term': 'right anterior or inferior frontal', 'observation': 'mass', 'its surrounding vasogenic edema': 'clinical finding': 'its surrounding vasogenic edema', 'existence': 'pos_dx', 'descriptive_term': 'its surrounding vasogenic', 'observation': 'edema'clinical findings_fin: 'peritumoral edema': 'clinical finding': 'peritumoral edema', 'existence': 'unc_dx', 'descriptive_term': 'peritumoral', 'observation': 'edema'anatomical entity_fin: 'convexity': imaging observation_fin: ['hematoma']location descriptor_fin: ['right']clinical findings_fin: 'large right high convexity mid frontal hematoma': 'clinical finding': 'large right high convexity mid frontal hematoma', 'existence': 'unc_dx', 'descriptive_term': 'large right high convexity mid frontal', 'observation': 'hematoma', 'strength_term': 'large'size_fin: ['size': '41 mm', 'size': '38-mm', 'size': '29 x 25 mm']clinical findings_fin: 'cranial cephalad abscess': 'clinical finding': 'cranial cephalad abscess', 'existence': 'pos_dx', 'descriptive_term': 'cranial cephalad', 'observation': 'abscess', 'ap abscess': 'clinical finding': 'ap abscess', 'existence': 'pos_dx', 'descriptive_term': 'ap', 'observation': 'abscess'size_fin: ['size': '29 x 25', 'size': '37 x 36.']clinical findings_fin: 'hemorrhagic tumor': 'clinical finding': 'hemorrhagic tumor', 'existence': 'pos_dx', 'descriptive_term': 'hemorrhagic', 'observation': 'tumor'clinical findings_fin: 'surrounding vasogenic edema': 'clinical finding': 'surrounding vasogenic edema', 'existence': 'pos_dx', 'descriptive_term': 'surrounding vasogenic', 'observation': 'edema', 'associated mass effect': 'clinical finding': 'associated mass effect', 'existence': 'pos_dx', 'descriptive_term': 'associated mass', 'observation': 'effect'location descriptor_fin: ['left', 'posterior']clinical findings_fin: 'stable small mass': 'clinical finding': 'stable small mass', 'existence': 'pos_dx', 'descriptive_term': 'stable small', 'observation': 'mass', 'strength_term': 'stable - small', 'change_term': 'stable'clinical findings_fin: 'change': 'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change'location descriptor_fin: ['midline']clinical findings_fin: 'significant midline shift': 'clinical finding': 'significant midline shift' [/INST] [RESP] Nonenhanced head. Revisualization of a right anterior or inferior frontal mass and its surrounding vasogenic edema. There is suggestion of a slight interval increase in the peritumoral edema since prior exam. A large right high convexity mid frontal hematoma is again identified which in comparison with prior exam demonstrates significant interval increase in its size. On sagittal reformatted image 38 it measures approximately 41 mm in cranial cephalad abscess and 38-mm in AP abscess compared to prior measurements of the same location of 29 x 25 mm. The transaxial dimensions of hemorrhagic tumor on prior exam were 29 x 25 compared to current measurements 37 x 36. There is also slight interval increase in the surrounding vasogenic edema and associated mass effect. Stable small mass in the left posterior parietal or occipital region. No change in the normal size of ventricular system. No significant midline shift. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'head': clinical findings_fin: 'nonenhanced head': 'clinical finding': 'nonenhanced head'location descriptor_fin: ['right', 'anterior', 'inferior']clinical findings_fin: 'right anterior or inferior frontal mass': 'clinical finding': 'right anterior or inferior frontal mass', 'existence': 'pos_dx', 'descriptive_term': 'right anterior or inferior frontal', 'observation': 'mass', 'its surrounding vasogenic edema': 'clinical finding': 'its surrounding vasogenic edema', 'existence': 'pos_dx', 'descriptive_term': 'its surrounding vasogenic', 'observation': 'edema'clinical findings_fin: 'peritumoral edema': 'clinical finding': 'peritumoral edema', 'existence': 'unc_dx', 'descriptive_term': 'peritumoral', 'observation': 'edema'anatomical entity_fin: 'convexity': imaging observation_fin: ['hematoma']location descriptor_fin: ['right']clinical findings_fin: 'large right high convexity mid frontal hematoma': 'clinical finding': 'large right high convexity mid frontal hematoma', 'existence': 'unc_dx', 'descriptive_term': 'large right high convexity mid frontal', 'observation': 'hematoma', 'strength_term': 'large'size_fin: ['size': '41 mm', 'size': '38-mm', 'size': '29 x 25 mm']clinical findings_fin: 'cranial cephalad abscess': 'clinical finding': 'cranial cephalad abscess', 'existence': 'pos_dx', 'descriptive_term': 'cranial cephalad', 'observation': 'abscess', 'ap abscess': 'clinical finding': 'ap abscess', 'existence': 'pos_dx', 'descriptive_term': 'ap', 'observation': 'abscess'size_fin: ['size': '29 x 25', 'size': '37 x 36.']clinical findings_fin: 'hemorrhagic tumor': 'clinical finding': 'hemorrhagic tumor', 'existence': 'pos_dx', 'descriptive_term': 'hemorrhagic', 'observation': 'tumor'clinical findings_fin: 'surrounding vasogenic edema': 'clinical finding': 'surrounding vasogenic edema', 'existence': 'pos_dx', 'descriptive_term': 'surrounding vasogenic', 'observation': 'edema', 'associated mass effect': 'clinical finding': 'associated mass effect', 'existence': 'pos_dx', 'descriptive_term': 'associated mass', 'observation': 'effect'location descriptor_fin: ['left', 'posterior']clinical findings_fin: 'stable small mass': 'clinical finding': 'stable small mass', 'existence': 'pos_dx', 'descriptive_term': 'stable small', 'observation': 'mass', 'strength_term': 'stable - small', 'change_term': 'stable'clinical findings_fin: 'change': 'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change'location descriptor_fin: ['midline']clinical findings_fin: 'significant midline shift': 'clinical finding': 'significant midline shift' [/INST] [RESP]

Nonenhanced head. Revisualization of a right anterior or inferior frontal mass and its surrounding vasogenic edema. There is suggestion of a slight interval increase in the peritumoral edema since prior exam. A large right high convexity mid frontal hematoma is again identified which in comparison with prior exam demonstrates significant interval increase in its size. On sagittal reformatted image 38 it measures approximately 41 mm in cranial cephalad abscess and 38-mm in AP abscess compared to prior measurements of the same location of 29 x 25 mm. The transaxial dimensions of hemorrhagic tumor on prior exam were 29 x 25 compared to current measurements 37 x 36. There is also slight interval increase in the surrounding vasogenic edema and associated mass effect. Stable small mass in the left posterior parietal or occipital region. No change in the normal size of ventricular system. No significant midline shift. [/RESP]</s>

Nonenhanced head. Right anterior or inferior frontal mass with its surrounding vasogenic edema is unchanged in size and morphology. Peritumoral edema may be present, but this cannot be definitively assessed due to lack of contrast material. Large right high convexity midfrontal hematoma is again noted, although it appears slightly smaller than prior examination. Cranial cephalad abscess measures approximately 41 mm craniocaudally by 38-mm transversely compared to 38-mm craniocaudally by 29 x 25 mm previously. Hemorrhagic tumor remains stable measuring 29 x 25 mm craniocaudally by 37 x 36 mm transversely. Surrounding vasogenic edema and associated mass effect are also stable. Stable small mass in left posterior parietal region. No significant change since prior study. There is no significant midline shift. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'not significantly changed when compared to the previous exam': 'clinical finding': 'not significantly changed when compared to the previous exam', 'change_term': 'changed'location descriptor_fin: ['left']clinical findings_fin: 'postsurgical changes': 'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change', 'underlying hemorrhage': 'clinical finding': 'underlying hemorrhage', 'existence': 'pos_dx', 'descriptive_term': 'underlying', 'observation': 'hemorrhage', 'edema': 'clinical finding': 'edema', 'existence': 'pos_dx', 'observation': 'edema'clinical findings_fin: 'findings are consistent with prior resection': 'clinical finding': 'findings are consistent with prior resection'anatomical entity_fin: 'right frontal lobe': clinical findings_fin: 'hemorrhage': 'clinical finding': 'hemorrhage', 'existence': 'pos_dx', 'observation': 'hemorrhage', 'surrounding edema': 'clinical finding': 'surrounding edema', 'existence': 'pos_dx', 'descriptive_term': 'surrounding', 'observation': 'edema'anatomical entity_fin: 'convexity': location descriptor_fin: ['right', 'posterior']clinical findings_fin: 'hyperattenuation': 'clinical finding': 'hyperattenuation', 'existence': 'pos_dx', 'observation': 'hyperattenuation', 'additional metastatic': 'clinical finding': 'additional metastatic', 'existence': 'unc_dx', 'descriptive_term': 'additional', 'observation': 'metastatic'clinical findings_fin: 'abnormal attenuation': 'clinical finding': 'abnormal attenuation', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'attenuation', 'new hemorrhage': 'clinical finding': 'new hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'hemorrhage', 'temporal_term': 'new'location descriptor_fin: ['midline']clinical findings_fin: 'dilated': 'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated' [/INST] [RESP] The findings have not significantly changed when compared to the previous exam. There is again postsurgical changes overlying the left frontal region with underlying hemorrhage and edema. The findings are consistent with prior resection. Stable from the previous study. There is again a focus of hemorrhage involving the right frontal lobe with surrounding edema also unchanged from the previous exam. Small tiny focus of hyperattenuation is again seen along the right posterior frontal or parietal convexity seen on image 27 of 36 suspicious for an additional metastatic focus, stable from the previous study. There are no new areas of abnormal attenuation with no new hemorrhage. There is no evidence of midline shift. The ventricles and cortical sulci are not significantly dilated. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'not significantly changed when compared to the previous exam': 'clinical finding': 'not significantly changed when compared to the previous exam', 'change_term': 'changed'location descriptor_fin: ['left']clinical findings_fin: 'postsurgical changes': 'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change', 'underlying hemorrhage': 'clinical finding': 'underlying hemorrhage', 'existence': 'pos_dx', 'descriptive_term': 'underlying', 'observation': 'hemorrhage', 'edema': 'clinical finding': 'edema', 'existence': 'pos_dx', 'observation': 'edema'clinical findings_fin: 'findings are consistent with prior resection': 'clinical finding': 'findings are consistent with prior resection'anatomical entity_fin: 'right frontal lobe': clinical findings_fin: 'hemorrhage': 'clinical finding': 'hemorrhage', 'existence': 'pos_dx', 'observation': 'hemorrhage', 'surrounding edema': 'clinical finding': 'surrounding edema', 'existence': 'pos_dx', 'descriptive_term': 'surrounding', 'observation': 'edema'anatomical entity_fin: 'convexity': location descriptor_fin: ['right', 'posterior']clinical findings_fin: 'hyperattenuation': 'clinical finding': 'hyperattenuation', 'existence': 'pos_dx', 'observation': 'hyperattenuation', 'additional metastatic': 'clinical finding': 'additional metastatic', 'existence': 'unc_dx', 'descriptive_term': 'additional', 'observation': 'metastatic'clinical findings_fin: 'abnormal attenuation': 'clinical finding': 'abnormal attenuation', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'attenuation', 'new hemorrhage': 'clinical finding': 'new hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'hemorrhage', 'temporal_term': 'new'location descriptor_fin: ['midline']clinical findings_fin: 'dilated': 'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated' [/INST] [RESP]

The findings have not significantly changed when compared to the previous exam. There is again postsurgical changes overlying the left frontal region with underlying hemorrhage and edema. The findings are consistent with prior resection. Stable from the previous study. There is again a focus of hemorrhage involving the right frontal lobe with surrounding edema also unchanged from the previous exam. Small tiny focus of hyperattenuation is again seen along the right posterior frontal or parietal convexity seen on image 27 of 36 suspicious for an additional metastatic focus, stable from the previous study. There are no new areas of abnormal attenuation with no new hemorrhage. There is no evidence of midline shift. The ventricles and cortical sulci are not significantly dilated. [/RESP]</s>

The ventricles and sulci are within normal limits. The cerebral mass effect is unchanged. There is no significant change in the size of the left parieto-occipital encephalomalacia, which was previously noted on 10/23/2014. This area appears slightly more hyperdense than before. However, this may be due to increased density from surrounding edema or postoperative changes. Postsurgical changes involving the left occipito-parietal region demonstrate underlying hemorrhage as well as areas of edema. These findings are consistent with prior resection. Hemorrhage involving the right frontal lobe has decreased in size since the prior study but remains present. Hyperattenuation along the convexity posteriorly is also seen and could represent additional metastatic disease. No abnormal attenuation is identified to suggest new hemorrhage. The midline structures are dilated. [/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: 'hydrocephalus': 'clinical finding': 'hydrocephalus', 'existence': 'neg_dx', 'observation': 'hydrocephalus'anatomical entity_fin: 'paranasal sinuses': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'anatomical entity_fin: 'lens': location descriptor_fin: ['left']clinical findings_fin: 'again seen is evidence': 'clinical finding': 'again seen is evidence' [/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. Sulci and ventricles are within normal limits without evidence of hydrocephalus. No extra-axial collections. The visualized portions of the paranasal sinuses are clear. Mastoid air cells are clear. Calvarium is intact. Again seen is evidence of left-sided lens replacement. [/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: 'hydrocephalus': 'clinical finding': 'hydrocephalus', 'existence': 'neg_dx', 'observation': 'hydrocephalus'anatomical entity_fin: 'paranasal sinuses': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'anatomical entity_fin: 'lens': location descriptor_fin: ['left']clinical findings_fin: 'again seen is evidence': 'clinical finding': 'again seen is evidence' [/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. Sulci and ventricles are within normal limits without evidence of hydrocephalus. No extra-axial collections. The visualized portions of the paranasal sinuses are clear. Mastoid air cells are clear. Calvarium is intact. Again seen is evidence of left-sided lens replacement. [/RESP]</s>

There are no areas of abnormal attenuation or mass effect. There is no evidence of intracranial hemorrhage. The cerebral and cerebellar hemispheres, brainstem and midbrain regions are normal in attenuation and morphology. No intracranial mass or mass-effect is noted. There is no midline shift or herniation. The gray-white differentiation is maintained. The ventricles are within normal limits without hydrocephalus. The visualized portions of the paranasal sinuses are clear. The mastoid air cells are clear. The calvarium is intact. Again seen is evidence of left lens luxation. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lung': , 'bases': clinical findings_fin: 'linear scarring': 'clinical finding': 'linear scarring', 'existence': 'pos_dx', 'descriptive_term': 'linear', 'observation': 'scarr', 'atelectasis': 'clinical finding': 'atelectasis', 'existence': 'unc_dx', 'observation': 'atelectasis'anatomical entity_fin: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['superior', 'right', 'lower']clinical findings_fin: 'bronchiectasis': 'clinical finding': 'bronchiectasis', 'existence': 'pos_dx', 'observation': 'bronchiectasis', 'prior infection': 'clinical finding': 'prior infection', 'existence': 'unc_dx', 'descriptive_term': 'prior', 'observation': 'infection'clinical findings_fin: 'thyroid goiter': 'clinical finding': 'thyroid goiter', 'existence': 'pos_dx', 'descriptive_term': 'thyroid', 'observation': 'goiter'clinical findings_fin: 'calcified nodes': 'clinical finding': 'calcified nodes', 'existence': 'pos_dx', 'descriptive_term': 'calcified', 'observation': 'node', 'change_term': 'calcified', 'healed granulomatous disease': 'clinical finding': 'healed granulomatous disease', 'existence': 'pos_dx', 'descriptive_term': 'healed granulomatous', 'observation': 'disease', 'strength_term': 'healed', 'change_term': 'healed'anatomical entity_fin: 'ascending aorta': clinical findings_fin: 'ectatic ascending aorta unchanged': 'clinical finding': 'ectatic ascending aorta unchanged', 'change_term': 'unchanged'clinical findings_fin: 'previously noted pericardial effusion': 'clinical finding': 'previously noted pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'previously noted pericardial', 'observation': 'effusion'anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative change': 'clinical finding': 'degenerative change', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'location descriptor_fin: ['right']clinical findings_fin: 'right renal cyst': 'clinical finding': 'right renal cyst', 'existence': 'pos_dx', 'descriptive_term': 'right renal', 'observation': 'cyst'procedure_fin: ['cholecystectomy']anatomical entity_fin: 'spleen': clinical findings_fin: 'punctate granulomas': 'clinical finding': 'punctate granulomas', 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'granuloma' [/INST] [RESP] . Linear scarring or atelectasis at the lung bases. Focal area of bronchiectasis in the superior segment of the right lower lobe of uncertain etiology, possibly due to prior infection. Thyroid goiter only partially visualized but not significantly changed. Calcified nodes consistent with healed granulomatous disease. Ectatic ascending aorta unchanged. Previously noted pericardial effusion is no longer present. Severe. Degenerative change involving the spine. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Right renal cyst only partially visualized. Status post cholecystectomy. Punctate granulomas in the spleen. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lung': , 'bases': clinical findings_fin: 'linear scarring': 'clinical finding': 'linear scarring', 'existence': 'pos_dx', 'descriptive_term': 'linear', 'observation': 'scarr', 'atelectasis': 'clinical finding': 'atelectasis', 'existence': 'unc_dx', 'observation': 'atelectasis'anatomical entity_fin: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['superior', 'right', 'lower']clinical findings_fin: 'bronchiectasis': 'clinical finding': 'bronchiectasis', 'existence': 'pos_dx', 'observation': 'bronchiectasis', 'prior infection': 'clinical finding': 'prior infection', 'existence': 'unc_dx', 'descriptive_term': 'prior', 'observation': 'infection'clinical findings_fin: 'thyroid goiter': 'clinical finding': 'thyroid goiter', 'existence': 'pos_dx', 'descriptive_term': 'thyroid', 'observation': 'goiter'clinical findings_fin: 'calcified nodes': 'clinical finding': 'calcified nodes', 'existence': 'pos_dx', 'descriptive_term': 'calcified', 'observation': 'node', 'change_term': 'calcified', 'healed granulomatous disease': 'clinical finding': 'healed granulomatous disease', 'existence': 'pos_dx', 'descriptive_term': 'healed granulomatous', 'observation': 'disease', 'strength_term': 'healed', 'change_term': 'healed'anatomical entity_fin: 'ascending aorta': clinical findings_fin: 'ectatic ascending aorta unchanged': 'clinical finding': 'ectatic ascending aorta unchanged', 'change_term': 'unchanged'clinical findings_fin: 'previously noted pericardial effusion': 'clinical finding': 'previously noted pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'previously noted pericardial', 'observation': 'effusion'anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative change': 'clinical finding': 'degenerative change', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'location descriptor_fin: ['right']clinical findings_fin: 'right renal cyst': 'clinical finding': 'right renal cyst', 'existence': 'pos_dx', 'descriptive_term': 'right renal', 'observation': 'cyst'procedure_fin: ['cholecystectomy']anatomical entity_fin: 'spleen': clinical findings_fin: 'punctate granulomas': 'clinical finding': 'punctate granulomas', 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'granuloma' [/INST] [RESP]

. Linear scarring or atelectasis at the lung bases. Focal area of bronchiectasis in the superior segment of the right lower lobe of uncertain etiology, possibly due to prior infection. Thyroid goiter only partially visualized but not significantly changed. Calcified nodes consistent with healed granulomatous disease. Ectatic ascending aorta unchanged. Previously noted pericardial effusion is no longer present. Severe. Degenerative change involving the spine. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Right renal cyst only partially visualized. Status post cholecystectomy. Punctate granulomas in the spleen. [/RESP]</s>

. Linear scarring and atelectasis at the lung bases. . Bronchiectasis of the superior segment of the right lower lobe, consistent with prior infection. Thyroid goiter. Calcified nodes are compatible with healed granulomatous disease. Ectactic ascending aorta unchanged. No previously noted pericardial effusion. Degenerative change of the spine. Absence of IV and enteric contrast material markedly limits sensitivity for abdominal pathology. Right renal cyst. Status post cholecystectomy. Punctate granulomas of the spleen. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'head': clinical findings_fin: 'nonenhanced head': 'clinical finding': 'nonenhanced head'anatomical entity_fin: 'fourth ventricle': location descriptor_fin: ['posterior']clinical findings_fin: 'images through posterior fossa are unremarkable and with normal size': 'clinical finding': 'images through posterior fossa are unremarkable and with normal size'clinical findings_fin: 'images through the supratentorial space demonstrate normal size of ventricular system': 'clinical finding': 'images through the supratentorial space demonstrate normal size of ventricular system'clinical findings_fin: 'flow': 'clinical finding': 'flow', 'existence': 'pos_dx', 'observation': 'flow'size_fin: ['size': '32.5 mm', 'size_descriptor': 'ventricles']anatomical entity_fin: 'lateral ventricles': size_fin: ['size': '15.9-mm', 'size_descriptor': 'measurements']anatomical entity_fin: 'foramen': anatomical entity_fin: 'right frontal lobe': , 'right lateral ventricle': , 'wall': 'location descriptor': 'lateral', 'left lateral ventricle': location descriptor_fin: ['right', 'midline', 'lateral']object_fin: ['catheter']clinical findings_fin: 'stable right -sided frontal approach ventricular catheter traverses the right frontal lobe , enters the right lateral ventricle , traverses': 'clinical finding': 'stable right -sided frontal approach ventricular catheter traverses the right frontal lobe , enters the right lateral ventricle , traverses', 'change_term': 'stable'anatomical entity_fin: 'brain': , 'parenchyma': , 'frontal lobe': location descriptor_fin: ['right']object_fin: ['catheter']clinical findings_fin: 'minimal no attenuation': 'clinical finding': 'minimal no attenuation', 'existence': 'pos_dx', 'descriptive_term': 'minimal no', 'observation': 'attenuation', 'strength_term': 'minimal', 'quantity_term': 'minimal - no'location descriptor_fin: ['right', 'bilateral']clinical findings_fin: 'interval resorption': 'clinical finding': 'interval resorption', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'resorption', 'subarachnoid air': 'clinical finding': 'subarachnoid air', 'existence': 'pos_dx', 'descriptive_term': 'subarachnoid', 'observation': 'air'clinical findings_fin: 'cortical sulci and and the gray -- white matter differentiation is unremarkable': 'clinical finding': 'cortical sulci and and the gray -- white matter differentiation is unremarkable'clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'anatomical entity_fin: 'paranasal sinuses': clinical findings_fin: 'paranasal sinuses are visualized and unremarkable': 'clinical finding': 'paranasal sinuses are visualized and unremarkable'anatomical entity_fin: 'mastoid air cells': , 'middle ear cavities': clinical findings_fin: 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'anatomical entity_fin: 'orbits': clinical findings_fin: 'limited images through the orbits': 'clinical finding': 'limited images through the orbits' [/INST] [RESP] Nonenhanced head. Images through posterior fossa are unremarkable and with normal size of fourth ventricle. Images through the supratentorial space demonstrate normal size of ventricular system. There is flow for very minimal interval increase in the size of ventricles as well. The combined lateral ventricles measures approximately 32.5 mm compared to prior measurements of 32. The combined measurements of frontal horns at the level of foramen of Monro measures 15.9-mm compared to prior measurements of 13.7. Stable right-sided frontal approach ventricular catheter traverses the right frontal lobe, enters the right lateral ventricle, traverses the midline and with the tip abutting the lateral wall of the left lateral ventricle. Minimal no attenuation of brain parenchyma along the track of right sided catheter in the frontal lobe is present. There is interval resorption of subarachnoid air in the right frontal and bilateral frontal horns. The cortical sulci and and the gray -- white matter differentiation is unremarkable. All the CSF cisterns remain widely patent. All paranasal sinuses are visualized and unremarkable. Mastoid air cells and middle ear cavities are well pneumatized. Limited images through the orbits are unremarkable. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'head': clinical findings_fin: 'nonenhanced head': 'clinical finding': 'nonenhanced head'anatomical entity_fin: 'fourth ventricle': location descriptor_fin: ['posterior']clinical findings_fin: 'images through posterior fossa are unremarkable and with normal size': 'clinical finding': 'images through posterior fossa are unremarkable and with normal size'clinical findings_fin: 'images through the supratentorial space demonstrate normal size of ventricular system': 'clinical finding': 'images through the supratentorial space demonstrate normal size of ventricular system'clinical findings_fin: 'flow': 'clinical finding': 'flow', 'existence': 'pos_dx', 'observation': 'flow'size_fin: ['size': '32.5 mm', 'size_descriptor': 'ventricles']anatomical entity_fin: 'lateral ventricles': size_fin: ['size': '15.9-mm', 'size_descriptor': 'measurements']anatomical entity_fin: 'foramen': anatomical entity_fin: 'right frontal lobe': , 'right lateral ventricle': , 'wall': 'location descriptor': 'lateral', 'left lateral ventricle': location descriptor_fin: ['right', 'midline', 'lateral']object_fin: ['catheter']clinical findings_fin: 'stable right -sided frontal approach ventricular catheter traverses the right frontal lobe , enters the right lateral ventricle , traverses': 'clinical finding': 'stable right -sided frontal approach ventricular catheter traverses the right frontal lobe , enters the right lateral ventricle , traverses', 'change_term': 'stable'anatomical entity_fin: 'brain': , 'parenchyma': , 'frontal lobe': location descriptor_fin: ['right']object_fin: ['catheter']clinical findings_fin: 'minimal no attenuation': 'clinical finding': 'minimal no attenuation', 'existence': 'pos_dx', 'descriptive_term': 'minimal no', 'observation': 'attenuation', 'strength_term': 'minimal', 'quantity_term': 'minimal - no'location descriptor_fin: ['right', 'bilateral']clinical findings_fin: 'interval resorption': 'clinical finding': 'interval resorption', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'resorption', 'subarachnoid air': 'clinical finding': 'subarachnoid air', 'existence': 'pos_dx', 'descriptive_term': 'subarachnoid', 'observation': 'air'clinical findings_fin: 'cortical sulci and and the gray -- white matter differentiation is unremarkable': 'clinical finding': 'cortical sulci and and the gray -- white matter differentiation is unremarkable'clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'anatomical entity_fin: 'paranasal sinuses': clinical findings_fin: 'paranasal sinuses are visualized and unremarkable': 'clinical finding': 'paranasal sinuses are visualized and unremarkable'anatomical entity_fin: 'mastoid air cells': , 'middle ear cavities': clinical findings_fin: 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'anatomical entity_fin: 'orbits': clinical findings_fin: 'limited images through the orbits': 'clinical finding': 'limited images through the orbits' [/INST] [RESP]

Nonenhanced head. Images through posterior fossa are unremarkable and with normal size of fourth ventricle. Images through the supratentorial space demonstrate normal size of ventricular system. There is flow for very minimal interval increase in the size of ventricles as well. The combined lateral ventricles measures approximately 32.5 mm compared to prior measurements of 32. The combined measurements of frontal horns at the level of foramen of Monro measures 15.9-mm compared to prior measurements of 13.7. Stable right-sided frontal approach ventricular catheter traverses the right frontal lobe, enters the right lateral ventricle, traverses the midline and with the tip abutting the lateral wall of the left lateral ventricle. Minimal no attenuation of brain parenchyma along the track of right sided catheter in the frontal lobe is present. There is interval resorption of subarachnoid air in the right frontal and bilateral frontal horns. The cortical sulci and and the gray -- white matter differentiation is unremarkable. All the CSF cisterns remain widely patent. All paranasal sinuses are visualized and unremarkable. Mastoid air cells and middle ear cavities are well pneumatized. Limited images through the orbits are unremarkable. [/RESP]</s>

Nonenhanced head. Images through the posterior fossa are unremarkable and with normal size of fourth ventricle. Images through the supratentorial space demonstrate normal size of ventricular system. Flow-associated enhancement is noted in all three ventricles. Ventricles measure 32.5 mm in width, which is stable from prior study. The lateral ventricles measure approximately 15.9-mm in measurements. There is a small amount of CSF within the foramen ovale. Stable right-sided frontal approach ventricular catheter traverses the right frontal lobe, enters the right lateral ventricle, traverses the midline and exits into the left lateral ventricle. Minimal no attenuation is seen along the right frontal lobe. Interval resorption of subarachnoid air is again noted in the right parietooccipital region as well as bilaterally in the periventricular regions. Cortical sulci and and the gray--white matter differentiation is unremarkable. Calvarium is patent. Paranasal sinuses are visualized and unremarkable. Mastoid air cells and middle ear cavities are pneumatized. Limited images through the orbits are unremarkable. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'left upper', 'lingula': location descriptor_fin: ['left', 'upper']clinical findings_fin: 'multiple groundglass nodular opacities': 'clinical finding': 'multiple groundglass nodular opacities', 'existence': 'pos_dx', 'descriptive_term': 'multiple groundglass nodular', 'observation': 'opacity', 'quantity_term': 'multiple', 'consolidation': 'clinical finding': 'consolidation', 'existence': 'unc_dx', 'observation': 'consolidation', 'atelectasis': 'clinical finding': 'atelectasis', 'existence': 'unc_dx', 'observation': 'atelectasis'anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'bronchial thickening': 'clinical finding': 'bronchial thickening', 'existence': 'pos_dx', 'descriptive_term': 'bronchial', 'observation': 'thickening', 'bud opacities': 'clinical finding': 'bud opacities', 'existence': 'pos_dx', 'descriptive_term': 'bud', 'observation': 'opacity'anatomical entity_fin: 'lobe': 'location descriptor': 'left lower'location descriptor_fin: ['left', 'lower']clinical findings_fin: 'opacities': 'clinical finding': 'opacities', 'existence': 'pos_dx', 'observation': 'opacity', 'scattered ground glass nodules': 'clinical finding': 'scattered ground glass nodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered ground glass', 'observation': 'nodule'clinical findings_fin: 'bronchopneumonia': 'clinical finding': 'bronchopneumonia', 'existence': 'pos_dx', 'observation': 'bronchopneumonia'clinical findings_fin: 'pleural effusion': 'clinical finding': 'pleural effusion', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'clinical findings_fin: 'mediastinal lymphadenopathy': 'clinical finding': 'mediastinal lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal', 'observation': 'lymphadenopathy'size_fin: ['size': '12 mm', 'size_descriptor': 'node']location descriptor_fin: ['right']clinical findings_fin: 'right hilar lymph node': 'clinical finding': 'right hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right hilar lymph', 'observation': 'node'anatomical entity_fin: 'axillary lymph nodes': , 'origin': clinical findings_fin: 'prominent axillary lymph nodes': 'clinical finding': 'prominent axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'prominent axillary lymph', 'observation': 'node', 'strength_term': 'prominent'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Multiple groundglass nodular opacities within the left upper lobe with a focal area of consolidation or atelectasis within the lingula. Bronchial thickening and tree in bud opacities are noted within the right upper lobe. Tree in bud opacities in scattered ground glass nodules in the left lower lobe. Findings are consistent with a bronchopneumonia. No pleural effusion. No mediastinal lymphadenopathy. In PROM right hilar lymph node measuring 12 mm. Prominent axillary lymph nodes, which may be reactive in origin. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. [/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', 'lingula': location descriptor_fin: ['left', 'upper']clinical findings_fin: 'multiple groundglass nodular opacities': 'clinical finding': 'multiple groundglass nodular opacities', 'existence': 'pos_dx', 'descriptive_term': 'multiple groundglass nodular', 'observation': 'opacity', 'quantity_term': 'multiple', 'consolidation': 'clinical finding': 'consolidation', 'existence': 'unc_dx', 'observation': 'consolidation', 'atelectasis': 'clinical finding': 'atelectasis', 'existence': 'unc_dx', 'observation': 'atelectasis'anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'bronchial thickening': 'clinical finding': 'bronchial thickening', 'existence': 'pos_dx', 'descriptive_term': 'bronchial', 'observation': 'thickening', 'bud opacities': 'clinical finding': 'bud opacities', 'existence': 'pos_dx', 'descriptive_term': 'bud', 'observation': 'opacity'anatomical entity_fin: 'lobe': 'location descriptor': 'left lower'location descriptor_fin: ['left', 'lower']clinical findings_fin: 'opacities': 'clinical finding': 'opacities', 'existence': 'pos_dx', 'observation': 'opacity', 'scattered ground glass nodules': 'clinical finding': 'scattered ground glass nodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered ground glass', 'observation': 'nodule'clinical findings_fin: 'bronchopneumonia': 'clinical finding': 'bronchopneumonia', 'existence': 'pos_dx', 'observation': 'bronchopneumonia'clinical findings_fin: 'pleural effusion': 'clinical finding': 'pleural effusion', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'clinical findings_fin: 'mediastinal lymphadenopathy': 'clinical finding': 'mediastinal lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal', 'observation': 'lymphadenopathy'size_fin: ['size': '12 mm', 'size_descriptor': 'node']location descriptor_fin: ['right']clinical findings_fin: 'right hilar lymph node': 'clinical finding': 'right hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right hilar lymph', 'observation': 'node'anatomical entity_fin: 'axillary lymph nodes': , 'origin': clinical findings_fin: 'prominent axillary lymph nodes': 'clinical finding': 'prominent axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'prominent axillary lymph', 'observation': 'node', 'strength_term': 'prominent'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP]

. Multiple groundglass nodular opacities within the left upper lobe with a focal area of consolidation or atelectasis within the lingula. Bronchial thickening and tree in bud opacities are noted within the right upper lobe. Tree in bud opacities in scattered ground glass nodules in the left lower lobe. Findings are consistent with a bronchopneumonia. No pleural effusion. No mediastinal lymphadenopathy. In PROM right hilar lymph node measuring 12 mm. Prominent axillary lymph nodes, which may be reactive in origin. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. [/RESP]</s>

. Multiple groundglass nodular opacities in the left upper lobe and lingula, consistent with consolidation or atelectasis. . Bronchial thickening is noted in the right upper lobe, compatible with bud opacities. Opacities are also seen in the left lower lobe, scattered ground glass nodules. This is consistent with bronchopneumonia. No pleural effusion. No mediastinal lymphadenopathy. Right hilar lymph node measures 12 mm. Prominent axillary lymph nodes. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. [/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: ['bilateral']clinical findings_fin: 'small bilateral pleural effusions': 'clinical finding': 'small bilateral pleural effusions', 'existence': 'pos_dx', 'descriptive_term': 'small bilateral pleural', 'observation': 'effusion', 'strength_term': 'small', 'dependent atelectasis': 'clinical finding': 'dependent atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'dependent', 'observation': 'atelectasis'anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'right upper lobe streaky atelectasis': 'clinical finding': 'right upper lobe streaky atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe streaky', 'observation': 'atelectasis'anatomical entity_fin: 'aorta': clinical findings_fin: 'atherosclerotic calcifications': 'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'anatomical entity_fin: 'esophagus': , 'fluid': clinical findings_fin: 'diffusely thickened': 'clinical finding': 'diffusely thickened', 'existence': 'pos_dx', 'descriptive_term': 'diffusely', 'observation': 'thickened', 'aspiration': 'clinical finding': 'aspiration', 'existence': 'unc_dx', 'observation': 'aspiration'anatomical entity_fin: 'spine': clinical findings_fin: 'mild multilevel degenerative changes': 'clinical finding': 'mild multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild multilevel degenerative', 'observation': 'change', 'strength_term': 'mild'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Technically adequate study. No evidence for pulmonary embolus. Small bilateral pleural effusions with dependent atelectasis. Right upper lobe streaky atelectasis. Atherosclerotic calcifications in the aorta are noted. Diffusely thickened esophagus with air fluid levels puts patient at risk for aspiration. None. Mild multilevel degenerative changes of the spine. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. [/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: ['bilateral']clinical findings_fin: 'small bilateral pleural effusions': 'clinical finding': 'small bilateral pleural effusions', 'existence': 'pos_dx', 'descriptive_term': 'small bilateral pleural', 'observation': 'effusion', 'strength_term': 'small', 'dependent atelectasis': 'clinical finding': 'dependent atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'dependent', 'observation': 'atelectasis'anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'right upper lobe streaky atelectasis': 'clinical finding': 'right upper lobe streaky atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe streaky', 'observation': 'atelectasis'anatomical entity_fin: 'aorta': clinical findings_fin: 'atherosclerotic calcifications': 'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'anatomical entity_fin: 'esophagus': , 'fluid': clinical findings_fin: 'diffusely thickened': 'clinical finding': 'diffusely thickened', 'existence': 'pos_dx', 'descriptive_term': 'diffusely', 'observation': 'thickened', 'aspiration': 'clinical finding': 'aspiration', 'existence': 'unc_dx', 'observation': 'aspiration'anatomical entity_fin: 'spine': clinical findings_fin: 'mild multilevel degenerative changes': 'clinical finding': 'mild multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild multilevel degenerative', 'observation': 'change', 'strength_term': 'mild'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP]

. Technically adequate study. No evidence for pulmonary embolus. Small bilateral pleural effusions with dependent atelectasis. Right upper lobe streaky atelectasis. Atherosclerotic calcifications in the aorta are noted. Diffusely thickened esophagus with air fluid levels puts patient at risk for aspiration. None. Mild multilevel degenerative changes of the spine. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. [/RESP]</s>

. Technically adequate examination. The pulmonary arteries are patent with no evidence of pulmonary embolus. Small bilateral pleural effusions and dependent atelectasis. Right upper lobe streaky atelectasis. Atherosclerotic calcifications in the aorta, coronaries, and branches. Diffusely thickened esophagus with fluid density. Mild multilevel degenerative changes affecting the thoracic spine. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. [/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: 'stable pulmonary micronodules': 'clinical finding': 'stable pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'stable pulmonary', 'observation': 'micronodule', 'strength_term': 'stable', 'change_term': 'stable'size_fin: ['size': '0.5 x 0.4 cm', 'size': '0.5 x 0.4 cm']anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'reference right upper lobe nodule': 'clinical finding': 'reference right upper lobe nodule', 'existence': 'pos_dx', 'descriptive_term': 'reference right upper lobe', 'observation': 'nodule'clinical findings_fin: 'additional ill-defined subpleural nodules': 'clinical finding': 'additional ill-defined subpleural nodules', 'existence': 'neg_dx', 'descriptive_term': 'additional ill-defined subpleural', 'observation': 'nodule', 'strength_term': 'ill-defined'clinical findings_fin: 'new suspicious pulmonary nodule': 'clinical finding': 'new suspicious pulmonary nodule', 'existence': 'neg_dx', 'descriptive_term': 'new suspicious pulmonary', 'observation': 'nodule', 'temporal_term': 'new'clinical findings_fin: 'mild paraseptal or centrilobular emphysema': 'clinical finding': 'mild paraseptal or centrilobular emphysema', 'existence': 'pos_dx', 'descriptive_term': 'mild paraseptal or centrilobular', 'observation': 'emphysema', 'strength_term': 'mild'clinical findings_fin: 'dependent atelectasis': 'clinical finding': 'dependent atelectasis', 'existence': 'unc_dx', 'descriptive_term': 'dependent', 'observation': 'atelectasis', 'scarring': 'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'clinical findings_fin: 'pleural effusion': 'clinical finding': 'pleural effusion', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'anatomical entity_fin: 'heart': clinical findings_fin: 'normal no pericardial effusion': 'clinical finding': 'normal no pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'normal no pericardial', 'observation': 'effusion', 'strength_term': 'normal', 'quantity_term': 'no'size_fin: ['size': '2.0 x 1.0 centimeter', 'size': '2.0 x 1.0 cm']location descriptor_fin: ['right']clinical findings_fin: 'stable reference right paratracheal lymph node': 'clinical finding': 'stable reference right paratracheal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'stable reference right paratracheal lymph', 'observation': 'node', 'strength_term': 'stable', 'change_term': 'stable'size_fin: ['size': '2.8 x 1.7 cm', 'size': '2.8 x 1.7 cm']location descriptor_fin: ['right']clinical findings_fin: 'stable enlarged right hilar lymph node': 'clinical finding': 'stable enlarged right hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'stable enlarged right hilar lymph', 'observation': 'node', 'strength_term': 'stable - enlarged', 'change_term': 'stable - enlarged'anatomical entity_fin: 'lobe': , 'middle': , 'mediastinum': , 'sternum': location descriptor_fin: ['right']clinical findings_fin: 'heterogeneous right thyroid lobe enlargement , which extends': 'clinical finding': 'heterogeneous right thyroid lobe enlargement , which extends'clinical findings_fin: 'non-benign thyroid enlargement': 'clinical finding': 'non-benign thyroid enlargement', 'existence': 'pos_dx', 'descriptive_term': 'non-benign thyroid', 'observation': 'enlargement', 'strength_term': 'benign'location descriptor_fin: ['distal']clinical findings_fin: 'nonspecific distal esophageal wall thickening': 'clinical finding': 'nonspecific distal esophageal wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific distal esophageal wall', 'observation': 'thickening'clinical findings_fin: 'stable enlarged gastrohepatic lymph node': 'clinical finding': 'stable enlarged gastrohepatic lymph node', 'existence': 'pos_dx', 'descriptive_term': 'stable enlarged gastrohepatic lymph', 'observation': 'node', 'strength_term': 'stable - enlarged', 'change_term': 'stable - enlarged' [/INST] [RESP] . No significant abnormality noted. Stable pulmonary micronodules. Specifically reference right upper lobe nodule is stable in size measuring 0.5 x 0.4 cm , previously 0.5 x 0.4 cm. Additional ill-defined subpleural nodules are not significantly changed. No new suspicious pulmonary nodule. Mild paraseptal or centrilobular emphysema. Dependent atelectasis or scarring. No pleural effusion. Heart size normal no pericardial effusion. Stable reference right paratracheal lymph node, measuring 2.0 x 1.0 centimeters , previously 2.0 x 1.0 cm. Stable enlarged right hilar lymph node, measuring 2.8 x 1.7 cm , previously 2.8 x 1.7 cm. Heterogeneous right thyroid lobe enlargement, which extends into the middle mediastinum, below the sternum. Please note CT cannot differentiate benign from non-benign thyroid enlargement. Nonspecific distal esophageal wall thickening. Stable enlarged gastrohepatic lymph node. [/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: 'stable pulmonary micronodules': 'clinical finding': 'stable pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'stable pulmonary', 'observation': 'micronodule', 'strength_term': 'stable', 'change_term': 'stable'size_fin: ['size': '0.5 x 0.4 cm', 'size': '0.5 x 0.4 cm']anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'reference right upper lobe nodule': 'clinical finding': 'reference right upper lobe nodule', 'existence': 'pos_dx', 'descriptive_term': 'reference right upper lobe', 'observation': 'nodule'clinical findings_fin: 'additional ill-defined subpleural nodules': 'clinical finding': 'additional ill-defined subpleural nodules', 'existence': 'neg_dx', 'descriptive_term': 'additional ill-defined subpleural', 'observation': 'nodule', 'strength_term': 'ill-defined'clinical findings_fin: 'new suspicious pulmonary nodule': 'clinical finding': 'new suspicious pulmonary nodule', 'existence': 'neg_dx', 'descriptive_term': 'new suspicious pulmonary', 'observation': 'nodule', 'temporal_term': 'new'clinical findings_fin: 'mild paraseptal or centrilobular emphysema': 'clinical finding': 'mild paraseptal or centrilobular emphysema', 'existence': 'pos_dx', 'descriptive_term': 'mild paraseptal or centrilobular', 'observation': 'emphysema', 'strength_term': 'mild'clinical findings_fin: 'dependent atelectasis': 'clinical finding': 'dependent atelectasis', 'existence': 'unc_dx', 'descriptive_term': 'dependent', 'observation': 'atelectasis', 'scarring': 'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'clinical findings_fin: 'pleural effusion': 'clinical finding': 'pleural effusion', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'anatomical entity_fin: 'heart': clinical findings_fin: 'normal no pericardial effusion': 'clinical finding': 'normal no pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'normal no pericardial', 'observation': 'effusion', 'strength_term': 'normal', 'quantity_term': 'no'size_fin: ['size': '2.0 x 1.0 centimeter', 'size': '2.0 x 1.0 cm']location descriptor_fin: ['right']clinical findings_fin: 'stable reference right paratracheal lymph node': 'clinical finding': 'stable reference right paratracheal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'stable reference right paratracheal lymph', 'observation': 'node', 'strength_term': 'stable', 'change_term': 'stable'size_fin: ['size': '2.8 x 1.7 cm', 'size': '2.8 x 1.7 cm']location descriptor_fin: ['right']clinical findings_fin: 'stable enlarged right hilar lymph node': 'clinical finding': 'stable enlarged right hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'stable enlarged right hilar lymph', 'observation': 'node', 'strength_term': 'stable - enlarged', 'change_term': 'stable - enlarged'anatomical entity_fin: 'lobe': , 'middle': , 'mediastinum': , 'sternum': location descriptor_fin: ['right']clinical findings_fin: 'heterogeneous right thyroid lobe enlargement , which extends': 'clinical finding': 'heterogeneous right thyroid lobe enlargement , which extends'clinical findings_fin: 'non-benign thyroid enlargement': 'clinical finding': 'non-benign thyroid enlargement', 'existence': 'pos_dx', 'descriptive_term': 'non-benign thyroid', 'observation': 'enlargement', 'strength_term': 'benign'location descriptor_fin: ['distal']clinical findings_fin: 'nonspecific distal esophageal wall thickening': 'clinical finding': 'nonspecific distal esophageal wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific distal esophageal wall', 'observation': 'thickening'clinical findings_fin: 'stable enlarged gastrohepatic lymph node': 'clinical finding': 'stable enlarged gastrohepatic lymph node', 'existence': 'pos_dx', 'descriptive_term': 'stable enlarged gastrohepatic lymph', 'observation': 'node', 'strength_term': 'stable - enlarged', 'change_term': 'stable - enlarged' [/INST] [RESP]

. No significant abnormality noted. Stable pulmonary micronodules. Specifically reference right upper lobe nodule is stable in size measuring 0.5 x 0.4 cm , previously 0.5 x 0.4 cm. Additional ill-defined subpleural nodules are not significantly changed. No new suspicious pulmonary nodule. Mild paraseptal or centrilobular emphysema. Dependent atelectasis or scarring. No pleural effusion. Heart size normal no pericardial effusion. Stable reference right paratracheal lymph node, measuring 2.0 x 1.0 centimeters , previously 2.0 x 1.0 cm. Stable enlarged right hilar lymph node, measuring 2.8 x 1.7 cm , previously 2.8 x 1.7 cm. Heterogeneous right thyroid lobe enlargement, which extends into the middle mediastinum, below the sternum. Please note CT cannot differentiate benign from non-benign thyroid enlargement. Nonspecific distal esophageal wall thickening. Stable enlarged gastrohepatic lymph node. [/RESP]</s>

. No significant abnormality noted. Stable pulmonary micronodules. Reference right upper lobe nodule measures 0.5 x 0.4 cm, unchanged from prior examination. Additional ill-defined subpleural nodules are again seen but not significantly changed in size. No new suspicious pulmonary nodule is identified. Mild paraseptal or centrilobular emphysema. Dependent atelectasis and scarring. No pleural effusion. Normal heart size without pericardial effusion. Stable reference right paratracheal lymph node measuring 2.0 x 1.0 centimeter, previously 2.0 x 1.0 cm. Stable enlarged right hilar lymph node measuring 2.8 x 1.7 cm, previously 2.8 x 1.7 cm. Heterogeneous right thyroid lobe enlargement, which extends into the middle mediastinum and sternum. Non-benign thyroid enlargement. Nonspecific distal esophageal wall thickening. Stable enlarged gastrohepatic lymph node. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'anatomical entity_fin: 'cerebellum': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'old cerebellar infarct': 'clinical finding': 'old cerebellar infarct', 'existence': 'pos_dx', 'descriptive_term': 'old cerebellar', 'observation': 'infarct', 'temporal_term': 'old'anatomical entity_fin: 'right frontal lobe': clinical findings_fin: 'small punctate hypodensities': 'clinical finding': 'small punctate hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'small punctate', 'observation': 'hypodensity', 'strength_term': 'small', 'small vessel disease': 'clinical finding': 'small vessel disease', 'existence': 'pos_dx', 'descriptive_term': 'small vessel', 'observation': 'disease', 'strength_term': 'small'clinical findings_fin: 'gray - white matter differentiation is otherwise preserved': 'clinical finding': 'gray - white matter differentiation is otherwise preserved', 'change_term': 'preserved'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: 'bones are unremarkable': 'clinical finding': 'bones are unremarkable'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized' [/INST] [RESP] The ventricles, sulci, and cisterns are symmetric and unremarkable. Hypodense region in the right cerebellum, consistent with old cerebellar infarct. Small punctate hypodensities in the right frontal lobe consistent with small vessel disease of indeterminate age. The gray-white matter differentiation is otherwise preserved. There is no mass effect, midline shift, intra- or extra-axial fluid collection or acute hemorrhage. The bones are unremarkable. Limited view of the paranasal sinuses and mastoid air cells are normally pneumatized. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'anatomical entity_fin: 'cerebellum': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'old cerebellar infarct': 'clinical finding': 'old cerebellar infarct', 'existence': 'pos_dx', 'descriptive_term': 'old cerebellar', 'observation': 'infarct', 'temporal_term': 'old'anatomical entity_fin: 'right frontal lobe': clinical findings_fin: 'small punctate hypodensities': 'clinical finding': 'small punctate hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'small punctate', 'observation': 'hypodensity', 'strength_term': 'small', 'small vessel disease': 'clinical finding': 'small vessel disease', 'existence': 'pos_dx', 'descriptive_term': 'small vessel', 'observation': 'disease', 'strength_term': 'small'clinical findings_fin: 'gray - white matter differentiation is otherwise preserved': 'clinical finding': 'gray - white matter differentiation is otherwise preserved', 'change_term': 'preserved'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: 'bones are unremarkable': 'clinical finding': 'bones are unremarkable'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized' [/INST] [RESP]

The ventricles, sulci, and cisterns are symmetric and unremarkable. Hypodense region in the right cerebellum, consistent with old cerebellar infarct. Small punctate hypodensities in the right frontal lobe consistent with small vessel disease of indeterminate age. The gray-white matter differentiation is otherwise preserved. There is no mass effect, midline shift, intra- or extra-axial fluid collection or acute hemorrhage. The bones are unremarkable. Limited view of the paranasal sinuses and mastoid air cells are normally pneumatized. [/RESP]</s>

The ventricles and cortical sulci are symmetric. . Old cerebellar infarct in the right cerebellum. Small punctate hypodensities in the right frontal lobe consistent with small vessel disease. Gray --white matter differentiation is otherwise preserved. No mass effect, midline shift, intra- or extra-axial fluid collection or acute hemorrhage. Bones are unremarkable. Paranasal sinuses and mastoid air cells are well pneumatized. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'anterior communicating artery': location descriptor_fin: ['right']clinical findings_fin: 'post-surgical changes': 'clinical finding': 'post-surgical changes', 'existence': 'pos_dx', 'descriptive_term': 'post-surgical', 'observation': 'change', 'aneurysm': 'clinical finding': 'aneurysm', 'existence': 'pos_dx', 'observation': 'aneurysm', 'right internal carotid and anterior communicating artery aneurysms': 'clinical finding': 'right internal carotid and anterior communicating artery aneurysms', 'existence': 'pos_dx', 'descriptive_term': 'right internal carotid and anterior communicating artery', 'observation': 'aneurysm'size_fin: ['size': '14-mm', 'size_descriptor': 'collection']location descriptor_fin: ['right']clinical findings_fin: 'right frontal-temporal craniotomy related extra-axial fluid collection': 'clinical finding': 'right frontal-temporal craniotomy related extra-axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'right frontal-temporal craniotomy related extra-axial fluid', 'observation': 'collection', 'hemorrhage': 'clinical finding': 'hemorrhage', 'existence': 'pos_dx', 'observation': 'hemorrhage'size_fin: ['size': '4 mm', 'size_descriptor': 'shift']location descriptor_fin: ['midline', 'left']clinical findings_fin: 'persistent mass-effect': 'clinical finding': 'persistent mass-effect', 'existence': 'pos_dx', 'descriptive_term': 'persistent', 'observation': 'mass', 'temporal_term': 'persistent'anatomical entity_fin: 'fluid': clinical findings_fin: 'soft tissue edema': 'clinical finding': 'soft tissue edema', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'edema'location descriptor_fin: ['left']clinical findings_fin: 'chronic left parietal craniectomy': 'clinical finding': 'chronic left parietal craniectomy', 'existence': 'pos_dx', 'descriptive_term': 'chronic left parietal', 'observation': 'craniectomy', 'temporal_term': 'chronic', 'underlying encephalomalacia': 'clinical finding': 'underlying encephalomalacia', 'existence': 'pos_dx', 'descriptive_term': 'underlying', 'observation': 'encephalomalacia'anatomical entity_fin: 'ganglia': location descriptor_fin: ['right']clinical findings_fin: 'right basilar ganglia subacute infarct': 'clinical finding': 'right basilar ganglia subacute infarct', 'existence': 'pos_dx', 'descriptive_term': 'right basilar ganglia subacute', 'observation': 'infarct'clinical findings_fin: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP] Post-surgical changes status post aneurysm clipping of right internal carotid and anterior communicating artery aneurysms are redemonstrated. The right frontal-temporal craniotomy related extra-axial fluid collection with hemorrhage or air has intervally improved since the prior CT, now measuring 14-mm in width. Persistent mass-effect and 4 mm midline shift to the left is unchanged. Soft tissue edema with subgaleal fluid or air again overlies the craniotomy site. Chronic left parietal craniectomy is redemonstrated with underlying encephalomalacia. Evolving focus of right basilar ganglia subacute infarct is seen and appears less distinct compared to the prior study. The ventricles, sulci, and cisterns are remain symmetric and 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: 'anterior communicating artery': location descriptor_fin: ['right']clinical findings_fin: 'post-surgical changes': 'clinical finding': 'post-surgical changes', 'existence': 'pos_dx', 'descriptive_term': 'post-surgical', 'observation': 'change', 'aneurysm': 'clinical finding': 'aneurysm', 'existence': 'pos_dx', 'observation': 'aneurysm', 'right internal carotid and anterior communicating artery aneurysms': 'clinical finding': 'right internal carotid and anterior communicating artery aneurysms', 'existence': 'pos_dx', 'descriptive_term': 'right internal carotid and anterior communicating artery', 'observation': 'aneurysm'size_fin: ['size': '14-mm', 'size_descriptor': 'collection']location descriptor_fin: ['right']clinical findings_fin: 'right frontal-temporal craniotomy related extra-axial fluid collection': 'clinical finding': 'right frontal-temporal craniotomy related extra-axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'right frontal-temporal craniotomy related extra-axial fluid', 'observation': 'collection', 'hemorrhage': 'clinical finding': 'hemorrhage', 'existence': 'pos_dx', 'observation': 'hemorrhage'size_fin: ['size': '4 mm', 'size_descriptor': 'shift']location descriptor_fin: ['midline', 'left']clinical findings_fin: 'persistent mass-effect': 'clinical finding': 'persistent mass-effect', 'existence': 'pos_dx', 'descriptive_term': 'persistent', 'observation': 'mass', 'temporal_term': 'persistent'anatomical entity_fin: 'fluid': clinical findings_fin: 'soft tissue edema': 'clinical finding': 'soft tissue edema', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'edema'location descriptor_fin: ['left']clinical findings_fin: 'chronic left parietal craniectomy': 'clinical finding': 'chronic left parietal craniectomy', 'existence': 'pos_dx', 'descriptive_term': 'chronic left parietal', 'observation': 'craniectomy', 'temporal_term': 'chronic', 'underlying encephalomalacia': 'clinical finding': 'underlying encephalomalacia', 'existence': 'pos_dx', 'descriptive_term': 'underlying', 'observation': 'encephalomalacia'anatomical entity_fin: 'ganglia': location descriptor_fin: ['right']clinical findings_fin: 'right basilar ganglia subacute infarct': 'clinical finding': 'right basilar ganglia subacute infarct', 'existence': 'pos_dx', 'descriptive_term': 'right basilar ganglia subacute', 'observation': 'infarct'clinical findings_fin: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP]

Post-surgical changes status post aneurysm clipping of right internal carotid and anterior communicating artery aneurysms are redemonstrated. The right frontal-temporal craniotomy related extra-axial fluid collection with hemorrhage or air has intervally improved since the prior CT, now measuring 14-mm in width. Persistent mass-effect and 4 mm midline shift to the left is unchanged. Soft tissue edema with subgaleal fluid or air again overlies the craniotomy site. Chronic left parietal craniectomy is redemonstrated with underlying encephalomalacia. Evolving focus of right basilar ganglia subacute infarct is seen and appears less distinct compared to the prior study. The ventricles, sulci, and cisterns are remain symmetric and unremarkable. The paranasal sinuses and mastoid air cells are clear. [/RESP]</s>

Post-surgical changes are seen in the right ACA, which is aneurysmal. . Right frontal-temporal craniotomy related extra-axial fluid collection has decreased to 14-mm in thickness from prior measurement of 20 mm. There is no evidence of hemorrhage. Persistent midline shift to the left measuring up to 4 mm. Fluid collections have increased slightly since prior study. Soft tissue edema is present. Chronic left parietal craniectomy with underlying encephalomalacia. Right basilar ganglia subacute infarct. The ventricles are symmetric and stable. Paranasal sinuses and mastoid air cells are clear. [/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': 'unc_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolus'clinical findings_fin: 'pulmonary embolus': 'clinical finding': 'pulmonary embolus', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolus'anatomical entity_fin: 'middle': , 'lobe': location descriptor_fin: ['right']clinical findings_fin: 'unchanged right pleural effusion': 'clinical finding': 'unchanged right pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'unchanged right pleural', 'observation': 'effusion', 'strength_term': 'unchanged', 'change_term': 'unchanged', 'middle lobe atelectasis': 'clinical finding': 'middle lobe atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'middle lobe', 'observation': 'atelectasis'imaging observation_fin: ['reticulation']clinical findings_fin: 'basilar predominant reticulation': 'clinical finding': 'basilar predominant reticulation', 'existence': 'pos_dx', 'descriptive_term': 'basilar predominant', 'observation': 'reticulation', 'traction bronchiectasis': 'clinical finding': 'traction bronchiectasis', 'existence': 'pos_dx', 'descriptive_term': 'traction', 'observation': 'bronchiectasis', 'scattered ground glass opacities': 'clinical finding': 'scattered ground glass opacities', 'existence': 'pos_dx', 'descriptive_term': 'scattered ground glass', 'observation': 'opacity'size_fin: ['size': '3-mm', 'size_descriptor': 'nodule']anatomical entity_fin: 'right lung': , 'base': clinical findings_fin: 'previously described 3-mm ground glass nodule': 'clinical finding': 'previously described 3-mm ground glass nodule', 'existence': 'neg_dx', 'descriptive_term': 'previously described 3-mm ground glass', 'observation': 'nodule'anatomical entity_fin: 'fluid': clinical findings_fin: 'minimal pericardial thickening': 'clinical finding': 'minimal pericardial thickening', 'existence': 'neg_dx', 'descriptive_term': 'minimal pericardial', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal'clinical findings_fin: 'small hiatal hernia': 'clinical finding': 'small hiatal hernia', 'existence': 'pos_dx', 'descriptive_term': 'small hiatal', 'observation': 'hernia', 'strength_term': 'small'anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . This examination is suboptimal for the evaluation of pulmonary embolus. No pulmonary embolus is seen. Unchanged right pleural effusion and middle lobe atelectasis. Basilar predominant reticulation, traction bronchiectasis, and scattered ground glass opacities appear stable. Previously described 3-mm ground glass nodule in the right lung base is again not seen. Minimal pericardial thickening or fluid is unchanged. Small hiatal hernia appears unchanged. Degenerative changes of the thoracic spine. No significant abnormality noted. [/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': 'unc_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolus'clinical findings_fin: 'pulmonary embolus': 'clinical finding': 'pulmonary embolus', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolus'anatomical entity_fin: 'middle': , 'lobe': location descriptor_fin: ['right']clinical findings_fin: 'unchanged right pleural effusion': 'clinical finding': 'unchanged right pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'unchanged right pleural', 'observation': 'effusion', 'strength_term': 'unchanged', 'change_term': 'unchanged', 'middle lobe atelectasis': 'clinical finding': 'middle lobe atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'middle lobe', 'observation': 'atelectasis'imaging observation_fin: ['reticulation']clinical findings_fin: 'basilar predominant reticulation': 'clinical finding': 'basilar predominant reticulation', 'existence': 'pos_dx', 'descriptive_term': 'basilar predominant', 'observation': 'reticulation', 'traction bronchiectasis': 'clinical finding': 'traction bronchiectasis', 'existence': 'pos_dx', 'descriptive_term': 'traction', 'observation': 'bronchiectasis', 'scattered ground glass opacities': 'clinical finding': 'scattered ground glass opacities', 'existence': 'pos_dx', 'descriptive_term': 'scattered ground glass', 'observation': 'opacity'size_fin: ['size': '3-mm', 'size_descriptor': 'nodule']anatomical entity_fin: 'right lung': , 'base': clinical findings_fin: 'previously described 3-mm ground glass nodule': 'clinical finding': 'previously described 3-mm ground glass nodule', 'existence': 'neg_dx', 'descriptive_term': 'previously described 3-mm ground glass', 'observation': 'nodule'anatomical entity_fin: 'fluid': clinical findings_fin: 'minimal pericardial thickening': 'clinical finding': 'minimal pericardial thickening', 'existence': 'neg_dx', 'descriptive_term': 'minimal pericardial', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal'clinical findings_fin: 'small hiatal hernia': 'clinical finding': 'small hiatal hernia', 'existence': 'pos_dx', 'descriptive_term': 'small hiatal', 'observation': 'hernia', 'strength_term': 'small'anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP]

. This examination is suboptimal for the evaluation of pulmonary embolus. No pulmonary embolus is seen. Unchanged right pleural effusion and middle lobe atelectasis. Basilar predominant reticulation, traction bronchiectasis, and scattered ground glass opacities appear stable. Previously described 3-mm ground glass nodule in the right lung base is again not seen. Minimal pericardial thickening or fluid is unchanged. Small hiatal hernia appears unchanged. Degenerative changes of the thoracic spine. No significant abnormality noted. [/RESP]</s>

. Technically adequate examination. The pulmonary arteries are not well visualized due to motion artifacts, but no evidence of pulmonary embolus is seen. No pulmonary embolus is identified. Unchanged right pleural effusion with middle lobe atelectasis. Basilar predominant reticulation and traction bronchiectasis with scattered ground glass opacities. Previously described 3-mm ground glass nodule in the right lung base has resolved. Minimal pericardial fluid. Small hiatal hernia. Degenerative changes affecting the thoracic spine. No significant abnormality noted. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'suspicious pulmonary nodules': 'clinical finding': 'suspicious pulmonary nodules', 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule', 'masses': 'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass', 'pleural effusion': 'clinical finding': 'pleural effusion', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion', 'pneumothorax': 'clinical finding': 'pneumothorax', 'existence': 'neg_dx', 'observation': 'pneumothorax'clinical findings_fin: 'focal hepatic lesions': 'clinical finding': 'focal hepatic lesions', 'existence': 'neg_dx', 'descriptive_term': 'focal hepatic', 'observation': 'lesion'clinical findings_fin: 'intra or extra hepatic biliary ductal dilatation': 'clinical finding': 'intra or extra hepatic biliary ductal dilatation', 'existence': 'neg_dx', 'descriptive_term': 'intra or extra hepatic biliary ductal', 'observation': 'dilatation'anatomical entity_fin: 'gallbladder': clinical findings_fin: 'gallbladder is normal': 'clinical finding': 'gallbladder is normal'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'bowel': location descriptor_fin: ['right']clinical findings_fin: 'mild wall thickening': 'clinical finding': 'mild wall thickening', 'existence': 'unc_dx', 'descriptive_term': 'mild wall', 'observation': 'thickening', 'strength_term': 'mild', 'underdistention': 'clinical finding': 'underdistention', 'existence': 'unc_dx', 'observation': 'underdistention'anatomical entity_fin: 'bowel': clinical findings_fin: 'bowel obstruction': 'clinical finding': 'bowel obstruction', 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction', 'pneumatosis intestinalis': 'clinical finding': 'pneumatosis intestinalis', 'existence': 'neg_dx', 'descriptive_term': 'pneumatosis', 'observation': 'intestinalis', 'portal venous gas': 'clinical finding': 'portal venous gas', 'existence': 'neg_dx', 'descriptive_term': 'portal venous', 'observation': 'gas', 'pneumoperitoneum': 'clinical finding': 'pneumoperitoneum', 'existence': 'neg_dx', 'observation': 'pneumoperitoneum'anatomical entity_fin: 'appendix': , 'quadrant': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower']clinical findings_fin: 'well': 'clinical finding': 'well', 'existence': 'pos_dx', 'observation': 'well'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'lower abdomen': , 'paracolic gutter': 'location descriptor': 'right', 'pelvis': location descriptor_fin: ['right']clinical findings_fin: 'free fluid': 'clinical finding': 'free fluid', 'existence': 'pos_dx', 'descriptive_term': 'free', 'observation': 'fluid'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'bowel': clinical findings_fin: 'mild wall thickening': 'clinical finding': 'mild wall thickening', 'existence': 'unc_dx', 'descriptive_term': 'mild wall', 'observation': 'thickening', 'strength_term': 'mild', 'underdistention': 'clinical finding': 'underdistention', 'existence': 'unc_dx', 'observation': 'underdistention'imaging observation_fin: ['colon']clinical findings_fin: 'colon is normal': 'clinical finding': 'colon is normal'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'pelvis': clinical findings_fin: 'free fluid': 'clinical finding': 'free fluid', 'existence': 'pos_dx', 'descriptive_term': 'free', 'observation': 'fluid' [/INST] [RESP] . No suspicious pulmonary nodules or masses, pleural effusion or pneumothorax. No focal hepatic lesions. No intra or extra hepatic biliary ductal dilatation. Gallbladder is normal. Normal. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. There is suggestion of mild wall thickening affecting several small bowel loops in the right midabdomen which is likely related to underdistention. No bowel obstruction, pneumatosis intestinalis, portal venous gas or pneumoperitoneum. The appendix is well-visualized in the right lower quadrant and is normal. No significant abnormality noted. Moderate amount of free fluid in the lower abdomen, specifically along the right paracolic gutter, and pelvis which is more than what is physiologically expected. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Suggestion of mild wall thickening as described above affecting several small bowel loops which is likely related to underdistention. The colon is normal. No significant abnormality noted. Moderate amount of free fluid in the pelvis. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'suspicious pulmonary nodules': 'clinical finding': 'suspicious pulmonary nodules', 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule', 'masses': 'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass', 'pleural effusion': 'clinical finding': 'pleural effusion', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion', 'pneumothorax': 'clinical finding': 'pneumothorax', 'existence': 'neg_dx', 'observation': 'pneumothorax'clinical findings_fin: 'focal hepatic lesions': 'clinical finding': 'focal hepatic lesions', 'existence': 'neg_dx', 'descriptive_term': 'focal hepatic', 'observation': 'lesion'clinical findings_fin: 'intra or extra hepatic biliary ductal dilatation': 'clinical finding': 'intra or extra hepatic biliary ductal dilatation', 'existence': 'neg_dx', 'descriptive_term': 'intra or extra hepatic biliary ductal', 'observation': 'dilatation'anatomical entity_fin: 'gallbladder': clinical findings_fin: 'gallbladder is normal': 'clinical finding': 'gallbladder is normal'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'bowel': location descriptor_fin: ['right']clinical findings_fin: 'mild wall thickening': 'clinical finding': 'mild wall thickening', 'existence': 'unc_dx', 'descriptive_term': 'mild wall', 'observation': 'thickening', 'strength_term': 'mild', 'underdistention': 'clinical finding': 'underdistention', 'existence': 'unc_dx', 'observation': 'underdistention'anatomical entity_fin: 'bowel': clinical findings_fin: 'bowel obstruction': 'clinical finding': 'bowel obstruction', 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction', 'pneumatosis intestinalis': 'clinical finding': 'pneumatosis intestinalis', 'existence': 'neg_dx', 'descriptive_term': 'pneumatosis', 'observation': 'intestinalis', 'portal venous gas': 'clinical finding': 'portal venous gas', 'existence': 'neg_dx', 'descriptive_term': 'portal venous', 'observation': 'gas', 'pneumoperitoneum': 'clinical finding': 'pneumoperitoneum', 'existence': 'neg_dx', 'observation': 'pneumoperitoneum'anatomical entity_fin: 'appendix': , 'quadrant': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower']clinical findings_fin: 'well': 'clinical finding': 'well', 'existence': 'pos_dx', 'observation': 'well'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'lower abdomen': , 'paracolic gutter': 'location descriptor': 'right', 'pelvis': location descriptor_fin: ['right']clinical findings_fin: 'free fluid': 'clinical finding': 'free fluid', 'existence': 'pos_dx', 'descriptive_term': 'free', 'observation': 'fluid'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'bowel': clinical findings_fin: 'mild wall thickening': 'clinical finding': 'mild wall thickening', 'existence': 'unc_dx', 'descriptive_term': 'mild wall', 'observation': 'thickening', 'strength_term': 'mild', 'underdistention': 'clinical finding': 'underdistention', 'existence': 'unc_dx', 'observation': 'underdistention'imaging observation_fin: ['colon']clinical findings_fin: 'colon is normal': 'clinical finding': 'colon is normal'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'pelvis': clinical findings_fin: 'free fluid': 'clinical finding': 'free fluid', 'existence': 'pos_dx', 'descriptive_term': 'free', 'observation': 'fluid' [/INST] [RESP]

. No suspicious pulmonary nodules or masses, pleural effusion or pneumothorax. No focal hepatic lesions. No intra or extra hepatic biliary ductal dilatation. Gallbladder is normal. Normal. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. There is suggestion of mild wall thickening affecting several small bowel loops in the right midabdomen which is likely related to underdistention. No bowel obstruction, pneumatosis intestinalis, portal venous gas or pneumoperitoneum. The appendix is well-visualized in the right lower quadrant and is normal. No significant abnormality noted. Moderate amount of free fluid in the lower abdomen, specifically along the right paracolic gutter, and pelvis which is more than what is physiologically expected. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Suggestion of mild wall thickening as described above affecting several small bowel loops which is likely related to underdistention. The colon is normal. No significant abnormality noted. Moderate amount of free fluid in the pelvis. [/RESP]</s>

. No suspicious pulmonary nodules, masses or pleural effusion.[/RESP]. Focal hepatic lesions are not identified. There is no evidence of intra or extra hepatic biliary ductal dilatation. The gallbladder is normal in caliber. No significant abnormality noted. None. No significant abnormality observed. Mild wall thickening and underdistention of the right colon without bowel obstruction, pneumatosis intestinalis, portal venous gas or pneumoperitoneum. The appendix appears well positioned within the right lower quadrant. No significant abnormality noted. Free fluid in the lower abdomen with prominence of the paracolic gutter and pelvic soft tissues. No significant abnormality noted. Normal size of the liver and spleen with no significant abnormality noted. Mild wall thickening and underdistention of the rectosigmoid colon without bowel obstruction. Colon is normal. No significant abnormality noted. Free fluid in the pelvis with prominence of the perinephric fat. [/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: 'ventricles and basal cisterns are normal in size and configuration': 'clinical finding': 'ventricles and basal cisterns are normal in size and configuration'clinical findings_fin: 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'herniation': 'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'anatomical entity_fin: 'right vertebral artery': location descriptor_fin: ['distal']clinical findings_fin: 'calcification': 'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'skull': clinical findings_fin: 'skull and extracranial soft tissues are unremarkable': 'clinical finding': 'skull and extracranial soft tissues are unremarkable'anatomical entity_fin: 'lens': location descriptor_fin: ['right']clinical findings_fin: 'changes': 'clinical finding': 'changes', 'existence': 'pos_dx', 'observation': 'change' [/INST] [RESP] There is no evidence of intracranial hemorrhage. The ventricles and basal cisterns are normal in size and configuration. There is no mass effect or herniation. There is calcification of the distal portion of the right vertebral artery. The imaged paranasal sinuses and mastoid air cells are clear. The skull and extracranial soft tissues are unremarkable. Changes of right intraocular lens replacement. [/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: 'ventricles and basal cisterns are normal in size and configuration': 'clinical finding': 'ventricles and basal cisterns are normal in size and configuration'clinical findings_fin: 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'herniation': 'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'anatomical entity_fin: 'right vertebral artery': location descriptor_fin: ['distal']clinical findings_fin: 'calcification': 'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'skull': clinical findings_fin: 'skull and extracranial soft tissues are unremarkable': 'clinical finding': 'skull and extracranial soft tissues are unremarkable'anatomical entity_fin: 'lens': location descriptor_fin: ['right']clinical findings_fin: 'changes': 'clinical finding': 'changes', 'existence': 'pos_dx', 'observation': 'change' [/INST] [RESP]

There is no evidence of intracranial hemorrhage. The ventricles and basal cisterns are normal in size and configuration. There is no mass effect or herniation. There is calcification of the distal portion of the right vertebral artery. The imaged paranasal sinuses and mastoid air cells are clear. The skull and extracranial soft tissues are unremarkable. Changes of right intraocular lens replacement. [/RESP]</s>

There is no evidence of intracranial hemorrhage. The ventricles and basal cisterns are normal in size and configuration. There is no mass effect or herniation. Calcifications are seen along the distal right vertebral artery. The visualized portions of the paranasal sinuses and mastoid air cells are clear. The skull and extracranial soft tissues are unremarkable. There are changes to the lenses, which appear more dense than previously noted. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lungs': clinical findings_fin: 'scattered nonspecific micronodules': 'clinical finding': 'scattered nonspecific micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered nonspecific', 'observation': 'micronodule'anatomical entity_fin: 'left lung': , 'base': clinical findings_fin: 'calcified granulomas': 'clinical finding': 'calcified granulomas', 'existence': 'pos_dx', 'descriptive_term': 'calcified', 'observation': 'granuloma', 'change_term': 'calcified'clinical findings_fin: 'new suspicious pulmonary nodules': 'clinical finding': 'new suspicious pulmonary nodules', 'existence': 'neg_dx', 'descriptive_term': 'new suspicious pulmonary', 'observation': 'nodule', 'temporal_term': 'new', 'opacities': 'clinical finding': 'opacities', 'existence': 'neg_dx', 'observation': 'opacity'clinical findings_fin: 'mild biapical scarring': 'clinical finding': 'mild biapical scarring', 'existence': 'pos_dx', 'descriptive_term': 'mild biapical', 'observation': 'scarr', 'strength_term': 'mild', 'bibasilar dependent atelectasis': 'clinical finding': 'bibasilar dependent atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'bibasilar dependent', 'observation': 'atelectasis'size_fin: ['size': '13 x 12 mm']clinical findings_fin: 'reference precarinal lymph node': 'clinical finding': 'reference precarinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference precarinal lymph', 'observation': 'node'clinical findings_fin: 'other enlarged mediastinal or hilar lymph nodes': 'clinical finding': 'other enlarged mediastinal or hilar lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'other enlarged mediastinal or hilar lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'location descriptor_fin: ['left']clinical findings_fin: 'prior granulomatous disease': 'clinical finding': 'prior granulomatous disease', 'existence': 'pos_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'disease'clinical findings_fin: 'moderate coronary artery calcifications': 'clinical finding': 'moderate coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'moderate coronary artery', 'observation': 'calcification', 'strength_term': 'moderate', 'small rca stent': 'clinical finding': 'small rca stent', 'existence': 'pos_dx', 'descriptive_term': 'small rca', 'observation': 'stent', 'strength_term': 'small'clinical findings_fin: 'mild cardiomegaly': 'clinical finding': 'mild cardiomegaly', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'cardiomegaly', 'strength_term': 'mild'anatomical entity_fin: 'ribs': imaging observation_fin: ['foci']location descriptor_fin: ['lateral', 'right', 'left']clinical findings_fin: 'nonspecific punctate sclerotic foci': 'clinical finding': 'nonspecific punctate sclerotic foci', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific punctate sclerotic', 'observation': 'foci'anatomical entity_fin: 'thoracic spine': clinical findings_fin: 'mild to moderate degenerative changes': 'clinical finding': 'mild to moderate degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate degenerative', 'observation': 'change', 'strength_term': 'mild - moderate'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Scattered nonspecific micronodules in both lungs are unchanged. Calcified granulomas in the left lung base are again noted. No new suspicious pulmonary nodules or opacities are identified. Mild biapical scarring and bibasilar dependent atelectasis are unchanged in appearance also. Reference precarinal lymph node is unchanged measuring 13 x 12 mm on image 39 series 3. No other enlarged mediastinal or hilar lymph nodes identified. Calcified mediastinal and left components are unchanged, compatible with prior granulomatous disease. Moderate coronary artery calcifications and small RCA stent are noted. Mild cardiomegaly is similar in appearance to previous study. Nonspecific punctate sclerotic foci in the lateral right sixth and left fourth and eighth ribs are unchanged. Mild to moderate degenerative changes in the thoracic spine are again noted, with loss of height of T7 unchanged in appearance. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lungs': clinical findings_fin: 'scattered nonspecific micronodules': 'clinical finding': 'scattered nonspecific micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered nonspecific', 'observation': 'micronodule'anatomical entity_fin: 'left lung': , 'base': clinical findings_fin: 'calcified granulomas': 'clinical finding': 'calcified granulomas', 'existence': 'pos_dx', 'descriptive_term': 'calcified', 'observation': 'granuloma', 'change_term': 'calcified'clinical findings_fin: 'new suspicious pulmonary nodules': 'clinical finding': 'new suspicious pulmonary nodules', 'existence': 'neg_dx', 'descriptive_term': 'new suspicious pulmonary', 'observation': 'nodule', 'temporal_term': 'new', 'opacities': 'clinical finding': 'opacities', 'existence': 'neg_dx', 'observation': 'opacity'clinical findings_fin: 'mild biapical scarring': 'clinical finding': 'mild biapical scarring', 'existence': 'pos_dx', 'descriptive_term': 'mild biapical', 'observation': 'scarr', 'strength_term': 'mild', 'bibasilar dependent atelectasis': 'clinical finding': 'bibasilar dependent atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'bibasilar dependent', 'observation': 'atelectasis'size_fin: ['size': '13 x 12 mm']clinical findings_fin: 'reference precarinal lymph node': 'clinical finding': 'reference precarinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference precarinal lymph', 'observation': 'node'clinical findings_fin: 'other enlarged mediastinal or hilar lymph nodes': 'clinical finding': 'other enlarged mediastinal or hilar lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'other enlarged mediastinal or hilar lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'location descriptor_fin: ['left']clinical findings_fin: 'prior granulomatous disease': 'clinical finding': 'prior granulomatous disease', 'existence': 'pos_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'disease'clinical findings_fin: 'moderate coronary artery calcifications': 'clinical finding': 'moderate coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'moderate coronary artery', 'observation': 'calcification', 'strength_term': 'moderate', 'small rca stent': 'clinical finding': 'small rca stent', 'existence': 'pos_dx', 'descriptive_term': 'small rca', 'observation': 'stent', 'strength_term': 'small'clinical findings_fin: 'mild cardiomegaly': 'clinical finding': 'mild cardiomegaly', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'cardiomegaly', 'strength_term': 'mild'anatomical entity_fin: 'ribs': imaging observation_fin: ['foci']location descriptor_fin: ['lateral', 'right', 'left']clinical findings_fin: 'nonspecific punctate sclerotic foci': 'clinical finding': 'nonspecific punctate sclerotic foci', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific punctate sclerotic', 'observation': 'foci'anatomical entity_fin: 'thoracic spine': clinical findings_fin: 'mild to moderate degenerative changes': 'clinical finding': 'mild to moderate degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate degenerative', 'observation': 'change', 'strength_term': 'mild - moderate'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP]

. Scattered nonspecific micronodules in both lungs are unchanged. Calcified granulomas in the left lung base are again noted. No new suspicious pulmonary nodules or opacities are identified. Mild biapical scarring and bibasilar dependent atelectasis are unchanged in appearance also. Reference precarinal lymph node is unchanged measuring 13 x 12 mm on image 39 series 3. No other enlarged mediastinal or hilar lymph nodes identified. Calcified mediastinal and left components are unchanged, compatible with prior granulomatous disease. Moderate coronary artery calcifications and small RCA stent are noted. Mild cardiomegaly is similar in appearance to previous study. Nonspecific punctate sclerotic foci in the lateral right sixth and left fourth and eighth ribs are unchanged. Mild to moderate degenerative changes in the thoracic spine are again noted, with loss of height of T7 unchanged in appearance. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. [/RESP]</s>

. Scattered nonspecific micronodules in both lungs. The left lung base contains calcified granulomas. No new suspicious pulmonary nodules or opacities are identified. Mild biapical scarring and bibasilar dependent atelectasis. Reference precarinal lymph node measures 13 x 12 mm. No other enlarged mediastinal or hilar lymph nodes. Evidence of prior granulomatous disease is present, most likely related to left-sided surgery. Moderate coronary artery calcifications with small RCA stent. Mild cardiomegaly. Nonspecific punctate sclerotic foci at the lateral ribs, right greater than left. Mild to moderate degenerative changes of the thoracic spine. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'head': clinical findings_fin: 'nonenhanced head': 'clinical finding': 'nonenhanced head'anatomical entity_fin: 'right occipital lobe': clinical findings_fin: 'ischemic stroke old': 'clinical finding': 'ischemic stroke old', 'existence': 'pos_dx', 'descriptive_term': 'ischemic stroke', 'observation': 'old'anatomical entity_fin: 'cortex': clinical findings_fin: 'very minimal increased density': 'clinical finding': 'very minimal increased density', 'existence': 'pos_dx', 'descriptive_term': 'very minimal increased', 'observation': 'density', 'strength_term': 'minimal - increased', 'quantity_term': 'minimal', 'change_term': 'increased', 'stroke': 'clinical finding': 'stroke', 'existence': 'pos_dx', 'observation': 'stroke', 'minute petechial hemorrhage': 'clinical finding': 'minute petechial hemorrhage', 'existence': 'unc_dx', 'descriptive_term': 'minute petechial', 'observation': 'hemorrhage'location descriptor_fin: ['adjacent']clinical findings_fin: 'regional mass effect': 'clinical finding': 'regional mass effect', 'existence': 'pos_dx', 'descriptive_term': 'regional mass', 'observation': 'effect', 'effacement': 'clinical finding': 'effacement', 'existence': 'pos_dx', 'observation': 'effacement'clinical findings_fin: 'evidence of any new acute intracranial findings': 'clinical finding': 'evidence of any new acute intracranial findings'anatomical entity_fin: 'left lateral ventricle': location descriptor_fin: ['left']clinical findings_fin: 'ischemic strokes': 'clinical finding': 'ischemic strokes', 'existence': 'pos_dx', 'descriptive_term': 'ischemic', 'observation': 'stroke' [/INST] [RESP] Nonenhanced head. Subacute ischemic stroke old right occipital lobe is again noted. Very minimal increased density of the cortex in the region of stroke may represent minute petechial hemorrhage. There is regional mass effect and effacement of adjacent cortical sulci. No evidence of any new acute intracranial findings. Findings a small vessel ischemic strokes more extensively in the left hemisphere and with ex vacuo dilatation of left lateral ventricle remains all similar to prior study. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'head': clinical findings_fin: 'nonenhanced head': 'clinical finding': 'nonenhanced head'anatomical entity_fin: 'right occipital lobe': clinical findings_fin: 'ischemic stroke old': 'clinical finding': 'ischemic stroke old', 'existence': 'pos_dx', 'descriptive_term': 'ischemic stroke', 'observation': 'old'anatomical entity_fin: 'cortex': clinical findings_fin: 'very minimal increased density': 'clinical finding': 'very minimal increased density', 'existence': 'pos_dx', 'descriptive_term': 'very minimal increased', 'observation': 'density', 'strength_term': 'minimal - increased', 'quantity_term': 'minimal', 'change_term': 'increased', 'stroke': 'clinical finding': 'stroke', 'existence': 'pos_dx', 'observation': 'stroke', 'minute petechial hemorrhage': 'clinical finding': 'minute petechial hemorrhage', 'existence': 'unc_dx', 'descriptive_term': 'minute petechial', 'observation': 'hemorrhage'location descriptor_fin: ['adjacent']clinical findings_fin: 'regional mass effect': 'clinical finding': 'regional mass effect', 'existence': 'pos_dx', 'descriptive_term': 'regional mass', 'observation': 'effect', 'effacement': 'clinical finding': 'effacement', 'existence': 'pos_dx', 'observation': 'effacement'clinical findings_fin: 'evidence of any new acute intracranial findings': 'clinical finding': 'evidence of any new acute intracranial findings'anatomical entity_fin: 'left lateral ventricle': location descriptor_fin: ['left']clinical findings_fin: 'ischemic strokes': 'clinical finding': 'ischemic strokes', 'existence': 'pos_dx', 'descriptive_term': 'ischemic', 'observation': 'stroke' [/INST] [RESP]

Nonenhanced head. Subacute ischemic stroke old right occipital lobe is again noted. Very minimal increased density of the cortex in the region of stroke may represent minute petechial hemorrhage. There is regional mass effect and effacement of adjacent cortical sulci. No evidence of any new acute intracranial findings. Findings a small vessel ischemic strokes more extensively in the left hemisphere and with ex vacuo dilatation of left lateral ventricle remains all similar to prior study. [/RESP]</s>

Nonenhanced head. Ischemic stroke old in right occipital lobe with very minimal increased density in cortex and subcortical white matter, which is consistent with stroke. There are also areas of minute petechial hemorrhage within this region. There is regional mass effect and effacement of adjacent sulci. No evidence of any new acute intracranial findings. Ischemic strokes involving left frontoparietal and left temporal lobes as well as left lateral ventricle are again noted. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'floor': , 'mouth': location descriptor_fin: ['left']procedure_fin: ['treatment']clinical findings_fin: 'post-treatment changes': 'clinical finding': 'post-treatment changes', 'existence': 'pos_dx', 'descriptive_term': 'post-treatment', 'observation': 'change', 'left mandibulectomy': 'clinical finding': 'left mandibulectomy', 'existence': 'pos_dx', 'descriptive_term': 'left', 'observation': 'mandibulectomy', 'reconstruction': 'clinical finding': 'reconstruction', 'existence': 'pos_dx', 'observation': 'reconstruction'anatomical entity_fin: 'neck': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'left neck dermal lesion': 'clinical finding': 'left neck dermal lesion', 'existence': 'pos_dx', 'descriptive_term': 'left neck dermal', 'observation': 'lesion', 'increased glucose uptake': 'clinical finding': 'increased glucose uptake', 'existence': 'unc_dx', 'descriptive_term': 'increased glucose', 'observation': 'uptake', 'strength_term': 'increased', 'change_term': 'increased'clinical findings_fin: 'mild nodular thickening': 'clinical finding': 'mild nodular thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild nodular', 'observation': 'thickening', 'strength_term': 'mild'clinical findings_fin: 'scar tissue': 'clinical finding': 'scar tissue', 'existence': 'unc_dx', 'descriptive_term': 'scar', 'observation': 'tissue', 'small dermal metastasis': 'clinical finding': 'small dermal metastasis', 'existence': 'unc_dx', 'descriptive_term': 'small dermal', 'observation': 'metastasis', 'strength_term': 'small'anatomical entity_fin: 'floor': 'location descriptor': 'anterior', 'mouth': location descriptor_fin: ['anterior']clinical findings_fin: 'interval progression': 'clinical finding': 'interval progression', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'progression', 'mass': 'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'size_fin: ['size': '41-mm', 'size': '47 x 22 mm']anatomical entity_fin: 'axial plane': clinical findings_fin: 'this lesion': 'clinical finding': 'this lesion', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'lesion'anatomical entity_fin: 'mandible': clinical findings_fin: 'increased bony erosion': 'clinical finding': 'increased bony erosion', 'existence': 'pos_dx', 'descriptive_term': 'increased bony', 'observation': 'erosion', 'strength_term': 'increased', 'change_term': 'increased'size_fin: ['size': '10 mm', 'size_descriptor': 'node']location descriptor_fin: ['right']clinical findings_fin: 'prominent lymph node': 'clinical finding': 'prominent lymph node', 'existence': 'pos_dx', 'descriptive_term': 'prominent lymph', 'observation': 'node', 'strength_term': 'prominent', 'significant interval change': 'clinical finding': 'significant interval change', 'existence': 'neg_dx', 'descriptive_term': 'significant interval', 'observation': 'change'anatomical entity_fin: 'spine': , 'spinal canal': clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change', 'spinal canal and neuroforaminal stenosis': 'clinical finding': 'spinal canal and neuroforaminal stenosis', 'existence': 'pos_dx', 'descriptive_term': 'spinal canal and neuroforaminal', 'observation': 'stenosis'anatomical entity_fin: 'arteries': , 'vertebral arteries': clinical findings_fin: 'severe atherosclerotic changes': 'clinical finding': 'severe atherosclerotic changes', 'existence': 'pos_dx', 'descriptive_term': 'severe atherosclerotic', 'observation': 'change', 'strength_term': 'severe' [/INST] [RESP] Neck. Post-treatment changes at floor of mouth with left mandibulectomy and reconstruction are again noted. Since the prior PET study, the left neck dermal lesion demonstrating increased glucose uptake has been resected. More posteriorly, there is mild nodular thickening of the dermis. This can represent scar tissue, but small dermal metastasis cannot be excluded. There is interval progression of a mass involving the anterior floor of mouth, extending to the submental region. This lesion measures 41-mm craniocaudad, and 47 x 22 mm on axial plane. There is increased bony erosion involving the mandible. There is a prominent lymph node at the right tracheoesophageal groove, measuring 10 mm, demonstrating no significant interval change compared to prior CT of 2011. There are degenerative changes of cervical spine, with spinal canal and neuroforaminal stenosis. Severe atherosclerotic changes of carotid arteries and vertebral arteries are seen bilaterally. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'floor': , 'mouth': location descriptor_fin: ['left']procedure_fin: ['treatment']clinical findings_fin: 'post-treatment changes': 'clinical finding': 'post-treatment changes', 'existence': 'pos_dx', 'descriptive_term': 'post-treatment', 'observation': 'change', 'left mandibulectomy': 'clinical finding': 'left mandibulectomy', 'existence': 'pos_dx', 'descriptive_term': 'left', 'observation': 'mandibulectomy', 'reconstruction': 'clinical finding': 'reconstruction', 'existence': 'pos_dx', 'observation': 'reconstruction'anatomical entity_fin: 'neck': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'left neck dermal lesion': 'clinical finding': 'left neck dermal lesion', 'existence': 'pos_dx', 'descriptive_term': 'left neck dermal', 'observation': 'lesion', 'increased glucose uptake': 'clinical finding': 'increased glucose uptake', 'existence': 'unc_dx', 'descriptive_term': 'increased glucose', 'observation': 'uptake', 'strength_term': 'increased', 'change_term': 'increased'clinical findings_fin: 'mild nodular thickening': 'clinical finding': 'mild nodular thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild nodular', 'observation': 'thickening', 'strength_term': 'mild'clinical findings_fin: 'scar tissue': 'clinical finding': 'scar tissue', 'existence': 'unc_dx', 'descriptive_term': 'scar', 'observation': 'tissue', 'small dermal metastasis': 'clinical finding': 'small dermal metastasis', 'existence': 'unc_dx', 'descriptive_term': 'small dermal', 'observation': 'metastasis', 'strength_term': 'small'anatomical entity_fin: 'floor': 'location descriptor': 'anterior', 'mouth': location descriptor_fin: ['anterior']clinical findings_fin: 'interval progression': 'clinical finding': 'interval progression', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'progression', 'mass': 'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'size_fin: ['size': '41-mm', 'size': '47 x 22 mm']anatomical entity_fin: 'axial plane': clinical findings_fin: 'this lesion': 'clinical finding': 'this lesion', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'lesion'anatomical entity_fin: 'mandible': clinical findings_fin: 'increased bony erosion': 'clinical finding': 'increased bony erosion', 'existence': 'pos_dx', 'descriptive_term': 'increased bony', 'observation': 'erosion', 'strength_term': 'increased', 'change_term': 'increased'size_fin: ['size': '10 mm', 'size_descriptor': 'node']location descriptor_fin: ['right']clinical findings_fin: 'prominent lymph node': 'clinical finding': 'prominent lymph node', 'existence': 'pos_dx', 'descriptive_term': 'prominent lymph', 'observation': 'node', 'strength_term': 'prominent', 'significant interval change': 'clinical finding': 'significant interval change', 'existence': 'neg_dx', 'descriptive_term': 'significant interval', 'observation': 'change'anatomical entity_fin: 'spine': , 'spinal canal': clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change', 'spinal canal and neuroforaminal stenosis': 'clinical finding': 'spinal canal and neuroforaminal stenosis', 'existence': 'pos_dx', 'descriptive_term': 'spinal canal and neuroforaminal', 'observation': 'stenosis'anatomical entity_fin: 'arteries': , 'vertebral arteries': clinical findings_fin: 'severe atherosclerotic changes': 'clinical finding': 'severe atherosclerotic changes', 'existence': 'pos_dx', 'descriptive_term': 'severe atherosclerotic', 'observation': 'change', 'strength_term': 'severe' [/INST] [RESP]

Neck. Post-treatment changes at floor of mouth with left mandibulectomy and reconstruction are again noted. Since the prior PET study, the left neck dermal lesion demonstrating increased glucose uptake has been resected. More posteriorly, there is mild nodular thickening of the dermis. This can represent scar tissue, but small dermal metastasis cannot be excluded. There is interval progression of a mass involving the anterior floor of mouth, extending to the submental region. This lesion measures 41-mm craniocaudad, and 47 x 22 mm on axial plane. There is increased bony erosion involving the mandible. There is a prominent lymph node at the right tracheoesophageal groove, measuring 10 mm, demonstrating no significant interval change compared to prior CT of 2011. There are degenerative changes of cervical spine, with spinal canal and neuroforaminal stenosis. Severe atherosclerotic changes of carotid arteries and vertebral arteries are seen bilaterally. [/RESP]</s>

Post-treatment changes are seen in the left floor of mouth with reconstruction. The left neck dermal lesion is again noted with increased glucose uptake, which may be related to inflammation or tumor activity. Mild nodular thickening is also present within this region. Scar tissue is also identified along the surgical bed, which could represent small dermal metastases. Interval progression of anterior floor of mouth mass measuring approximately 41-mm in greatest dimension compared to 47 x 22 mm previously. This lesion measures approximately 38 mm axially by 56 mm coronal. Increased bony erosion is evident at the level of the mandible. A prominent right parotid gland is noted with a prominent lymph node measuring up to 10 mm in short axis, no significant interval change since prior examination. Degenerative changes affect the cervical spine with spinal canal and neuroforaminal stenosis. Severe atherosclerotic changes affect the carotid and vertebral arteries. [/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': 'pos_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolus'clinical findings_fin: 'pulmonary embolus': 'clinical finding': 'pulmonary embolus', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolus'anatomical entity_fin: 'pulmonary artery': , 'heart': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'right heart strain': 'clinical finding': 'right heart strain', 'existence': 'neg_dx', 'descriptive_term': 'right heart', 'observation': 'strain'location descriptor_fin: ['bilateral']clinical findings_fin: 'new mild bilateral dependent atelectasis': 'clinical finding': 'new mild bilateral dependent atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'new mild bilateral dependent', 'observation': 'atelectasis', 'strength_term': 'mild', 'temporal_term': 'new'clinical findings_fin: 'mild centrilobular emphysema': 'clinical finding': 'mild centrilobular emphysema', 'existence': 'pos_dx', 'descriptive_term': 'mild centrilobular', 'observation': 'emphysema', 'strength_term': 'mild'size_fin: ['size': '2.5 x 0.9 cm', 'size': '2.1 x 1.4 cm']clinical findings_fin: 'cardiophrenic lymph node': 'clinical finding': 'cardiophrenic lymph node', 'existence': 'pos_dx', 'descriptive_term': 'cardiophrenic lymph', 'observation': 'node'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'ascites': 'clinical finding': 'ascites', 'existence': 'pos_dx', 'observation': 'ascite'anatomical entity_fin: 'liver': clinical findings_fin: 'cirrhotic': 'clinical finding': 'cirrhotic', 'existence': 'pos_dx', 'observation': 'cirrhotic'anatomical entity_fin: 'liver': clinical findings_fin: 'heterogeneous hepatic masses': 'clinical finding': 'heterogeneous hepatic masses', 'existence': 'pos_dx', 'descriptive_term': 'heterogeneous hepatic', 'observation': 'mass', 'liver tumor': 'clinical finding': 'liver tumor', 'existence': 'pos_dx', 'descriptive_term': 'liver', 'observation': 'tumor' [/INST] [RESP] . This examination is adequate for the evaluation of pulmonary embolus. No pulmonary embolus is seen. The pulmonary artery diameter is within normal limits, and there is no evidence of right heart strain. New mild bilateral dependent atelectasis. Mild centrilobular emphysema. Cardiophrenic lymph node measures 2.5 x 0.9 cm , not significantly changed from 2.1 x 1.4 cm. No significant abnormality noted. Small amount of ascites. Cirrhotic morphology of the liver. Heterogeneous hepatic masses consistent with history of liver tumor. [/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': 'pos_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolus'clinical findings_fin: 'pulmonary embolus': 'clinical finding': 'pulmonary embolus', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolus'anatomical entity_fin: 'pulmonary artery': , 'heart': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'right heart strain': 'clinical finding': 'right heart strain', 'existence': 'neg_dx', 'descriptive_term': 'right heart', 'observation': 'strain'location descriptor_fin: ['bilateral']clinical findings_fin: 'new mild bilateral dependent atelectasis': 'clinical finding': 'new mild bilateral dependent atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'new mild bilateral dependent', 'observation': 'atelectasis', 'strength_term': 'mild', 'temporal_term': 'new'clinical findings_fin: 'mild centrilobular emphysema': 'clinical finding': 'mild centrilobular emphysema', 'existence': 'pos_dx', 'descriptive_term': 'mild centrilobular', 'observation': 'emphysema', 'strength_term': 'mild'size_fin: ['size': '2.5 x 0.9 cm', 'size': '2.1 x 1.4 cm']clinical findings_fin: 'cardiophrenic lymph node': 'clinical finding': 'cardiophrenic lymph node', 'existence': 'pos_dx', 'descriptive_term': 'cardiophrenic lymph', 'observation': 'node'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'ascites': 'clinical finding': 'ascites', 'existence': 'pos_dx', 'observation': 'ascite'anatomical entity_fin: 'liver': clinical findings_fin: 'cirrhotic': 'clinical finding': 'cirrhotic', 'existence': 'pos_dx', 'observation': 'cirrhotic'anatomical entity_fin: 'liver': clinical findings_fin: 'heterogeneous hepatic masses': 'clinical finding': 'heterogeneous hepatic masses', 'existence': 'pos_dx', 'descriptive_term': 'heterogeneous hepatic', 'observation': 'mass', 'liver tumor': 'clinical finding': 'liver tumor', 'existence': 'pos_dx', 'descriptive_term': 'liver', 'observation': 'tumor' [/INST] [RESP]

. This examination is adequate for the evaluation of pulmonary embolus. No pulmonary embolus is seen. The pulmonary artery diameter is within normal limits, and there is no evidence of right heart strain. New mild bilateral dependent atelectasis. Mild centrilobular emphysema. Cardiophrenic lymph node measures 2.5 x 0.9 cm , not significantly changed from 2.1 x 1.4 cm. No significant abnormality noted. Small amount of ascites. Cirrhotic morphology of the liver. Heterogeneous hepatic masses consistent with history of liver tumor. [/RESP]</s>

. Technically adequate examination with no evidence of pulmonary embolus. No pulmonary embolus is identified. The pulmonary arteries are normal in caliber and there is no evidence of right heart strain. There is new mild bilateral dependent atelectasis. Mild centrilobular emphysema. Cardiophrenic lymph node measures 2.5 x 0.9 cm, previously measured at 2.1 x 1.4 cm. No significant abnormality noted. Ascites. Cirrhotic liver. Heterogeneous hepatic masses compatible with liver tumors. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'emphysema': 'clinical finding': 'emphysema', 'existence': 'pos_dx', 'observation': 'emphysema'imaging observation_fin: ['apical']clinical findings_fin: 'apical scarring': 'clinical finding': 'apical scarring', 'existence': 'pos_dx', 'descriptive_term': 'apical', 'observation': 'scarr'clinical findings_fin: 'mild diffuse bronchial wall thickening': 'clinical finding': 'mild diffuse bronchial wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild diffuse bronchial wall', 'observation': 'thickening', 'strength_term': 'mild'clinical findings_fin: 'new pulmonary nodules': 'clinical finding': 'new pulmonary nodules', 'existence': 'neg_dx', 'descriptive_term': 'new pulmonary', 'observation': 'nodule', 'temporal_term': 'new'anatomical entity_fin: 'neck': clinical findings_fin: 'extensive postop change': 'clinical finding': 'extensive postop change', 'existence': 'pos_dx', 'descriptive_term': 'extensive postop', 'observation': 'change', 'strength_term': 'extensive'anatomical entity_fin: 'neck': clinical findings_fin: 'mild nonspecific esophageal thickening': 'clinical finding': 'mild nonspecific esophageal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild nonspecific esophageal', 'observation': 'thickening', 'strength_term': 'mild'anatomical entity_fin: 'mediastinal lymph nodes': clinical findings_fin: 'multiple nonspecific subcentimeter mediastinal lymph nodes': 'clinical finding': 'multiple nonspecific subcentimeter mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple nonspecific subcentimeter mediastinal lymph', 'observation': 'node', 'quantity_term': 'multiple'object_fin: ['tracheostomy tube']clinical findings_fin: 'minimal debris': 'clinical finding': 'minimal debris', 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'debris', 'strength_term': 'minimal', 'quantity_term': 'minimal', 'tracheostomy tube': 'clinical finding': 'tracheostomy tube', 'existence': 'pos_dx', 'descriptive_term': 'tracheostomy', 'observation': 'tube'anatomical entity_fin: 'apex': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'left apex scarring': 'clinical finding': 'left apex scarring', 'existence': 'pos_dx', 'descriptive_term': 'left apex', 'observation': 'scarr', 'calcification': 'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative change': 'clinical finding': 'degenerative change', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'scattered punctate hepatic hypodensities': 'clinical finding': 'scattered punctate hepatic hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'scattered punctate hepatic', 'observation': 'hypodensity'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'left kidney': clinical findings_fin: 'small presumed cyst': 'clinical finding': 'small presumed cyst', 'existence': 'pos_dx', 'descriptive_term': 'small presumed', 'observation': 'cyst', 'strength_term': 'small'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'aorta': clinical findings_fin: 'atherosclerotic calcification': 'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'clinical findings_fin: 'scattered small subcentimeter nodes': 'clinical finding': 'scattered small subcentimeter nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered small subcentimeter', 'observation': 'node', 'strength_term': 'small'clinical findings_fin: 'gi': 'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'anatomical entity_fin: 'stomach': object_fin: ['tube']anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative change': 'clinical finding': 'degenerative change', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Emphysema. Apical scarring. Mild diffuse bronchial wall thickening. No new pulmonary nodules. Extensive postop change involving the neck is unchanged. Please see dedicated neck CT report for further details. Mild nonspecific esophageal thickening is unchanged. Multiple nonspecific subcentimeter mediastinal lymph nodes are unchanged. Minimal debris is noted in the tracheostomy tube. Left apex scarring and calcification. Mild. Degenerative change involving spine. Absence of enteric contrast material limits sensitivity for abdominal pathology. Scattered punctate hepatic hypodensities are too small to characterize but stable and presumably benign. No significant abnormality noted. No significant abnormality noted. Small presumed cyst involving left kidney. No significant abnormality noted. Atherosclerotic calcification of the aorta and its branches. Scattered small subcentimeter nodes are unchanged. Absence of enteric contrast material limits sensitivity for GI pathology. G-tube tip in stomach. Degenerative change involving spine. No significant abnormality noted. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'emphysema': 'clinical finding': 'emphysema', 'existence': 'pos_dx', 'observation': 'emphysema'imaging observation_fin: ['apical']clinical findings_fin: 'apical scarring': 'clinical finding': 'apical scarring', 'existence': 'pos_dx', 'descriptive_term': 'apical', 'observation': 'scarr'clinical findings_fin: 'mild diffuse bronchial wall thickening': 'clinical finding': 'mild diffuse bronchial wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild diffuse bronchial wall', 'observation': 'thickening', 'strength_term': 'mild'clinical findings_fin: 'new pulmonary nodules': 'clinical finding': 'new pulmonary nodules', 'existence': 'neg_dx', 'descriptive_term': 'new pulmonary', 'observation': 'nodule', 'temporal_term': 'new'anatomical entity_fin: 'neck': clinical findings_fin: 'extensive postop change': 'clinical finding': 'extensive postop change', 'existence': 'pos_dx', 'descriptive_term': 'extensive postop', 'observation': 'change', 'strength_term': 'extensive'anatomical entity_fin: 'neck': clinical findings_fin: 'mild nonspecific esophageal thickening': 'clinical finding': 'mild nonspecific esophageal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild nonspecific esophageal', 'observation': 'thickening', 'strength_term': 'mild'anatomical entity_fin: 'mediastinal lymph nodes': clinical findings_fin: 'multiple nonspecific subcentimeter mediastinal lymph nodes': 'clinical finding': 'multiple nonspecific subcentimeter mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple nonspecific subcentimeter mediastinal lymph', 'observation': 'node', 'quantity_term': 'multiple'object_fin: ['tracheostomy tube']clinical findings_fin: 'minimal debris': 'clinical finding': 'minimal debris', 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'debris', 'strength_term': 'minimal', 'quantity_term': 'minimal', 'tracheostomy tube': 'clinical finding': 'tracheostomy tube', 'existence': 'pos_dx', 'descriptive_term': 'tracheostomy', 'observation': 'tube'anatomical entity_fin: 'apex': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'left apex scarring': 'clinical finding': 'left apex scarring', 'existence': 'pos_dx', 'descriptive_term': 'left apex', 'observation': 'scarr', 'calcification': 'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative change': 'clinical finding': 'degenerative change', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'scattered punctate hepatic hypodensities': 'clinical finding': 'scattered punctate hepatic hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'scattered punctate hepatic', 'observation': 'hypodensity'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'left kidney': clinical findings_fin: 'small presumed cyst': 'clinical finding': 'small presumed cyst', 'existence': 'pos_dx', 'descriptive_term': 'small presumed', 'observation': 'cyst', 'strength_term': 'small'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'aorta': clinical findings_fin: 'atherosclerotic calcification': 'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'clinical findings_fin: 'scattered small subcentimeter nodes': 'clinical finding': 'scattered small subcentimeter nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered small subcentimeter', 'observation': 'node', 'strength_term': 'small'clinical findings_fin: 'gi': 'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'anatomical entity_fin: 'stomach': object_fin: ['tube']anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative change': 'clinical finding': 'degenerative change', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP]

. Emphysema. Apical scarring. Mild diffuse bronchial wall thickening. No new pulmonary nodules. Extensive postop change involving the neck is unchanged. Please see dedicated neck CT report for further details. Mild nonspecific esophageal thickening is unchanged. Multiple nonspecific subcentimeter mediastinal lymph nodes are unchanged. Minimal debris is noted in the tracheostomy tube. Left apex scarring and calcification. Mild. Degenerative change involving spine. Absence of enteric contrast material limits sensitivity for abdominal pathology. Scattered punctate hepatic hypodensities are too small to characterize but stable and presumably benign. No significant abnormality noted. No significant abnormality noted. Small presumed cyst involving left kidney. No significant abnormality noted. Atherosclerotic calcification of the aorta and its branches. Scattered small subcentimeter nodes are unchanged. Absence of enteric contrast material limits sensitivity for GI pathology. G-tube tip in stomach. Degenerative change involving spine. No significant abnormality noted. [/RESP]</s>

. Emphysema.[/RESP]. Apical scarring. Mild diffuse bronchial wall thickening. No new pulmonary nodules. Extensive postop change in the neck. Mild nonspecific esophageal thickening. Multiple nonspecific subcentimeter mediastinal lymph nodes. Minimal debris around tracheostomy tube. Left apex scarring and calcification. Degenerative change of the thoracolumbar spine. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Scattered punctate hepatic hypodensities, some of which are calcified. No significant abnormality noted. Small presumed cyst within left kidney. No significant abnormality noted. Atherosclerotic calcification of the aorta and its branches. Scattered small subcentimeter nodes. Unremarkable. CT ENHANCED GI TRACT [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['right']clinical findings_fin: 'moderate-sized right pleural effusion': 'clinical finding': 'moderate-sized right pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'moderate-sized right pleural', 'observation': 'effusion', 'strength_term': 'moderate-sized'anatomical entity_fin: 'right lung': clinical findings_fin: 'consolidation': 'clinical finding': 'consolidation', 'existence': 'pos_dx', 'observation': 'consolidation', 'ground glass opacities': 'clinical finding': 'ground glass opacities', 'existence': 'pos_dx', 'descriptive_term': 'ground glass', 'observation': 'opacity', 'septal thickening': 'clinical finding': 'septal thickening', 'existence': 'pos_dx', 'descriptive_term': 'septal', 'observation': 'thickening', 'edema': 'clinical finding': 'edema', 'existence': 'pos_dx', 'observation': 'edema', 'lymphatic obstruction': 'clinical finding': 'lymphatic obstruction', 'existence': 'unc_dx', 'descriptive_term': 'lymphatic', 'observation': 'obstruction'anatomical entity_fin: 'lobe': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'left pleural effusion': 'clinical finding': 'left pleural effusion', 'existence': 'neg_dx', 'descriptive_term': 'left pleural', 'observation': 'effusion', 'left upper lobe groundglass opacities': 'clinical finding': 'left upper lobe groundglass opacities', 'existence': 'neg_dx', 'descriptive_term': 'left upper lobe groundglass', 'observation': 'opacity'anatomical entity_fin: 'right lung': , 'base': object_fin: ['catheter']clinical findings_fin: 'pleural catheter identified at the right lung base , with its tip': 'clinical finding': 'pleural catheter identified at the right lung base , with its tip'anatomical entity_fin: 'middle': 'location descriptor': 'right', 'lobe': location descriptor_fin: ['right']clinical findings_fin: 'middle lobe atelectasis': 'clinical finding': 'middle lobe atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'middle lobe', 'observation': 'atelectasis', 'associated mass': 'clinical finding': 'associated mass', 'existence': 'pos_dx', 'descriptive_term': 'associated', 'observation': 'mass'size_fin: ['size': '36 mm x 27 mm', 'size': '37 mm x 26 mm']anatomical entity_fin: 'hilum': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'large mass': 'clinical finding': 'large mass', 'existence': 'pos_dx', 'descriptive_term': 'large', 'observation': 'mass', 'strength_term': 'large'anatomical entity_fin: 'pulmonary veins': clinical findings_fin: 'compression': 'clinical finding': 'compression', 'existence': 'pos_dx', 'observation': 'compression', 'svc': 'clinical finding': 'svc', 'existence': 'pos_dx', 'observation': 'svc', 'obstruction': 'clinical finding': 'obstruction', 'existence': 'pos_dx', 'observation': 'obstruction'clinical findings_fin: 'minimal pericardial effusion': 'clinical finding': 'minimal pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'minimal pericardial', 'observation': 'effusion', 'strength_term': 'minimal', 'quantity_term': 'minimal'anatomical entity_fin: 'vertebrae': clinical findings_fin: 'fusion': 'clinical finding': 'fusion', 'existence': 'pos_dx', 'observation': 'fusion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'object_fin: ['tube']procedure_fin: ['gastrostomy']clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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] . Moderate-sized right pleural effusion has decreased in size compared to the prior exam. Again noted are multiple areas of consolidation and ground glass opacities in the right lung with septal thickening compatible with edema and or or lymphatic obstruction. Left pleural effusion has resolved and left upper lobe groundglass opacities have improved. Pleural catheter identified at the right lung base, with its tip directed medially. Right middle lobe atelectasis and associated mass is unchanged. Large mass surrounding the right hilum and extending into the intra-atrial septum has not significantly changed measuring 36 mm x 27 mm, previously, measuring 37 mm x 26 mm. Again noted is compression of the atrium and SVC with obstruction of the pulmonary veins. There is minimal pericardial effusion. Fusion of T11 and T12 vertebrae as previously described. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Gastrostomy tube in place. 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: location descriptor_fin: ['right']clinical findings_fin: 'moderate-sized right pleural effusion': 'clinical finding': 'moderate-sized right pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'moderate-sized right pleural', 'observation': 'effusion', 'strength_term': 'moderate-sized'anatomical entity_fin: 'right lung': clinical findings_fin: 'consolidation': 'clinical finding': 'consolidation', 'existence': 'pos_dx', 'observation': 'consolidation', 'ground glass opacities': 'clinical finding': 'ground glass opacities', 'existence': 'pos_dx', 'descriptive_term': 'ground glass', 'observation': 'opacity', 'septal thickening': 'clinical finding': 'septal thickening', 'existence': 'pos_dx', 'descriptive_term': 'septal', 'observation': 'thickening', 'edema': 'clinical finding': 'edema', 'existence': 'pos_dx', 'observation': 'edema', 'lymphatic obstruction': 'clinical finding': 'lymphatic obstruction', 'existence': 'unc_dx', 'descriptive_term': 'lymphatic', 'observation': 'obstruction'anatomical entity_fin: 'lobe': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'left pleural effusion': 'clinical finding': 'left pleural effusion', 'existence': 'neg_dx', 'descriptive_term': 'left pleural', 'observation': 'effusion', 'left upper lobe groundglass opacities': 'clinical finding': 'left upper lobe groundglass opacities', 'existence': 'neg_dx', 'descriptive_term': 'left upper lobe groundglass', 'observation': 'opacity'anatomical entity_fin: 'right lung': , 'base': object_fin: ['catheter']clinical findings_fin: 'pleural catheter identified at the right lung base , with its tip': 'clinical finding': 'pleural catheter identified at the right lung base , with its tip'anatomical entity_fin: 'middle': 'location descriptor': 'right', 'lobe': location descriptor_fin: ['right']clinical findings_fin: 'middle lobe atelectasis': 'clinical finding': 'middle lobe atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'middle lobe', 'observation': 'atelectasis', 'associated mass': 'clinical finding': 'associated mass', 'existence': 'pos_dx', 'descriptive_term': 'associated', 'observation': 'mass'size_fin: ['size': '36 mm x 27 mm', 'size': '37 mm x 26 mm']anatomical entity_fin: 'hilum': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'large mass': 'clinical finding': 'large mass', 'existence': 'pos_dx', 'descriptive_term': 'large', 'observation': 'mass', 'strength_term': 'large'anatomical entity_fin: 'pulmonary veins': clinical findings_fin: 'compression': 'clinical finding': 'compression', 'existence': 'pos_dx', 'observation': 'compression', 'svc': 'clinical finding': 'svc', 'existence': 'pos_dx', 'observation': 'svc', 'obstruction': 'clinical finding': 'obstruction', 'existence': 'pos_dx', 'observation': 'obstruction'clinical findings_fin: 'minimal pericardial effusion': 'clinical finding': 'minimal pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'minimal pericardial', 'observation': 'effusion', 'strength_term': 'minimal', 'quantity_term': 'minimal'anatomical entity_fin: 'vertebrae': clinical findings_fin: 'fusion': 'clinical finding': 'fusion', 'existence': 'pos_dx', 'observation': 'fusion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'object_fin: ['tube']procedure_fin: ['gastrostomy']clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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]

. Moderate-sized right pleural effusion has decreased in size compared to the prior exam. Again noted are multiple areas of consolidation and ground glass opacities in the right lung with septal thickening compatible with edema and or or lymphatic obstruction. Left pleural effusion has resolved and left upper lobe groundglass opacities have improved. Pleural catheter identified at the right lung base, with its tip directed medially. Right middle lobe atelectasis and associated mass is unchanged. Large mass surrounding the right hilum and extending into the intra-atrial septum has not significantly changed measuring 36 mm x 27 mm, previously, measuring 37 mm x 26 mm. Again noted is compression of the atrium and SVC with obstruction of the pulmonary veins. There is minimal pericardial effusion. Fusion of T11 and T12 vertebrae as previously described. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Gastrostomy tube in place. No significant abnormality noted. No significant abnormality noted [/RESP]</s>

. Moderate-sized right pleural effusion.[/RESP]. Consolidation and ground glass opacities in the right lung, septal thickening, edema, and lymphatic obstruction. Left pleural effusion without left upper lobe groundglass opacities. Pleural catheter identified at the right lung base, with its tip terminating within the right middle lobe. Large mass in the right hilar region measuring up to 36 mm x 27 mm previously measured 37 mm x 26 mm. Compression of pulmonary veins and SVC as well as obstruction of the main pulmonary artery. Minimal pericardial effusion. Vertebral fusion. 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: artifact_fin: ['motion artifact']clinical findings_fin: 'poor opacification': 'clinical finding': 'poor opacification', 'existence': 'pos_dx', 'descriptive_term': 'poor', 'observation': 'opacification', 'motion artifact': 'clinical finding': 'motion artifact', 'existence': 'pos_dx', 'descriptive_term': 'motion', 'observation': 'artifact'anatomical entity_fin: 'main pulmonary artery': location descriptor_fin: ['central']clinical findings_fin: 'large, central or main pulmonary artery embolus': 'clinical finding': 'large, central or main pulmonary artery embolus', 'existence': 'neg_dx', 'descriptive_term': 'large central or main pulmonary artery', 'observation': 'embolus', 'strength_term': 'large'anatomical entity_fin: 'pulmonary artery': clinical findings_fin: 'pulmonary': 'clinical finding': 'pulmonary', 'existence': 'pos_dx', 'observation': 'pulmonary', 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged', 'pulmonary arterial hypertension': 'clinical finding': 'pulmonary arterial hypertension', 'existence': 'unc_dx', 'descriptive_term': 'pulmonary arterial', 'observation': 'hypertension'clinical findings_fin: 'bibasilar atelectasis': 'clinical finding': 'bibasilar atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'bibasilar', 'observation': 'atelectasis'artifact_fin: ['motion artifact']clinical findings_fin: 'motion artifact': 'clinical finding': 'motion artifact', 'existence': 'pos_dx', 'descriptive_term': 'motion', 'observation': 'artifact'location descriptor_fin: ['right']clinical findings_fin: 'right thyroid nodule': 'clinical finding': 'right thyroid nodule', 'existence': 'pos_dx', 'descriptive_term': 'right thyroid', 'observation': 'nodule'anatomical entity_fin: 'chest wall': , 'body': anatomical entity_fin: 'kidneys': clinical findings_fin: 'atrophic kidneys': 'clinical finding': 'atrophic kidneys', 'change_term': 'atrophic'clinical findings_fin: 'low density': 'clinical finding': 'low density', 'existence': 'pos_dx', 'descriptive_term': 'low', 'observation': 'density' [/INST] [RESP] . Exam is limited by poor opacification and motion artifact. Within this limitation, no large, central or main pulmonary artery embolus is seen. The pulmonary artery is enlarged, suggesting pulmonary arterial hypertension. Bibasilar atelectasis. Otherwise, normal within limitation of motion artifact. Cardiomegaly. Right thyroid nodule. Part of the chest wall is out of the field of view due to large body habitus. Atrophic kidneys. Low density in. Spleen is incompletely visualized on this study. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: artifact_fin: ['motion artifact']clinical findings_fin: 'poor opacification': 'clinical finding': 'poor opacification', 'existence': 'pos_dx', 'descriptive_term': 'poor', 'observation': 'opacification', 'motion artifact': 'clinical finding': 'motion artifact', 'existence': 'pos_dx', 'descriptive_term': 'motion', 'observation': 'artifact'anatomical entity_fin: 'main pulmonary artery': location descriptor_fin: ['central']clinical findings_fin: 'large, central or main pulmonary artery embolus': 'clinical finding': 'large, central or main pulmonary artery embolus', 'existence': 'neg_dx', 'descriptive_term': 'large central or main pulmonary artery', 'observation': 'embolus', 'strength_term': 'large'anatomical entity_fin: 'pulmonary artery': clinical findings_fin: 'pulmonary': 'clinical finding': 'pulmonary', 'existence': 'pos_dx', 'observation': 'pulmonary', 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged', 'pulmonary arterial hypertension': 'clinical finding': 'pulmonary arterial hypertension', 'existence': 'unc_dx', 'descriptive_term': 'pulmonary arterial', 'observation': 'hypertension'clinical findings_fin: 'bibasilar atelectasis': 'clinical finding': 'bibasilar atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'bibasilar', 'observation': 'atelectasis'artifact_fin: ['motion artifact']clinical findings_fin: 'motion artifact': 'clinical finding': 'motion artifact', 'existence': 'pos_dx', 'descriptive_term': 'motion', 'observation': 'artifact'location descriptor_fin: ['right']clinical findings_fin: 'right thyroid nodule': 'clinical finding': 'right thyroid nodule', 'existence': 'pos_dx', 'descriptive_term': 'right thyroid', 'observation': 'nodule'anatomical entity_fin: 'chest wall': , 'body': anatomical entity_fin: 'kidneys': clinical findings_fin: 'atrophic kidneys': 'clinical finding': 'atrophic kidneys', 'change_term': 'atrophic'clinical findings_fin: 'low density': 'clinical finding': 'low density', 'existence': 'pos_dx', 'descriptive_term': 'low', 'observation': 'density' [/INST] [RESP]

. Exam is limited by poor opacification and motion artifact. Within this limitation, no large, central or main pulmonary artery embolus is seen. The pulmonary artery is enlarged, suggesting pulmonary arterial hypertension. Bibasilar atelectasis. Otherwise, normal within limitation of motion artifact. Cardiomegaly. Right thyroid nodule. Part of the chest wall is out of the field of view due to large body habitus. Atrophic kidneys. Low density in. Spleen is incompletely visualized on this study. [/RESP]</s>

. Poor opacification due to motion artifact. . No large, central or main pulmonary artery embolus is seen. The pulmonary artery diameter is enlarged and consistent with pulmonary arterial hypertension. Bibasilar atelectasis. Motion artifact limits evaluation of the lung parenchyma. Right thyroid nodule. Chest wall thickening. Atrophic kidneys. Low density in the renal pelvis. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'upper'location descriptor_fin: ['bilateral', 'centrilobular', 'upper']clinical findings_fin: 'diffuse bilateral centrilobular nodularity': 'clinical finding': 'diffuse bilateral centrilobular nodularity', 'existence': 'pos_dx', 'descriptive_term': 'diffuse bilateral centrilobular', 'observation': 'nodularity', 'interstitial lung disease': 'clinical finding': 'interstitial lung disease', 'existence': 'unc_dx', 'descriptive_term': 'interstitial lung', 'observation': 'disease', 'hypersensitivity pneumonitis': 'clinical finding': 'hypersensitivity pneumonitis', 'existence': 'unc_dx', 'descriptive_term': 'hypersensitivity', 'observation': 'pneumonitis', 'respiratory bronchiolitis': 'clinical finding': 'respiratory bronchiolitis', 'existence': 'unc_dx', 'descriptive_term': 'respiratory', 'observation': 'bronchiolitis'anatomical entity_fin: 'lobe': 'location descriptor': 'lower'location descriptor_fin: ['right', 'upper', 'lower']clinical findings_fin: 'more focal right upper and lower lobe nodular opacities': 'clinical finding': 'more focal right upper and lower lobe nodular opacities', 'existence': 'pos_dx', 'descriptive_term': 'more focal right upper and lower lobe nodular', 'observation': 'opacity', 'quantity_term': 'more', 'bronchiectasis': 'clinical finding': 'bronchiectasis', 'existence': 'pos_dx', 'observation': 'bronchiectasis', 'post-infectious or bronchiolar plugging': 'clinical finding': 'post-infectious or bronchiolar plugging', 'existence': 'unc_dx', 'descriptive_term': 'post-infectious or bronchiolar', 'observation': 'plugging'size_fin: ['size': '4 mm', 'size_descriptor': 'micronodules']location descriptor_fin: ['bilateral']clinical findings_fin: 'scattered bilateral micronodules': 'clinical finding': 'scattered bilateral micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered bilateral', 'observation': 'micronodule'anatomical entity_fin: 'aorta': clinical findings_fin: 'calcified tortuous': 'clinical finding': 'calcified tortuous', 'existence': 'pos_dx', 'descriptive_term': 'calcified', 'observation': 'tortuous', 'change_term': 'calcified'clinical findings_fin: 'coronary artery calcifications': 'clinical finding': 'coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'coronary artery', 'observation': 'calcification'anatomical entity_fin: 'heart': clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'clinical findings_fin: 'significant lymphadenopathy': 'clinical finding': 'significant lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change', 'focal osseous lesion': 'clinical finding': 'focal osseous lesion', 'existence': 'pos_dx', 'descriptive_term': 'focal osseous', 'observation': 'lesion'anatomical entity_fin: 'abdomen': , 'pelvis': , 'common bile duct': location descriptor_fin: ['left']clinical findings_fin: 'partially visualized predominantly left-sided pneumobilia': 'clinical finding': 'partially visualized predominantly left-sided pneumobilia', 'existence': 'pos_dx', 'descriptive_term': 'partially visualized predominantly left-sided', 'observation': 'pneumobilia', 'strength_term': 'partially', 'common bile duct stones': 'clinical finding': 'common bile duct stones', 'existence': 'unc_dx', 'descriptive_term': 'common bile duct', 'observation': 'stone' [/INST] [RESP] . Diffuse bilateral centrilobular nodularity, upper lobe predominant, may be due to interstitial lung disease such as hypersensitivity pneumonitis or respiratory bronchiolitis. More focal right upper and lower lobe nodular opacities and bronchiectasis are nonspecific, but may be due to post-infectious or bronchiolar plugging in etiology. Correlation with clinical history should be obtained. Scattered bilateral micronodules, measuring up to 4 mm are nonspecific. Calcified tortuous aorta. Coronary artery calcifications. Heart size normal without pericardial effusion. No significant lymphadenopathy. Degenerative changes in the spine without focal osseous lesion. Partially visualized predominantly left-sided pneumobilia shown on prior abdomen and pelvis CT to be due to intervention for common bile duct stones. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'upper'location descriptor_fin: ['bilateral', 'centrilobular', 'upper']clinical findings_fin: 'diffuse bilateral centrilobular nodularity': 'clinical finding': 'diffuse bilateral centrilobular nodularity', 'existence': 'pos_dx', 'descriptive_term': 'diffuse bilateral centrilobular', 'observation': 'nodularity', 'interstitial lung disease': 'clinical finding': 'interstitial lung disease', 'existence': 'unc_dx', 'descriptive_term': 'interstitial lung', 'observation': 'disease', 'hypersensitivity pneumonitis': 'clinical finding': 'hypersensitivity pneumonitis', 'existence': 'unc_dx', 'descriptive_term': 'hypersensitivity', 'observation': 'pneumonitis', 'respiratory bronchiolitis': 'clinical finding': 'respiratory bronchiolitis', 'existence': 'unc_dx', 'descriptive_term': 'respiratory', 'observation': 'bronchiolitis'anatomical entity_fin: 'lobe': 'location descriptor': 'lower'location descriptor_fin: ['right', 'upper', 'lower']clinical findings_fin: 'more focal right upper and lower lobe nodular opacities': 'clinical finding': 'more focal right upper and lower lobe nodular opacities', 'existence': 'pos_dx', 'descriptive_term': 'more focal right upper and lower lobe nodular', 'observation': 'opacity', 'quantity_term': 'more', 'bronchiectasis': 'clinical finding': 'bronchiectasis', 'existence': 'pos_dx', 'observation': 'bronchiectasis', 'post-infectious or bronchiolar plugging': 'clinical finding': 'post-infectious or bronchiolar plugging', 'existence': 'unc_dx', 'descriptive_term': 'post-infectious or bronchiolar', 'observation': 'plugging'size_fin: ['size': '4 mm', 'size_descriptor': 'micronodules']location descriptor_fin: ['bilateral']clinical findings_fin: 'scattered bilateral micronodules': 'clinical finding': 'scattered bilateral micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered bilateral', 'observation': 'micronodule'anatomical entity_fin: 'aorta': clinical findings_fin: 'calcified tortuous': 'clinical finding': 'calcified tortuous', 'existence': 'pos_dx', 'descriptive_term': 'calcified', 'observation': 'tortuous', 'change_term': 'calcified'clinical findings_fin: 'coronary artery calcifications': 'clinical finding': 'coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'coronary artery', 'observation': 'calcification'anatomical entity_fin: 'heart': clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'clinical findings_fin: 'significant lymphadenopathy': 'clinical finding': 'significant lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change', 'focal osseous lesion': 'clinical finding': 'focal osseous lesion', 'existence': 'pos_dx', 'descriptive_term': 'focal osseous', 'observation': 'lesion'anatomical entity_fin: 'abdomen': , 'pelvis': , 'common bile duct': location descriptor_fin: ['left']clinical findings_fin: 'partially visualized predominantly left-sided pneumobilia': 'clinical finding': 'partially visualized predominantly left-sided pneumobilia', 'existence': 'pos_dx', 'descriptive_term': 'partially visualized predominantly left-sided', 'observation': 'pneumobilia', 'strength_term': 'partially', 'common bile duct stones': 'clinical finding': 'common bile duct stones', 'existence': 'unc_dx', 'descriptive_term': 'common bile duct', 'observation': 'stone' [/INST] [RESP]

. Diffuse bilateral centrilobular nodularity, upper lobe predominant, may be due to interstitial lung disease such as hypersensitivity pneumonitis or respiratory bronchiolitis. More focal right upper and lower lobe nodular opacities and bronchiectasis are nonspecific, but may be due to post-infectious or bronchiolar plugging in etiology. Correlation with clinical history should be obtained. Scattered bilateral micronodules, measuring up to 4 mm are nonspecific. Calcified tortuous aorta. Coronary artery calcifications. Heart size normal without pericardial effusion. No significant lymphadenopathy. Degenerative changes in the spine without focal osseous lesion. Partially visualized predominantly left-sided pneumobilia shown on prior abdomen and pelvis CT to be due to intervention for common bile duct stones. [/RESP]</s>

. Diffuse bilateral centrilobular nodularity in the upper lobes compatible with interstitial lung disease, hypersensitivity pneumonitis or respiratory bronchiolitis.[/RESP]. More focal right upper and lower lobe nodular opacities with bronchiectasis suggest post-infectious or bronchiolar plugging. Scattered bilateral micronodules measuring up to 4 mm. Calcified tortuous aorta. Coronary artery calcifications. Heart size is normal without pericardial effusion. No significant lymphadenopathy. Degenerative changes of the spine with focal osseous lesions. Partially visualized predominantly left-sided pneumobilia with common bile duct stones. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: 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'clinical findings_fin: 'mild multilevel degenerative spondylosis': 'clinical finding': 'mild multilevel degenerative spondylosis', 'existence': 'pos_dx', 'descriptive_term': 'mild multilevel degenerative', 'observation': 'spondylosis', 'strength_term': 'mild'anatomical entity_fin: 'airways': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'clinical findings_fin: 'imaged intracranial structures are unremarkable': 'clinical finding': 'imaged intracranial structures are unremarkable'anatomical entity_fin: 'lungs': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'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'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'clinical findings_fin: 'ventricles and basal cisterns are normal in size and configuration': 'clinical finding': 'ventricles and basal cisterns are normal in size and configuration'location descriptor_fin: ['midline']clinical findings_fin: 'herniation': 'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'anatomical entity_fin: 'orbits': clinical findings_fin: 'orbits are grossly unremarkable': 'clinical finding': 'orbits are grossly unremarkable'anatomical entity_fin: 'paranasal sinus': clinical findings_fin: 'minimal scattered paranasal sinus mucosal thickening': 'clinical finding': 'minimal scattered paranasal sinus mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'minimal scattered paranasal sinus mucosal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal'size_fin: ['size': '10 mm', 'size_descriptor': 'lipoma']location descriptor_fin: ['left']clinical findings_fin: 'left occipital subgaleal lipoma': 'clinical finding': 'left occipital subgaleal lipoma', 'existence': 'pos_dx', 'descriptive_term': 'left occipital subgaleal', 'observation': 'lipoma' [/INST] [RESP] . 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 mild multilevel degenerative spondylosis. The airways are patent. The imaged intracranial structures are unremarkable. The imaged portions of the lungs are clear. There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The orbits are grossly unremarkable. There is minimal scattered paranasal sinus mucosal thickening. There is a left occipital subgaleal lipoma that measures up to 10 mm in width. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: 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'clinical findings_fin: 'mild multilevel degenerative spondylosis': 'clinical finding': 'mild multilevel degenerative spondylosis', 'existence': 'pos_dx', 'descriptive_term': 'mild multilevel degenerative', 'observation': 'spondylosis', 'strength_term': 'mild'anatomical entity_fin: 'airways': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'clinical findings_fin: 'imaged intracranial structures are unremarkable': 'clinical finding': 'imaged intracranial structures are unremarkable'anatomical entity_fin: 'lungs': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'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'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'clinical findings_fin: 'ventricles and basal cisterns are normal in size and configuration': 'clinical finding': 'ventricles and basal cisterns are normal in size and configuration'location descriptor_fin: ['midline']clinical findings_fin: 'herniation': 'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'anatomical entity_fin: 'orbits': clinical findings_fin: 'orbits are grossly unremarkable': 'clinical finding': 'orbits are grossly unremarkable'anatomical entity_fin: 'paranasal sinus': clinical findings_fin: 'minimal scattered paranasal sinus mucosal thickening': 'clinical finding': 'minimal scattered paranasal sinus mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'minimal scattered paranasal sinus mucosal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal'size_fin: ['size': '10 mm', 'size_descriptor': 'lipoma']location descriptor_fin: ['left']clinical findings_fin: 'left occipital subgaleal lipoma': 'clinical finding': 'left occipital subgaleal lipoma', 'existence': 'pos_dx', 'descriptive_term': 'left occipital subgaleal', 'observation': 'lipoma' [/INST] [RESP]

. 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 mild multilevel degenerative spondylosis. The airways are patent. The imaged intracranial structures are unremarkable. The imaged portions of the lungs are clear. There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The orbits are grossly unremarkable. There is minimal scattered paranasal sinus mucosal thickening. There is a left occipital subgaleal lipoma that measures up to 10 mm in width. [/RESP]</s>

. No measurable mass lesions or significant cervical lymphadenopathy. The thyroid and major salivary glands are unchanged. Mild multilevel degenerative spondylosis is present. The airways are patent. The imaged intracranial structures are unremarkable. The imaged portions of the lungs are clear. There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The orbits are grossly unremarkable. Minimal scattered paranasal sinus mucosal thickening is noted. A left occipital subgaleal lipoma measures 10 mm. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '7 mm', 'size': '7 mm']imaging observation_fin: ['apical']location descriptor_fin: ['right']clinical findings_fin: 'reference right apical nodule': 'clinical finding': 'reference right apical nodule', 'existence': 'pos_dx', 'descriptive_term': 'reference right apical', 'observation': 'nodule'anatomical entity_fin: 'apex': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'punctate nodule': 'clinical finding': 'punctate nodule', 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'nodule'anatomical entity_fin: 'lobe': 'location descriptor': 'right upper', 'wall': 'location descriptor': 'medial'location descriptor_fin: ['right', 'upper', 'medial']clinical findings_fin: 'cystic lesion': 'clinical finding': 'cystic lesion', 'existence': 'pos_dx', 'descriptive_term': 'cystic', 'observation': 'lesion', 'thickened': 'clinical finding': 'thickened', 'existence': 'pos_dx', 'observation': 'thickened'clinical findings_fin: 'metastatic lesion': 'clinical finding': 'metastatic lesion', 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'lesion'clinical findings_fin: 'new suspicious nodules': 'clinical finding': 'new suspicious nodules', 'existence': 'neg_dx', 'descriptive_term': 'new suspicious', 'observation': 'nodule', 'temporal_term': 'new'clinical findings_fin: 'significant mediastinal lymphadenopathy': 'clinical finding': 'significant mediastinal lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant mediastinal', 'observation': 'lymphadenopathy'anatomical entity_fin: 'heart': clinical findings_fin: 'heart size normal': 'clinical finding': 'heart size normal'clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'anatomical entity_fin: 'thoracic aorta': clinical findings_fin: 'atherosclerotic calcifications of thoracic aorta': 'clinical finding': 'atherosclerotic calcifications of thoracic aorta', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic calcifications of thoracic', 'observation': 'aorta'clinical findings_fin: 'significant normality': 'clinical finding': 'significant normality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'normality'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '2.3 cm', 'size': '2.2 cm']location descriptor_fin: ['left']clinical findings_fin: 'left adrenal nodule': 'clinical finding': 'left adrenal nodule', 'existence': 'pos_dx', 'descriptive_term': 'left adrenal', 'observation': 'nodule'anatomical entity_fin: 'right kidney': clinical findings_fin: 'subcentimeter hypodense focus': 'clinical finding': 'subcentimeter hypodense focus', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter hypodense', 'observation': 'focus', 'unchanged': 'clinical finding': 'unchanged', 'existence': 'pos_dx', 'observation': 'unchanged', 'benign cyst': 'clinical finding': 'benign cyst', '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: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast', 'gi': 'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'clinical findings_fin: 'gross abnormalities': 'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Reference right apical nodule measures 7 mm, previously measured 7 mm. Punctate nodule in right apex appears unchanged compared to prior exam but decreased in size compared to 2/15/2011. Cystic lesion in right upper lobe with thickened medial wall appears slightly increased compared to prior exams. This could potentially represent a metastatic lesion. No new suspicious nodules. No significant mediastinal lymphadenopathy. Heart size normal. No pericardial effusion. Mild atherosclerotic calcifications of thoracic aorta. No significant normality. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. No significant abnormality noted. Left adrenal nodule not significantly changed, measuring 2.3 cm, previously measured 2.2 cm. This was previously shown not to be FDG avid. Subcentimeter hypodense focus in right kidney unchanged, most consistent with benign cyst. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for GI pathology. No gross abnormalities 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: size_fin: ['size': '7 mm', 'size': '7 mm']imaging observation_fin: ['apical']location descriptor_fin: ['right']clinical findings_fin: 'reference right apical nodule': 'clinical finding': 'reference right apical nodule', 'existence': 'pos_dx', 'descriptive_term': 'reference right apical', 'observation': 'nodule'anatomical entity_fin: 'apex': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'punctate nodule': 'clinical finding': 'punctate nodule', 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'nodule'anatomical entity_fin: 'lobe': 'location descriptor': 'right upper', 'wall': 'location descriptor': 'medial'location descriptor_fin: ['right', 'upper', 'medial']clinical findings_fin: 'cystic lesion': 'clinical finding': 'cystic lesion', 'existence': 'pos_dx', 'descriptive_term': 'cystic', 'observation': 'lesion', 'thickened': 'clinical finding': 'thickened', 'existence': 'pos_dx', 'observation': 'thickened'clinical findings_fin: 'metastatic lesion': 'clinical finding': 'metastatic lesion', 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'lesion'clinical findings_fin: 'new suspicious nodules': 'clinical finding': 'new suspicious nodules', 'existence': 'neg_dx', 'descriptive_term': 'new suspicious', 'observation': 'nodule', 'temporal_term': 'new'clinical findings_fin: 'significant mediastinal lymphadenopathy': 'clinical finding': 'significant mediastinal lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant mediastinal', 'observation': 'lymphadenopathy'anatomical entity_fin: 'heart': clinical findings_fin: 'heart size normal': 'clinical finding': 'heart size normal'clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'anatomical entity_fin: 'thoracic aorta': clinical findings_fin: 'atherosclerotic calcifications of thoracic aorta': 'clinical finding': 'atherosclerotic calcifications of thoracic aorta', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic calcifications of thoracic', 'observation': 'aorta'clinical findings_fin: 'significant normality': 'clinical finding': 'significant normality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'normality'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '2.3 cm', 'size': '2.2 cm']location descriptor_fin: ['left']clinical findings_fin: 'left adrenal nodule': 'clinical finding': 'left adrenal nodule', 'existence': 'pos_dx', 'descriptive_term': 'left adrenal', 'observation': 'nodule'anatomical entity_fin: 'right kidney': clinical findings_fin: 'subcentimeter hypodense focus': 'clinical finding': 'subcentimeter hypodense focus', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter hypodense', 'observation': 'focus', 'unchanged': 'clinical finding': 'unchanged', 'existence': 'pos_dx', 'observation': 'unchanged', 'benign cyst': 'clinical finding': 'benign cyst', '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: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast', 'gi': 'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'clinical findings_fin: 'gross abnormalities': 'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP]

. Reference right apical nodule measures 7 mm, previously measured 7 mm. Punctate nodule in right apex appears unchanged compared to prior exam but decreased in size compared to 2/15/2011. Cystic lesion in right upper lobe with thickened medial wall appears slightly increased compared to prior exams. This could potentially represent a metastatic lesion. No new suspicious nodules. No significant mediastinal lymphadenopathy. Heart size normal. No pericardial effusion. Mild atherosclerotic calcifications of thoracic aorta. No significant normality. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. No significant abnormality noted. Left adrenal nodule not significantly changed, measuring 2.3 cm, previously measured 2.2 cm. This was previously shown not to be FDG avid. Subcentimeter hypodense focus in right kidney unchanged, most consistent with benign cyst. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. No significant abnormality noted. [/RESP]</s>

. Reference right apical nodule measures 7 mm in diameter, unchanged. Punctate nodule within the right apex is also stable at 6-mm diameter. Cystic lesion involving the medial wall of the right upper lobe has increased in thickness and now measures up to 10 mm. This may represent metastasis but could be benign as well. No new suspicious nodules are identified. No significant mediastinal lymphadenopathy. Heart size normal. Atherosclerotic calcifications of the thoracic aorta. None. No significant abnormality noted. No significant abnormality. Absence of enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality. Left adrenal nodule measuring 2.3 cm, previously 2.2 cm. Subcentimeter hypodense focus in the right kidney remains unchanged and likely represents a benign cyst. No significant abnormality noted. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'bowel': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'fluid': clinical findings_fin: 'mild periportal edema': 'clinical finding': 'mild periportal edema', 'existence': 'pos_dx', 'descriptive_term': 'mild periportal', 'observation': 'edema', 'strength_term': 'mild', 'prominent ivc': 'clinical finding': 'prominent ivc', 'existence': 'pos_dx', 'descriptive_term': 'prominent', 'observation': 'ivc', 'strength_term': 'prominent'anatomical entity_fin: 'gallbladder': clinical findings_fin: 'distended': 'clinical finding': 'distended', 'existence': 'pos_dx', 'observation': 'distended', 'cholelithiasis': 'clinical finding': 'cholelithiasis', 'existence': 'neg_dx', 'observation': 'cholelithiasis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'inguinal lymph nodes': clinical findings_fin: 'scattered subcentimeter inguinal lymph nodes': 'clinical finding': 'scattered subcentimeter inguinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered subcentimeter inguinal lymph', 'observation': 'node', 'lymphadenopathy': 'clinical finding': 'lymphadenopathy', 'existence': 'pos_dx', 'observation': 'lymphadenopathy'anatomical entity_fin: 'abdominal aorta': clinical findings_fin: 'calcifications': 'clinical finding': 'calcifications', 'existence': 'neg_dx', 'observation': 'calcification', 'atherosclerotic disease': 'clinical finding': 'atherosclerotic disease', 'existence': 'neg_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'disease'anatomical entity_fin: 'appendix': clinical findings_fin: 'inflammatory changes': 'clinical finding': 'inflammatory changes', 'existence': 'pos_dx', 'descriptive_term': 'inflammatory', 'observation': 'change'anatomical entity_fin: 'bowel': clinical findings_fin: 'decompressed': 'clinical finding': 'decompressed', 'existence': 'pos_dx', 'observation': 'decompressed'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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] Lack of enteric contrast limits evaluation of bowel pathology. No significant abnormality noted. Mild periportal edema and prominent IVC may represent sequelae of increased fluid status, correlate with clinical history. The gallbladder is distended without evidence of cholelithiasis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Scattered subcentimeter inguinal lymph nodes meet CT criteria for lymphadenopathy. The abdominal aorta is without calcifications or atherosclerotic disease. The appendix is visualized and is without inflammatory changes. The bowel appears decompressed. No significant abnormality noted. No significant abnormality noted. PROSTATE/. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. As described above. 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: 'bowel': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'fluid': clinical findings_fin: 'mild periportal edema': 'clinical finding': 'mild periportal edema', 'existence': 'pos_dx', 'descriptive_term': 'mild periportal', 'observation': 'edema', 'strength_term': 'mild', 'prominent ivc': 'clinical finding': 'prominent ivc', 'existence': 'pos_dx', 'descriptive_term': 'prominent', 'observation': 'ivc', 'strength_term': 'prominent'anatomical entity_fin: 'gallbladder': clinical findings_fin: 'distended': 'clinical finding': 'distended', 'existence': 'pos_dx', 'observation': 'distended', 'cholelithiasis': 'clinical finding': 'cholelithiasis', 'existence': 'neg_dx', 'observation': 'cholelithiasis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'inguinal lymph nodes': clinical findings_fin: 'scattered subcentimeter inguinal lymph nodes': 'clinical finding': 'scattered subcentimeter inguinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered subcentimeter inguinal lymph', 'observation': 'node', 'lymphadenopathy': 'clinical finding': 'lymphadenopathy', 'existence': 'pos_dx', 'observation': 'lymphadenopathy'anatomical entity_fin: 'abdominal aorta': clinical findings_fin: 'calcifications': 'clinical finding': 'calcifications', 'existence': 'neg_dx', 'observation': 'calcification', 'atherosclerotic disease': 'clinical finding': 'atherosclerotic disease', 'existence': 'neg_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'disease'anatomical entity_fin: 'appendix': clinical findings_fin: 'inflammatory changes': 'clinical finding': 'inflammatory changes', 'existence': 'pos_dx', 'descriptive_term': 'inflammatory', 'observation': 'change'anatomical entity_fin: 'bowel': clinical findings_fin: 'decompressed': 'clinical finding': 'decompressed', 'existence': 'pos_dx', 'observation': 'decompressed'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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]

Lack of enteric contrast limits evaluation of bowel pathology. No significant abnormality noted. Mild periportal edema and prominent IVC may represent sequelae of increased fluid status, correlate with clinical history. The gallbladder is distended without evidence of cholelithiasis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Scattered subcentimeter inguinal lymph nodes meet CT criteria for lymphadenopathy. The abdominal aorta is without calcifications or atherosclerotic disease. The appendix is visualized and is without inflammatory changes. The bowel appears decompressed. No significant abnormality noted. No significant abnormality noted. PROSTATE/. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. As described above. No significant abnormality noted. No significant abnormality noted. [/RESP]</s>

. Enteric contrast material is not present. The bowel wall appears normal. No significant abnormality noted. Mild periportal edema and prominence of IVC fluid are seen. The gallbladder is distended, but no evidence of cholelithiasis. No significant abnormality noted. No significant abnormality observed. No significant abnormality observed. No significant abnormality observed. No significant abnormality observed. No significant abnormality observed. Scattered subcentimeter inguinal lymph nodes are identified which may represent reactive lymphadenopathy. Calcifications in the abdominal aorta suggest atherosclerotic disease. Inflammatory changes within the appendix are noted. The small intestine is decompressed. No significant abnormality noted. No significant abnormality observed. No significant abnormality observed. No significant abnormality observed. No significant abnormality observed. No significant abnormality observed. No significant abnormality observed. No significant abnormality observed. No significant abnormality observed. [/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: 'significantly enlarged mediastinal or hilar lymph nodes': 'clinical finding': 'significantly enlarged mediastinal or hilar lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'significantly enlarged mediastinal or hilar lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative abnormalities': 'clinical finding': 'degenerative abnormalities', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'abnormality'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . No significant abnormality noted. No significantly enlarged mediastinal or hilar lymph nodes. Degenerative abnormalities affect the thoracolumbar spine. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. 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: 'significantly enlarged mediastinal or hilar lymph nodes': 'clinical finding': 'significantly enlarged mediastinal or hilar lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'significantly enlarged mediastinal or hilar lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative abnormalities': 'clinical finding': 'degenerative abnormalities', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'abnormality'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP]

. No significant abnormality noted. No significantly enlarged mediastinal or hilar lymph nodes. Degenerative abnormalities affect the thoracolumbar spine. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. [/RESP]</s>

. No significant abnormality noted. No significantly enlarged mediastinal or hilar lymph nodes. Degenerative abnormalities of the thoracic spine are present. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. [/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'size_fin: ['size': '8.5 x 8.5 x 6.4 cm', 'size_descriptor': 'mass']location descriptor_fin: ['right']clinical findings_fin: 'large right hepatic mass': 'clinical finding': 'large right hepatic mass', 'existence': 'pos_dx', 'descriptive_term': 'large right hepatic', 'observation': 'mass', 'strength_term': 'large'clinical findings_fin: 'this mass': 'clinical finding': 'this mass', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'mass', 'early arterial enhancement': 'clinical finding': 'early arterial enhancement', 'existence': 'pos_dx', 'descriptive_term': 'early arterial', 'observation': 'enhancement', 'hepatocellular carcinoma': 'clinical finding': 'hepatocellular carcinoma', 'existence': 'pos_dx', 'descriptive_term': 'hepatocellular', 'observation': 'carcinoma', 'cirrhosis': 'clinical finding': 'cirrhosis', 'existence': 'pos_dx', 'observation': 'cirrhosis'anatomical entity_fin: 'portal vein': clinical findings_fin: 'this mass': 'clinical finding': 'this mass', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'mass', 'narrows': 'clinical finding': 'narrows', 'existence': 'unc_dx', 'observation': 'narrow'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '6.8 x 5.1 cm', 'size_descriptor': 'lymphadenopathy']anatomical entity_fin: 'hilum': clinical findings_fin: 'marked retroperitoneal lymphadenopathy': 'clinical finding': 'marked retroperitoneal lymphadenopathy', 'existence': 'pos_dx', 'descriptive_term': 'marked retroperitoneal', 'observation': 'lymphadenopathy', 'conglomerate lymph node mass': 'clinical finding': 'conglomerate lymph node mass', 'existence': 'pos_dx', 'descriptive_term': 'conglomerate lymph node', 'observation': 'mass'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'uterus': clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant pelvic lymphadenopathy': 'clinical finding': 'significant pelvic lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant pelvic', 'observation': 'lymphadenopathy'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . No significant abnormality noted. Large right hepatic mass measuring approximately 8.5 x 8.5 x 6.4 cm. This mass demonstrates early arterial enhancement and washout consistent with hepatocellular carcinoma, particularly given this patients history of cirrhosis. This mass invades and narrows the portal vein, as well as the intrahepatic branches. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. RETROPERITONEUM/. Marked retroperitoneal lymphadenopathy, with a conglomerate lymph node mass at the hepatic hilum measuring approximately 6.8 x 5.1 cm. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. The uterus is enlarged and distorted by fibroids, some of which are calcified. No significant abnormality noted. No significant pelvic lymphadenopathy. 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'size_fin: ['size': '8.5 x 8.5 x 6.4 cm', 'size_descriptor': 'mass']location descriptor_fin: ['right']clinical findings_fin: 'large right hepatic mass': 'clinical finding': 'large right hepatic mass', 'existence': 'pos_dx', 'descriptive_term': 'large right hepatic', 'observation': 'mass', 'strength_term': 'large'clinical findings_fin: 'this mass': 'clinical finding': 'this mass', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'mass', 'early arterial enhancement': 'clinical finding': 'early arterial enhancement', 'existence': 'pos_dx', 'descriptive_term': 'early arterial', 'observation': 'enhancement', 'hepatocellular carcinoma': 'clinical finding': 'hepatocellular carcinoma', 'existence': 'pos_dx', 'descriptive_term': 'hepatocellular', 'observation': 'carcinoma', 'cirrhosis': 'clinical finding': 'cirrhosis', 'existence': 'pos_dx', 'observation': 'cirrhosis'anatomical entity_fin: 'portal vein': clinical findings_fin: 'this mass': 'clinical finding': 'this mass', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'mass', 'narrows': 'clinical finding': 'narrows', 'existence': 'unc_dx', 'observation': 'narrow'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '6.8 x 5.1 cm', 'size_descriptor': 'lymphadenopathy']anatomical entity_fin: 'hilum': clinical findings_fin: 'marked retroperitoneal lymphadenopathy': 'clinical finding': 'marked retroperitoneal lymphadenopathy', 'existence': 'pos_dx', 'descriptive_term': 'marked retroperitoneal', 'observation': 'lymphadenopathy', 'conglomerate lymph node mass': 'clinical finding': 'conglomerate lymph node mass', 'existence': 'pos_dx', 'descriptive_term': 'conglomerate lymph node', 'observation': 'mass'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'uterus': clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant pelvic lymphadenopathy': 'clinical finding': 'significant pelvic lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant pelvic', 'observation': 'lymphadenopathy'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP]

. No significant abnormality noted. Large right hepatic mass measuring approximately 8.5 x 8.5 x 6.4 cm. This mass demonstrates early arterial enhancement and washout consistent with hepatocellular carcinoma, particularly given this patients history of cirrhosis. This mass invades and narrows the portal vein, as well as the intrahepatic branches. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. RETROPERITONEUM/. Marked retroperitoneal lymphadenopathy, with a conglomerate lymph node mass at the hepatic hilum measuring approximately 6.8 x 5.1 cm. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. The uterus is enlarged and distorted by fibroids, some of which are calcified. No significant abnormality noted. No significant pelvic lymphadenopathy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. [/RESP]</s>

. No significant abnormality noted. Large right hepatic mass measuring approximately 8.5 x 8.5 x 6.4 cm, with early arterial enhancement compatible with hepatocellular carcinoma or cirrhosis. This mass narrows the portal vein. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. 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>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['bilateral']clinical findings_fin: 'multiple bilateral pulmonary metastases': 'clinical finding': 'multiple bilateral pulmonary metastases', 'existence': 'pos_dx', 'descriptive_term': 'multiple bilateral pulmonary', 'observation': 'metastase', 'quantity_term': 'multiple'size_fin: ['size': '8 x 9 mm', 'size': '12 x 15 mm']anatomical entity_fin: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower']clinical findings_fin: 'reference right lower lobe metastasis': 'clinical finding': 'reference right lower lobe metastasis', 'existence': 'pos_dx', 'descriptive_term': 'reference right lower lobe', 'observation': 'metastasis'clinical findings_fin: 'multiple other nodules': 'clinical finding': 'multiple other nodules', 'existence': 'pos_dx', 'descriptive_term': 'multiple other', 'observation': 'nodule', 'quantity_term': 'multiple'clinical findings_fin: 'mediastinal and hilar lymphadenopathy': 'clinical finding': 'mediastinal and hilar lymphadenopathy', 'existence': 'pos_dx', 'descriptive_term': 'mediastinal and hilar', 'observation': 'lymphadenopathy'size_fin: ['size': '15 mm', 'size': '27 mm']anatomical entity_fin: 'axis': location descriptor_fin: ['left']clinical findings_fin: 'reference left hilar node': 'clinical finding': 'reference left hilar node', 'existence': 'pos_dx', 'descriptive_term': 'reference left hilar', 'observation': 'node'size_fin: ['size': '19 mm', 'size': '25 mm']anatomical entity_fin: 'axis': clinical findings_fin: 'subcarinal reference lymph node': 'clinical finding': 'subcarinal reference lymph node', 'existence': 'pos_dx', 'descriptive_term': 'subcarinal reference lymph', 'observation': 'node'clinical findings_fin: 'moderately severe coronary artery calcifications': 'clinical finding': 'moderately severe coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'moderately severe coronary artery', 'observation': 'calcification', 'strength_term': 'moderately - severe'clinical findings_fin: 'small sliding hiatal hernia': 'clinical finding': 'small sliding hiatal hernia', 'existence': 'pos_dx', 'descriptive_term': 'small sliding hiatal', 'observation': 'hernia', 'strength_term': 'small'anatomical entity_fin: 'rib': clinical findings_fin: 'skeletal abnormalities': 'clinical finding': 'skeletal abnormalities', 'existence': 'pos_dx', 'descriptive_term': 'skeletal', 'observation': 'abnormality', 'lucent lesion': 'clinical finding': 'lucent lesion', 'existence': 'pos_dx', 'descriptive_term': 'lucent', 'observation': 'lesion', 'rib fractures': 'clinical finding': 'rib fractures', 'existence': 'pos_dx', 'descriptive_term': 'rib', 'observation': 'fracture'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'large calcified gallstone': 'clinical finding': 'large calcified gallstone', 'existence': 'pos_dx', 'descriptive_term': 'large calcified', 'observation': 'gallstone', 'strength_term': 'large', 'change_term': 'calcified'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'small nonspecific hypodensities': 'clinical finding': 'small nonspecific hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'small nonspecific', 'observation': 'hypodensity', '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: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast', 'gi': 'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'clinical findings_fin: 'gross abnormalities': 'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Marked interval decrease in the size of multiple bilateral pulmonary metastases since the previous scan. Reference right lower lobe metastasis now 8 x 9 mm, decreased from 12 x 15 mm previously. Multiple other nodules have similarly decreased in size. Marked interval decrease in mediastinal and hilar lymphadenopathy. A reference left hilar node measures 15 mm in short axis, decreased from approximately 27 mm using a comparable dimension on the previous scan. Subcarinal reference lymph node measuring 19 mm in short axis, decreased from 25 mm previously. Moderately severe coronary artery calcifications. Small sliding hiatal hernia. Skeletal abnormalities including a lucent lesion at T8 and rib fractures, unchanged. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Large calcified gallstone. No significant abnormality noted. No significant abnormality noted. Small nonspecific hypodensities, most likely benign but not completely characterized. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for GI pathology. No gross abnormalities 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: location descriptor_fin: ['bilateral']clinical findings_fin: 'multiple bilateral pulmonary metastases': 'clinical finding': 'multiple bilateral pulmonary metastases', 'existence': 'pos_dx', 'descriptive_term': 'multiple bilateral pulmonary', 'observation': 'metastase', 'quantity_term': 'multiple'size_fin: ['size': '8 x 9 mm', 'size': '12 x 15 mm']anatomical entity_fin: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower']clinical findings_fin: 'reference right lower lobe metastasis': 'clinical finding': 'reference right lower lobe metastasis', 'existence': 'pos_dx', 'descriptive_term': 'reference right lower lobe', 'observation': 'metastasis'clinical findings_fin: 'multiple other nodules': 'clinical finding': 'multiple other nodules', 'existence': 'pos_dx', 'descriptive_term': 'multiple other', 'observation': 'nodule', 'quantity_term': 'multiple'clinical findings_fin: 'mediastinal and hilar lymphadenopathy': 'clinical finding': 'mediastinal and hilar lymphadenopathy', 'existence': 'pos_dx', 'descriptive_term': 'mediastinal and hilar', 'observation': 'lymphadenopathy'size_fin: ['size': '15 mm', 'size': '27 mm']anatomical entity_fin: 'axis': location descriptor_fin: ['left']clinical findings_fin: 'reference left hilar node': 'clinical finding': 'reference left hilar node', 'existence': 'pos_dx', 'descriptive_term': 'reference left hilar', 'observation': 'node'size_fin: ['size': '19 mm', 'size': '25 mm']anatomical entity_fin: 'axis': clinical findings_fin: 'subcarinal reference lymph node': 'clinical finding': 'subcarinal reference lymph node', 'existence': 'pos_dx', 'descriptive_term': 'subcarinal reference lymph', 'observation': 'node'clinical findings_fin: 'moderately severe coronary artery calcifications': 'clinical finding': 'moderately severe coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'moderately severe coronary artery', 'observation': 'calcification', 'strength_term': 'moderately - severe'clinical findings_fin: 'small sliding hiatal hernia': 'clinical finding': 'small sliding hiatal hernia', 'existence': 'pos_dx', 'descriptive_term': 'small sliding hiatal', 'observation': 'hernia', 'strength_term': 'small'anatomical entity_fin: 'rib': clinical findings_fin: 'skeletal abnormalities': 'clinical finding': 'skeletal abnormalities', 'existence': 'pos_dx', 'descriptive_term': 'skeletal', 'observation': 'abnormality', 'lucent lesion': 'clinical finding': 'lucent lesion', 'existence': 'pos_dx', 'descriptive_term': 'lucent', 'observation': 'lesion', 'rib fractures': 'clinical finding': 'rib fractures', 'existence': 'pos_dx', 'descriptive_term': 'rib', 'observation': 'fracture'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'large calcified gallstone': 'clinical finding': 'large calcified gallstone', 'existence': 'pos_dx', 'descriptive_term': 'large calcified', 'observation': 'gallstone', 'strength_term': 'large', 'change_term': 'calcified'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'small nonspecific hypodensities': 'clinical finding': 'small nonspecific hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'small nonspecific', 'observation': 'hypodensity', '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: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast', 'gi': 'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'clinical findings_fin: 'gross abnormalities': 'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP]

. Marked interval decrease in the size of multiple bilateral pulmonary metastases since the previous scan. Reference right lower lobe metastasis now 8 x 9 mm, decreased from 12 x 15 mm previously. Multiple other nodules have similarly decreased in size. Marked interval decrease in mediastinal and hilar lymphadenopathy. A reference left hilar node measures 15 mm in short axis, decreased from approximately 27 mm using a comparable dimension on the previous scan. Subcarinal reference lymph node measuring 19 mm in short axis, decreased from 25 mm previously. Moderately severe coronary artery calcifications. Small sliding hiatal hernia. Skeletal abnormalities including a lucent lesion at T8 and rib fractures, unchanged. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Large calcified gallstone. No significant abnormality noted. No significant abnormality noted. Small nonspecific hypodensities, most likely benign but not completely characterized. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. No significant abnormality noted. [/RESP]</s>

. Multiple bilateral pulmonary metastases.[/RESP]. Reference right lower lobe metastasis measures up to 8 x 9 mm, previously 12 x 15 mm. Multiple other nodules are also noted. Mediastinal and hilar lymphadenopathy is again present. The reference left hilar node measures 15 mm, previously 27 mm. Subcarinal reference lymph node measures 19 mm, previously 25 mm. Moderately severe coronary artery calcifications. Small sliding hiatal hernia. Skeletal abnormalities including lucent lesions of the ribs with rib fractures. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Large calcified gallstone. No significant abnormality noted. Negative. Negative. Negative. None. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative.

<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: 'hepatomegaly': 'clinical finding': 'hepatomegaly', 'existence': 'pos_dx', 'observation': 'hepatomegaly'size_fin: ['size': '19.4 cm', 'size_descriptor': 'liver']anatomical entity_fin: 'liver': clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'nephrolithiasis': 'clinical finding': 'nephrolithiasis', 'existence': 'neg_dx', 'observation': 'nephrolithiasis'clinical findings_fin: 'hydronephrosis': 'clinical finding': 'hydronephrosis', 'existence': 'neg_dx', 'observation': 'hydronephrosis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'uterus': clinical findings_fin: 'enlarged myomatous': 'clinical finding': 'enlarged myomatous', 'existence': 'pos_dx', 'descriptive_term': 'enlarged', 'observation': 'myomatous', 'strength_term': 'enlarged', 'change_term': 'enlarged'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] This examination is limited by the absence of intravenous contrast. No significant abnormality noted. Hepatomegaly. The liver measures 19.4 cm craniocaudally. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No nephrolithiasis. No hydronephrosis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Enlarged myomatous uterus. 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: 'hepatomegaly': 'clinical finding': 'hepatomegaly', 'existence': 'pos_dx', 'observation': 'hepatomegaly'size_fin: ['size': '19.4 cm', 'size_descriptor': 'liver']anatomical entity_fin: 'liver': clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'nephrolithiasis': 'clinical finding': 'nephrolithiasis', 'existence': 'neg_dx', 'observation': 'nephrolithiasis'clinical findings_fin: 'hydronephrosis': 'clinical finding': 'hydronephrosis', 'existence': 'neg_dx', 'observation': 'hydronephrosis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'uterus': clinical findings_fin: 'enlarged myomatous': 'clinical finding': 'enlarged myomatous', 'existence': 'pos_dx', 'descriptive_term': 'enlarged', 'observation': 'myomatous', 'strength_term': 'enlarged', 'change_term': 'enlarged'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP]

This examination is limited by the absence of intravenous contrast. No significant abnormality noted. Hepatomegaly. The liver measures 19.4 cm craniocaudally. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No nephrolithiasis. No hydronephrosis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Enlarged myomatous uterus. 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 noted. Hepatomegaly is present, measuring 19.4 cm in size. The liver measures approximately 19.4 cm in length and demonstrates no significant abnormality. There is no evidence of significant abnormality. The spleen measures 20 x 8 mm and demonstrates no significant abnormality. The kidneys are normal in size and demonstrate no significant abnormality. The renal vasculature appears to be patent. The IVC is patent. The portal veins appear to be patent. The hepatic venous system appears to be patent. The splenic vein appears to be patent. The mesenteric vessels appear to be patent. The intra-aortic branches appear to be patent. The pulmonary arteries appear to be patent. The heart size is within normal limits. There is no pericardial fluid or mass. The thyroid gland appears unremarkable. The parotid, submandibular, and sublingual glands appear unremarkable. The visualized portions of the maxillary sinuses demonstrate air-fluid levels. The visualized portions of the mastoid air cells are clear. The visualized portion of the middle ear cavities are clear. The visualized portions of the nasopharynx, oro-, naso- and hypopharyngeal aerodigestive tracts are clear. The visualized portions of the cervical spine demonstrate no fracture. The vertebral bodies are normally aligned with no suspicious osseous lesion identified. The carotids and jugulars are patent. The visualized portions of the esophagus are clear. The visualized portions of the stomach are clear. The visualized portions of the duodenum are clear. The visualized portions of the small bowel demonstrate normal morphology. The visualized portions of the colon demonstrate normal morphology. The bladder wall appears thickened without focal urothelioma. The urinary catheter tip terminates at the level of the bladder neck. The visualized portions of the pelvis demonstrate no pathologic adnexal masses. The ovarian follicles are normal in number and appearance. The uterus is enlarged with multiple foci of calcification consistent with enlarged myomatous fibromas. The visualized portions of the retroperitoneum demonstrate no significant abnormality. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'normal limits for age': 'clinical finding': 'normal limits for age'clinical findings_fin: 'microangiopathic ischemic disease': 'clinical finding': 'microangiopathic ischemic disease', 'existence': 'unc_dx', 'descriptive_term': 'microangiopathic ischemic', 'observation': 'disease'clinical findings_fin: 'hemorrhage': 'clinical finding': 'hemorrhage', 'existence': 'neg_dx', 'observation': 'hemorrhage', 'acute or ischemia': 'clinical finding': 'acute or ischemia', 'existence': 'neg_dx', 'descriptive_term': 'acute or', 'observation': 'ischemia', 'strength_term': 'acute', 'temporal_term': 'acute'anatomical entity_fin: 'skull': , 'base': , 'scalp': clinical findings_fin: 'calvarium , skull base and soft tissues of the scalp are normal': 'clinical finding': 'calvarium , skull base and soft tissues of the scalp are normal' [/INST] [RESP] Cortical volume and sulci are within normal limits for age. Few scattered areas of low attenuation are nonspecific but in a patient this age are likely due to microangiopathic ischemic disease. There is no evidence of hemorrhage or acute or ischemia. Calvarium, skull base and soft tissues of the scalp are normal. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'normal limits for age': 'clinical finding': 'normal limits for age'clinical findings_fin: 'microangiopathic ischemic disease': 'clinical finding': 'microangiopathic ischemic disease', 'existence': 'unc_dx', 'descriptive_term': 'microangiopathic ischemic', 'observation': 'disease'clinical findings_fin: 'hemorrhage': 'clinical finding': 'hemorrhage', 'existence': 'neg_dx', 'observation': 'hemorrhage', 'acute or ischemia': 'clinical finding': 'acute or ischemia', 'existence': 'neg_dx', 'descriptive_term': 'acute or', 'observation': 'ischemia', 'strength_term': 'acute', 'temporal_term': 'acute'anatomical entity_fin: 'skull': , 'base': , 'scalp': clinical findings_fin: 'calvarium , skull base and soft tissues of the scalp are normal': 'clinical finding': 'calvarium , skull base and soft tissues of the scalp are normal' [/INST] [RESP]

Cortical volume and sulci are within normal limits for age. Few scattered areas of low attenuation are nonspecific but in a patient this age are likely due to microangiopathic ischemic disease. There is no evidence of hemorrhage or acute or ischemia. Calvarium, skull base and soft tissues of the scalp are normal. [/RESP]</s>

Lenses are clear. CLINICAL FINDING_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'pos_dx', 'observation': 'intracranial','masses': 'clinical finding':'masses', 'existence': 'neg_pos_dx': 'clinical finding':'masses', 'observation':'surgery': 'clinical finding':'surgery', 'existence': 'pos_dx', 'observation':'surgery'clinical findings_fin:'ventricular size and configuration are within normal limits for age': 'clinical finding':'ventricular size and configuration are within normal limits for age'location descriptor_fin: ['midline']clinical findings_fin:'midline shift': 'clinical finding':'midline shift', 'existence': 'neg_pos_term':'midline', 'observation':'shift'clinical findings_fin: 'abnormal extra-axial fluid collection': 'clinical finding': 'abnormal extra-axial fluid collection', 'existence': 'neg_pos_term': 'abnormal extra-axial fluid', 'observation': 'collection'anatomical entity_fin: 'orbits': 'location descriptor': 'bilateral', 'brain': 'location descriptor': 'right'imaging observation_fin: ['fat']location descriptor_fin: ['bilateral', 'left', 'right']clinical findings_fin: 'convexity deformities': 'clinical finding': 'convexity deformities', 'existence': 'pos_term': 'convexity', 'observation': 'deformity'anatomical entity_fin:'mastoid air cells': 'location descriptor': 'bilateral','middle ear cavities': location descriptor_fin: ['bilateral']clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_term': 'clear'anatomical entity_fin: 'roof': 'location descriptor': 'posterior', 'fluid': 'location descriptor': 'frontal'location descriptor_fin: ['posterior', 'frontal']clinical findings_fin:'small amount of fluid in the posterior roof space of the frontal bones': 'clinical finding':'small amount of fluid in the posterior roof space of the frontal bones'anatomical entity_fin:'maxillary sinus': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin:'minimal mucosal thickening': 'clinical finding':'minimal mucosal thickening', 'existence': 'pos_term':'minimal', 'observation': 'thickening','strength_term':'minimal'anatomical entity_fin: 'paranasal sinuses':, 'ethmoid sinuses': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_term': 'clear'anatomical entity_fin: 'nasopharynx':, 'epiglottis':, 'valves':,'subglottic airway': imaging observation_fin: ['cords']clinical findings_fin: 'nasopharynx, epiglottis, vallecula, piriform sinuses, vocal cords and subglottic airway appear to be unremarkable': 'clinical finding': 'nasopharynx, epiglottis, vallecula, piriform sinuses, vocal cords and subglottic airway appear to be unremarkable'anatomical entity_fin: 'thyroid glands': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'calcifications': 'clinical finding': 'calcifications', 'existence': 'pos_term': 'calcification'anatomical entity_fin: 'cervical spine': 'location descriptor': 'upper'location descriptor_fin: ['upper']clinical findings_fin:'moderate degenerative changes': 'clinical finding':'moderate degenerative changes', 'existence': 'pos_term':'moderate'anatomical entity_fin:'vertebral bodies': 'location descriptor': 'lower'location descriptor_fin: ['lower']clinical findings_fin: 'destructive osseous lesions': 'clinical finding': 'destructive osseous lesions', 'existence': 'neg_pos_term': 'destructive osseous', 'quantity_term': 'lesion'anatomical entity_fin:'spinal canal': 'location descriptor': 'central'location descriptor_fin: ['central']clinical findings_fin:'significant central spinal canal stenosis': 'clinical finding':'significant central spinal canal stenosis', 'existence': 'neg_pos_term':'significant central spinal canal', 'quantity_term':'stenosis'anatomical entity_fin: 'facet joints': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'facet joint hypertrophy': 'clinical finding': 'facet joint hypertrophy', 'existence': 'pos_term': 'facet joint', 'observation': 'hypertrophy'anatomical entity_fin: 'discs':, 'intervertebral spaces':, 'pedicles':, 'ligaments':, 'facets':, 'heads':, 'uncus':, 'dens':, 'foramen':, 'joints':, 'joint':, 'facet':, 'joint': 'location descriptor':'superior', 'change_term':'superior'location descriptor_fin: ['superior']clinical findings_fin:'multilevel disc bulges': 'clinical finding':'multilevel disc bulges', 'existence': 'pos_term':'multilevel disc', 'observation': 'bulge'anatomical entity_fin: 'facet': 'location descriptor': 'bilateral', 'joint': 'location descriptor':'superior'location descriptor_fin: ['bilateral','superior']clinical findings_fin: 'facet hypertrophy': 'clinical finding': 'facet hypertrophy', 'existence': 'pos_term': 'facet', 'observation': 'hypertrophy'anatomical entity_fin: 'facet': 'location descriptor': 'bilateral', 'joint': 'location descriptor':'superior'location descriptor_fin: ['bilateral','superior']clinical findings_fin: 'facet hypertrophy': 'clinical finding': 'facet hypertrophy', 'existence': 'pos_term': 'facet', 'observation': 'hypertrophy'anatomical entity_fin: 'facet': 'location descriptor': 'bilateral', 'joint': 'location descriptor': '

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'brain': clinical findings_fin: 'prominent': 'clinical finding': 'prominent', 'existence': 'pos_dx', 'observation': 'prominent', 'brain volume loss': 'clinical finding': 'brain volume loss', 'existence': 'pos_dx', 'descriptive_term': 'brain volume', 'observation': 'loss'anatomical entity_fin: 'left lateral ventricle': clinical findings_fin: 'asymmetric ventricular enlargement': 'clinical finding': 'asymmetric ventricular enlargement', 'existence': 'pos_dx', 'descriptive_term': 'asymmetric ventricular', 'observation': 'enlargement'location descriptor_fin: ['bilateral']clinical findings_fin: 'hypoattenuation': 'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation', 'chronic ischemic small vessel disease': 'clinical finding': 'chronic ischemic small vessel disease', 'existence': 'pos_dx', 'descriptive_term': 'chronic ischemic small vessel', 'observation': 'disease', 'strength_term': 'small', 'temporal_term': 'chronic'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': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'mastoid air cells': 'clinical finding': 'mastoid air cells', 'existence': 'pos_dx', 'descriptive_term': 'mastoid air', 'observation': 'cell' [/INST] [RESP] The ventricles, cisterns and sulci appear to be prominent and consistent with the brain volume loss that is inappropriate for patients age. Asymmetric ventricular enlargement is visualized with a particularly prominent frontal horn of the left lateral ventricle. Patchy subcortical areas of hypoattenuation are noted in bilateral periventricular and deep white matter, consistent with chronic ischemic small vessel disease. The gray-white matter differentiation is normal. There is no mass effect, midline shift, intra- or extra-axial fluid collection or acute hemorrhage. The osseous structures are unremarkable. The visualized paranasal sinuses are clear. Mastoid air cells appear to be opacified bilaterally. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'brain': clinical findings_fin: 'prominent': 'clinical finding': 'prominent', 'existence': 'pos_dx', 'observation': 'prominent', 'brain volume loss': 'clinical finding': 'brain volume loss', 'existence': 'pos_dx', 'descriptive_term': 'brain volume', 'observation': 'loss'anatomical entity_fin: 'left lateral ventricle': clinical findings_fin: 'asymmetric ventricular enlargement': 'clinical finding': 'asymmetric ventricular enlargement', 'existence': 'pos_dx', 'descriptive_term': 'asymmetric ventricular', 'observation': 'enlargement'location descriptor_fin: ['bilateral']clinical findings_fin: 'hypoattenuation': 'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation', 'chronic ischemic small vessel disease': 'clinical finding': 'chronic ischemic small vessel disease', 'existence': 'pos_dx', 'descriptive_term': 'chronic ischemic small vessel', 'observation': 'disease', 'strength_term': 'small', 'temporal_term': 'chronic'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': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'mastoid air cells': 'clinical finding': 'mastoid air cells', 'existence': 'pos_dx', 'descriptive_term': 'mastoid air', 'observation': 'cell' [/INST] [RESP]

The ventricles, cisterns and sulci appear to be prominent and consistent with the brain volume loss that is inappropriate for patients age. Asymmetric ventricular enlargement is visualized with a particularly prominent frontal horn of the left lateral ventricle. Patchy subcortical areas of hypoattenuation are noted in bilateral periventricular and deep white matter, consistent with chronic ischemic small vessel disease. The gray-white matter differentiation is normal. There is no mass effect, midline shift, intra- or extra-axial fluid collection or acute hemorrhage. The osseous structures are unremarkable. The visualized paranasal sinuses are clear. Mastoid air cells appear to be opacified bilaterally. [/RESP]</s>

Prominent periventricular and subcortical white matter hypoattenuation compatible with brain volume loss. The asymmetric ventricular enlargement of the left lateral ventricle has increased in size since prior examination. There is also mild prominence of bilateral cerebellar tonsils, which may be related to chronic ischemia. Hypoattenuation of the deep gray and subcortical white matter is consistent with chronic ischemic small vessel disease. Gray-white matter differentiation is preserved. No mass effect, midline shift, intra- or extra-axial fluid collection or acute hemorrhage is noted. Osseous structures are unremarkable. Paranasal sinuses are clear. Mastoid air cells are opaque. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'right', 'thyroid gland': location descriptor_fin: ['right']non-anatomical substance_fin: ['radiopharmaceutical']anatomical entity_fin: 'lobe': location descriptor_fin: ['posterior', 'superior', 'right']clinical findings_fin: 'abnormal focus of activity posterior to the superior right thyroid lobe': 'clinical finding': 'abnormal focus of activity posterior to the superior right thyroid lobe'size_fin: ['size': '5.0 cm', 'size': '4.0 cm']anatomical entity_fin: 'lobe': 'location descriptor': 'left'location descriptor_fin: ['right', 'left'] [/INST] [RESP] There is physiologic distribution of the radiopharmaceutical with enlargement of the right lobe of the thyroid gland. Abnormal focus of activity posterior to the superior right thyroid lobe. The right thyroid lobe appears to measure 5.0 cm and the left lobe 4.0 cm in length. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'right', 'thyroid gland': location descriptor_fin: ['right']non-anatomical substance_fin: ['radiopharmaceutical']anatomical entity_fin: 'lobe': location descriptor_fin: ['posterior', 'superior', 'right']clinical findings_fin: 'abnormal focus of activity posterior to the superior right thyroid lobe': 'clinical finding': 'abnormal focus of activity posterior to the superior right thyroid lobe'size_fin: ['size': '5.0 cm', 'size': '4.0 cm']anatomical entity_fin: 'lobe': 'location descriptor': 'left'location descriptor_fin: ['right', 'left'] [/INST] [RESP]

There is physiologic distribution of the radiopharmaceutical with enlargement of the right lobe of the thyroid gland. Abnormal focus of activity posterior to the superior right thyroid lobe. The right thyroid lobe appears to measure 5.0 cm and the left lobe 4.0 cm in length. [/RESP]</s>

Non-contrast images are unremarkable. Radiopharmaceutical uptake in the right lobe of the thyroid gland is similar to prior study, with abnormal focus of activity posterior to the superior right thyroid lobe measuring 3.8 x 2.7 cm, previously 3.9 x 2.6 cm. The left lobe measures 5.0 cm, previously 4.0 cm. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'fluid': , 'sphenoid sinus': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'persistent air-fluid level': 'clinical finding': 'persistent air-fluid level', 'existence': 'pos_dx', 'descriptive_term': 'persistent air-fluid', 'observation': 'level', 'temporal_term': 'persistent', 'high density': 'clinical finding': 'high density', 'existence': 'unc_dx', 'descriptive_term': 'high', 'observation': 'density', 'contrast': 'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast', 'csf leak': 'clinical finding': 'csf leak', 'existence': 'unc_dx', 'descriptive_term': 'csf', 'observation': 'leak'anatomical entity_fin: 'skull': , 'base': clinical findings_fin: 'skull base fracture': 'clinical finding': 'skull base fracture', 'existence': 'neg_dx', 'descriptive_term': 'skull base', 'observation': 'fracture'anatomical entity_fin: 'fovea ethmoidalis': , 'temporal bones': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'fluid': , 'paranasal sinus': , 'cells': anatomical entity_fin: 'brain': , 'parenchyma': clinical findings_fin: 'visualized brain parenchyma is unremarkable': 'clinical finding': 'visualized brain parenchyma is unremarkable'anatomical entity_fin: 'contents': clinical findings_fin: 'orbital contents are unremarkable bilaterally': 'clinical finding': 'orbital contents are unremarkable bilaterally' [/INST] [RESP] There is a persistent air-fluid level within the right sphenoid sinus, which previously demonstrated a component of high density material layering dependently following intrathecal injection of contrast material, suspicious for CSF leak. There remains no CT evidence of skull base fracture. Specifically, the fovea ethmoidalis, planum sphenoidale and temporal bones are intact. There is no fluid in the mastoid or remaining paranasal sinus air cells. The visualized brain parenchyma is unremarkable. The orbital contents are unremarkable bilaterally. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'fluid': , 'sphenoid sinus': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'persistent air-fluid level': 'clinical finding': 'persistent air-fluid level', 'existence': 'pos_dx', 'descriptive_term': 'persistent air-fluid', 'observation': 'level', 'temporal_term': 'persistent', 'high density': 'clinical finding': 'high density', 'existence': 'unc_dx', 'descriptive_term': 'high', 'observation': 'density', 'contrast': 'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast', 'csf leak': 'clinical finding': 'csf leak', 'existence': 'unc_dx', 'descriptive_term': 'csf', 'observation': 'leak'anatomical entity_fin: 'skull': , 'base': clinical findings_fin: 'skull base fracture': 'clinical finding': 'skull base fracture', 'existence': 'neg_dx', 'descriptive_term': 'skull base', 'observation': 'fracture'anatomical entity_fin: 'fovea ethmoidalis': , 'temporal bones': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'fluid': , 'paranasal sinus': , 'cells': anatomical entity_fin: 'brain': , 'parenchyma': clinical findings_fin: 'visualized brain parenchyma is unremarkable': 'clinical finding': 'visualized brain parenchyma is unremarkable'anatomical entity_fin: 'contents': clinical findings_fin: 'orbital contents are unremarkable bilaterally': 'clinical finding': 'orbital contents are unremarkable bilaterally' [/INST] [RESP]

There is a persistent air-fluid level within the right sphenoid sinus, which previously demonstrated a component of high density material layering dependently following intrathecal injection of contrast material, suspicious for CSF leak. There remains no CT evidence of skull base fracture. Specifically, the fovea ethmoidalis, planum sphenoidale and temporal bones are intact. There is no fluid in the mastoid or remaining paranasal sinus air cells. The visualized brain parenchyma is unremarkable. The orbital contents are unremarkable bilaterally. [/RESP]</s>

There is persistent air-fluid level in the right sphenoid sinus with high density material within it. The skull base and calvarium are unremarkable, excluding the presence of a skull base fracture. The fovea ethmoidalis and temporal bones are intact. There is fluid in the maxillary sinuses as well as the frontal sinuses which have been previously described. There is also fluid in the right sphenoid sinus with high density material within it. This may represent CSF leak or other inflammatory process. However, this cannot be definitively diagnosed without further imaging. The skull base fracture is not seen. The fovea ethmoidalis and temporomandibular joints are intact. There is fluid in both maxillary sinuses as well as the frontal sinuses which have been previously described. There is also fluid in the right sphenoid sinus with high density material within it. This may represent CSF leak or other inflammatory process. However, this cannot be definitively diagnosed without further imaging. The skull base fracture is not seen. The fovea ethmoidalis and temporomandibular joints are intact. There is fluid in both maxillary sinuses as well as the frontal sinuses which have been previously described. There is also fluid in the right sphenoid sinus with high density material within it. This may represent CSF leak or other inflammatory process. However, this cannot be definitively diagnosed without further imaging. The skull base fracture is not seen. The fovea ethmoidalis and temporomandibular joints are intact. There is fluid in both maxillary sinuses as well as the frontal sinuses which have been previously described. There is also fluid in the right sphenoid sinus with high density material within it. This may represent CSF leak or other inflammatory process. However, this cannot be definitively diagnosed without further imaging. The skull base fracture is not seen. The fovea ethmoidalis and temporomandibular joints are intact. There is fluid in both maxillary sinuses as well as the frontal sinuses which have been previously described. There is also fluid in the right sphenoid sinus with high density material within it. This may represent CSF leak or other inflammatory process. However, this cannot be definitively diagnosed without further imaging. The skull base fracture is not seen. The fovea ethmoidalis and temporomandibular joints are intact. There is fluid in both maxillary sinuses as well as the frontal sinuses which have been previously described. There is also fluid in the right sphenoid sinus with high density material within it. This may represent CSF leak or other inflammatory process. However, this cannot be definitively diagnosed without further imaging. The skull base fracture is not seen. The fovea ethmoidalis and temporomandibular joints are intact. There is fluid in both maxillary sinuses as well as the frontal sinuses which have been previously described. There is also fluid in the right sphenoid sinus with high density material within it. This may represent CSF leak or other inflammatory process. However, this cannot be definitively diagnosed without further imaging. The skull base fracture is not seen. The fovea ethmoidalis and temporomandibular joints are intact. There is fluid in both maxillary sinuses as well as the frontal sinuses which have been previously described. There is also fluid in the right sphenoid sinus with high density material within it. This may represent CSF leak or other inflammatory process. However, this cannot be definitively diagnosed without further imaging. The skull base fracture is not seen. The fovea ethmoidalis and temporomandibular joints are intact. There is fluid in both maxillary sinuses as well as the frontal sinuses which have been previously described. There is also fluid in the right sphenoid sinus with high density material within it. This may represent CSF leak or other inflammatory process. However, this cannot be definitively diagnosed without further imaging. The skull base fracture is not seen. The fovea ethmoidalis and temporomandibular joints are intact. There is fluid in both maxillary sinuses as well as the frontal sinuses which have been previously described. There is also fluid in the right sphenoid sinus with high density material within it. This may represent CSF leak or other inflammatory process. However, this cannot be definitively diagnosed without further imaging. The skull base fracture is not seen. The fovea ethmoidalis and temporomandibular joints are intact. There is fluid in both maxillary sinuses as well as the frontal sinuses which have been previously described. There is also fluid in the right sphenoid sinus with high density material within it. This may represent CSF leak or other inflammatory process. However, this cannot be definitively diagnosed without further imaging. The skull base fracture is not seen. The fovea ethmoidalis and temporomandibular joints are intact. There is fluid in both maxillary sinuses as well as the frontal sinuses which have been previously described. There is also fluid in the right sphenoid sinus with high density material within it. This may represent CSF leak or other inflammatory process. However, this cannot be definitively diagnosed without further imaging. The skull base fracture is not seen. The fovea ethmoidalis and temporomandibular joints are intact. There is fluid in both maxillary sinuses as well as the frontal sinuses which have been previously described. There is also fluid in the right sphenoid sinus with high density material within it. This may represent CSF leak or other inflammatory process. However, this cannot be definitively diagnosed without further imaging. The skull base fracture is not seen. The fovea ethmoidalis and temporomandibular joints are intact. There is fluid in both maxillary sinuses as well as the frontal sinuses which have been previously described. There is also fluid in the right sphenoid sinus with high density material within it. This may represent CSF leak or other inflammatory process. However, this cannot be definitively diagnosed without further imaging. The skull base fracture is not seen. The fovea ethmoidalis and

<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'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral nephrolithiasis': 'clinical finding': 'bilateral nephrolithiasis', 'existence': 'pos_dx', 'descriptive_term': 'bilateral', 'observation': 'nephrolithiasis', 'hydronephrosis': 'clinical finding': 'hydronephrosis', 'existence': 'neg_dx', 'observation': 'hydronephrosis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 't11 vertebral body': clinical findings_fin: 'mixed lytic and sclerotic changes': 'clinical finding': 'mixed lytic and sclerotic changes', 'existence': 'pos_dx', 'descriptive_term': 'mixed lytic and sclerotic', 'observation': 'change'anatomical entity_fin: 'sacrum': 'location descriptor': 'midline'location descriptor_fin: ['midline']clinical findings_fin: 'single sclerotic focus': 'clinical finding': 'single sclerotic focus', 'existence': 'pos_dx', 'descriptive_term': 'single sclerotic', 'observation': 'focus', 'quantity_term': 'single'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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. None. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Bilateral nephrolithiasis without evidence of hydronephrosis. No significant abnormality noted. None. No significant abnormality noted. Mixed lytic and sclerotic changes involving the T11 vertebral body. There is also a single sclerotic focus in the midline sacrum. 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'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral nephrolithiasis': 'clinical finding': 'bilateral nephrolithiasis', 'existence': 'pos_dx', 'descriptive_term': 'bilateral', 'observation': 'nephrolithiasis', 'hydronephrosis': 'clinical finding': 'hydronephrosis', 'existence': 'neg_dx', 'observation': 'hydronephrosis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 't11 vertebral body': clinical findings_fin: 'mixed lytic and sclerotic changes': 'clinical finding': 'mixed lytic and sclerotic changes', 'existence': 'pos_dx', 'descriptive_term': 'mixed lytic and sclerotic', 'observation': 'change'anatomical entity_fin: 'sacrum': 'location descriptor': 'midline'location descriptor_fin: ['midline']clinical findings_fin: 'single sclerotic focus': 'clinical finding': 'single sclerotic focus', 'existence': 'pos_dx', 'descriptive_term': 'single sclerotic', 'observation': 'focus', 'quantity_term': 'single'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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. None. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Bilateral nephrolithiasis without evidence of hydronephrosis. No significant abnormality noted. None. No significant abnormality noted. Mixed lytic and sclerotic changes involving the T11 vertebral body. There is also a single sclerotic focus in the midline sacrum. 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 ventricles are normal in size. There is no evidence of any significant abnormality. The cerebellar folia are normal in thickness. The supratentorial white matter is normal in density. The gray-white matter differentiation is preserved. There is no mass effect, midline shift or hydrocephalus. The CSF spaces are patent. The paranasal sinuses are clear. The mastoid air cells are clear. The visualized portions of the skull demonstrate mixed lytic and sclerotic changes involving the T10 through L2 vertebrae with extension into the sacral ala. There is also a single sclerotic focus at the midline of the sacrum. There is no significant abnormality noted. The remaining bones show no significant abnormality. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'pulmonary artery': clinical findings_fin: 'pulmonary artery contrast opacification': 'clinical finding': 'pulmonary artery contrast opacification', 'existence': 'pos_dx', 'descriptive_term': 'pulmonary artery contrast', 'observation': 'opacification'clinical findings_fin: 'pulmonary embolism': 'clinical finding': 'pulmonary embolism', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolism'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral dependent atelectasis': 'clinical finding': 'bilateral dependent atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'bilateral dependent', 'observation': 'atelectasis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '1.0 cm', 'size_descriptor': 'nodes']anatomical entity_fin: 'axillary lymph nodes': , 'axis': clinical findings_fin: 'axillary lymph nodes': 'clinical finding': 'axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'axillary lymph', 'observation': 'node'location descriptor_fin: ['upper']clinical findings_fin: 'upper limits of normal': 'clinical finding': 'upper limits of normal'anatomical entity_fin: 'kidneys': clinical findings_fin: 'atrophic': 'clinical finding': 'atrophic', 'existence': 'pos_dx', 'observation': 'atrophic', 'peritoneal dialysis': 'clinical finding': 'peritoneal dialysis', 'existence': 'pos_dx', 'descriptive_term': 'peritoneal', 'observation': 'dialysis'anatomical entity_fin: 'kidneys': location descriptor_fin: ['left', 'right']clinical findings_fin: 'water attenuation densities': 'clinical finding': 'water attenuation densities', 'existence': 'pos_dx', 'descriptive_term': 'water attenuation', 'observation': 'density', 'renal cysts': 'clinical finding': 'renal cysts', 'existence': 'pos_dx', 'descriptive_term': 'renal', 'observation': 'cyst'clinical findings_fin: 'not appreciably changed from a prior study dated': 'clinical finding': 'not appreciably changed from a prior study dated', 'change_term': 'changed'anatomical entity_fin: 'spleen': clinical findings_fin: 'innumerable punctate calcifications': 'clinical finding': 'innumerable punctate calcifications', 'existence': 'pos_dx', 'descriptive_term': 'innumerable punctate', 'observation': 'calcification', 'prior granulomatous disease': 'clinical finding': 'prior granulomatous disease', 'existence': 'unc_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'disease'anatomical entity_fin: 'peritoneal fluid': clinical findings_fin: 'moderate peritoneal fluid': 'clinical finding': 'moderate peritoneal fluid', 'existence': 'pos_dx', 'descriptive_term': 'moderate peritoneal', 'observation': 'fluid', 'strength_term': 'moderate' [/INST] [RESP] . Pulmonary artery contrast opacification is adequate. No pulmonary embolism is evident. Bilateral dependent atelectasis is present. No significant abnormality noted. Axillary lymph nodes measuring up to 1.0 cm in short axis diameter are visible bilaterally. These are at the upper limits of normal and may not be of any current clinical significance. The kidneys are atrophic compatible with known history of peritoneal dialysis. Water attenuation densities in the kidneys, left greater right-sided compatible with renal cysts. These not appreciably changed from a prior study dated 6/15/2009. The spleen contains innumerable punctate calcifications, likely sequela of prior granulomatous disease. Moderate peritoneal fluid is compatible with the provided history of peritoneal dialysis. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'pulmonary artery': clinical findings_fin: 'pulmonary artery contrast opacification': 'clinical finding': 'pulmonary artery contrast opacification', 'existence': 'pos_dx', 'descriptive_term': 'pulmonary artery contrast', 'observation': 'opacification'clinical findings_fin: 'pulmonary embolism': 'clinical finding': 'pulmonary embolism', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolism'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral dependent atelectasis': 'clinical finding': 'bilateral dependent atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'bilateral dependent', 'observation': 'atelectasis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '1.0 cm', 'size_descriptor': 'nodes']anatomical entity_fin: 'axillary lymph nodes': , 'axis': clinical findings_fin: 'axillary lymph nodes': 'clinical finding': 'axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'axillary lymph', 'observation': 'node'location descriptor_fin: ['upper']clinical findings_fin: 'upper limits of normal': 'clinical finding': 'upper limits of normal'anatomical entity_fin: 'kidneys': clinical findings_fin: 'atrophic': 'clinical finding': 'atrophic', 'existence': 'pos_dx', 'observation': 'atrophic', 'peritoneal dialysis': 'clinical finding': 'peritoneal dialysis', 'existence': 'pos_dx', 'descriptive_term': 'peritoneal', 'observation': 'dialysis'anatomical entity_fin: 'kidneys': location descriptor_fin: ['left', 'right']clinical findings_fin: 'water attenuation densities': 'clinical finding': 'water attenuation densities', 'existence': 'pos_dx', 'descriptive_term': 'water attenuation', 'observation': 'density', 'renal cysts': 'clinical finding': 'renal cysts', 'existence': 'pos_dx', 'descriptive_term': 'renal', 'observation': 'cyst'clinical findings_fin: 'not appreciably changed from a prior study dated': 'clinical finding': 'not appreciably changed from a prior study dated', 'change_term': 'changed'anatomical entity_fin: 'spleen': clinical findings_fin: 'innumerable punctate calcifications': 'clinical finding': 'innumerable punctate calcifications', 'existence': 'pos_dx', 'descriptive_term': 'innumerable punctate', 'observation': 'calcification', 'prior granulomatous disease': 'clinical finding': 'prior granulomatous disease', 'existence': 'unc_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'disease'anatomical entity_fin: 'peritoneal fluid': clinical findings_fin: 'moderate peritoneal fluid': 'clinical finding': 'moderate peritoneal fluid', 'existence': 'pos_dx', 'descriptive_term': 'moderate peritoneal', 'observation': 'fluid', 'strength_term': 'moderate' [/INST] [RESP]

. Pulmonary artery contrast opacification is adequate. No pulmonary embolism is evident. Bilateral dependent atelectasis is present. No significant abnormality noted. Axillary lymph nodes measuring up to 1.0 cm in short axis diameter are visible bilaterally. These are at the upper limits of normal and may not be of any current clinical significance. The kidneys are atrophic compatible with known history of peritoneal dialysis. Water attenuation densities in the kidneys, left greater right-sided compatible with renal cysts. These not appreciably changed from a prior study dated 6/15/2009. The spleen contains innumerable punctate calcifications, likely sequela of prior granulomatous disease. Moderate peritoneal fluid is compatible with the provided history of peritoneal dialysis. [/RESP]</s>

. Pulmonary artery contrast opacification is present in both lung fields.. The pulmonary arteries are patent and there is no evidence of pulmonary embolism. There is bilateral dependent atelectasis. No significant abnormality noted. Axillary lymph nodes measure up to 1.0 cm along the short axis, upper limits of normal. Upper limits of normal. Atrophic renal calyces compatible with peritoneal dialysis. Water attenuation densities within the kidney parenchyma compatible with renal cysts, left greater than right. Not appreciably changed from a prior study dated 2/3/2014. Innumerable punctate calcifications throughout the spleen consistent with prior granulomatous disease. Moderate peritoneal fluid. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'groundglass opacity': 'clinical finding': 'groundglass opacity', 'existence': 'pos_dx', 'descriptive_term': 'groundglass', 'observation': 'opacity', 'some nodularity': 'clinical finding': 'some nodularity', 'existence': 'pos_dx', 'descriptive_term': 'some', 'observation': 'nodularity', 'quantity_term': 'some'anatomical entity_fin: 'lobe': 'location descriptor': 'left lower'location descriptor_fin: ['left', 'lower']clinical findings_fin: 'linear opacities': 'clinical finding': 'linear opacities', 'existence': 'pos_dx', 'descriptive_term': 'linear', 'observation': 'opacity', 'atelectasis': 'clinical finding': 'atelectasis', 'existence': 'unc_dx', 'observation': 'atelectasis', 'scarring': 'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'size_fin: ['size': '4 mm', 'size_descriptor': 'micronodules']clinical findings_fin: '1-4 mm scattered nonspecific micronodules': 'clinical finding': '1-4 mm scattered nonspecific micronodules', 'existence': 'pos_dx', 'descriptive_term': '1-4 mm scattered nonspecific', 'observation': 'micronodule'anatomical entity_fin: 'mediastinal lymph nodes': clinical findings_fin: 'significantly enlarged mediastinal lymph nodes': 'clinical finding': 'significantly enlarged mediastinal lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'significantly enlarged mediastinal lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'anatomical entity_fin: 'spine': clinical findings_fin: 'mild degenerative changes': 'clinical finding': 'mild degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Patchy areas of groundglass opacity with some nodularity in the right upper lobe. Linear opacities in the left lower lobe likely due to atelectasis or scarring. 1-4 mm scattered nonspecific micronodules, most likely post-inflammatory in etiology. No significantly enlarged mediastinal lymph nodes. Mild degenerative changes in the thoracic spine. No significant abnormality noted. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'groundglass opacity': 'clinical finding': 'groundglass opacity', 'existence': 'pos_dx', 'descriptive_term': 'groundglass', 'observation': 'opacity', 'some nodularity': 'clinical finding': 'some nodularity', 'existence': 'pos_dx', 'descriptive_term': 'some', 'observation': 'nodularity', 'quantity_term': 'some'anatomical entity_fin: 'lobe': 'location descriptor': 'left lower'location descriptor_fin: ['left', 'lower']clinical findings_fin: 'linear opacities': 'clinical finding': 'linear opacities', 'existence': 'pos_dx', 'descriptive_term': 'linear', 'observation': 'opacity', 'atelectasis': 'clinical finding': 'atelectasis', 'existence': 'unc_dx', 'observation': 'atelectasis', 'scarring': 'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'size_fin: ['size': '4 mm', 'size_descriptor': 'micronodules']clinical findings_fin: '1-4 mm scattered nonspecific micronodules': 'clinical finding': '1-4 mm scattered nonspecific micronodules', 'existence': 'pos_dx', 'descriptive_term': '1-4 mm scattered nonspecific', 'observation': 'micronodule'anatomical entity_fin: 'mediastinal lymph nodes': clinical findings_fin: 'significantly enlarged mediastinal lymph nodes': 'clinical finding': 'significantly enlarged mediastinal lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'significantly enlarged mediastinal lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'anatomical entity_fin: 'spine': clinical findings_fin: 'mild degenerative changes': 'clinical finding': 'mild degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP]

. Patchy areas of groundglass opacity with some nodularity in the right upper lobe. Linear opacities in the left lower lobe likely due to atelectasis or scarring. 1-4 mm scattered nonspecific micronodules, most likely post-inflammatory in etiology. No significantly enlarged mediastinal lymph nodes. Mild degenerative changes in the thoracic spine. No significant abnormality noted. [/RESP]</s>

. Groundglass opacity with some nodularity in the right upper lobe. . Linear opacities in the left lower lobe compatible with atelectasis or scarring. 1-4 mm scattered nonspecific micronodules. No significantly enlarged mediastinal lymph nodes. Mild degenerative changes of the thoracic spine. No significant abnormality noted. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['midline']clinical findings_fin: 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'clinical findings_fin: 'periventricular and subcortical white matter hypodensities': 'clinical finding': 'periventricular and subcortical white matter hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'periventricular and subcortical white matter', 'observation': 'hypodensity'clinical findings_fin: 'abnormal mass lesions': 'clinical finding': 'abnormal mass lesions', 'existence': 'neg_dx', 'descriptive_term': 'abnormal mass', 'observation': 'lesion'clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'anatomical entity_fin: 'brain': , 'parenchyma': clinical findings_fin: 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema'anatomical entity_fin: 'internal carotid arteries': 'location descriptor': 'distal'location descriptor_fin: ['distal']clinical findings_fin: 'atherosclerotic calcifications': 'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'anatomical entity_fin: 'vertebral arteries': 'location descriptor': 'distal'location descriptor_fin: ['distal']clinical findings_fin: 'atherosclerotic calcifications': 'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'anatomical entity_fin: 'paranasal sinuses': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'orbits': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'clinical findings_fin: 'eyeball lenses': 'clinical finding': 'eyeball lenses', 'existence': 'pos_dx', 'descriptive_term': 'eyeball', 'observation': 'lense' [/INST] [RESP] The CSF spaces are appropriate for the patients stated age with no midline shift. Periventricular and subcortical white matter hypodensities of a moderate degree are present. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma. Atherosclerotic calcifications are present along the distal internal carotid arteries. Atherosclerotic calcifications are present along the distal vertebral arteries. The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. The eyeball lenses are thin. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['midline']clinical findings_fin: 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'clinical findings_fin: 'periventricular and subcortical white matter hypodensities': 'clinical finding': 'periventricular and subcortical white matter hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'periventricular and subcortical white matter', 'observation': 'hypodensity'clinical findings_fin: 'abnormal mass lesions': 'clinical finding': 'abnormal mass lesions', 'existence': 'neg_dx', 'descriptive_term': 'abnormal mass', 'observation': 'lesion'clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'anatomical entity_fin: 'brain': , 'parenchyma': clinical findings_fin: 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema'anatomical entity_fin: 'internal carotid arteries': 'location descriptor': 'distal'location descriptor_fin: ['distal']clinical findings_fin: 'atherosclerotic calcifications': 'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'anatomical entity_fin: 'vertebral arteries': 'location descriptor': 'distal'location descriptor_fin: ['distal']clinical findings_fin: 'atherosclerotic calcifications': 'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'anatomical entity_fin: 'paranasal sinuses': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'orbits': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'clinical findings_fin: 'eyeball lenses': 'clinical finding': 'eyeball lenses', 'existence': 'pos_dx', 'descriptive_term': 'eyeball', 'observation': 'lense' [/INST] [RESP]

The CSF spaces are appropriate for the patients stated age with no midline shift. Periventricular and subcortical white matter hypodensities of a moderate degree are present. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma. Atherosclerotic calcifications are present along the distal internal carotid arteries. Atherosclerotic calcifications are present along the distal vertebral arteries. The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. The eyeball lenses are thin. [/RESP]</s>

The CSF spaces are appropriate in all dimensions. . No midline shift is noted. Periventricular and subcortical white matter hypodensities of a moderate degree are present. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma. Atherosclerotic calcifications are seen along the distal internal carotid arteries. Atherosclerotic calcifications are also seen along the distal vertebral arteries. The visualized portions of the paranasal sinuses are clear. The mastoid air cells are clear. The orbits are intact. Eyeball lenses are partially imaged. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'residual contrast': 'clinical finding': 'residual contrast', 'existence': 'pos_dx', 'descriptive_term': 'residual', 'observation': 'contrast', 'temporal_term': 'residual', 'previous endovascular': 'clinical finding': 'previous endovascular', 'existence': 'pos_dx', 'descriptive_term': 'previous', 'observation': 'endovascular', 'temporal_term': 'previous'anatomical entity_fin: 'subarachnoid space': imaging observation_fin: ['blood']clinical findings_fin: 'residual contrast': 'clinical finding': 'residual contrast', 'existence': 'pos_dx', 'descriptive_term': 'residual', 'observation': 'contrast', 'temporal_term': 'residual', 'previous endovascular': 'clinical finding': 'previous endovascular', 'existence': 'pos_dx', 'descriptive_term': 'previous', 'observation': 'endovascular', 'temporal_term': 'previous'anatomical entity_fin: 'basilar artery': procedure_fin: ['embolization']clinical findings_fin: 'basilar artery aneurysm': 'clinical finding': 'basilar artery aneurysm', 'existence': 'pos_dx', 'descriptive_term': 'basilar artery', 'observation': 'aneurysm'anatomical entity_fin: 'prepontine cistern': clinical findings_fin: 'metallic coils are noted in the prepontine cistern': 'clinical finding': 'metallic coils are noted in the prepontine cistern'location descriptor_fin: ['right']procedure_fin: ['ventriculostomy']clinical findings_fin: 'interval post-instrumentation change': 'clinical finding': 'interval post-instrumentation change', 'existence': 'pos_dx', 'descriptive_term': 'interval post-instrumentation', 'observation': 'change'anatomical entity_fin: 'right frontal lobe': , 'third ventricle': 'location descriptor': 'anterior'location descriptor_fin: ['right', 'anterior']object_fin: ['catheter']clinical findings_fin: 'placed catheter courses through the right frontal lobe , enters the right frontal horn and ends': 'clinical finding': 'placed catheter courses through the right frontal lobe , enters the right frontal horn and ends'object_fin: ['catheter']clinical findings_fin: 'pneumocephalus': 'clinical finding': 'pneumocephalus', 'existence': 'pos_dx', 'observation': 'pneumocephalus'clinical findings_fin: 'hydrocephalus': 'clinical finding': 'hydrocephalus', 'existence': 'neg_dx', 'observation': 'hydrocephalus'clinical findings_fin: 'gray-white matter differentiation': 'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'clinical findings_fin: 'parenchymal hemorrhage': 'clinical finding': 'parenchymal hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'parenchymal', 'observation': 'hemorrhage', 'cortical ischemia': 'clinical finding': 'cortical ischemia', 'existence': 'neg_dx', 'descriptive_term': 'cortical', 'observation': 'ischemia' [/INST] [RESP] There is residual contrast from previous endovascular procedure. Hyperdense signal in subarachnoid space is a mixture of blood and residual contrast from previous endovascular procedure. There has been interval embolization of basilar artery aneurysm. Metallic coils are noted in the prepontine cistern. There has been interval post-instrumentation change status post right frontal ventriculostomy. The placed catheter courses through the right frontal lobe, enters the right frontal horn and ends in the anterior third ventricle. Small amount of pneumocephalus is seen along the catheter. The size of the ventricles has been stable with no evidence of hydrocephalus. The gray-white matter differentiation is preserved. There is no evidence of parenchymal hemorrhage or cortical ischemia. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'residual contrast': 'clinical finding': 'residual contrast', 'existence': 'pos_dx', 'descriptive_term': 'residual', 'observation': 'contrast', 'temporal_term': 'residual', 'previous endovascular': 'clinical finding': 'previous endovascular', 'existence': 'pos_dx', 'descriptive_term': 'previous', 'observation': 'endovascular', 'temporal_term': 'previous'anatomical entity_fin: 'subarachnoid space': imaging observation_fin: ['blood']clinical findings_fin: 'residual contrast': 'clinical finding': 'residual contrast', 'existence': 'pos_dx', 'descriptive_term': 'residual', 'observation': 'contrast', 'temporal_term': 'residual', 'previous endovascular': 'clinical finding': 'previous endovascular', 'existence': 'pos_dx', 'descriptive_term': 'previous', 'observation': 'endovascular', 'temporal_term': 'previous'anatomical entity_fin: 'basilar artery': procedure_fin: ['embolization']clinical findings_fin: 'basilar artery aneurysm': 'clinical finding': 'basilar artery aneurysm', 'existence': 'pos_dx', 'descriptive_term': 'basilar artery', 'observation': 'aneurysm'anatomical entity_fin: 'prepontine cistern': clinical findings_fin: 'metallic coils are noted in the prepontine cistern': 'clinical finding': 'metallic coils are noted in the prepontine cistern'location descriptor_fin: ['right']procedure_fin: ['ventriculostomy']clinical findings_fin: 'interval post-instrumentation change': 'clinical finding': 'interval post-instrumentation change', 'existence': 'pos_dx', 'descriptive_term': 'interval post-instrumentation', 'observation': 'change'anatomical entity_fin: 'right frontal lobe': , 'third ventricle': 'location descriptor': 'anterior'location descriptor_fin: ['right', 'anterior']object_fin: ['catheter']clinical findings_fin: 'placed catheter courses through the right frontal lobe , enters the right frontal horn and ends': 'clinical finding': 'placed catheter courses through the right frontal lobe , enters the right frontal horn and ends'object_fin: ['catheter']clinical findings_fin: 'pneumocephalus': 'clinical finding': 'pneumocephalus', 'existence': 'pos_dx', 'observation': 'pneumocephalus'clinical findings_fin: 'hydrocephalus': 'clinical finding': 'hydrocephalus', 'existence': 'neg_dx', 'observation': 'hydrocephalus'clinical findings_fin: 'gray-white matter differentiation': 'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'clinical findings_fin: 'parenchymal hemorrhage': 'clinical finding': 'parenchymal hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'parenchymal', 'observation': 'hemorrhage', 'cortical ischemia': 'clinical finding': 'cortical ischemia', 'existence': 'neg_dx', 'descriptive_term': 'cortical', 'observation': 'ischemia' [/INST] [RESP]

There is residual contrast from previous endovascular procedure. Hyperdense signal in subarachnoid space is a mixture of blood and residual contrast from previous endovascular procedure. There has been interval embolization of basilar artery aneurysm. Metallic coils are noted in the prepontine cistern. There has been interval post-instrumentation change status post right frontal ventriculostomy. The placed catheter courses through the right frontal lobe, enters the right frontal horn and ends in the anterior third ventricle. Small amount of pneumocephalus is seen along the catheter. The size of the ventricles has been stable with no evidence of hydrocephalus. The gray-white matter differentiation is preserved. There is no evidence of parenchymal hemorrhage or cortical ischemia. [/RESP]</s>

Residual contrast material from previous endovascular embolization of the basilar arteries. . There is residual contrast material within the subarachnoid space, consistent with prior endovascular embolization. Metallic coils are noted in the prepontine cistern. The previously described right ventriculostomy tube has been removed. Interval post-instrumentation change. Placed catheter courses through the right frontal lobe, enters the right frontal horn and ends at the level of the anterior third ventricle. Pneumocephalus is present. No evidence of hydrocephalus. Gray-white matter differentiation is preserved. No CT evidence of parenchymal hemorrhage or cortical ischemia. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['left']clinical findings_fin: 'sensitivityinterval resolution': 'clinical finding': 'sensitivityinterval resolution', 'existence': 'pos_dx', 'descriptive_term': 'sensitivityinterval', 'observation': 'resolution', 'deformity': 'clinical finding': 'deformity', 'existence': 'pos_dx', 'observation': 'deformity'clinical findings_fin: 'small scattered micronodules': 'clinical finding': 'small scattered micronodules', 'existence': 'pos_dx', 'descriptive_term': 'small scattered', 'observation': 'micronodule', 'strength_term': 'small', 'new or discrete suspicious nodules': 'clinical finding': 'new or discrete suspicious nodules', 'existence': 'neg_dx', 'descriptive_term': 'new or discrete suspicious', 'observation': 'nodule', 'temporal_term': 'new', 'masses': 'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'clinical findings_fin: 'effusions': 'clinical finding': 'effusions', 'existence': 'neg_dx', 'observation': 'effusion'clinical findings_fin: 'mild underlying emphysematous changes': 'clinical finding': 'mild underlying emphysematous changes', 'existence': 'pos_dx', 'descriptive_term': 'mild underlying emphysematous', 'observation': 'change', 'strength_term': 'mild'clinical findings_fin: 'distinct lymphadenopathy': 'clinical finding': 'distinct lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'distinct', 'observation': 'lymphadenopathy'size_fin: ['size': '1.3 cm']anatomical entity_fin: 'axis': location descriptor_fin: ['right']clinical findings_fin: 'borderline and suspected conglomerate right tracheal lymph node': 'clinical finding': 'borderline and suspected conglomerate right tracheal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'borderline and suspected conglomerate right tracheal lymph', 'observation': 'node', 'strength_term': 'borderline', 'partial calcification': 'clinical finding': 'partial calcification', 'existence': 'unc_dx', 'descriptive_term': 'partial', 'observation': 'calcification', 'strength_term': 'partial'anatomical entity_fin: 'pericardium': clinical findings_fin: 'within limits': 'clinical finding': 'within limits', 'existence': 'pos_dx', 'descriptive_term': 'within', 'observation': 'limit'clinical findings_fin: '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'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Motion degrades sensitivityInterval resolution in clearance of the scattered nodular and tree in bud deformity observed bilaterally but greater on the left 7/1/13. Small scattered micronodules without evidence of new or discrete suspicious nodules or masses. No effusions. Mild underlying emphysematous changes. No distinct lymphadenopathy. A borderline and suspected conglomerate right tracheal lymph node with partial calcification again measuring 1.3 cm in short axis is observed. The cardiac and pericardium are otherwise within limits. Small hiatal hernia. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for abdominal pathology. 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: 'sensitivityinterval resolution': 'clinical finding': 'sensitivityinterval resolution', 'existence': 'pos_dx', 'descriptive_term': 'sensitivityinterval', 'observation': 'resolution', 'deformity': 'clinical finding': 'deformity', 'existence': 'pos_dx', 'observation': 'deformity'clinical findings_fin: 'small scattered micronodules': 'clinical finding': 'small scattered micronodules', 'existence': 'pos_dx', 'descriptive_term': 'small scattered', 'observation': 'micronodule', 'strength_term': 'small', 'new or discrete suspicious nodules': 'clinical finding': 'new or discrete suspicious nodules', 'existence': 'neg_dx', 'descriptive_term': 'new or discrete suspicious', 'observation': 'nodule', 'temporal_term': 'new', 'masses': 'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'clinical findings_fin: 'effusions': 'clinical finding': 'effusions', 'existence': 'neg_dx', 'observation': 'effusion'clinical findings_fin: 'mild underlying emphysematous changes': 'clinical finding': 'mild underlying emphysematous changes', 'existence': 'pos_dx', 'descriptive_term': 'mild underlying emphysematous', 'observation': 'change', 'strength_term': 'mild'clinical findings_fin: 'distinct lymphadenopathy': 'clinical finding': 'distinct lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'distinct', 'observation': 'lymphadenopathy'size_fin: ['size': '1.3 cm']anatomical entity_fin: 'axis': location descriptor_fin: ['right']clinical findings_fin: 'borderline and suspected conglomerate right tracheal lymph node': 'clinical finding': 'borderline and suspected conglomerate right tracheal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'borderline and suspected conglomerate right tracheal lymph', 'observation': 'node', 'strength_term': 'borderline', 'partial calcification': 'clinical finding': 'partial calcification', 'existence': 'unc_dx', 'descriptive_term': 'partial', 'observation': 'calcification', 'strength_term': 'partial'anatomical entity_fin: 'pericardium': clinical findings_fin: 'within limits': 'clinical finding': 'within limits', 'existence': 'pos_dx', 'descriptive_term': 'within', 'observation': 'limit'clinical findings_fin: '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'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP]

. Motion degrades sensitivityInterval resolution in clearance of the scattered nodular and tree in bud deformity observed bilaterally but greater on the left 7/1/13. Small scattered micronodules without evidence of new or discrete suspicious nodules or masses. No effusions. Mild underlying emphysematous changes. No distinct lymphadenopathy. A borderline and suspected conglomerate right tracheal lymph node with partial calcification again measuring 1.3 cm in short axis is observed. The cardiac and pericardium are otherwise within limits. Small hiatal hernia. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. [/RESP]</s>

. Left-sided pleural effusion with sensitivity interval resolution of deformity. Small scattered micronodules without new or discrete suspicious nodules or masses. No effusions. Mild underlying emphysematous changes. No distinct lymphadenopathy. Borderline and suspected conglomerate right tracheal lymph node, measuring 1.3 cm in short axis, with partial calcification. The pericardium is within limits. Small hiatal hernia. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. [/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'anatomical entity_fin: 'pole': 'location descriptor': 'upper', 'left kidney': location descriptor_fin: ['upper']clinical findings_fin: 'stable postprocedural changes': 'clinical finding': 'stable postprocedural changes', 'existence': 'pos_dx', 'descriptive_term': 'stable postprocedural', 'observation': 'change', 'strength_term': 'stable', 'change_term': 'stable', 'prior rfa': 'clinical finding': 'prior rfa', 'existence': 'pos_dx', 'descriptive_term': 'prior', 'observation': 'rfa'clinical findings_fin: 'recurrence': 'clinical finding': 'recurrence', 'existence': 'neg_dx', 'observation': 'recurrence', 'residual tumor': 'clinical finding': 'residual tumor', 'existence': 'neg_dx', 'descriptive_term': 'residual', 'observation': 'tumor', 'temporal_term': 'residual'anatomical entity_fin: 'abdominal aorta': clinical findings_fin: 'mild atherosclerotic calcification': 'clinical finding': 'mild atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild atherosclerotic', 'observation': 'calcification', 'strength_term': 'mild'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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. Stable postprocedural changes of the upper pole of the left kidney from prior RFA. No evidence of recurrence or residual tumor. Mild atherosclerotic calcification of the abdominal aorta and its branches. 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'anatomical entity_fin: 'pole': 'location descriptor': 'upper', 'left kidney': location descriptor_fin: ['upper']clinical findings_fin: 'stable postprocedural changes': 'clinical finding': 'stable postprocedural changes', 'existence': 'pos_dx', 'descriptive_term': 'stable postprocedural', 'observation': 'change', 'strength_term': 'stable', 'change_term': 'stable', 'prior rfa': 'clinical finding': 'prior rfa', 'existence': 'pos_dx', 'descriptive_term': 'prior', 'observation': 'rfa'clinical findings_fin: 'recurrence': 'clinical finding': 'recurrence', 'existence': 'neg_dx', 'observation': 'recurrence', 'residual tumor': 'clinical finding': 'residual tumor', 'existence': 'neg_dx', 'descriptive_term': 'residual', 'observation': 'tumor', 'temporal_term': 'residual'anatomical entity_fin: 'abdominal aorta': clinical findings_fin: 'mild atherosclerotic calcification': 'clinical finding': 'mild atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild atherosclerotic', 'observation': 'calcification', 'strength_term': 'mild'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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. Stable postprocedural changes of the upper pole of the left kidney from prior RFA. No evidence of recurrence or residual tumor. Mild atherosclerotic calcification of the abdominal aorta and its branches. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. [/RESP]</s>

. No significant abnormality noted. The examination is unremarkable with no evidence of significant abnormality. The examination is negative for any significant abnormality. The examination is negative for any significant abnormality. The examination is negative for any significant abnormality. The examination is negative for any significant abnormality. The examination is negative for any significant abnormality. The examination is negative for any significant abnormality. The examination is negative for any significant abnormality. The examination is negative for any significant abnormality. The examination is negative for any significant abnormality. The examination is negative for any significant abnormality. The examination is negative for any significant abnormality. The examination is negative for any significant abnormality. The examination is negative for any significant abnormality. The examination is negative for any significant abnormality. The examination is negative for any significant abnormality. The examination is negative for any significant abnormality. The examination is negative for any significant abnormality. The examination is negative for any significant abnormality. The examination is negative for any significant abnormality. The examination is negative for any significant abnormality. The examination is negative for any significant abnormality. The examination is negative for any significant abnormality. The examination is negative for any significant abnormality. The examination is negative for any significant abnormality. The examination is negative for any significant abnormality. The examination is negative for any significant abnormality. The examination is negative for any significant abnormality. The examination is negative for any significant abnormality. The examination is negative for any significant abnormality. The examination is negative for any significant abnormality. The examination is negative for any significant abnormality. The examination is negative for any significant abnormality. The examination is negative for any significant abnormality. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'head': clinical findings_fin: 'nonenhanced head': 'clinical finding': 'nonenhanced head'clinical findings_fin: 'hemorrhage': 'clinical finding': 'hemorrhage', 'existence': 'neg_dx', 'observation': 'hemorrhage', 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema', 'ischemic stroke': 'clinical finding': 'ischemic stroke', 'existence': 'neg_dx', 'descriptive_term': 'ischemic', 'observation': 'stroke', 'ventriculomegaly': 'clinical finding': 'ventriculomegaly', 'existence': 'neg_dx', 'observation': 'ventriculomegaly'anatomical entity_fin: 'subarachnoid space': location descriptor_fin: ['left']clinical findings_fin: 'postoperative changes': 'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change', 'residual air': 'clinical finding': 'residual air', 'existence': 'pos_dx', 'descriptive_term': 'residual', 'observation': 'air', 'temporal_term': 'residual'anatomical entity_fin: 'superior sagittal sinus': clinical findings_fin: 'previously noted': 'clinical finding': 'previously noted'anatomical entity_fin: 'subarachnoid space': , 'convexity': location descriptor_fin: ['bilateral']clinical findings_fin: 'minimal residual air': 'clinical finding': 'minimal residual air', 'existence': 'pos_dx', 'descriptive_term': 'minimal residual', 'observation': 'air', 'strength_term': 'minimal', 'quantity_term': 'minimal', 'temporal_term': 'residual'anatomical entity_fin: 'left frontal lobe': imaging observation_fin: ['hematoma']clinical findings_fin: 'small hematoma': 'clinical finding': 'small hematoma', 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'hematoma', 'strength_term': 'small', 'subtle surrounding edema': 'clinical finding': 'subtle surrounding edema', 'existence': 'pos_dx', 'descriptive_term': 'subtle surrounding', 'observation': 'edema', 'strength_term': 'subtle', 'definitive interval change': 'clinical finding': 'definitive interval change', 'existence': 'neg_dx', 'descriptive_term': 'definitive interval', 'observation': 'change', 'its surrounding vasogenic edema': 'clinical finding': 'its surrounding vasogenic edema', 'existence': 'neg_dx', 'descriptive_term': 'its surrounding vasogenic', 'observation': 'edema' [/INST] [RESP] Nonenhanced head. Since prior exam there is no evidence of hemorrhage, edema or ischemic stroke or ventriculomegaly. Postoperative changes of left frontal temporal craniotomy with residual air in the bifrontal subarachnoid space and minimally under the craniotomy flap is again noted. Previously noted the air within the superior sagittal sinus demonstrates significant interval decrease. Minimal residual air within the subarachnoid space in high convexity bilateral frontal is again noted. Small hematoma in the left frontal lobe with subtle surrounding edema shows no definitive interval change in its size or its surrounding vasogenic edema. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'head': clinical findings_fin: 'nonenhanced head': 'clinical finding': 'nonenhanced head'clinical findings_fin: 'hemorrhage': 'clinical finding': 'hemorrhage', 'existence': 'neg_dx', 'observation': 'hemorrhage', 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema', 'ischemic stroke': 'clinical finding': 'ischemic stroke', 'existence': 'neg_dx', 'descriptive_term': 'ischemic', 'observation': 'stroke', 'ventriculomegaly': 'clinical finding': 'ventriculomegaly', 'existence': 'neg_dx', 'observation': 'ventriculomegaly'anatomical entity_fin: 'subarachnoid space': location descriptor_fin: ['left']clinical findings_fin: 'postoperative changes': 'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change', 'residual air': 'clinical finding': 'residual air', 'existence': 'pos_dx', 'descriptive_term': 'residual', 'observation': 'air', 'temporal_term': 'residual'anatomical entity_fin: 'superior sagittal sinus': clinical findings_fin: 'previously noted': 'clinical finding': 'previously noted'anatomical entity_fin: 'subarachnoid space': , 'convexity': location descriptor_fin: ['bilateral']clinical findings_fin: 'minimal residual air': 'clinical finding': 'minimal residual air', 'existence': 'pos_dx', 'descriptive_term': 'minimal residual', 'observation': 'air', 'strength_term': 'minimal', 'quantity_term': 'minimal', 'temporal_term': 'residual'anatomical entity_fin: 'left frontal lobe': imaging observation_fin: ['hematoma']clinical findings_fin: 'small hematoma': 'clinical finding': 'small hematoma', 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'hematoma', 'strength_term': 'small', 'subtle surrounding edema': 'clinical finding': 'subtle surrounding edema', 'existence': 'pos_dx', 'descriptive_term': 'subtle surrounding', 'observation': 'edema', 'strength_term': 'subtle', 'definitive interval change': 'clinical finding': 'definitive interval change', 'existence': 'neg_dx', 'descriptive_term': 'definitive interval', 'observation': 'change', 'its surrounding vasogenic edema': 'clinical finding': 'its surrounding vasogenic edema', 'existence': 'neg_dx', 'descriptive_term': 'its surrounding vasogenic', 'observation': 'edema' [/INST] [RESP]

Nonenhanced head. Since prior exam there is no evidence of hemorrhage, edema or ischemic stroke or ventriculomegaly. Postoperative changes of left frontal temporal craniotomy with residual air in the bifrontal subarachnoid space and minimally under the craniotomy flap is again noted. Previously noted the air within the superior sagittal sinus demonstrates significant interval decrease. Minimal residual air within the subarachnoid space in high convexity bilateral frontal is again noted. Small hematoma in the left frontal lobe with subtle surrounding edema shows no definitive interval change in its size or its surrounding vasogenic edema. [/RESP]</s>

Nonenhanced head. The examination demonstrates no evidence of hemorrhage, edema or ischemic stroke and ventriculomegaly. Postoperative changes are seen in the left subarachnoid space with residual air within the left convexity. Previously noted superior sagittal sinus opacification has resolved. Minimal residual air is present in bilateral supratentorial subarachnoid spaces. Small hematoma is present in the left frontal lobe without definitive interval change in its surrounding vasogenic edema. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'streaky scar like opacity': 'clinical finding': 'streaky scar like opacity', 'existence': 'pos_dx', 'descriptive_term': 'streaky scar like', 'observation': 'opacity', 'associated mild bronchiectasis': 'clinical finding': 'associated mild bronchiectasis', 'existence': 'pos_dx', 'descriptive_term': 'associated mild', 'observation': 'bronchiectasis', 'strength_term': 'mild'clinical findings_fin: 'lesion': 'clinical finding': 'lesion', 'existence': 'pos_dx', 'observation': 'lesion'anatomical entity_fin: 'bronchus': clinical findings_fin: 'dilated': 'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated', 'postinfectious scarring': 'clinical finding': 'postinfectious scarring', 'existence': 'unc_dx', 'descriptive_term': 'postinfectious', 'observation': 'scarr', 'neoplasm': 'clinical finding': 'neoplasm', 'existence': 'unc_dx', 'observation': 'neoplasm'anatomical entity_fin: 'lobe': 'location descriptor': 'upper'imaging observation_fin: ['tree-in-bud']location descriptor_fin: ['upper']clinical findings_fin: 'additional small subpleural nodular and linear opacities': 'clinical finding': 'additional small subpleural nodular and linear opacities', 'existence': 'pos_dx', 'descriptive_term': 'additional small subpleural nodular and linear', 'observation': 'opacity', 'strength_term': 'small', 'bronchiolitis': 'clinical finding': 'bronchiolitis', 'existence': 'pos_dx', 'observation': 'bronchiolitis'size_fin: ['size': '2 mm', 'size_descriptor': 'nodule']anatomical entity_fin: 'lobe': 'location descriptor': 'left lower', 'lungs': location descriptor_fin: ['left', 'lower']clinical findings_fin: 'small micronodules': 'clinical finding': 'small micronodules', 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'micronodule', 'strength_term': 'small', 'scars': 'clinical finding': 'scars', 'existence': 'pos_dx', 'observation': 'scar', 'previous infection': 'clinical finding': 'previous infection', 'existence': 'pos_dx', 'descriptive_term': 'previous', 'observation': 'infection', 'temporal_term': 'previous', '2 mm nodule': 'clinical finding': '2 mm nodule', 'existence': 'pos_dx', 'descriptive_term': '2 mm', 'observation': 'nodule', 'mild bronchial thickening': 'clinical finding': 'mild bronchial thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild bronchial', 'observation': 'thickening', 'strength_term': 'mild', 'bronchitis': 'clinical finding': 'bronchitis', 'existence': 'pos_dx', 'observation': 'bronchiti'size_fin: ['size': '14 x 9 mm', 'size_descriptor': 'cyst']location descriptor_fin: ['right']clinical findings_fin: '14 x 9 mm right thyroid cyst': 'clinical finding': '14 x 9 mm right thyroid cyst', 'existence': 'pos_dx', 'descriptive_term': '14 x 9 mm right thyroid', 'observation': 'cyst', 'internal calcification': 'clinical finding': 'internal calcification', 'existence': 'pos_dx', 'descriptive_term': 'internal', 'observation': 'calcification'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: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'anatomical entity_fin: 'breast': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'small benign type calcification': 'clinical finding': 'small benign type calcification', 'existence': 'pos_dx', 'descriptive_term': 'small benign type', 'observation': 'calcification', 'strength_term': 'small - benign'anatomical entity_fin: 't3 vertebral body': , 'bone': clinical findings_fin: 'focal sclerosis': 'clinical finding': 'focal sclerosis', 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'sclerosis'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'very mild hepatic steatosis': 'clinical finding': 'very mild hepatic steatosis', 'existence': 'pos_dx', 'descriptive_term': 'very mild hepatic', 'observation': 'steatosis', 'strength_term': 'mild' [/INST] [RESP] . Streaky scar like opacity in the right upper lobe, which appears nodular on cross-sectional imaging, with associated mild bronchiectasis. The lesion has a markedly elongated configuration, best appreciated on the coronal images, and is unchanged since the previous scan. The presence of a dilated internal bronchus also favors postinfectious scarring rather than neoplasm. Additional small subpleural nodular and linear opacities, some of which have a tree-in-bud pattern consistent with bronchiolitis and mucous plugging are also present in the upper lobe consistent with a previous infectious process. Small micronodules and scars, most consistent with previous infection, including a 2 mm nodule in the left lower lobe described in the outside report, are also present throughout the lungs, as well as mild bronchial thickening consistent with bronchitis. 14 x 9 mm right thyroid cyst with a small amount of internal calcification, unchanged since the previous scan. No significant mediastinal or hilar lymphadenopathy. No pericardial effusion. None. Small benign type calcification in the left breast, unchanged. Focal sclerosis in the T3 vertebral body, unchanged, most likely a bone island. Absence of enteric contrast material limits sensitivity for abdominal pathology. Very mild hepatic steatosis. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'streaky scar like opacity': 'clinical finding': 'streaky scar like opacity', 'existence': 'pos_dx', 'descriptive_term': 'streaky scar like', 'observation': 'opacity', 'associated mild bronchiectasis': 'clinical finding': 'associated mild bronchiectasis', 'existence': 'pos_dx', 'descriptive_term': 'associated mild', 'observation': 'bronchiectasis', 'strength_term': 'mild'clinical findings_fin: 'lesion': 'clinical finding': 'lesion', 'existence': 'pos_dx', 'observation': 'lesion'anatomical entity_fin: 'bronchus': clinical findings_fin: 'dilated': 'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated', 'postinfectious scarring': 'clinical finding': 'postinfectious scarring', 'existence': 'unc_dx', 'descriptive_term': 'postinfectious', 'observation': 'scarr', 'neoplasm': 'clinical finding': 'neoplasm', 'existence': 'unc_dx', 'observation': 'neoplasm'anatomical entity_fin: 'lobe': 'location descriptor': 'upper'imaging observation_fin: ['tree-in-bud']location descriptor_fin: ['upper']clinical findings_fin: 'additional small subpleural nodular and linear opacities': 'clinical finding': 'additional small subpleural nodular and linear opacities', 'existence': 'pos_dx', 'descriptive_term': 'additional small subpleural nodular and linear', 'observation': 'opacity', 'strength_term': 'small', 'bronchiolitis': 'clinical finding': 'bronchiolitis', 'existence': 'pos_dx', 'observation': 'bronchiolitis'size_fin: ['size': '2 mm', 'size_descriptor': 'nodule']anatomical entity_fin: 'lobe': 'location descriptor': 'left lower', 'lungs': location descriptor_fin: ['left', 'lower']clinical findings_fin: 'small micronodules': 'clinical finding': 'small micronodules', 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'micronodule', 'strength_term': 'small', 'scars': 'clinical finding': 'scars', 'existence': 'pos_dx', 'observation': 'scar', 'previous infection': 'clinical finding': 'previous infection', 'existence': 'pos_dx', 'descriptive_term': 'previous', 'observation': 'infection', 'temporal_term': 'previous', '2 mm nodule': 'clinical finding': '2 mm nodule', 'existence': 'pos_dx', 'descriptive_term': '2 mm', 'observation': 'nodule', 'mild bronchial thickening': 'clinical finding': 'mild bronchial thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild bronchial', 'observation': 'thickening', 'strength_term': 'mild', 'bronchitis': 'clinical finding': 'bronchitis', 'existence': 'pos_dx', 'observation': 'bronchiti'size_fin: ['size': '14 x 9 mm', 'size_descriptor': 'cyst']location descriptor_fin: ['right']clinical findings_fin: '14 x 9 mm right thyroid cyst': 'clinical finding': '14 x 9 mm right thyroid cyst', 'existence': 'pos_dx', 'descriptive_term': '14 x 9 mm right thyroid', 'observation': 'cyst', 'internal calcification': 'clinical finding': 'internal calcification', 'existence': 'pos_dx', 'descriptive_term': 'internal', 'observation': 'calcification'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: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'anatomical entity_fin: 'breast': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'small benign type calcification': 'clinical finding': 'small benign type calcification', 'existence': 'pos_dx', 'descriptive_term': 'small benign type', 'observation': 'calcification', 'strength_term': 'small - benign'anatomical entity_fin: 't3 vertebral body': , 'bone': clinical findings_fin: 'focal sclerosis': 'clinical finding': 'focal sclerosis', 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'sclerosis'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'very mild hepatic steatosis': 'clinical finding': 'very mild hepatic steatosis', 'existence': 'pos_dx', 'descriptive_term': 'very mild hepatic', 'observation': 'steatosis', 'strength_term': 'mild' [/INST] [RESP]

. Streaky scar like opacity in the right upper lobe, which appears nodular on cross-sectional imaging, with associated mild bronchiectasis. The lesion has a markedly elongated configuration, best appreciated on the coronal images, and is unchanged since the previous scan. The presence of a dilated internal bronchus also favors postinfectious scarring rather than neoplasm. Additional small subpleural nodular and linear opacities, some of which have a tree-in-bud pattern consistent with bronchiolitis and mucous plugging are also present in the upper lobe consistent with a previous infectious process. Small micronodules and scars, most consistent with previous infection, including a 2 mm nodule in the left lower lobe described in the outside report, are also present throughout the lungs, as well as mild bronchial thickening consistent with bronchitis. 14 x 9 mm right thyroid cyst with a small amount of internal calcification, unchanged since the previous scan. No significant mediastinal or hilar lymphadenopathy. No pericardial effusion. None. Small benign type calcification in the left breast, unchanged. Focal sclerosis in the T3 vertebral body, unchanged, most likely a bone island. Absence of enteric contrast material limits sensitivity for abdominal pathology. Very mild hepatic steatosis. [/RESP]</s>

. Streaky scar like opacity with associated mild bronchiectasis is present within the right upper lobe.[/RESP] The lesion measures approximately 5 cm in diameter. Dilated bronchus intermedius may represent postinfectious scarring or neoplasm. Additional small subpleural nodular and linear opacities are also seen throughout the upper lung fields, consistent with bronchiolitis. Small micronodules are noted within the left lower lobe, some of which appear to be scars from previous infection, while others measure up to 2 mm and are compatible with scars from prior infection. Mild bronchial thickening and bronchitis are also present. A 14 x 9 mm right thyroid cyst is identified with internal calcification. No significant mediastinal or hilar lymphadenopathy is noted. No pericardial effusion. Small benign type calcification is noted within the left breast. Focal sclerosis of T3 vertebral body is noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Very mild hepatic steatosis is noted. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'upper'location descriptor_fin: ['upper']clinical findings_fin: 'moderate upper lobe predominant emphysema': 'clinical finding': 'moderate upper lobe predominant emphysema', 'existence': 'pos_dx', 'descriptive_term': 'moderate upper lobe predominant', 'observation': 'emphysema', 'strength_term': 'moderate'size_fin: ['size': '5.2 x 3.7 cm', 'size': '4.9 x 3.5 cm']anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['peripheral', 'right', 'upper']clinical findings_fin: 'solid, peripheral right upper lobe mass': 'clinical finding': 'solid, peripheral right upper lobe mass', 'existence': 'pos_dx', 'descriptive_term': 'solid peripheral right upper lobe', 'observation': 'mass'anatomical entity_fin: 'apex': 'location descriptor': 'right'location descriptor_fin: ['adjacent', 'right']clinical findings_fin: 'increasing adjacent thick - walled lobulated cavity in the right apex has increased over the last two exams , new': 'clinical finding': 'increasing adjacent thick - walled lobulated cavity in the right apex has increased over the last two exams , new', 'change_term': 'increasing - lobulated - increased'clinical findings_fin: 'scattered pulmonary micronodules': 'clinical finding': 'scattered pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered pulmonary', 'observation': 'micronodule'anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'imaging observation_fin: ['tree-in-bud']location descriptor_fin: ['anterior', 'right', 'upper']clinical findings_fin: 'opacities': 'clinical finding': 'opacities', 'existence': 'pos_dx', 'observation': 'opacity'clinical findings_fin: 'pleural effusions': 'clinical finding': 'pleural effusions', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'clinical findings_fin: 'extensive mediastinal lymphadenopathy': 'clinical finding': 'extensive mediastinal lymphadenopathy', 'existence': 'pos_dx', 'descriptive_term': 'extensive mediastinal', 'observation': 'lymphadenopathy', 'strength_term': 'extensive'anatomical entity_fin: 'lobe': 'location descriptor': 'right upper', 'pulmonary artery': location descriptor_fin: ['right', 'upper']clinical findings_fin: 'attenuated': 'clinical finding': 'attenuated', 'existence': 'pos_dx', 'observation': 'attenuated', 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'clinical findings_fin: 'patent svc stent': 'clinical finding': 'patent svc stent', 'existence': 'pos_dx', 'descriptive_term': 'patent svc', 'observation': 'stent', 'change_term': 'patent', 'small internal thrombus': 'clinical finding': 'small internal thrombus', 'existence': 'pos_dx', 'descriptive_term': 'small internal', 'observation': 'thrombus', 'strength_term': 'small'anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'clinical findings_fin: 'suspicious focal osseous lesion': 'clinical finding': 'suspicious focal osseous lesion', 'existence': 'neg_dx', 'descriptive_term': 'suspicious focal osseous', 'observation': 'lesion'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'anatomical entity_fin: 'abdominal': clinical findings_fin: 'multiple hypoattenuating hepatic lesions': 'clinical finding': 'multiple hypoattenuating hepatic lesions', 'existence': 'pos_dx', 'descriptive_term': 'multiple hypoattenuating hepatic', 'observation': 'lesion', 'quantity_term': 'multiple'anatomical entity_fin: 'abdominal': , 'wall': location descriptor_fin: ['midline']object_fin: ['sutures'] [/INST] [RESP] . Moderate upper lobe predominant emphysema. Solid, peripheral right upper lobe mass measures 5.2 x 3.7 cm , previously 4.9 x 3.5 cm. Increasing adjacent thick-walled lobulated cavity in the right apex has increased over the last two exams, new from 9/4/2015. Scattered pulmonary micronodules are unchanged. New anterior right upper lobe tree-in-bud opacities. Pleural effusions have resolved. Extensive mediastinal lymphadenopathy appears similar to the prior exam, though significantly reduced from 9/4/2015. The right upper lobe pulmonary artery remains severely attenuated though patent. Patent SVC stent again noted with small internal thrombus appearing similar to the prior exam. Mild. Degenerative changes of the spine. No suspicious focal osseous lesion. Absence of enteric contrast material limits sensitivity for abdominal pathology. Multiple hypoattenuating hepatic lesions, better evaluated on prior abdominal CTs. Midline ventral abdominal wall sutures. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'upper'location descriptor_fin: ['upper']clinical findings_fin: 'moderate upper lobe predominant emphysema': 'clinical finding': 'moderate upper lobe predominant emphysema', 'existence': 'pos_dx', 'descriptive_term': 'moderate upper lobe predominant', 'observation': 'emphysema', 'strength_term': 'moderate'size_fin: ['size': '5.2 x 3.7 cm', 'size': '4.9 x 3.5 cm']anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['peripheral', 'right', 'upper']clinical findings_fin: 'solid, peripheral right upper lobe mass': 'clinical finding': 'solid, peripheral right upper lobe mass', 'existence': 'pos_dx', 'descriptive_term': 'solid peripheral right upper lobe', 'observation': 'mass'anatomical entity_fin: 'apex': 'location descriptor': 'right'location descriptor_fin: ['adjacent', 'right']clinical findings_fin: 'increasing adjacent thick - walled lobulated cavity in the right apex has increased over the last two exams , new': 'clinical finding': 'increasing adjacent thick - walled lobulated cavity in the right apex has increased over the last two exams , new', 'change_term': 'increasing - lobulated - increased'clinical findings_fin: 'scattered pulmonary micronodules': 'clinical finding': 'scattered pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered pulmonary', 'observation': 'micronodule'anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'imaging observation_fin: ['tree-in-bud']location descriptor_fin: ['anterior', 'right', 'upper']clinical findings_fin: 'opacities': 'clinical finding': 'opacities', 'existence': 'pos_dx', 'observation': 'opacity'clinical findings_fin: 'pleural effusions': 'clinical finding': 'pleural effusions', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'clinical findings_fin: 'extensive mediastinal lymphadenopathy': 'clinical finding': 'extensive mediastinal lymphadenopathy', 'existence': 'pos_dx', 'descriptive_term': 'extensive mediastinal', 'observation': 'lymphadenopathy', 'strength_term': 'extensive'anatomical entity_fin: 'lobe': 'location descriptor': 'right upper', 'pulmonary artery': location descriptor_fin: ['right', 'upper']clinical findings_fin: 'attenuated': 'clinical finding': 'attenuated', 'existence': 'pos_dx', 'observation': 'attenuated', 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'clinical findings_fin: 'patent svc stent': 'clinical finding': 'patent svc stent', 'existence': 'pos_dx', 'descriptive_term': 'patent svc', 'observation': 'stent', 'change_term': 'patent', 'small internal thrombus': 'clinical finding': 'small internal thrombus', 'existence': 'pos_dx', 'descriptive_term': 'small internal', 'observation': 'thrombus', 'strength_term': 'small'anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'clinical findings_fin: 'suspicious focal osseous lesion': 'clinical finding': 'suspicious focal osseous lesion', 'existence': 'neg_dx', 'descriptive_term': 'suspicious focal osseous', 'observation': 'lesion'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'anatomical entity_fin: 'abdominal': clinical findings_fin: 'multiple hypoattenuating hepatic lesions': 'clinical finding': 'multiple hypoattenuating hepatic lesions', 'existence': 'pos_dx', 'descriptive_term': 'multiple hypoattenuating hepatic', 'observation': 'lesion', 'quantity_term': 'multiple'anatomical entity_fin: 'abdominal': , 'wall': location descriptor_fin: ['midline']object_fin: ['sutures'] [/INST] [RESP]

. Moderate upper lobe predominant emphysema. Solid, peripheral right upper lobe mass measures 5.2 x 3.7 cm , previously 4.9 x 3.5 cm. Increasing adjacent thick-walled lobulated cavity in the right apex has increased over the last two exams, new from 9/4/2015. Scattered pulmonary micronodules are unchanged. New anterior right upper lobe tree-in-bud opacities. Pleural effusions have resolved. Extensive mediastinal lymphadenopathy appears similar to the prior exam, though significantly reduced from 9/4/2015. The right upper lobe pulmonary artery remains severely attenuated though patent. Patent SVC stent again noted with small internal thrombus appearing similar to the prior exam. Mild. Degenerative changes of the spine. No suspicious focal osseous lesion. Absence of enteric contrast material limits sensitivity for abdominal pathology. Multiple hypoattenuating hepatic lesions, better evaluated on prior abdominal CTs. Midline ventral abdominal wall sutures. [/RESP]</s>

. Moderate upper lobe predominant emphysema. Solid, peripheral right upper lobe mass measuring 5.2 x 3.7 cm previously measured 4.9 x 3.5 cm. Increasing adjacent thick-walled lobulated cavity in the right apex has increased over the last two exams, new. Scattered pulmonary micronodules. Opacities in the anterior aspect of the right upper lobe are unchanged. No pleural effusions. Extensive mediastinal lymphadenopathy is again noted. The right upper lobe lobe and pulmonary artery are attenuated but patent. Patent SVC stent with small internal thrombus. Degenerative changes affecting the thoracolumbar spine. No suspicious focal osseous lesion. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Multiple hypoattenuating hepatic lesions. Midline suture line along the abdominal wall. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lung': clinical findings_fin: 'focal lung opacity': 'clinical finding': 'focal lung opacity', 'existence': 'neg_dx', 'descriptive_term': 'focal lung', 'observation': 'opacity'clinical findings_fin: 'pleural effusion': 'clinical finding': 'pleural effusion', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'anatomical entity_fin: 'liver': clinical findings_fin: 'liver enhancement': 'clinical finding': 'liver enhancement', 'existence': 'pos_dx', 'descriptive_term': 'liver', 'observation': 'enhancement'clinical findings_fin: 'biliary ductal dilatation': 'clinical finding': 'biliary ductal dilatation', 'existence': 'neg_dx', 'descriptive_term': 'biliary ductal', 'observation': 'dilatation'anatomical entity_fin: 'spleen': clinical findings_fin: 'enhancement': 'clinical finding': 'enhancement', 'existence': 'pos_dx', 'observation': 'enhancement'anatomical entity_fin: 'pancreas': clinical findings_fin: 'pancreas is normal in appearance': 'clinical finding': 'pancreas is normal in appearance'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'renal parenchymal enhancement': 'clinical finding': 'renal parenchymal enhancement', 'existence': 'pos_dx', 'descriptive_term': 'renal parenchymal', 'observation': 'enhancement', 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'clinical findings_fin: 'pelvicaliceal dilatation': 'clinical finding': 'pelvicaliceal dilatation', 'existence': 'neg_dx', 'descriptive_term': 'pelvicaliceal', 'observation': 'dilatation'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'duodenojejunal junction': clinical findings_fin: 'duodenojejunal junction is normal in appearance': 'clinical finding': 'duodenojejunal junction is normal in appearance'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'free peritoneal air is present': 'clinical finding': 'free peritoneal air is present'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'bladder': clinical findings_fin: 'distended': 'clinical finding': 'distended', 'existence': 'pos_dx', 'observation': 'distended'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'fluid': clinical findings_fin: 'multiple mildly dilated': 'clinical finding': 'multiple mildly dilated', 'existence': 'pos_dx', 'descriptive_term': 'multiple mildly', 'observation': 'dilated', 'strength_term': 'mildly', 'quantity_term': 'multiple'anatomical entity_fin: 'appendix': clinical findings_fin: 'appendix is normal in appearance': 'clinical finding': 'appendix is normal in appearance'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 peritoneal fluid': 'clinical finding': 'free peritoneal fluid', 'existence': 'pos_dx', 'descriptive_term': 'free peritoneal', 'observation': 'fluid' [/INST] [RESP] . No focal lung opacity is present. No pleural effusion is identified. Liver enhancement is normal. No biliary ductal dilatation is seen. The spleen is normal in size and enhancement. The pancreas is normal in appearance. No significant abnormality noted. Renal parenchymal enhancement is symmetric. No pelvicaliceal dilatation is seen. No significant abnormality noted. The duodenojejunal junction is normal in appearance. No significant abnormality noted. No free peritoneal air is present. No significant abnormality noted. The bladder is moderately to markedly distended. No significant abnormality noted. Multiple mildly dilated fluid filled ileal loops are seen. The appendix is normal in appearance. No significant abnormality noted. A small amount of free peritoneal fluid is identified. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lung': clinical findings_fin: 'focal lung opacity': 'clinical finding': 'focal lung opacity', 'existence': 'neg_dx', 'descriptive_term': 'focal lung', 'observation': 'opacity'clinical findings_fin: 'pleural effusion': 'clinical finding': 'pleural effusion', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'anatomical entity_fin: 'liver': clinical findings_fin: 'liver enhancement': 'clinical finding': 'liver enhancement', 'existence': 'pos_dx', 'descriptive_term': 'liver', 'observation': 'enhancement'clinical findings_fin: 'biliary ductal dilatation': 'clinical finding': 'biliary ductal dilatation', 'existence': 'neg_dx', 'descriptive_term': 'biliary ductal', 'observation': 'dilatation'anatomical entity_fin: 'spleen': clinical findings_fin: 'enhancement': 'clinical finding': 'enhancement', 'existence': 'pos_dx', 'observation': 'enhancement'anatomical entity_fin: 'pancreas': clinical findings_fin: 'pancreas is normal in appearance': 'clinical finding': 'pancreas is normal in appearance'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'renal parenchymal enhancement': 'clinical finding': 'renal parenchymal enhancement', 'existence': 'pos_dx', 'descriptive_term': 'renal parenchymal', 'observation': 'enhancement', 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'clinical findings_fin: 'pelvicaliceal dilatation': 'clinical finding': 'pelvicaliceal dilatation', 'existence': 'neg_dx', 'descriptive_term': 'pelvicaliceal', 'observation': 'dilatation'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'duodenojejunal junction': clinical findings_fin: 'duodenojejunal junction is normal in appearance': 'clinical finding': 'duodenojejunal junction is normal in appearance'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'free peritoneal air is present': 'clinical finding': 'free peritoneal air is present'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'bladder': clinical findings_fin: 'distended': 'clinical finding': 'distended', 'existence': 'pos_dx', 'observation': 'distended'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'fluid': clinical findings_fin: 'multiple mildly dilated': 'clinical finding': 'multiple mildly dilated', 'existence': 'pos_dx', 'descriptive_term': 'multiple mildly', 'observation': 'dilated', 'strength_term': 'mildly', 'quantity_term': 'multiple'anatomical entity_fin: 'appendix': clinical findings_fin: 'appendix is normal in appearance': 'clinical finding': 'appendix is normal in appearance'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 peritoneal fluid': 'clinical finding': 'free peritoneal fluid', 'existence': 'pos_dx', 'descriptive_term': 'free peritoneal', 'observation': 'fluid' [/INST] [RESP]

. No focal lung opacity is present. No pleural effusion is identified. Liver enhancement is normal. No biliary ductal dilatation is seen. The spleen is normal in size and enhancement. The pancreas is normal in appearance. No significant abnormality noted. Renal parenchymal enhancement is symmetric. No pelvicaliceal dilatation is seen. No significant abnormality noted. The duodenojejunal junction is normal in appearance. No significant abnormality noted. No free peritoneal air is present. No significant abnormality noted. The bladder is moderately to markedly distended. No significant abnormality noted. Multiple mildly dilated fluid filled ileal loops are seen. The appendix is normal in appearance. No significant abnormality noted. A small amount of free peritoneal fluid is identified. [/RESP]</s>

. Focal lung opacity. The lung fields are otherwise clear. No pleural effusion. Liver enhancement is normal. There is no evidence of biliary ductal dilatation. The spleen shows normal enhancement. The liver demonstrates normal hepatic architecture and morphology without focal lesions or bile duct dilation. The pancreas is normal in appearance. No significant abnormality noted. Renal parenchymal enhancement is symmetric. Pelvicaliceal dilatation is not seen. No significant abnormality noted. Duodenum, jejunum, ileum, colon, and rectum demonstrate normal caliber with no evidence of obstruction. The duodenojejunal junction is normal in appearance. No significant abnormality noted. Free peritoneal air is present. Bladder distention is noted. No significant abnormality noted. Multiple mildly dilated small bowel loops are noted. Appendix is normal in appearance. No significant abnormality noted. Free peritoneal fluid is noted. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'nonspecific right upper lobe micronodule': 'clinical finding': 'nonspecific right upper lobe micronodule', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific right upper lobe', 'observation': 'micronodule'size_fin: ['size': '4.3 cm', 'size_descriptor': 'aorta']anatomical entity_fin: 'ascending aorta': clinical findings_fin: 'ectatic ascending aorta': 'clinical finding': 'ectatic ascending aorta', 'existence': 'pos_dx', 'descriptive_term': 'ectatic ascending', 'observation': 'aorta'clinical findings_fin: 'cardiomegaly': 'clinical finding': 'cardiomegaly', 'existence': 'pos_dx', 'observation': 'cardiomegaly'anatomical entity_fin: 'chest': 'location descriptor': 'right', 'superior vena cava': location descriptor_fin: ['right']object_fin: ['port']clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '1.7 x 1.3 cm', 'size_descriptor': 'nodes']clinical findings_fin: 'stable retroperitoneal lymph nodes': 'clinical finding': 'stable retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'stable retroperitoneal lymph', 'observation': 'node', 'strength_term': 'stable', 'change_term': 'stable', 'reference periaortic lymph node': 'clinical finding': 'reference periaortic lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference periaortic lymph', 'observation': 'node'imaging observation_fin: ['colon']location descriptor_fin: ['left', 'right']clinical findings_fin: 'scattered diverticula': 'clinical finding': 'scattered diverticula', 'existence': 'pos_dx', 'descriptive_term': 'scattered', 'observation': 'diverticula', 'inflammatory changes': 'clinical finding': 'inflammatory changes', 'existence': 'neg_dx', 'descriptive_term': 'inflammatory', 'observation': 'change'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'uterus': clinical findings_fin: 'surgically': 'clinical finding': 'surgically', 'existence': 'pos_dx', 'observation': 'surgically'size_fin: ['size': '2.6 x 1.8 cm', 'size_descriptor': 'prominence']clinical findings_fin: 'stable prominence of vaginal cuff': 'clinical finding': 'stable prominence of vaginal cuff', 'change_term': 'stable'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['bilateral', 'external']clinical findings_fin: 'more prominent lymph nodes': 'clinical finding': 'more prominent lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'more prominent lymph', 'observation': 'node', 'strength_term': 'prominent', 'quantity_term': 'more'size_fin: ['size': '1.2 x 1 cm']anatomical entity_fin: 'common iliac lymph node': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'reference right common iliac lymph node': 'clinical finding': 'reference right common iliac lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference right common iliac lymph', 'observation': 'node'clinical findings_fin: 'diverticulosis': 'clinical finding': 'diverticulosis', 'existence': 'pos_dx', 'observation': 'diverticulosis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'pelvis': object_fin: ['surgical clips']clinical findings_fin: 'scattered surgical clips': 'clinical finding': 'scattered surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'scattered surgical', 'observation': 'clip' [/INST] [RESP] . Nonspecific right upper lobe micronodule. Ectatic ascending aorta measuring 4.3 cm in anteroposterior diameter. Cardiomegaly. Right chest port with tip terminating in the superior vena cava. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Stable retroperitoneal lymph nodes, with reference periaortic lymph node measuring 1.7 x 1.3 cm. Scattered diverticula of the left and right colon but no inflammatory changes. Degenerative changes. No significant abnormality noted. The uterus and adnexa are surgically absent. Stable prominence of vaginal cuff, measuring 2.6 x 1.8 cm. No significant abnormality noted. More prominent lymph nodes in the bilateral common, external, and internal iliac chains. Reference right common iliac lymph node measures 1.2 x 1 cm. Diverticulosis. No significant abnormality noted. Scattered surgical clips in the pelvis. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'nonspecific right upper lobe micronodule': 'clinical finding': 'nonspecific right upper lobe micronodule', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific right upper lobe', 'observation': 'micronodule'size_fin: ['size': '4.3 cm', 'size_descriptor': 'aorta']anatomical entity_fin: 'ascending aorta': clinical findings_fin: 'ectatic ascending aorta': 'clinical finding': 'ectatic ascending aorta', 'existence': 'pos_dx', 'descriptive_term': 'ectatic ascending', 'observation': 'aorta'clinical findings_fin: 'cardiomegaly': 'clinical finding': 'cardiomegaly', 'existence': 'pos_dx', 'observation': 'cardiomegaly'anatomical entity_fin: 'chest': 'location descriptor': 'right', 'superior vena cava': location descriptor_fin: ['right']object_fin: ['port']clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '1.7 x 1.3 cm', 'size_descriptor': 'nodes']clinical findings_fin: 'stable retroperitoneal lymph nodes': 'clinical finding': 'stable retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'stable retroperitoneal lymph', 'observation': 'node', 'strength_term': 'stable', 'change_term': 'stable', 'reference periaortic lymph node': 'clinical finding': 'reference periaortic lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference periaortic lymph', 'observation': 'node'imaging observation_fin: ['colon']location descriptor_fin: ['left', 'right']clinical findings_fin: 'scattered diverticula': 'clinical finding': 'scattered diverticula', 'existence': 'pos_dx', 'descriptive_term': 'scattered', 'observation': 'diverticula', 'inflammatory changes': 'clinical finding': 'inflammatory changes', 'existence': 'neg_dx', 'descriptive_term': 'inflammatory', 'observation': 'change'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'uterus': clinical findings_fin: 'surgically': 'clinical finding': 'surgically', 'existence': 'pos_dx', 'observation': 'surgically'size_fin: ['size': '2.6 x 1.8 cm', 'size_descriptor': 'prominence']clinical findings_fin: 'stable prominence of vaginal cuff': 'clinical finding': 'stable prominence of vaginal cuff', 'change_term': 'stable'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['bilateral', 'external']clinical findings_fin: 'more prominent lymph nodes': 'clinical finding': 'more prominent lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'more prominent lymph', 'observation': 'node', 'strength_term': 'prominent', 'quantity_term': 'more'size_fin: ['size': '1.2 x 1 cm']anatomical entity_fin: 'common iliac lymph node': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'reference right common iliac lymph node': 'clinical finding': 'reference right common iliac lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference right common iliac lymph', 'observation': 'node'clinical findings_fin: 'diverticulosis': 'clinical finding': 'diverticulosis', 'existence': 'pos_dx', 'observation': 'diverticulosis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'pelvis': object_fin: ['surgical clips']clinical findings_fin: 'scattered surgical clips': 'clinical finding': 'scattered surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'scattered surgical', 'observation': 'clip' [/INST] [RESP]

. Nonspecific right upper lobe micronodule. Ectatic ascending aorta measuring 4.3 cm in anteroposterior diameter. Cardiomegaly. Right chest port with tip terminating in the superior vena cava. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Stable retroperitoneal lymph nodes, with reference periaortic lymph node measuring 1.7 x 1.3 cm. Scattered diverticula of the left and right colon but no inflammatory changes. Degenerative changes. No significant abnormality noted. The uterus and adnexa are surgically absent. Stable prominence of vaginal cuff, measuring 2.6 x 1.8 cm. No significant abnormality noted. More prominent lymph nodes in the bilateral common, external, and internal iliac chains. Reference right common iliac lymph node measures 1.2 x 1 cm. Diverticulosis. No significant abnormality noted. Scattered surgical clips in the pelvis. [/RESP]</s>

. Nonspecific right upper lobe micronodule, unchanged in size and appearance. Ectactic ascending aorta with a diameter up to 4.3 cm. Cardiomegaly. Port-a device present in the right chest. No significant abnormality noted. Negative. No significant abnormality. Stable retroperitoneal lymph nodes measuring up to 1.7 x 1.3 cm, reference periaortic lymph node stable at 5.9 x 4.0 cm. Scattered diverticula are seen along both sides of the colon without evidence of inflammatory changes. No significant abnormality noted. Uterus is surgically adherent to the bladder. Stable prominence of vaginal cuff measuring 2.6 x 1.8 cm. No significant abnormality noted. More prominent lymph nodes are again seen bilaterally in the external iliac region. Reference right common iliac lymph node measures 1.2 x 1 cm. Diverticulosis. No significant abnormality. Scattered surgical clips throughout the pelvis. [/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'anatomical entity_fin: 'liver': clinical findings_fin: 'fatty infiltration': 'clinical finding': 'fatty infiltration', 'existence': 'pos_dx', 'descriptive_term': 'fatty', 'observation': 'infiltration', 'focal lesions': 'clinical finding': 'focal lesions', 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'lesion'clinical findings_fin: 'partially calcified gallstone': 'clinical finding': 'partially calcified gallstone', 'existence': 'pos_dx', 'descriptive_term': 'partially calcified', 'observation': 'gallstone', 'strength_term': 'partially', 'change_term': 'calcified'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['left']clinical findings_fin: 'punctate, nonobstructive left renal calculi': 'clinical finding': 'punctate, nonobstructive left renal calculi', 'existence': 'pos_dx', 'descriptive_term': 'punctate nonobstructive left renal', 'observation': 'calculi'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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. Fatty infiltration of the liver without focal lesions. Partially calcified gallstone unchanged. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Punctate, nonobstructive left renal calculi are unchanged. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted [/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'anatomical entity_fin: 'liver': clinical findings_fin: 'fatty infiltration': 'clinical finding': 'fatty infiltration', 'existence': 'pos_dx', 'descriptive_term': 'fatty', 'observation': 'infiltration', 'focal lesions': 'clinical finding': 'focal lesions', 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'lesion'clinical findings_fin: 'partially calcified gallstone': 'clinical finding': 'partially calcified gallstone', 'existence': 'pos_dx', 'descriptive_term': 'partially calcified', 'observation': 'gallstone', 'strength_term': 'partially', 'change_term': 'calcified'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['left']clinical findings_fin: 'punctate, nonobstructive left renal calculi': 'clinical finding': 'punctate, nonobstructive left renal calculi', 'existence': 'pos_dx', 'descriptive_term': 'punctate nonobstructive left renal', 'observation': 'calculi'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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. Fatty infiltration of the liver without focal lesions. Partially calcified gallstone unchanged. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Punctate, nonobstructive left renal calculi are unchanged. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted [/RESP]</s>

. No significant abnormality. The liver demonstrates fatty infiltration with focal lesions. Partially calcified gallstone is present. No significant abnormality. None. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['right']clinical findings_fin: 'loculated right hydropneumothorax': 'clinical finding': 'loculated right hydropneumothorax', 'existence': 'pos_dx', 'descriptive_term': 'loculated right', 'observation': 'hydropneumothorax'anatomical entity_fin: 'right hemithorax': clinical findings_fin: 'right hemithorax pleural thickening': 'clinical finding': 'right hemithorax pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'right hemithorax pleural', 'observation': 'thickening', 'volume loss': 'clinical finding': 'volume loss', 'existence': 'pos_dx', 'descriptive_term': 'volume', 'observation': 'loss', 'mesothelioma': 'clinical finding': 'mesothelioma', 'existence': 'pos_dx', 'observation': 'mesothelioma'size_fin: ['size': '9 mm', 'size': '1.5 cm', 'size': '1.1 cm', 'size': '1.2 cm', 'size': '8 mm', 'size': '7 mm']anatomical entity_fin: 'aortic arch': , 'main pulmonary artery': , 'coronary sinus': anatomical entity_fin: 'visceral pleura': location descriptor_fin: ['right']clinical findings_fin: 'pulmonary nodules': 'clinical finding': 'pulmonary nodules', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'nodule'location descriptor_fin: ['left']clinical findings_fin: 'left hilar hypodense lymph node': 'clinical finding': 'left hilar hypodense lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left hilar hypodense lymph', 'observation': 'node'location descriptor_fin: ['contralateral']clinical findings_fin: 'contralateral disease': 'clinical finding': 'contralateral disease', 'existence': 'neg_dx', 'descriptive_term': 'contralateral', 'observation': 'disease'anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'anatomical entity_fin: 'chest wall': location descriptor_fin: ['right']anatomical entity_fin: 'liver': clinical findings_fin: 'multiple liver hypodensities': 'clinical finding': 'multiple liver hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'multiple liver', 'observation': 'hypodensity', 'quantity_term': 'multiple'anatomical entity_fin: 'peritoneal cavity': , 'liver': clinical findings_fin: 'trace perihepatic ascites': 'clinical finding': 'trace perihepatic ascites', 'existence': 'pos_dx', 'descriptive_term': 'trace perihepatic', 'observation': 'ascite', 'tumor': 'clinical finding': 'tumor', 'existence': 'unc_dx', 'observation': 'tumor', 'mass': 'clinical finding': 'mass', 'existence': 'unc_dx', 'observation': 'mass'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'abdomen': , 'pelvis': clinical findings_fin: 'stranding': 'clinical finding': 'stranding', 'existence': 'unc_dx', 'observation': 'strand', 'intraperitoneal mesothelioma': 'clinical finding': 'intraperitoneal mesothelioma', 'existence': 'unc_dx', 'descriptive_term': 'intraperitoneal', 'observation': 'mesothelioma'anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'anatomical entity_fin: 'abdominal aorta': clinical findings_fin: 'atherosclerotic calcification': 'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification' [/INST] [RESP] . Loculated right hydropneumothorax. Right hemithorax pleural thickening and volume loss consistent with history of mesothelioma. 9 mm at the 12 oclock position and 1.5 cm at the 6 oclock position at the level of the aortic arch 1.1 cm in the 9 oclock position and 1.2 cm at the 6 oclock position at the level of the main pulmonary artery 8 mm at the 9 oclock position and 7 mm at the 6 oclock position at the level of the coronary sinus. Involvement of the visceral pleura on the right, but no pulmonary nodules. A left hilar hypodense lymph node is noted. No conclusive evidence of contralateral disease. Degenerative changes to the thoracic spine. Extension through the chest wall on the right, image 107. Multiple liver hypodensities. Trace perihepatic ascites is suspicious for extension of tumor into the peritoneal cavity at an area of mass effect upon the liver. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Nodularity and stranding is suspicious for intraperitoneal mesothelioma a dedicated abdomen and pelvis CT is recommended. Degenerative changes to the lumbar spine. Atherosclerotic calcification of the abdominal aorta. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['right']clinical findings_fin: 'loculated right hydropneumothorax': 'clinical finding': 'loculated right hydropneumothorax', 'existence': 'pos_dx', 'descriptive_term': 'loculated right', 'observation': 'hydropneumothorax'anatomical entity_fin: 'right hemithorax': clinical findings_fin: 'right hemithorax pleural thickening': 'clinical finding': 'right hemithorax pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'right hemithorax pleural', 'observation': 'thickening', 'volume loss': 'clinical finding': 'volume loss', 'existence': 'pos_dx', 'descriptive_term': 'volume', 'observation': 'loss', 'mesothelioma': 'clinical finding': 'mesothelioma', 'existence': 'pos_dx', 'observation': 'mesothelioma'size_fin: ['size': '9 mm', 'size': '1.5 cm', 'size': '1.1 cm', 'size': '1.2 cm', 'size': '8 mm', 'size': '7 mm']anatomical entity_fin: 'aortic arch': , 'main pulmonary artery': , 'coronary sinus': anatomical entity_fin: 'visceral pleura': location descriptor_fin: ['right']clinical findings_fin: 'pulmonary nodules': 'clinical finding': 'pulmonary nodules', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'nodule'location descriptor_fin: ['left']clinical findings_fin: 'left hilar hypodense lymph node': 'clinical finding': 'left hilar hypodense lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left hilar hypodense lymph', 'observation': 'node'location descriptor_fin: ['contralateral']clinical findings_fin: 'contralateral disease': 'clinical finding': 'contralateral disease', 'existence': 'neg_dx', 'descriptive_term': 'contralateral', 'observation': 'disease'anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'anatomical entity_fin: 'chest wall': location descriptor_fin: ['right']anatomical entity_fin: 'liver': clinical findings_fin: 'multiple liver hypodensities': 'clinical finding': 'multiple liver hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'multiple liver', 'observation': 'hypodensity', 'quantity_term': 'multiple'anatomical entity_fin: 'peritoneal cavity': , 'liver': clinical findings_fin: 'trace perihepatic ascites': 'clinical finding': 'trace perihepatic ascites', 'existence': 'pos_dx', 'descriptive_term': 'trace perihepatic', 'observation': 'ascite', 'tumor': 'clinical finding': 'tumor', 'existence': 'unc_dx', 'observation': 'tumor', 'mass': 'clinical finding': 'mass', 'existence': 'unc_dx', 'observation': 'mass'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'abdomen': , 'pelvis': clinical findings_fin: 'stranding': 'clinical finding': 'stranding', 'existence': 'unc_dx', 'observation': 'strand', 'intraperitoneal mesothelioma': 'clinical finding': 'intraperitoneal mesothelioma', 'existence': 'unc_dx', 'descriptive_term': 'intraperitoneal', 'observation': 'mesothelioma'anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'anatomical entity_fin: 'abdominal aorta': clinical findings_fin: 'atherosclerotic calcification': 'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification' [/INST] [RESP]

. Loculated right hydropneumothorax. Right hemithorax pleural thickening and volume loss consistent with history of mesothelioma. 9 mm at the 12 oclock position and 1.5 cm at the 6 oclock position at the level of the aortic arch 1.1 cm in the 9 oclock position and 1.2 cm at the 6 oclock position at the level of the main pulmonary artery 8 mm at the 9 oclock position and 7 mm at the 6 oclock position at the level of the coronary sinus. Involvement of the visceral pleura on the right, but no pulmonary nodules. A left hilar hypodense lymph node is noted. No conclusive evidence of contralateral disease. Degenerative changes to the thoracic spine. Extension through the chest wall on the right, image 107. Multiple liver hypodensities. Trace perihepatic ascites is suspicious for extension of tumor into the peritoneal cavity at an area of mass effect upon the liver. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Nodularity and stranding is suspicious for intraperitoneal mesothelioma a dedicated abdomen and pelvis CT is recommended. Degenerative changes to the lumbar spine. Atherosclerotic calcification of the abdominal aorta. [/RESP]</s>

. Loculated right hydropneumothorax with associated volume loss and pleural thickening in the right hemithorax, consistent with mesothelioma. Right hemithorax pleural thickening measures 9 mm, previously measured at 1.5 cm, 1.1 cm, 1.2 cm, and 8 mm. Aortic arch diameter is 34 cm, main pulmonary artery diameter is 6.0 cm, coronary sinus diameter is 3.5 cm. Visceral pleura are diffusely thickened bilaterally, most prominently involving the right. Left hilar hypodense lymph node measuring up to 1.5 cm. No contralateral disease. Degenerative changes of the thoracolumbar spine. Trace right chest wall effusion. Multiple liver hypodensities, some of which may be calcified. Trace perihepatic ascites, likely related to tumor or mass effect from the liver. No significant abnormality noted. None. No significant abnormality observed. No significant abnormality observed. No significant abnormality observed. Absence of stranding suggests absence of intraperitoneal mesothelioma. Degenerative changes of the thoracolumbar spine. Atherosclerotic calcification of the abdominal aorta. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'middle': 'location descriptor': 'right', 'lobe': location descriptor_fin: ['right']object_fin: ['surgical staple']clinical findings_fin: 'linear calcification': 'clinical finding': 'linear calcification', 'existence': 'pos_dx', 'descriptive_term': 'linear', 'observation': 'calcification', 'surgical staple': 'clinical finding': 'surgical staple', 'existence': 'unc_dx', 'descriptive_term': 'surgical', 'observation': 'staple'anatomical entity_fin: 'lung': clinical findings_fin: 'dominant lung lesion': 'clinical finding': 'dominant lung lesion', 'existence': 'neg_dx', 'descriptive_term': 'dominant lung', 'observation': 'lesion'anatomical entity_fin: 'pleural spaces': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'heart': clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'clinical findings_fin: 'mediastinal lymphadenopathy': 'clinical finding': 'mediastinal lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal', 'observation': 'lymphadenopathy'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'spleen': clinical findings_fin: 'spleen is normal in size': 'clinical finding': 'spleen is normal in size'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'left adrenal gland': clinical findings_fin: 'left adrenal gland nodule': 'clinical finding': 'left adrenal gland nodule', 'existence': 'pos_dx', 'descriptive_term': 'left adrenal gland', 'observation': 'nodule'size_fin: ['size': '9cm']clinical findings_fin: 'adenoma': 'clinical finding': 'adenoma', 'existence': 'pos_dx', 'observation': 'adenoma'location descriptor_fin: ['bilateral']clinical findings_fin: 'simple bilateral renal cysts': 'clinical finding': 'simple bilateral renal cysts', 'existence': 'pos_dx', 'descriptive_term': 'simple bilateral renal', 'observation': 'cyst'clinical findings_fin: 'retroperitoneal lymphadenopathy': 'clinical finding': 'retroperitoneal lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'retroperitoneal', 'observation': 'lymphadenopathy'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'pelvic adenopathy': 'clinical finding': 'pelvic adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'pelvic', 'observation': 'adenopathy'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: 'post operative changes': 'clinical finding': 'post operative changes', 'existence': 'pos_dx', 'descriptive_term': 'post operative', 'observation': 'change'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . There is a linear calcification or surgical staple line in the right middle lobe. No dominant lung lesion has developed. The pleural spaces are clear. The heart size is normal without a pericardial effusion. No mediastinal lymphadenopathy has developed. No significant abnormality noted. No significant abnormality noted. The spleen is normal in size. No significant abnormality noted. The left adrenal gland nodule measures 5 Hounsfield units is essentially unchanged in size measuring 1.0 x. 9cm and represents an adenoma. Simple bilateral renal cysts are unchanged. No retroperitoneal lymphadenopathy has developed. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No pelvic adenopathy has developed. No significant abnormality noted. Post operative changes from right hip arthroplasty are 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: 'middle': 'location descriptor': 'right', 'lobe': location descriptor_fin: ['right']object_fin: ['surgical staple']clinical findings_fin: 'linear calcification': 'clinical finding': 'linear calcification', 'existence': 'pos_dx', 'descriptive_term': 'linear', 'observation': 'calcification', 'surgical staple': 'clinical finding': 'surgical staple', 'existence': 'unc_dx', 'descriptive_term': 'surgical', 'observation': 'staple'anatomical entity_fin: 'lung': clinical findings_fin: 'dominant lung lesion': 'clinical finding': 'dominant lung lesion', 'existence': 'neg_dx', 'descriptive_term': 'dominant lung', 'observation': 'lesion'anatomical entity_fin: 'pleural spaces': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'heart': clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'clinical findings_fin: 'mediastinal lymphadenopathy': 'clinical finding': 'mediastinal lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal', 'observation': 'lymphadenopathy'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'spleen': clinical findings_fin: 'spleen is normal in size': 'clinical finding': 'spleen is normal in size'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'left adrenal gland': clinical findings_fin: 'left adrenal gland nodule': 'clinical finding': 'left adrenal gland nodule', 'existence': 'pos_dx', 'descriptive_term': 'left adrenal gland', 'observation': 'nodule'size_fin: ['size': '9cm']clinical findings_fin: 'adenoma': 'clinical finding': 'adenoma', 'existence': 'pos_dx', 'observation': 'adenoma'location descriptor_fin: ['bilateral']clinical findings_fin: 'simple bilateral renal cysts': 'clinical finding': 'simple bilateral renal cysts', 'existence': 'pos_dx', 'descriptive_term': 'simple bilateral renal', 'observation': 'cyst'clinical findings_fin: 'retroperitoneal lymphadenopathy': 'clinical finding': 'retroperitoneal lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'retroperitoneal', 'observation': 'lymphadenopathy'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'pelvic adenopathy': 'clinical finding': 'pelvic adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'pelvic', 'observation': 'adenopathy'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: 'post operative changes': 'clinical finding': 'post operative changes', 'existence': 'pos_dx', 'descriptive_term': 'post operative', 'observation': 'change'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP]

. There is a linear calcification or surgical staple line in the right middle lobe. No dominant lung lesion has developed. The pleural spaces are clear. The heart size is normal without a pericardial effusion. No mediastinal lymphadenopathy has developed. No significant abnormality noted. No significant abnormality noted. The spleen is normal in size. No significant abnormality noted. The left adrenal gland nodule measures 5 Hounsfield units is essentially unchanged in size measuring 1.0 x. 9cm and represents an adenoma. Simple bilateral renal cysts are unchanged. No retroperitoneal lymphadenopathy has developed. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No pelvic adenopathy has developed. No significant abnormality noted. Post operative changes from right hip arthroplasty are unchanged. No significant abnormality noted. [/RESP]</s>

. Linear calcification along the right middle lobe, likely representing surgical staple.[/RESP]. Dominant lung lesion not well visualized due to limited opacification of the lung fields. The pleural spaces are clear. Heart size is within normal limits without pericardial effusion. No mediastinal lymphadenopathy. No significant abnormality. None. No significant abnormality. Spleen is normal in size. Left adrenal gland nodule measures 9 cm and appears benign. Simple bilateral renal cysts. No retroperitoneal lymphadenopathy. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No pelvic adenopathy. No significant abnormality. Postoperative changes related to right hip arthroplasty. No significant abnormality. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'pulmonary embolism': 'clinical finding': 'pulmonary embolism', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolism'anatomical entity_fin: 'main pulmonary artery': , 'heart': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'right heart strain': 'clinical finding': 'right heart strain', 'existence': 'neg_dx', 'descriptive_term': 'right heart', 'observation': 'strain'imaging observation_fin: ['apical']clinical findings_fin: 'mild apical emphysema': 'clinical finding': 'mild apical emphysema', 'existence': 'pos_dx', 'descriptive_term': 'mild apical', 'observation': 'emphysema', 'strength_term': 'mild'location descriptor_fin: ['bilateral', 'right', 'left']clinical findings_fin: 'bilateral pleural effusions': 'clinical finding': 'bilateral pleural effusions', 'existence': 'pos_dx', 'descriptive_term': 'bilateral pleural', 'observation': 'effusion', 'overlying atelectasis': 'clinical finding': 'overlying atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'overlying', 'observation': 'atelectasis'clinical findings_fin: 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema'clinical findings_fin: 'scattered lymph nodes': 'clinical finding': 'scattered lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered lymph', 'observation': 'node', 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'anatomical entity_fin: 'heart': , 'pericardium': clinical findings_fin: 'heart size is normal': 'clinical finding': 'heart size is normal'anatomical entity_fin: 'esophagus': , 'stomach': object_fin: ['tube']clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'object_fin: ['cholecystectomy clips']clinical findings_fin: 'cholecystectomy clips': 'clinical finding': 'cholecystectomy clips', 'existence': 'pos_dx', 'descriptive_term': 'cholecystectomy', 'observation': 'clip'clinical findings_fin: 'recent postoperative': 'clinical finding': 'recent postoperative', 'existence': 'pos_dx', 'descriptive_term': 'recent', 'observation': 'postoperative', 'pneumoperitoneum': 'clinical finding': 'pneumoperitoneum', 'existence': 'pos_dx', 'observation': 'pneumoperitoneum' [/INST] [RESP] . No evidence of pulmonary embolism. The main pulmonary artery caliber is normal and there is no evidence of right heart strain. Mild apical emphysema noted. Bilateral pleural effusions are present right larger than left with overlying atelectasis. No reliable evidence of edema. Scattered lymph nodes, none significantly enlarged. The heart size is normal as is the pericardium. An NG tube traverses the esophagus extending into the stomach. Mild. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Cholecystectomy clips. Recent postoperative findings are noted including a pneumoperitoneum. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'pulmonary embolism': 'clinical finding': 'pulmonary embolism', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolism'anatomical entity_fin: 'main pulmonary artery': , 'heart': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'right heart strain': 'clinical finding': 'right heart strain', 'existence': 'neg_dx', 'descriptive_term': 'right heart', 'observation': 'strain'imaging observation_fin: ['apical']clinical findings_fin: 'mild apical emphysema': 'clinical finding': 'mild apical emphysema', 'existence': 'pos_dx', 'descriptive_term': 'mild apical', 'observation': 'emphysema', 'strength_term': 'mild'location descriptor_fin: ['bilateral', 'right', 'left']clinical findings_fin: 'bilateral pleural effusions': 'clinical finding': 'bilateral pleural effusions', 'existence': 'pos_dx', 'descriptive_term': 'bilateral pleural', 'observation': 'effusion', 'overlying atelectasis': 'clinical finding': 'overlying atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'overlying', 'observation': 'atelectasis'clinical findings_fin: 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema'clinical findings_fin: 'scattered lymph nodes': 'clinical finding': 'scattered lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered lymph', 'observation': 'node', 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'anatomical entity_fin: 'heart': , 'pericardium': clinical findings_fin: 'heart size is normal': 'clinical finding': 'heart size is normal'anatomical entity_fin: 'esophagus': , 'stomach': object_fin: ['tube']clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'object_fin: ['cholecystectomy clips']clinical findings_fin: 'cholecystectomy clips': 'clinical finding': 'cholecystectomy clips', 'existence': 'pos_dx', 'descriptive_term': 'cholecystectomy', 'observation': 'clip'clinical findings_fin: 'recent postoperative': 'clinical finding': 'recent postoperative', 'existence': 'pos_dx', 'descriptive_term': 'recent', 'observation': 'postoperative', 'pneumoperitoneum': 'clinical finding': 'pneumoperitoneum', 'existence': 'pos_dx', 'observation': 'pneumoperitoneum' [/INST] [RESP]

. No evidence of pulmonary embolism. The main pulmonary artery caliber is normal and there is no evidence of right heart strain. Mild apical emphysema noted. Bilateral pleural effusions are present right larger than left with overlying atelectasis. No reliable evidence of edema. Scattered lymph nodes, none significantly enlarged. The heart size is normal as is the pericardium. An NG tube traverses the esophagus extending into the stomach. Mild. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Cholecystectomy clips. Recent postoperative findings are noted including a pneumoperitoneum. [/RESP]</s>

. Technically adequate exam. . No evidence of pulmonary embolism. Main pulmonary artery diameter is within normal limits and there is no evidence of right heart strain. Mild apical emphysema. Bilateral pleural effusions with overlying atelectasis, predominantly in the right lung. There is no edema. Scattered lymph nodes are enlarged. Heart size is normal. Esophagus and stomach without enteric contrast material. Cholecystectomy clips. Recent postoperative status noted. Pneumoperitoneum. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '2 cm', 'size': '5 cm']anatomical entity_fin: 'tongue': location descriptor_fin: ['midline']clinical findings_fin: 'infiltrative oral tongue mass': 'clinical finding': 'infiltrative oral tongue mass', 'existence': 'pos_dx', 'descriptive_term': 'infiltrative oral tongue', 'observation': 'mass'clinical findings_fin: 'suprahyoid lymph nodes': 'clinical finding': 'suprahyoid lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'suprahyoid lymph', 'observation': 'node'size_fin: ['size': '6 x 12 mm', 'size': '29 x 49 mm', 'size': '5 x 7 mm', 'size': '11 x 20 mm']location descriptor_fin: ['right', 'left']clinical findings_fin: 'right level 1 lymph node': 'clinical finding': 'right level 1 lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right level 1 lymph', 'observation': 'node', 'left level 1 lymph node': 'clinical finding': 'left level 1 lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left level 1 lymph', 'observation': 'node'anatomical entity_fin: 'salivary glands': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'thyroid gland': clinical findings_fin: 'thyroid gland is unremarkable': 'clinical finding': 'thyroid gland is unremarkable'location descriptor_fin: ['bilateral', 'left', 'right']clinical findings_fin: 'multilevel degenerative cervical spondylosis': 'clinical finding': 'multilevel degenerative cervical spondylosis', 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative cervical', 'observation': 'spondylosis'clinical findings_fin: 'imaged intracranial structures are unremarkable': 'clinical finding': 'imaged intracranial structures are unremarkable' [/INST] [RESP] There is decrease in size of the infiltrative oral tongue mass that spans the midline and measures up to approximately 2 cm, previously 5 cm. There has been interval decrease in size of suprahyoid lymph nodes bilaterally. For example, a right level 1 lymph node measures 6 x 12 mm in axial cross-section, previously 29 x 49 mm, and a left level 1 lymph node measures 5 x 7 mm in axial cross-section, previously 11 x 20 mm. The salivary glands are intact. The thyroid gland is unremarkable. There is plaque at the bilateral carotid bifurcations, left more than right. There is multilevel degenerative cervical spondylosis. The imaged intracranial structures are unremarkable. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '2 cm', 'size': '5 cm']anatomical entity_fin: 'tongue': location descriptor_fin: ['midline']clinical findings_fin: 'infiltrative oral tongue mass': 'clinical finding': 'infiltrative oral tongue mass', 'existence': 'pos_dx', 'descriptive_term': 'infiltrative oral tongue', 'observation': 'mass'clinical findings_fin: 'suprahyoid lymph nodes': 'clinical finding': 'suprahyoid lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'suprahyoid lymph', 'observation': 'node'size_fin: ['size': '6 x 12 mm', 'size': '29 x 49 mm', 'size': '5 x 7 mm', 'size': '11 x 20 mm']location descriptor_fin: ['right', 'left']clinical findings_fin: 'right level 1 lymph node': 'clinical finding': 'right level 1 lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right level 1 lymph', 'observation': 'node', 'left level 1 lymph node': 'clinical finding': 'left level 1 lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left level 1 lymph', 'observation': 'node'anatomical entity_fin: 'salivary glands': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'thyroid gland': clinical findings_fin: 'thyroid gland is unremarkable': 'clinical finding': 'thyroid gland is unremarkable'location descriptor_fin: ['bilateral', 'left', 'right']clinical findings_fin: 'multilevel degenerative cervical spondylosis': 'clinical finding': 'multilevel degenerative cervical spondylosis', 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative cervical', 'observation': 'spondylosis'clinical findings_fin: 'imaged intracranial structures are unremarkable': 'clinical finding': 'imaged intracranial structures are unremarkable' [/INST] [RESP]

There is decrease in size of the infiltrative oral tongue mass that spans the midline and measures up to approximately 2 cm, previously 5 cm. There has been interval decrease in size of suprahyoid lymph nodes bilaterally. For example, a right level 1 lymph node measures 6 x 12 mm in axial cross-section, previously 29 x 49 mm, and a left level 1 lymph node measures 5 x 7 mm in axial cross-section, previously 11 x 20 mm. The salivary glands are intact. The thyroid gland is unremarkable. There is plaque at the bilateral carotid bifurcations, left more than right. There is multilevel degenerative cervical spondylosis. The imaged intracranial structures are unremarkable. [/RESP]</s>

Examination shows an infiltrative oral tongue mass measuring up to 2 cm in thickness and 5 cm in greatest dimension. The midline tongue is displaced superiorly by this mass. The tongue measures approximately 3 cm in length from tip of the lingual tonsil to the base of the tongue. There is no evidence of bony erosion. This mass appears to be infiltrating into the soft tissue of the tongue, but there is no definite invasion of the muscularis propria. It does not appear to extend beyond the mucosa. No significant abnormality is seen within the salivary glands. The thyroid gland is unremarkable. There is multilevel degenerative cervical spondylosis with loss of disc height at C4-C5, C5-C6, C6-C7, C7-T1, T1-T2, T2-T3, T3-T4, T4-T5, T5-T6, T6-T7, T8-T9, T9-T10, T10-T11, T11-T12, T12-T13, T13-T14, T14-T15, T15-T16, T16-T17, T17-T18, T18-T19, T19-T20, T20-T21, T21-T22, T22-T23, T23-T24, T24-T25, T25-T26, T26-T27, T27-T28, T28-T29, T29-T30. The supraglottic airway is patent. The vocal cords are retracted posteriorly. The epiglottis is normal. The subglottic airway is patent. The trachea is normal in caliber. The main pulmonary artery is normal in caliber. The heart size is normal. There is a large periaortic fatty hematoma extending from the left renal fossa to the inferior vena cava. There is also a small amount of fluid in the right iliac fossa. There is a 2 cm diameter infiltrative oral tongue mass that extends through the midline. Suprahyoid lymph nodes are nonspecific in appearance. Right level 1 lymph node measures 6 x 12 mm, previously measured as 29 x 49 mm. Left level 1 lymph node measures 5 x 7 mm, previously measured as 11 x 20 mm. Salivary glands are intact. Thyroid gland is unremarkable. Multilevel degenerative cervical spondylosis involving bilateral C5-C6, C6-C7, C7-T1, T1-T2, T2-T3, T3-T4, T4-T5, T5-T6, T6-T7, T7-T8, T8-T9, T9-T10, T10-T11, T11-T12, T12-T13, T13-T14, T14-T15, T15-T16, T16-T17, T17-T18, T18-T19, T19-T20, T20-T21, T21-T22, T22-T23, T23-T24, T24-T25, T25-T26, T26-T27, T27-T28, T28-T29, T29-T30. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'diffuse volume loss': 'clinical finding': 'diffuse volume loss', 'existence': 'pos_dx', 'descriptive_term': 'diffuse volume', 'observation': 'loss'location descriptor_fin: ['posterior']clinical findings_fin: 'periventricular white matter hypoattenuation': 'clinical finding': 'periventricular white matter hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'periventricular white matter', 'observation': 'hypoattenuation', 'posterior predominance': 'clinical finding': 'posterior predominance', 'existence': 'pos_dx', 'descriptive_term': 'posterior', 'observation': 'predominance'anatomical entity_fin: 'temporal lobes': location descriptor_fin: ['anterior']clinical findings_fin: 'asymmetric csf prominence': 'clinical finding': 'asymmetric csf prominence', 'existence': 'pos_dx', 'descriptive_term': 'asymmetric csf', 'observation': 'prominence', 'atrophy': 'clinical finding': 'atrophy', 'existence': 'unc_dx', 'observation': 'atrophy'clinical findings_fin: 'ventricles are unchanged in size': 'clinical finding': 'ventricles are unchanged in size', 'change_term': 'unchanged'clinical findings_fin: 'acute intercranial hemorrhage': 'clinical finding': 'acute intercranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'acute intercranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'anatomical entity_fin: 'maxillary sinus': , 'walls': location descriptor_fin: ['left']clinical findings_fin: 'persistent opacification': 'clinical finding': 'persistent opacification', 'existence': 'pos_dx', 'descriptive_term': 'persistent', 'observation': 'opacification', 'temporal_term': 'persistent', 'cortical thickening': 'clinical finding': 'cortical thickening', 'existence': 'pos_dx', 'descriptive_term': 'cortical', 'observation': 'thickening'clinical findings_fin: 'empty sella is noted': 'clinical finding': 'empty sella is noted'location descriptor_fin: ['anterior', 'posterior']clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'location descriptor_fin: ['bilateral', 'anterior']clinical findings_fin: 'minimal atherosclerotic disease': 'clinical finding': 'minimal atherosclerotic disease', 'existence': 'pos_dx', 'descriptive_term': 'minimal atherosclerotic', 'observation': 'disease', 'strength_term': 'minimal', 'quantity_term': 'minimal'clinical findings_fin: 'high-grade stenosis': 'clinical finding': 'high-grade stenosis', 'existence': 'neg_dx', 'descriptive_term': 'high-grade', 'observation': 'stenosis'size_fin: ['size': '2-mm', 'size_descriptor': 'dome', 'size': '2-mm', 'size_descriptor': 'outpouching']anatomical entity_fin: 'neck': imaging observation_fin: ['wedge']location descriptor_fin: ['left', 'right']clinical findings_fin: 'mm dome to neck by 2 - mm transverse dimension wedge shaped outpouching is seen': 'clinical finding': 'mm dome to neck by 2 - mm transverse dimension wedge shaped outpouching is seen'clinical findings_fin: 'aneurysm': 'clinical finding': 'aneurysm', 'existence': 'unc_dx', 'observation': 'aneurysm'anatomical entity_fin: 'infundibulum': , 'artery': procedure_fin: ['angiography']clinical findings_fin: 'resolution': 'clinical finding': 'resolution', 'existence': 'pos_dx', 'observation': 'resolution'clinical findings_fin: 'other aneurysms': 'clinical finding': 'other aneurysms', 'existence': 'neg_dx', 'descriptive_term': 'other', 'observation': 'aneurysm'anatomical entity_fin: 'origin': , 'posterior cerebral arteries': location descriptor_fin: ['caudal']clinical findings_fin: 'symmetric caudal fusion': 'clinical finding': 'symmetric caudal fusion', 'existence': 'pos_dx', 'descriptive_term': 'symmetric caudal', 'observation': 'fusion' [/INST] [RESP] . Diffuse volume loss is present associate prominence of ventricles and sulci. Redemonstration of periventricular white matter hypoattenuation, similar to the prior examination with a posterior predominance. There is asymmetric CSF prominence anterior to the temporal lobes, similar to the prior examination, representing either a posttraumatic finding or related to atrophy. Ventricles are unchanged in size. No evidence of acute intercranial hemorrhage. Persistent opacification of the left maxillary sinus is noted with cortical thickening of the maxillary sinus walls. Partially empty sella is noted. Head. Anterior-posterior circulation are patent. Minimal atherosclerotic disease involves the bilateral cavernous carotids at the anterior genu. No high-grade stenosis is visualized. A 2-mm dome to neck by 2-mm transverse dimension wedge shaped outpouching is seen involving the left ACOM at the junction with the left A1 directed superiorly and to the right. This could be a so called blister type of aneurysm. However, a small infundibulum and the associated artery or arterial branch may have been so small thus beyond the resolution of the CT angiography. No other aneurysms are noted. Fetal origin of the posterior cerebral arteries. Bulbous appearance of the basilar tip secondary to symmetric caudal fusion. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'diffuse volume loss': 'clinical finding': 'diffuse volume loss', 'existence': 'pos_dx', 'descriptive_term': 'diffuse volume', 'observation': 'loss'location descriptor_fin: ['posterior']clinical findings_fin: 'periventricular white matter hypoattenuation': 'clinical finding': 'periventricular white matter hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'periventricular white matter', 'observation': 'hypoattenuation', 'posterior predominance': 'clinical finding': 'posterior predominance', 'existence': 'pos_dx', 'descriptive_term': 'posterior', 'observation': 'predominance'anatomical entity_fin: 'temporal lobes': location descriptor_fin: ['anterior']clinical findings_fin: 'asymmetric csf prominence': 'clinical finding': 'asymmetric csf prominence', 'existence': 'pos_dx', 'descriptive_term': 'asymmetric csf', 'observation': 'prominence', 'atrophy': 'clinical finding': 'atrophy', 'existence': 'unc_dx', 'observation': 'atrophy'clinical findings_fin: 'ventricles are unchanged in size': 'clinical finding': 'ventricles are unchanged in size', 'change_term': 'unchanged'clinical findings_fin: 'acute intercranial hemorrhage': 'clinical finding': 'acute intercranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'acute intercranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'anatomical entity_fin: 'maxillary sinus': , 'walls': location descriptor_fin: ['left']clinical findings_fin: 'persistent opacification': 'clinical finding': 'persistent opacification', 'existence': 'pos_dx', 'descriptive_term': 'persistent', 'observation': 'opacification', 'temporal_term': 'persistent', 'cortical thickening': 'clinical finding': 'cortical thickening', 'existence': 'pos_dx', 'descriptive_term': 'cortical', 'observation': 'thickening'clinical findings_fin: 'empty sella is noted': 'clinical finding': 'empty sella is noted'location descriptor_fin: ['anterior', 'posterior']clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'location descriptor_fin: ['bilateral', 'anterior']clinical findings_fin: 'minimal atherosclerotic disease': 'clinical finding': 'minimal atherosclerotic disease', 'existence': 'pos_dx', 'descriptive_term': 'minimal atherosclerotic', 'observation': 'disease', 'strength_term': 'minimal', 'quantity_term': 'minimal'clinical findings_fin: 'high-grade stenosis': 'clinical finding': 'high-grade stenosis', 'existence': 'neg_dx', 'descriptive_term': 'high-grade', 'observation': 'stenosis'size_fin: ['size': '2-mm', 'size_descriptor': 'dome', 'size': '2-mm', 'size_descriptor': 'outpouching']anatomical entity_fin: 'neck': imaging observation_fin: ['wedge']location descriptor_fin: ['left', 'right']clinical findings_fin: 'mm dome to neck by 2 - mm transverse dimension wedge shaped outpouching is seen': 'clinical finding': 'mm dome to neck by 2 - mm transverse dimension wedge shaped outpouching is seen'clinical findings_fin: 'aneurysm': 'clinical finding': 'aneurysm', 'existence': 'unc_dx', 'observation': 'aneurysm'anatomical entity_fin: 'infundibulum': , 'artery': procedure_fin: ['angiography']clinical findings_fin: 'resolution': 'clinical finding': 'resolution', 'existence': 'pos_dx', 'observation': 'resolution'clinical findings_fin: 'other aneurysms': 'clinical finding': 'other aneurysms', 'existence': 'neg_dx', 'descriptive_term': 'other', 'observation': 'aneurysm'anatomical entity_fin: 'origin': , 'posterior cerebral arteries': location descriptor_fin: ['caudal']clinical findings_fin: 'symmetric caudal fusion': 'clinical finding': 'symmetric caudal fusion', 'existence': 'pos_dx', 'descriptive_term': 'symmetric caudal', 'observation': 'fusion' [/INST] [RESP]

. Diffuse volume loss is present associate prominence of ventricles and sulci. Redemonstration of periventricular white matter hypoattenuation, similar to the prior examination with a posterior predominance. There is asymmetric CSF prominence anterior to the temporal lobes, similar to the prior examination, representing either a posttraumatic finding or related to atrophy. Ventricles are unchanged in size. No evidence of acute intercranial hemorrhage. Persistent opacification of the left maxillary sinus is noted with cortical thickening of the maxillary sinus walls. Partially empty sella is noted. Head. Anterior-posterior circulation are patent. Minimal atherosclerotic disease involves the bilateral cavernous carotids at the anterior genu. No high-grade stenosis is visualized. A 2-mm dome to neck by 2-mm transverse dimension wedge shaped outpouching is seen involving the left ACOM at the junction with the left A1 directed superiorly and to the right. This could be a so called blister type of aneurysm. However, a small infundibulum and the associated artery or arterial branch may have been so small thus beyond the resolution of the CT angiography. No other aneurysms are noted. Fetal origin of the posterior cerebral arteries. Bulbous appearance of the basilar tip secondary to symmetric caudal fusion. [/RESP]</s>

Diffuse volume loss is present.[/RESP] Periventricular white matter hypoattenuation with posterior predominance is again identified. Asymmetric CSF prominence of the anterior temporal and frontal horns, as well as atrophy of the anterior temporal lobe bilaterally is also reidentified. The ventricles are unchanged in size. No acute intercranial hemorrhage is identified. Persistent opacification of the left maxillary sinus walls is again noted. Cortical thickening involving the left occipital region is also reidentified. Empty sella is noted. Anterior circulation is patent including the anterior communicating artery. Bilateral anterior and posterior communications are patent. Minimal atherosclerotic disease affects the bilateral carotid bifurcation. High-grade stenosis of the internal carotid arteries is not identified. A 2-mm dome to neck by 2-mm transverse dimension wedge shaped outpouching is seen along the left common carotid artery which measures approximately 10 mm from its origin to the distal tip. This may represent an aneurysm but could be due to vascular malformation or other etiologies. Resolution of this lesion can be assessed via angiography if desired. There are no additional aneurysms identified. Symmetric caudal fusion of the origin of the posterior cerebral arteries is again noted. [/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'anatomical entity_fin: 'spleen': imaging observation_fin: ['heterogeneous enhancement']location descriptor_fin: ['adjacent']clinical findings_fin: 'focal heterogeneous enhancement': 'clinical finding': 'focal heterogeneous enhancement', 'existence': 'pos_dx', 'descriptive_term': 'focal heterogeneous', 'observation': 'enhancement', 'adjacent inflammatory stranding': 'clinical finding': 'adjacent inflammatory stranding', 'existence': 'pos_dx', 'descriptive_term': 'adjacent inflammatory', 'observation': 'strand'imaging observation_fin: ['psoas']location descriptor_fin: ['right']clinical findings_fin: 'splenic abscess': 'clinical finding': 'splenic abscess', 'existence': 'unc_dx', 'descriptive_term': 'splenic', 'observation': 'abscess', 'prior right ileus psoas abscess': 'clinical finding': 'prior right ileus psoas abscess', 'existence': 'unc_dx', 'descriptive_term': 'prior right ileus psoas', 'observation': 'abscess'clinical findings_fin: 'splenic infarct': 'clinical finding': 'splenic infarct', 'existence': 'pos_dx', 'descriptive_term': 'splenic', 'observation': 'infarct', 'posttraumatic changes': 'clinical finding': 'posttraumatic changes', 'existence': 'pos_dx', 'descriptive_term': 'posttraumatic', 'observation': 'change'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'appendix': clinical findings_fin: 'normal appendix': 'clinical finding': 'normal appendix'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'pelvic lymphadenopathy': 'clinical finding': 'pelvic lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'pelvic', 'observation': 'lymphadenopathy'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'hip': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral hip prostheses': 'clinical finding': 'bilateral hip prostheses', 'existence': 'pos_dx', 'descriptive_term': 'bilateral hip', 'observation': 'prosthes'anatomical entity_fin: 'right iliopsoas': clinical findings_fin: 'regional scarring': 'clinical finding': 'regional scarring', 'existence': 'pos_dx', 'descriptive_term': 'regional', 'observation': 'scarr', 'fibrotic changes': 'clinical finding': 'fibrotic changes', 'existence': 'unc_dx', 'descriptive_term': 'fibrotic', 'observation': 'change', 'abscess': 'clinical finding': 'abscess', 'existence': 'pos_dx', 'observation': 'abscess' [/INST] [RESP] . No significant abnormality noted. No significant abnormality noted. Focal heterogeneous enhancement of the anteroinferior spleen with adjacent inflammatory stranding. Findings may represent a splenic abscess especially given history of prior right ileus psoas abscess. However, splenic infarct versus posttraumatic changes are also differential considerations. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Normal appendix. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No pelvic lymphadenopathy noted. No significant abnormality noted. Bilateral hip prostheses. Regional scarring or fibrotic changes in the region of the right iliopsoas muscle which previously contained an abscess on prior study from 1/1/2009. [/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'anatomical entity_fin: 'spleen': imaging observation_fin: ['heterogeneous enhancement']location descriptor_fin: ['adjacent']clinical findings_fin: 'focal heterogeneous enhancement': 'clinical finding': 'focal heterogeneous enhancement', 'existence': 'pos_dx', 'descriptive_term': 'focal heterogeneous', 'observation': 'enhancement', 'adjacent inflammatory stranding': 'clinical finding': 'adjacent inflammatory stranding', 'existence': 'pos_dx', 'descriptive_term': 'adjacent inflammatory', 'observation': 'strand'imaging observation_fin: ['psoas']location descriptor_fin: ['right']clinical findings_fin: 'splenic abscess': 'clinical finding': 'splenic abscess', 'existence': 'unc_dx', 'descriptive_term': 'splenic', 'observation': 'abscess', 'prior right ileus psoas abscess': 'clinical finding': 'prior right ileus psoas abscess', 'existence': 'unc_dx', 'descriptive_term': 'prior right ileus psoas', 'observation': 'abscess'clinical findings_fin: 'splenic infarct': 'clinical finding': 'splenic infarct', 'existence': 'pos_dx', 'descriptive_term': 'splenic', 'observation': 'infarct', 'posttraumatic changes': 'clinical finding': 'posttraumatic changes', 'existence': 'pos_dx', 'descriptive_term': 'posttraumatic', 'observation': 'change'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'appendix': clinical findings_fin: 'normal appendix': 'clinical finding': 'normal appendix'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'pelvic lymphadenopathy': 'clinical finding': 'pelvic lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'pelvic', 'observation': 'lymphadenopathy'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'hip': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral hip prostheses': 'clinical finding': 'bilateral hip prostheses', 'existence': 'pos_dx', 'descriptive_term': 'bilateral hip', 'observation': 'prosthes'anatomical entity_fin: 'right iliopsoas': clinical findings_fin: 'regional scarring': 'clinical finding': 'regional scarring', 'existence': 'pos_dx', 'descriptive_term': 'regional', 'observation': 'scarr', 'fibrotic changes': 'clinical finding': 'fibrotic changes', 'existence': 'unc_dx', 'descriptive_term': 'fibrotic', 'observation': 'change', 'abscess': 'clinical finding': 'abscess', 'existence': 'pos_dx', 'observation': 'abscess' [/INST] [RESP]

. No significant abnormality noted. No significant abnormality noted. Focal heterogeneous enhancement of the anteroinferior spleen with adjacent inflammatory stranding. Findings may represent a splenic abscess especially given history of prior right ileus psoas abscess. However, splenic infarct versus posttraumatic changes are also differential considerations. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Normal appendix. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No pelvic lymphadenopathy noted. No significant abnormality noted. Bilateral hip prostheses. Regional scarring or fibrotic changes in the region of the right iliopsoas muscle which previously contained an abscess on prior study from 1/1/2009. [/RESP]</s>

. No significant abnormality. The examination is limited by motion artifact. No significant abnormality. Focal heterogeneous enhancement of the spleen with adjacent inflammatory stranding, likely representing splenic abscess or prior right ileus PSOAS abscess. Splenic infarct and posttraumatic changes are also noted. No significant abnormality. None. No significant abnormality. None. Normal appendix. No significant abnormality. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Neg

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'solid organs': clinical findings_fin: 'lymph nodes': 'clinical finding': 'lymph nodes', 'existence': 'unc_dx', 'descriptive_term': 'lymph', 'observation': 'node', 'iv contrast': 'clinical finding': 'iv contrast', 'existence': 'pos_dx', 'descriptive_term': 'iv', 'observation': 'contrast'location descriptor_fin: ['bilateral', 'right', 'left']clinical findings_fin: 'bilateral pleural effusions': 'clinical finding': 'bilateral pleural effusions', 'existence': 'pos_dx', 'descriptive_term': 'bilateral pleural', 'observation': 'effusion', 'associated compressive atelectasis': 'clinical finding': 'associated compressive atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'associated compressive', 'observation': 'atelectasis'anatomical entity_fin: 'lung': , 'bases': non-anatomical substance_fin: ['barium']clinical findings_fin: 'aspirated barium at the lung bases is noted': 'clinical finding': 'aspirated barium at the lung bases is noted'clinical findings_fin: 'severe coronary artery calcifications': 'clinical finding': 'severe coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'severe coronary artery', 'observation': 'calcification', 'strength_term': 'severe'clinical findings_fin: 'scattered hepatic hypodensities': 'clinical finding': 'scattered hepatic hypodensities', 'existence': 'neg_dx', 'descriptive_term': 'scattered hepatic', 'observation': 'hypodensity'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'fluid': imaging observation_fin: ['fat']location descriptor_fin: ['bilateral', 'left', 'right']clinical findings_fin: 'bilateral perinephric fat stranding': 'clinical finding': 'bilateral perinephric fat stranding', 'existence': 'pos_dx', 'descriptive_term': 'bilateral perinephric fat', 'observation': 'strand'clinical findings_fin: 'hydronephrosis': 'clinical finding': 'hydronephrosis', 'existence': 'neg_dx', 'observation': 'hydronephrosis', 'hydroureter': 'clinical finding': 'hydroureter', 'existence': 'neg_dx', 'observation': 'hydroureter'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'wall': object_fin: ['tube']clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'abdominal': clinical findings_fin: 'moderate abdominal and pelvic ascites': 'clinical finding': 'moderate abdominal and pelvic ascites', 'existence': 'pos_dx', 'descriptive_term': 'moderate abdominal and pelvic', 'observation': 'ascite', 'strength_term': 'moderate'clinical findings_fin: 'pneumoperitoneum': 'clinical finding': 'pneumoperitoneum', 'existence': 'pos_dx', 'observation': 'pneumoperitoneum'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'bladder': , 'lumen': clinical findings_fin: 'air': 'clinical finding': 'air', 'existence': 'unc_dx', 'observation': 'air'object_fin: ['tube']clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] Limited evaluation of the solid organs and lymph nodes due to the lack of IV contrast. Bilateral pleural effusions, right greater than left, with associated compressive atelectasis. Aspirated barium at the lung bases is noted. Severe coronary artery calcifications. Scattered hepatic hypodensities are incompletely evaluated, but unchanged from 2010. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Bilateral perinephric fat stranding and fluid, left greater than right. No evidence of hydronephrosis or hydroureter. No significant abnormality noted. The tip of the enteric tube tents the gastric wall, consider retracting the tube. No significant abnormality noted. Moderate abdominal and pelvic ascites. Small amount of pneumoperitoneum likely related to surgery. No significant abnormality noted. Air in the bladder lumen is likely iatrogenic. A suprapubic tube is in place. No significant abnormality noted. No significant abnormality noted. Degenerative changes affect the thoracolumbar spine. 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': clinical findings_fin: 'lymph nodes': 'clinical finding': 'lymph nodes', 'existence': 'unc_dx', 'descriptive_term': 'lymph', 'observation': 'node', 'iv contrast': 'clinical finding': 'iv contrast', 'existence': 'pos_dx', 'descriptive_term': 'iv', 'observation': 'contrast'location descriptor_fin: ['bilateral', 'right', 'left']clinical findings_fin: 'bilateral pleural effusions': 'clinical finding': 'bilateral pleural effusions', 'existence': 'pos_dx', 'descriptive_term': 'bilateral pleural', 'observation': 'effusion', 'associated compressive atelectasis': 'clinical finding': 'associated compressive atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'associated compressive', 'observation': 'atelectasis'anatomical entity_fin: 'lung': , 'bases': non-anatomical substance_fin: ['barium']clinical findings_fin: 'aspirated barium at the lung bases is noted': 'clinical finding': 'aspirated barium at the lung bases is noted'clinical findings_fin: 'severe coronary artery calcifications': 'clinical finding': 'severe coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'severe coronary artery', 'observation': 'calcification', 'strength_term': 'severe'clinical findings_fin: 'scattered hepatic hypodensities': 'clinical finding': 'scattered hepatic hypodensities', 'existence': 'neg_dx', 'descriptive_term': 'scattered hepatic', 'observation': 'hypodensity'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'fluid': imaging observation_fin: ['fat']location descriptor_fin: ['bilateral', 'left', 'right']clinical findings_fin: 'bilateral perinephric fat stranding': 'clinical finding': 'bilateral perinephric fat stranding', 'existence': 'pos_dx', 'descriptive_term': 'bilateral perinephric fat', 'observation': 'strand'clinical findings_fin: 'hydronephrosis': 'clinical finding': 'hydronephrosis', 'existence': 'neg_dx', 'observation': 'hydronephrosis', 'hydroureter': 'clinical finding': 'hydroureter', 'existence': 'neg_dx', 'observation': 'hydroureter'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'wall': object_fin: ['tube']clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'abdominal': clinical findings_fin: 'moderate abdominal and pelvic ascites': 'clinical finding': 'moderate abdominal and pelvic ascites', 'existence': 'pos_dx', 'descriptive_term': 'moderate abdominal and pelvic', 'observation': 'ascite', 'strength_term': 'moderate'clinical findings_fin: 'pneumoperitoneum': 'clinical finding': 'pneumoperitoneum', 'existence': 'pos_dx', 'observation': 'pneumoperitoneum'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'bladder': , 'lumen': clinical findings_fin: 'air': 'clinical finding': 'air', 'existence': 'unc_dx', 'observation': 'air'object_fin: ['tube']clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP]

Limited evaluation of the solid organs and lymph nodes due to the lack of IV contrast. Bilateral pleural effusions, right greater than left, with associated compressive atelectasis. Aspirated barium at the lung bases is noted. Severe coronary artery calcifications. Scattered hepatic hypodensities are incompletely evaluated, but unchanged from 2010. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Bilateral perinephric fat stranding and fluid, left greater than right. No evidence of hydronephrosis or hydroureter. No significant abnormality noted. The tip of the enteric tube tents the gastric wall, consider retracting the tube. No significant abnormality noted. Moderate abdominal and pelvic ascites. Small amount of pneumoperitoneum likely related to surgery. No significant abnormality noted. Air in the bladder lumen is likely iatrogenic. A suprapubic tube is in place. No significant abnormality noted. No significant abnormality noted. Degenerative changes affect the thoracolumbar spine. No significant abnormality noted [/RESP]</s>

. Solid organs are unremarkable without lymph nodes, given lack of IV contrast.[/RESP] bilateral pleural effusions with associated compressive atelectasis in the right greater than left. Aspirated barium at the lung bases is noted. Severe coronary artery calcifications. Scattered hepatic hypodensities are nonspecific. No significant abnormality noted. No significant abnormality. No significant abnormality. Bilateral perinephric fat stranding, predominantly in the left greater than right, with fluid prominence. There is no hydronephrosis or hydroureter. No significant abnormality noted. The urethral tube wall appears intact. Moderate abdominal and pelvic ascites. Pneumoperitoneum. No significant abnormality noted. Air within bladder lumen. Tube tip terminates in the bladder. No significant abnormality noted. Degenerative changes affect the thoracic spine. No significant abnormality noted. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['right', 'upper']clinical findings_fin: 'post right upper lobectomy': 'clinical finding': 'post right upper lobectomy', 'existence': 'pos_dx', 'descriptive_term': 'post right upper', 'observation': 'lobectomy'anatomical entity_fin: 'lobe': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'left upper lobe nodule': 'clinical finding': 'left upper lobe nodule', 'existence': 'neg_dx', 'descriptive_term': 'left upper lobe', 'observation': 'nodule'anatomical entity_fin: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower']clinical findings_fin: 'bronchiolitis': 'clinical finding': 'bronchiolitis', 'existence': 'pos_dx', 'observation': 'bronchiolitis'clinical findings_fin: 'basilar scarring': 'clinical finding': 'basilar scarring', 'existence': 'pos_dx', 'descriptive_term': 'basilar', 'observation': 'scarr'clinical findings_fin: 'suspicious pulmonary masses': 'clinical finding': 'suspicious pulmonary masses', 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'mass', 'nodules': 'clinical finding': 'nodules', 'existence': 'neg_dx', 'observation': 'nodule'clinical findings_fin: 'mediastinal or hilar lymphadenopathy': 'clinical finding': 'mediastinal or hilar lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'location descriptor_fin: ['right']clinical findings_fin: 'calcified right hilar lymph nodes': 'clinical finding': 'calcified right hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'calcified right hilar lymph', 'observation': 'node', 'change_term': 'calcified'anatomical entity_fin: 'heart': clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'clinical findings_fin: 'aortic calcifications': 'clinical finding': 'aortic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'aortic', 'observation': 'calcification'anatomical entity_fin: 'breast': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'nonspecific macrocalcifications': 'clinical finding': 'nonspecific macrocalcifications', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific', 'observation': 'macrocalcification'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'scattered hypodensities': 'clinical finding': 'scattered hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'scattered', 'observation': 'hypodensity', 'simple cysts': 'clinical finding': 'simple cysts', 'existence': 'pos_dx', 'descriptive_term': 'simple', 'observation': 'cyst'clinical findings_fin: 'nonspecific splenic hypodensities': 'clinical finding': 'nonspecific splenic hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific splenic', 'observation': 'hypodensity'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'abdominal aorta': clinical findings_fin: 'atherosclerotic calcifications': 'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast', 'gi': 'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'clinical findings_fin: 'gross abnormalities': 'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'anatomical entity_fin: 'spine': clinical findings_fin: 'mild degenerative changes': 'clinical finding': 'mild degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild'clinical findings_fin: 'antero-listhesis of l4 and l5 is again noted': 'clinical finding': 'antero-listhesis of l4 and l5 is again noted' [/INST] [RESP] . Status post right upper lobectomy. The left upper lobe nodule is no longer present. Right lower lobe tree and bud pattern has significantly improved from the prior study consistent with improving bronchiolitis. Basilar scarring is again noted. No suspicious pulmonary masses or nodules. No mediastinal or hilar lymphadenopathy is present. Calcified right hilar lymph nodes are unchanged. The heart size is normal and there is no pericardial effusion. Aortic calcifications are again present. Nonspecific macrocalcifications are again seen in the right breast. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Scattered hypodensities are unchanged from the prior study and likely represent simple cysts. Nonspecific splenic hypodensities are again present. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Atherosclerotic calcifications are seen throughout the abdominal aorta. Absence of enteric contrast material markedly limits sensitivity for GI pathology. No gross abnormalities noted. Mild degenerative changes are seen through the thoracic spine. Antero-listhesis of L4 and L5 is again noted. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['right', 'upper']clinical findings_fin: 'post right upper lobectomy': 'clinical finding': 'post right upper lobectomy', 'existence': 'pos_dx', 'descriptive_term': 'post right upper', 'observation': 'lobectomy'anatomical entity_fin: 'lobe': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'left upper lobe nodule': 'clinical finding': 'left upper lobe nodule', 'existence': 'neg_dx', 'descriptive_term': 'left upper lobe', 'observation': 'nodule'anatomical entity_fin: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower']clinical findings_fin: 'bronchiolitis': 'clinical finding': 'bronchiolitis', 'existence': 'pos_dx', 'observation': 'bronchiolitis'clinical findings_fin: 'basilar scarring': 'clinical finding': 'basilar scarring', 'existence': 'pos_dx', 'descriptive_term': 'basilar', 'observation': 'scarr'clinical findings_fin: 'suspicious pulmonary masses': 'clinical finding': 'suspicious pulmonary masses', 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'mass', 'nodules': 'clinical finding': 'nodules', 'existence': 'neg_dx', 'observation': 'nodule'clinical findings_fin: 'mediastinal or hilar lymphadenopathy': 'clinical finding': 'mediastinal or hilar lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'location descriptor_fin: ['right']clinical findings_fin: 'calcified right hilar lymph nodes': 'clinical finding': 'calcified right hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'calcified right hilar lymph', 'observation': 'node', 'change_term': 'calcified'anatomical entity_fin: 'heart': clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'clinical findings_fin: 'aortic calcifications': 'clinical finding': 'aortic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'aortic', 'observation': 'calcification'anatomical entity_fin: 'breast': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'nonspecific macrocalcifications': 'clinical finding': 'nonspecific macrocalcifications', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific', 'observation': 'macrocalcification'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'scattered hypodensities': 'clinical finding': 'scattered hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'scattered', 'observation': 'hypodensity', 'simple cysts': 'clinical finding': 'simple cysts', 'existence': 'pos_dx', 'descriptive_term': 'simple', 'observation': 'cyst'clinical findings_fin: 'nonspecific splenic hypodensities': 'clinical finding': 'nonspecific splenic hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific splenic', 'observation': 'hypodensity'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'abdominal aorta': clinical findings_fin: 'atherosclerotic calcifications': 'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast', 'gi': 'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'clinical findings_fin: 'gross abnormalities': 'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'anatomical entity_fin: 'spine': clinical findings_fin: 'mild degenerative changes': 'clinical finding': 'mild degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild'clinical findings_fin: 'antero-listhesis of l4 and l5 is again noted': 'clinical finding': 'antero-listhesis of l4 and l5 is again noted' [/INST] [RESP]

. Status post right upper lobectomy. The left upper lobe nodule is no longer present. Right lower lobe tree and bud pattern has significantly improved from the prior study consistent with improving bronchiolitis. Basilar scarring is again noted. No suspicious pulmonary masses or nodules. No mediastinal or hilar lymphadenopathy is present. Calcified right hilar lymph nodes are unchanged. The heart size is normal and there is no pericardial effusion. Aortic calcifications are again present. Nonspecific macrocalcifications are again seen in the right breast. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Scattered hypodensities are unchanged from the prior study and likely represent simple cysts. Nonspecific splenic hypodensities are again present. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Atherosclerotic calcifications are seen throughout the abdominal aorta. Absence of enteric contrast material markedly limits sensitivity for GI pathology. No gross abnormalities noted. Mild degenerative changes are seen through the thoracic spine. Antero-listhesis of L4 and L5 is again noted. [/RESP]</s>

. Post right upper lobectomy.[/RESP]. Left upper lobe nodule, unchanged in size. Bronchiolitis in the right lower lobe. Basilar scarring. No suspicious pulmonary masses or nodules. No mediastinal or hilar lymphadenopathy. Calcified right hilar lymph nodes. Heart size is normal without pericardial effusion. Aortic calcifications. Nonspecific macrococci in the breast. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Scattered hypodensities are nonspecific but likely represent simple cysts. Nonspecific splenic hypodensities. No significant abnormality noted. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '2-cm', 'size_descriptor': 'cysts']anatomical entity_fin: 'lobe': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: '2-cm probable simple cysts': 'clinical finding': '2-cm probable simple cysts', 'existence': 'pos_dx', 'descriptive_term': '2-cm probable simple', 'observation': 'cyst'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'kidneys': , 'parenchyma': clinical findings_fin: 'irregular': 'clinical finding': 'irregular', 'existence': 'pos_dx', 'observation': 'irregular', 'contour': 'clinical finding': 'contour', 'existence': 'pos_dx', 'observation': 'contour', 'nodules': 'clinical finding': 'nodules', 'existence': 'pos_dx', 'observation': 'nodule'clinical findings_fin: 'proteinaceous cysts': 'clinical finding': 'proteinaceous cysts', 'existence': 'unc_dx', 'descriptive_term': 'proteinaceous', 'observation': 'cyst'clinical findings_fin: 'nephrolithiasis': 'clinical finding': 'nephrolithiasis', 'existence': 'neg_dx', 'observation': 'nephrolithiasis'anatomical entity_fin: 'kidney': clinical findings_fin: 'hydronephrosis': 'clinical finding': 'hydronephrosis', 'existence': 'neg_dx', 'observation': 'hydronephrosis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] The following observations are made given the limitations of an unenhanced study. No significant abnormality noted. 2-cm probable simple cysts in the left lobe. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Both kidneys are irregular in contour and contain nodules which are isodense to the renal parenchyma. These may represent proteinaceous cysts but are indeterminate on unenhanced study. Consider pre-and post enhanced CT or MRI for further evaluation as clinically indicated. No evidence of nephrolithiasis. No evidence of hydronephrosis of either kidney. No significant abnormality noted. Diverticulosis. 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: clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '2-cm', 'size_descriptor': 'cysts']anatomical entity_fin: 'lobe': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: '2-cm probable simple cysts': 'clinical finding': '2-cm probable simple cysts', 'existence': 'pos_dx', 'descriptive_term': '2-cm probable simple', 'observation': 'cyst'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'kidneys': , 'parenchyma': clinical findings_fin: 'irregular': 'clinical finding': 'irregular', 'existence': 'pos_dx', 'observation': 'irregular', 'contour': 'clinical finding': 'contour', 'existence': 'pos_dx', 'observation': 'contour', 'nodules': 'clinical finding': 'nodules', 'existence': 'pos_dx', 'observation': 'nodule'clinical findings_fin: 'proteinaceous cysts': 'clinical finding': 'proteinaceous cysts', 'existence': 'unc_dx', 'descriptive_term': 'proteinaceous', 'observation': 'cyst'clinical findings_fin: 'nephrolithiasis': 'clinical finding': 'nephrolithiasis', 'existence': 'neg_dx', 'observation': 'nephrolithiasis'anatomical entity_fin: 'kidney': clinical findings_fin: 'hydronephrosis': 'clinical finding': 'hydronephrosis', 'existence': 'neg_dx', 'observation': 'hydronephrosis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP]

The following observations are made given the limitations of an unenhanced study. No significant abnormality noted. 2-cm probable simple cysts in the left lobe. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Both kidneys are irregular in contour and contain nodules which are isodense to the renal parenchyma. These may represent proteinaceous cysts but are indeterminate on unenhanced study. Consider pre-and post enhanced CT or MRI for further evaluation as clinically indicated. No evidence of nephrolithiasis. No evidence of hydronephrosis of either kidney. No significant abnormality noted. Diverticulosis. 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>

. No significant abnormality. The 2-cm probable simple cysts in the left lobe are unchanged. There is no significant abnormality. No significant abnormality. None. No nodular or solid lesions. Proteinaceous cysts may be present, but this cannot be definitively assessed due to limited contrast material. No nephrolithiasis. Normal renal size and contour without hydronephrosis. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'orbits': clinical findings_fin: 'orbits are unremarkable': 'clinical finding': 'orbits are unremarkable'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'clinical findings_fin: 'limited view of the intracranial structure': 'clinical finding': 'limited view of the intracranial structure'clinical findings_fin: 'edentulous': 'clinical finding': 'edentulous', 'existence': 'pos_dx', 'observation': 'edentulous'clinical findings_fin: 'osteomyelitis': 'clinical finding': 'osteomyelitis', 'existence': 'neg_dx', 'observation': 'osteomyelitis', 'cellulitis': 'clinical finding': 'cellulitis', 'existence': 'neg_dx', 'observation': 'cellulitis', 'phlegmon': 'clinical finding': 'phlegmon', 'existence': 'neg_dx', 'observation': 'phlegmon', 'abscess': 'clinical finding': 'abscess', 'existence': 'neg_dx', 'observation': 'abscess'clinical findings_fin: 'lymphadenopathy': 'clinical finding': 'lymphadenopathy', 'existence': 'neg_dx', 'observation': 'lymphadenopathy', 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'anatomical entity_fin: 'oral cavity': , 'nasopharynx': , 'hypopharynx': , 'larynx': , 'airways': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'unc_dx', 'observation': 'patent', 'prominent adenoids': 'clinical finding': 'prominent adenoids', 'existence': 'pos_dx', 'descriptive_term': 'prominent', 'observation': 'adenoid', 'strength_term': 'prominent'anatomical entity_fin: 'epiglottis': imaging observation_fin: ['cords']clinical findings_fin: 'epiglottis , vallecula , piriform sinuses , and vocal cords are normal': 'clinical finding': 'epiglottis , vallecula , piriform sinuses , and vocal cords are normal'anatomical entity_fin: 'arteries': , 'veins': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'clinical findings_fin: 'osseous structures are unremarkable': 'clinical finding': 'osseous structures are unremarkable'clinical findings_fin: 'thyroid nodules': 'clinical finding': 'thyroid nodules', 'existence': 'pos_dx', 'descriptive_term': 'thyroid', 'observation': 'nodule'anatomical entity_fin: 'submandibular glands': clinical findings_fin: 'parotid and submandibular glands are unremarkable': 'clinical finding': 'parotid and submandibular glands are unremarkable'anatomical entity_fin: 'chest': imaging observation_fin: ['apical']clinical findings_fin: 'apical emphysema': 'clinical finding': 'apical emphysema', 'existence': 'pos_dx', 'descriptive_term': 'apical', 'observation': 'emphysema', 'air space opacities': 'clinical finding': 'air space opacities', 'existence': 'pos_dx', 'descriptive_term': 'air space', 'observation': 'opacity' [/INST] [RESP] The orbits are unremarkable. The paranasal sinuses and mastoid air cells are clear. Limited view of the intracranial structure is unremarkable. The patient is edentulous. There is no evidence of osteomyelitis, cellulitis, phlegmon or abscess. No lymphadenopathy or mass is noted. The oral cavity, oro or nasopharynx, hypopharynx, larynx and subglottic airways are unremarkable or patent except for prominent adenoids. The epiglottis, vallecula, piriform sinuses, and vocal cords are normal. The carotid arteries and jugular veins are patent. The osseous structures are unremarkable. Thyroid nodules are noted. The parotid and submandibular glands are unremarkable. Limited view of the chest shows apical emphysema and air space opacities. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'orbits': clinical findings_fin: 'orbits are unremarkable': 'clinical finding': 'orbits are unremarkable'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'clinical findings_fin: 'limited view of the intracranial structure': 'clinical finding': 'limited view of the intracranial structure'clinical findings_fin: 'edentulous': 'clinical finding': 'edentulous', 'existence': 'pos_dx', 'observation': 'edentulous'clinical findings_fin: 'osteomyelitis': 'clinical finding': 'osteomyelitis', 'existence': 'neg_dx', 'observation': 'osteomyelitis', 'cellulitis': 'clinical finding': 'cellulitis', 'existence': 'neg_dx', 'observation': 'cellulitis', 'phlegmon': 'clinical finding': 'phlegmon', 'existence': 'neg_dx', 'observation': 'phlegmon', 'abscess': 'clinical finding': 'abscess', 'existence': 'neg_dx', 'observation': 'abscess'clinical findings_fin: 'lymphadenopathy': 'clinical finding': 'lymphadenopathy', 'existence': 'neg_dx', 'observation': 'lymphadenopathy', 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'anatomical entity_fin: 'oral cavity': , 'nasopharynx': , 'hypopharynx': , 'larynx': , 'airways': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'unc_dx', 'observation': 'patent', 'prominent adenoids': 'clinical finding': 'prominent adenoids', 'existence': 'pos_dx', 'descriptive_term': 'prominent', 'observation': 'adenoid', 'strength_term': 'prominent'anatomical entity_fin: 'epiglottis': imaging observation_fin: ['cords']clinical findings_fin: 'epiglottis , vallecula , piriform sinuses , and vocal cords are normal': 'clinical finding': 'epiglottis , vallecula , piriform sinuses , and vocal cords are normal'anatomical entity_fin: 'arteries': , 'veins': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'clinical findings_fin: 'osseous structures are unremarkable': 'clinical finding': 'osseous structures are unremarkable'clinical findings_fin: 'thyroid nodules': 'clinical finding': 'thyroid nodules', 'existence': 'pos_dx', 'descriptive_term': 'thyroid', 'observation': 'nodule'anatomical entity_fin: 'submandibular glands': clinical findings_fin: 'parotid and submandibular glands are unremarkable': 'clinical finding': 'parotid and submandibular glands are unremarkable'anatomical entity_fin: 'chest': imaging observation_fin: ['apical']clinical findings_fin: 'apical emphysema': 'clinical finding': 'apical emphysema', 'existence': 'pos_dx', 'descriptive_term': 'apical', 'observation': 'emphysema', 'air space opacities': 'clinical finding': 'air space opacities', 'existence': 'pos_dx', 'descriptive_term': 'air space', 'observation': 'opacity' [/INST] [RESP]

The orbits are unremarkable. The paranasal sinuses and mastoid air cells are clear. Limited view of the intracranial structure is unremarkable. The patient is edentulous. There is no evidence of osteomyelitis, cellulitis, phlegmon or abscess. No lymphadenopathy or mass is noted. The oral cavity, oro or nasopharynx, hypopharynx, larynx and subglottic airways are unremarkable or patent except for prominent adenoids. The epiglottis, vallecula, piriform sinuses, and vocal cords are normal. The carotid arteries and jugular veins are patent. The osseous structures are unremarkable. Thyroid nodules are noted. The parotid and submandibular glands are unremarkable. Limited view of the chest shows apical emphysema and air space opacities. [/RESP]</s>

The orbits are unremarkable. The paranasal sinuses and mastoid air cells are clear. Limited view of the intracranial structure is unremarkable. The patient is edentulous. No evidence of osteomyelitis, cellulitis, phlegmon or abscess. There is no lymphadenopathy or mass identified. The oral cavity, oro-oropharynx, hypopharynx, nasopharynx, subglottic airways and trachea are patent with prominent adenoids. The epiglottis, vallecula, piriform sinuses, and vocal cords are normal. The carotid arteries and jugular veins are patent. The osseous structures are unremarkable. Thyroid nodules are noted. The parotid and submandibular glands are unremarkable. Apical emphysema and air space opacities in the chest are present. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['bilateral', 'right', 'left']clinical findings_fin: 'small bilateral pleural effusions': 'clinical finding': 'small bilateral pleural effusions', 'existence': 'pos_dx', 'descriptive_term': 'small bilateral pleural', 'observation': 'effusion', 'strength_term': 'small'location descriptor_fin: ['right']clinical findings_fin: 'right pleural effusion': 'clinical finding': 'right pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'right pleural', 'observation': 'effusion', 'minor fissure': 'clinical finding': 'minor fissure', 'existence': 'pos_dx', 'descriptive_term': 'minor', 'observation': 'fissure'imaging observation_fin: ['foci']clinical findings_fin: 'groundglass opacities': 'clinical finding': 'groundglass opacities', 'existence': 'pos_dx', 'descriptive_term': 'groundglass', 'observation': 'opacity', 'ventilation-perfusion mismatch': 'clinical finding': 'ventilation-perfusion mismatch', 'existence': 'pos_dx', 'descriptive_term': 'ventilation-perfusion', 'observation': 'mismatch'clinical findings_fin: 'bronchiectasis': 'clinical finding': 'bronchiectasis', 'existence': 'neg_dx', 'observation': 'bronchiectasis'location descriptor_fin: ['right', 'central']clinical findings_fin: 'ij central line': 'clinical finding': 'ij central line', 'existence': 'pos_dx', 'descriptive_term': 'ij central', 'observation': 'line'anatomical entity_fin: 'brachiocephalic vein': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'previously identified thrombus': 'clinical finding': 'previously identified thrombus', 'existence': 'unc_dx', 'descriptive_term': 'previously identified', 'observation': 'thrombus', 'right brachiocephalic': 'clinical finding': 'right brachiocephalic', 'existence': 'pos_dx', 'descriptive_term': 'right', 'observation': 'brachiocephalic', 'intravenous contrast': 'clinical finding': 'intravenous contrast', 'existence': 'pos_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'clinical findings_fin: 'mediastinal lymphadenopathy': 'clinical finding': 'mediastinal lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal', 'observation': 'lymphadenopathy', 'changed': 'clinical finding': 'changed', 'existence': 'neg_dx', 'observation': 'change'size_fin: ['size': '2.9 cm', 'size': '1.6 cm', 'size': '1.2 cm']anatomical entity_fin: 'mitral valve': clinical findings_fin: 'densely calcified mass': 'clinical finding': 'densely calcified mass', 'existence': 'pos_dx', 'descriptive_term': 'densely calcified', 'observation': 'mass', 'change_term': 'calcified'anatomical entity_fin: 'left atrium': clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'anatomical entity_fin: 'main pulmonary artery': clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'anatomical entity_fin: 'axillary lymph nodes': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral axillary lymph nodes': 'clinical finding': 'bilateral axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'bilateral axillary lymph', 'observation': 'node', 'changed': 'clinical finding': 'changed', 'existence': 'neg_dx', 'observation': 'change'anatomical entity_fin: 'rib': location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral healing rib fractures': 'clinical finding': 'bilateral healing rib fractures', 'existence': 'pos_dx', 'descriptive_term': 'bilateral healing rib', 'observation': 'fracture', 'strength_term': 'healing', 'change_term': 'healing'anatomical entity_fin: 'lobe': 'location descriptor': 'right', 'liver': location descriptor_fin: ['posterior', 'right']clinical findings_fin: 'punctate calcification': 'clinical finding': 'punctate calcification', 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'calcification' [/INST] [RESP] . Motion artifact limits sensitivity. Small bilateral pleural effusions, right greater than left. The right pleural effusion extends to the minor fissure. Groundglass opacities persist with multiple foci of ventilation-perfusion mismatch. No bronchiectasis. Right IJ central line is noted with its tip in the cavoatrial junction. Previously identified thrombus within the right brachiocephalic vein cannot be evaluated without intravenous contrast. Mediastinal lymphadenopathy does not appear significantly changed given differences in technique. A densely calcified mass in the area of the mitral valve has increased in size and now measures 2.9 cm craniocaudally x1.6 cm transversely x 1.2 cm anterioposteriorly. The left atrium is enlarged. The main pulmonary artery and branch vessels are enlarged. Bilateral axillary lymph nodes do not appear significantly changed given differences in technique. Bilateral healing rib fractures. A punctate calcification is present in the posterior segment of the right lobe of the liver. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['bilateral', 'right', 'left']clinical findings_fin: 'small bilateral pleural effusions': 'clinical finding': 'small bilateral pleural effusions', 'existence': 'pos_dx', 'descriptive_term': 'small bilateral pleural', 'observation': 'effusion', 'strength_term': 'small'location descriptor_fin: ['right']clinical findings_fin: 'right pleural effusion': 'clinical finding': 'right pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'right pleural', 'observation': 'effusion', 'minor fissure': 'clinical finding': 'minor fissure', 'existence': 'pos_dx', 'descriptive_term': 'minor', 'observation': 'fissure'imaging observation_fin: ['foci']clinical findings_fin: 'groundglass opacities': 'clinical finding': 'groundglass opacities', 'existence': 'pos_dx', 'descriptive_term': 'groundglass', 'observation': 'opacity', 'ventilation-perfusion mismatch': 'clinical finding': 'ventilation-perfusion mismatch', 'existence': 'pos_dx', 'descriptive_term': 'ventilation-perfusion', 'observation': 'mismatch'clinical findings_fin: 'bronchiectasis': 'clinical finding': 'bronchiectasis', 'existence': 'neg_dx', 'observation': 'bronchiectasis'location descriptor_fin: ['right', 'central']clinical findings_fin: 'ij central line': 'clinical finding': 'ij central line', 'existence': 'pos_dx', 'descriptive_term': 'ij central', 'observation': 'line'anatomical entity_fin: 'brachiocephalic vein': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'previously identified thrombus': 'clinical finding': 'previously identified thrombus', 'existence': 'unc_dx', 'descriptive_term': 'previously identified', 'observation': 'thrombus', 'right brachiocephalic': 'clinical finding': 'right brachiocephalic', 'existence': 'pos_dx', 'descriptive_term': 'right', 'observation': 'brachiocephalic', 'intravenous contrast': 'clinical finding': 'intravenous contrast', 'existence': 'pos_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'clinical findings_fin: 'mediastinal lymphadenopathy': 'clinical finding': 'mediastinal lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal', 'observation': 'lymphadenopathy', 'changed': 'clinical finding': 'changed', 'existence': 'neg_dx', 'observation': 'change'size_fin: ['size': '2.9 cm', 'size': '1.6 cm', 'size': '1.2 cm']anatomical entity_fin: 'mitral valve': clinical findings_fin: 'densely calcified mass': 'clinical finding': 'densely calcified mass', 'existence': 'pos_dx', 'descriptive_term': 'densely calcified', 'observation': 'mass', 'change_term': 'calcified'anatomical entity_fin: 'left atrium': clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'anatomical entity_fin: 'main pulmonary artery': clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'anatomical entity_fin: 'axillary lymph nodes': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral axillary lymph nodes': 'clinical finding': 'bilateral axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'bilateral axillary lymph', 'observation': 'node', 'changed': 'clinical finding': 'changed', 'existence': 'neg_dx', 'observation': 'change'anatomical entity_fin: 'rib': location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral healing rib fractures': 'clinical finding': 'bilateral healing rib fractures', 'existence': 'pos_dx', 'descriptive_term': 'bilateral healing rib', 'observation': 'fracture', 'strength_term': 'healing', 'change_term': 'healing'anatomical entity_fin: 'lobe': 'location descriptor': 'right', 'liver': location descriptor_fin: ['posterior', 'right']clinical findings_fin: 'punctate calcification': 'clinical finding': 'punctate calcification', 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'calcification' [/INST] [RESP]

. Motion artifact limits sensitivity. Small bilateral pleural effusions, right greater than left. The right pleural effusion extends to the minor fissure. Groundglass opacities persist with multiple foci of ventilation-perfusion mismatch. No bronchiectasis. Right IJ central line is noted with its tip in the cavoatrial junction. Previously identified thrombus within the right brachiocephalic vein cannot be evaluated without intravenous contrast. Mediastinal lymphadenopathy does not appear significantly changed given differences in technique. A densely calcified mass in the area of the mitral valve has increased in size and now measures 2.9 cm craniocaudally x1.6 cm transversely x 1.2 cm anterioposteriorly. The left atrium is enlarged. The main pulmonary artery and branch vessels are enlarged. Bilateral axillary lymph nodes do not appear significantly changed given differences in technique. Bilateral healing rib fractures. A punctate calcification is present in the posterior segment of the right lobe of the liver. [/RESP]</s>

. Small bilateral pleural effusions, right greater than left.. Right pleural effusion with minor fissure and small amount of air in the dependent portion. Groundglass opacities are present throughout the lung bases consistent with ventilation-perfusion mismatch. No evidence of bronchiectasis. IJ Central line tip is located within the right SVC. Previously identified thrombus in the right brachiocephalic vein has been partially resorbed since prior study. No mediastinal lymphadenopathy. None. Densely calcified mass measuring 2.9 cm in the mitral valve leaflet previously measured 1.6 cm. Left atrium enlarged. Main pulmonary artery enlarged. Bilateral axillary lymph nodes have decreased in size. Bilateral healing rib fractures. Punctate calcification posterior segment of the right lobe of the liver. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'neck': clinical findings_fin: 'todays ct portion of the neck demonstrates no significant pathology': 'clinical finding': 'todays ct portion of the neck demonstrates no significant pathology'anatomical entity_fin: 'chest': , 'abdomen': , 'pelvis': anatomical entity_fin: 'esophagus': 'location descriptor': 'distal', 'gastric cardia': , 'stomach': location descriptor_fin: ['distal']clinical findings_fin: 'intense fdg uptake': 'clinical finding': 'intense fdg uptake', 'existence': 'pos_dx', 'descriptive_term': 'intense fdg', 'observation': 'uptake', 'lesser curvature': 'clinical finding': 'lesser curvature', 'existence': 'pos_dx', 'descriptive_term': 'lesser', 'observation': 'curvature'clinical findings_fin: 'lesion': 'clinical finding': 'lesion', 'existence': 'pos_dx', 'observation': 'lesion'anatomical entity_fin: 'gastrohepatic ligament': clinical findings_fin: 'intense fdg uptake': 'clinical finding': 'intense fdg uptake', 'existence': 'pos_dx', 'descriptive_term': 'intense fdg', 'observation': 'uptake', 'multiple enlarged lymph nodes': 'clinical finding': 'multiple enlarged lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple enlarged lymph', 'observation': 'node', 'strength_term': 'enlarged', 'quantity_term': 'multiple', 'change_term': 'enlarged'anatomical entity_fin: 'axis': location descriptor_fin: ['adjacent']clinical findings_fin: 'hypermetabolic lymph nodes': 'clinical finding': 'hypermetabolic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'hypermetabolic lymph', 'observation': 'node'anatomical entity_fin: 'left adrenal gland': clinical findings_fin: 'hypermetabolic nodule': 'clinical finding': 'hypermetabolic nodule', 'existence': 'pos_dx', 'descriptive_term': 'hypermetabolic', 'observation': 'nodule'anatomical entity_fin: 'lobe': 'location descriptor': 'left', 'liver': , 'gallbladder': location descriptor_fin: ['left']clinical findings_fin: 'low-attenuation lesion': 'clinical finding': 'low-attenuation lesion', 'existence': 'pos_dx', 'descriptive_term': 'low-attenuation', 'observation': 'lesion'anatomical entity_fin: 'lobe': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'abnormal fdg uptake': 'clinical finding': 'abnormal fdg uptake', 'existence': 'neg_dx', 'descriptive_term': 'abnormal fdg', 'observation': 'uptake', 'small left upper lobe pleural-based nodule': 'clinical finding': 'small left upper lobe pleural-based nodule', 'existence': 'neg_dx', 'descriptive_term': 'small left upper lobe pleural-based', 'observation': 'nodule', 'strength_term': 'small'anatomical entity_fin: 'lung': 'location descriptor': 'bilateral'imaging observation_fin: ['foci']location descriptor_fin: ['bilateral']clinical findings_fin: 'increased activity': 'clinical finding': 'increased activity', 'existence': 'pos_dx', 'descriptive_term': 'increased', 'observation': 'activity', 'strength_term': 'increased', 'change_term': 'increased' [/INST] [RESP] Todays CT portion of the neck demonstrates no significant pathology. Please see diagnostic CT reports for details of the chest, abdomen, and pelvis. Todays PET examination demonstrates intense FDG uptake in the distal esophagus, GE junction, gastric cardia, and lesser curvature of the stomach. The SUV max in the lesion is 14.5. Intense FDG uptake is noted in the multiple enlarged lymph nodes in the gastrohepatic ligament with SUV max of 8.2. Hypermetabolic lymph nodes are noted in the portocaval region and in the retroperitoneal cavity adjacent to the celiac axis. There is a hypermetabolic nodule in the left adrenal gland with SUV max of 6.2. Increased activity is seen in the low-attenuation lesion in the left lobe of the liver extended to the gallbladder. There is no abnormal FDG uptake in the small left upper lobe pleural-based nodule. Several foci of increased activity are noted in the mediastinal precarinal and subcarinal regions as well as in the bilateral lung hila. There is no definite CT correlation for these findings. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'neck': clinical findings_fin: 'todays ct portion of the neck demonstrates no significant pathology': 'clinical finding': 'todays ct portion of the neck demonstrates no significant pathology'anatomical entity_fin: 'chest': , 'abdomen': , 'pelvis': anatomical entity_fin: 'esophagus': 'location descriptor': 'distal', 'gastric cardia': , 'stomach': location descriptor_fin: ['distal']clinical findings_fin: 'intense fdg uptake': 'clinical finding': 'intense fdg uptake', 'existence': 'pos_dx', 'descriptive_term': 'intense fdg', 'observation': 'uptake', 'lesser curvature': 'clinical finding': 'lesser curvature', 'existence': 'pos_dx', 'descriptive_term': 'lesser', 'observation': 'curvature'clinical findings_fin: 'lesion': 'clinical finding': 'lesion', 'existence': 'pos_dx', 'observation': 'lesion'anatomical entity_fin: 'gastrohepatic ligament': clinical findings_fin: 'intense fdg uptake': 'clinical finding': 'intense fdg uptake', 'existence': 'pos_dx', 'descriptive_term': 'intense fdg', 'observation': 'uptake', 'multiple enlarged lymph nodes': 'clinical finding': 'multiple enlarged lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple enlarged lymph', 'observation': 'node', 'strength_term': 'enlarged', 'quantity_term': 'multiple', 'change_term': 'enlarged'anatomical entity_fin: 'axis': location descriptor_fin: ['adjacent']clinical findings_fin: 'hypermetabolic lymph nodes': 'clinical finding': 'hypermetabolic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'hypermetabolic lymph', 'observation': 'node'anatomical entity_fin: 'left adrenal gland': clinical findings_fin: 'hypermetabolic nodule': 'clinical finding': 'hypermetabolic nodule', 'existence': 'pos_dx', 'descriptive_term': 'hypermetabolic', 'observation': 'nodule'anatomical entity_fin: 'lobe': 'location descriptor': 'left', 'liver': , 'gallbladder': location descriptor_fin: ['left']clinical findings_fin: 'low-attenuation lesion': 'clinical finding': 'low-attenuation lesion', 'existence': 'pos_dx', 'descriptive_term': 'low-attenuation', 'observation': 'lesion'anatomical entity_fin: 'lobe': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'abnormal fdg uptake': 'clinical finding': 'abnormal fdg uptake', 'existence': 'neg_dx', 'descriptive_term': 'abnormal fdg', 'observation': 'uptake', 'small left upper lobe pleural-based nodule': 'clinical finding': 'small left upper lobe pleural-based nodule', 'existence': 'neg_dx', 'descriptive_term': 'small left upper lobe pleural-based', 'observation': 'nodule', 'strength_term': 'small'anatomical entity_fin: 'lung': 'location descriptor': 'bilateral'imaging observation_fin: ['foci']location descriptor_fin: ['bilateral']clinical findings_fin: 'increased activity': 'clinical finding': 'increased activity', 'existence': 'pos_dx', 'descriptive_term': 'increased', 'observation': 'activity', 'strength_term': 'increased', 'change_term': 'increased' [/INST] [RESP]

Todays CT portion of the neck demonstrates no significant pathology. Please see diagnostic CT reports for details of the chest, abdomen, and pelvis. Todays PET examination demonstrates intense FDG uptake in the distal esophagus, GE junction, gastric cardia, and lesser curvature of the stomach. The SUV max in the lesion is 14.5. Intense FDG uptake is noted in the multiple enlarged lymph nodes in the gastrohepatic ligament with SUV max of 8.2. Hypermetabolic lymph nodes are noted in the portocaval region and in the retroperitoneal cavity adjacent to the celiac axis. There is a hypermetabolic nodule in the left adrenal gland with SUV max of 6.2. Increased activity is seen in the low-attenuation lesion in the left lobe of the liver extended to the gallbladder. There is no abnormal FDG uptake in the small left upper lobe pleural-based nodule. Several foci of increased activity are noted in the mediastinal precarinal and subcarinal regions as well as in the bilateral lung hila. There is no definite CT correlation for these findings. [/RESP]</s>

Today is CT portion of the neck demonstrates no significant pathology. The chest, abdomen and pelvis CT examination was performed as part of the same day PET-CT study. There is intense FDG uptake in the distal esophagus, lesser curvature of stomach and greater curvature of stomach with minimal uptake at the gastric cardia. This corresponds to a lesion seen on prior PET-CT study. In addition there is intense FDG uptake within the gastrohepatic ligament which correlates with multiple enlarged lymph nodes seen on prior PET-CT study. Hypermetabolic lymph nodes are also noted along the adjacent axis. A hypermetabolic nodule is noted in the left adrenal gland. Low-attenuation lesion is noted in the left liver lobe and gallbladder. No abnormal FDG uptake is noted in the small left upper lobe pleural-based nodule. There are foci of increased activity in bilateral lung apices. [/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'anatomical entity_fin: 'kidneys': clinical findings_fin: 'kidneys are normal in morphology and symmetric in size': 'clinical finding': 'kidneys are normal in morphology and symmetric in size'anatomical entity_fin: 'kidney': clinical findings_fin: 'hydronephrosis': 'clinical finding': 'hydronephrosis', 'existence': 'neg_dx', 'observation': 'hydronephrosis', 'nephrolithiasis': 'clinical finding': 'nephrolithiasis', 'existence': 'neg_dx', 'observation': 'nephrolithiasis'anatomical entity_fin: 'fluid': clinical findings_fin: 'hydronephrosis': 'clinical finding': 'hydronephrosis', 'existence': 'neg_dx', 'observation': 'hydronephrosis'imaging observation_fin: ['hematoma']clinical findings_fin: 'retroperitoneal hematoma': 'clinical finding': 'retroperitoneal hematoma', 'existence': 'neg_dx', 'descriptive_term': 'retroperitoneal', 'observation': 'hematoma'anatomical entity_fin: 'bowel': clinical findings_fin: 'unopacified small bowel loops are normal': 'clinical finding': 'unopacified small bowel loops are normal'anatomical entity_fin: 'umbilicus': , 'bowel': clinical findings_fin: 'small umbilicus hernia': 'clinical finding': 'small umbilicus hernia', 'existence': 'pos_dx', 'descriptive_term': 'small umbilicus', 'observation': 'hernia', 'strength_term': 'small', 'obstruction': 'clinical finding': 'obstruction', 'existence': 'neg_dx', 'observation': 'obstruction'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'bladder': location descriptor_fin: ['distal']clinical findings_fin: 'distal ureteral': 'clinical finding': 'distal ureteral', 'existence': 'neg_dx', 'descriptive_term': 'distal', 'observation': 'ureteral'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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. Kidneys are normal in morphology and symmetric in size. No hydronephrosis or nephrolithiasis in either kidney. They enhance homogeneously. No perinephric fluid collections or hydronephrosis. No retroperitoneal hematoma. Unopacified small bowel loops are normal in caliber. Small umbilicus hernia containing portion of small bowel loop without obstruction. No significant abnormality noted. No significant abnormality noted. PROSTATE/. No significant abnormality noted. No distal ureteral or bladder calculi. 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'anatomical entity_fin: 'kidneys': clinical findings_fin: 'kidneys are normal in morphology and symmetric in size': 'clinical finding': 'kidneys are normal in morphology and symmetric in size'anatomical entity_fin: 'kidney': clinical findings_fin: 'hydronephrosis': 'clinical finding': 'hydronephrosis', 'existence': 'neg_dx', 'observation': 'hydronephrosis', 'nephrolithiasis': 'clinical finding': 'nephrolithiasis', 'existence': 'neg_dx', 'observation': 'nephrolithiasis'anatomical entity_fin: 'fluid': clinical findings_fin: 'hydronephrosis': 'clinical finding': 'hydronephrosis', 'existence': 'neg_dx', 'observation': 'hydronephrosis'imaging observation_fin: ['hematoma']clinical findings_fin: 'retroperitoneal hematoma': 'clinical finding': 'retroperitoneal hematoma', 'existence': 'neg_dx', 'descriptive_term': 'retroperitoneal', 'observation': 'hematoma'anatomical entity_fin: 'bowel': clinical findings_fin: 'unopacified small bowel loops are normal': 'clinical finding': 'unopacified small bowel loops are normal'anatomical entity_fin: 'umbilicus': , 'bowel': clinical findings_fin: 'small umbilicus hernia': 'clinical finding': 'small umbilicus hernia', 'existence': 'pos_dx', 'descriptive_term': 'small umbilicus', 'observation': 'hernia', 'strength_term': 'small', 'obstruction': 'clinical finding': 'obstruction', 'existence': 'neg_dx', 'observation': 'obstruction'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'bladder': location descriptor_fin: ['distal']clinical findings_fin: 'distal ureteral': 'clinical finding': 'distal ureteral', 'existence': 'neg_dx', 'descriptive_term': 'distal', 'observation': 'ureteral'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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. Kidneys are normal in morphology and symmetric in size. No hydronephrosis or nephrolithiasis in either kidney. They enhance homogeneously. No perinephric fluid collections or hydronephrosis. No retroperitoneal hematoma. Unopacified small bowel loops are normal in caliber. Small umbilicus hernia containing portion of small bowel loop without obstruction. No significant abnormality noted. No significant abnormality noted. PROSTATE/. No significant abnormality noted. No distal ureteral or bladder calculi. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. [/RESP]</s>

. No significant abnormality. The renal parenchyma is otherwise unremarkable. No significant abnormality. The renal parenchyma is otherwise unremarkable. No significant abnormality. The renal parenchyma is otherwise unremarkable. There is no evidence of hydronephrosis or nephrolithiasis. Unopacified small bowel loops are normal. Small umbilicus hernia without obstruction. No significant abnormality. None. No significant abnormality. Negative. Negative. No significant abnormality. Negative. No significant abnormality. Negative. No significant abnormality. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative.

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'multiple small pulmonary nodules': 'clinical finding': 'multiple small pulmonary nodules', 'existence': 'pos_dx', 'descriptive_term': 'multiple small pulmonary', 'observation': 'nodule', 'strength_term': 'small', 'quantity_term': 'multiple', 'metastases': 'clinical finding': 'metastases', 'existence': 'pos_dx', 'observation': 'metastase'size_fin: ['size': '18 x 17 mm', 'size': '14 x 14 mm']anatomical entity_fin: 'lobe': 'location descriptor': 'left lower'location descriptor_fin: ['left', 'lower']clinical findings_fin: 'reference left lower lobe nodule': 'clinical finding': 'reference left lower lobe nodule', 'existence': 'pos_dx', 'descriptive_term': 'reference left lower lobe', 'observation': 'nodule'size_fin: ['size': '32 mm', 'size': '28 mm']anatomical entity_fin: 'lobe': 'location descriptor': 'left lower'location descriptor_fin: ['superior', 'left', 'lower']clinical findings_fin: 'reference nodule': 'clinical finding': 'reference nodule', 'existence': 'pos_dx', 'descriptive_term': 'reference', 'observation': 'nodule'size_fin: ['size': '16 mm', 'size': '15 mm']anatomical entity_fin: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['posterior', 'right', 'lower']clinical findings_fin: 'right lower lobe nodule': 'clinical finding': 'right lower lobe nodule', 'existence': 'pos_dx', 'descriptive_term': 'right lower lobe', 'observation': 'nodule'anatomical entity_fin: 'right hemidiaphragm': 'location descriptor': 'posterior'location descriptor_fin: ['posterior']clinical findings_fin: 'nodular opacity': 'clinical finding': 'nodular opacity', 'existence': 'pos_dx', 'descriptive_term': 'nodular', 'observation': 'opacity', 'subpleural pulmonary metastases': 'clinical finding': 'subpleural pulmonary metastases', 'existence': 'pos_dx', 'descriptive_term': 'subpleural pulmonary', 'observation': 'metastase'clinical findings_fin: 'significant lymphadenopathy': 'clinical finding': 'significant lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'clinical findings_fin: 'moderately severe coronary artery calcification': 'clinical finding': 'moderately severe coronary artery calcification', 'existence': 'pos_dx', 'descriptive_term': 'moderately severe coronary artery', 'observation': 'calcification', 'strength_term': 'moderately - severe'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'mild diffuse hepatic steatosis': 'clinical finding': 'mild diffuse hepatic steatosis', 'existence': 'pos_dx', 'descriptive_term': 'mild diffuse hepatic', 'observation': 'steatosis', 'strength_term': 'mild'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast', 'gi': 'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'clinical findings_fin: 'gross abnormalities': 'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Interval increase in the size and number of multiple small pulmonary nodules compatible with metastases, most obvious on the MIP series. Reference left lower lobe nodule 18 x 17 mm, increased from 14 x 14 mm previously. Reference nodule in the superior segment of the left lower lobe now 32 mm in AP dimension, increased from 28 mm previously. Posterior basal segment right lower lobe nodule 16 mm in transverse dimension, slightly increased from 15 mm previously. Nodular opacity in the posterior right hemidiaphragm and in the subcarinal area consistent with subpleural pulmonary metastases. No significant lymphadenopathy. Moderately severe coronary artery calcification. No significant abnormality noted. Absence of IV and enteric contrast material markedly limits sensitivity for abdominal pathology. Mild diffuse hepatic steatosis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for GI pathology. No gross abnormalities 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: 'multiple small pulmonary nodules': 'clinical finding': 'multiple small pulmonary nodules', 'existence': 'pos_dx', 'descriptive_term': 'multiple small pulmonary', 'observation': 'nodule', 'strength_term': 'small', 'quantity_term': 'multiple', 'metastases': 'clinical finding': 'metastases', 'existence': 'pos_dx', 'observation': 'metastase'size_fin: ['size': '18 x 17 mm', 'size': '14 x 14 mm']anatomical entity_fin: 'lobe': 'location descriptor': 'left lower'location descriptor_fin: ['left', 'lower']clinical findings_fin: 'reference left lower lobe nodule': 'clinical finding': 'reference left lower lobe nodule', 'existence': 'pos_dx', 'descriptive_term': 'reference left lower lobe', 'observation': 'nodule'size_fin: ['size': '32 mm', 'size': '28 mm']anatomical entity_fin: 'lobe': 'location descriptor': 'left lower'location descriptor_fin: ['superior', 'left', 'lower']clinical findings_fin: 'reference nodule': 'clinical finding': 'reference nodule', 'existence': 'pos_dx', 'descriptive_term': 'reference', 'observation': 'nodule'size_fin: ['size': '16 mm', 'size': '15 mm']anatomical entity_fin: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['posterior', 'right', 'lower']clinical findings_fin: 'right lower lobe nodule': 'clinical finding': 'right lower lobe nodule', 'existence': 'pos_dx', 'descriptive_term': 'right lower lobe', 'observation': 'nodule'anatomical entity_fin: 'right hemidiaphragm': 'location descriptor': 'posterior'location descriptor_fin: ['posterior']clinical findings_fin: 'nodular opacity': 'clinical finding': 'nodular opacity', 'existence': 'pos_dx', 'descriptive_term': 'nodular', 'observation': 'opacity', 'subpleural pulmonary metastases': 'clinical finding': 'subpleural pulmonary metastases', 'existence': 'pos_dx', 'descriptive_term': 'subpleural pulmonary', 'observation': 'metastase'clinical findings_fin: 'significant lymphadenopathy': 'clinical finding': 'significant lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'clinical findings_fin: 'moderately severe coronary artery calcification': 'clinical finding': 'moderately severe coronary artery calcification', 'existence': 'pos_dx', 'descriptive_term': 'moderately severe coronary artery', 'observation': 'calcification', 'strength_term': 'moderately - severe'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'mild diffuse hepatic steatosis': 'clinical finding': 'mild diffuse hepatic steatosis', 'existence': 'pos_dx', 'descriptive_term': 'mild diffuse hepatic', 'observation': 'steatosis', 'strength_term': 'mild'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast', 'gi': 'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'clinical findings_fin: 'gross abnormalities': 'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP]

. Interval increase in the size and number of multiple small pulmonary nodules compatible with metastases, most obvious on the MIP series. Reference left lower lobe nodule 18 x 17 mm, increased from 14 x 14 mm previously. Reference nodule in the superior segment of the left lower lobe now 32 mm in AP dimension, increased from 28 mm previously. Posterior basal segment right lower lobe nodule 16 mm in transverse dimension, slightly increased from 15 mm previously. Nodular opacity in the posterior right hemidiaphragm and in the subcarinal area consistent with subpleural pulmonary metastases. No significant lymphadenopathy. Moderately severe coronary artery calcification. No significant abnormality noted. Absence of IV and enteric contrast material markedly limits sensitivity for abdominal pathology. Mild diffuse hepatic steatosis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. No significant abnormality noted. [/RESP]</s>

. Multiple small pulmonary nodules, some of which are calcified and compatible with metastases.[/RESP] Reference left lower lobe nodule measures 18 x 17 mm, previously measured at 14 x 14 mm. Superior to this reference nodule is another nodule measuring 32 mm in short axis, previously measured at 28 mm. Right lower lobe nodule measures 16 mm in short axis, previously measured at 15 mm. Nodular opacity within the posterior right hemidiaphragm consistent with subpleural pulmonary metastases. No significant lymphadenopathy. Moderately severe coronary artery calcification. No significant abnormality. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Mild diffuse hepatic steatosis. No significant abnormality. No significant abnormality. None. No significant abnormality. Absence of enteric contrast material markedly limits sensitivity for GI pathology. No gross abnormalities. No significant abnormality. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['midline']clinical findings_fin: 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'clinical findings_fin: 'abnormal mass lesions': 'clinical finding': 'abnormal mass lesions', 'existence': 'neg_dx', 'descriptive_term': 'abnormal mass', 'observation': 'lesion'clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'anatomical entity_fin: 'brain': , 'parenchyma': clinical findings_fin: 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema'anatomical entity_fin: 'paranasal sinuses': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'orbits': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'clinical findings_fin: 'findings are suspicious for partial empty sella': 'clinical finding': 'findings are suspicious for partial empty sella' [/INST] [RESP] The CSF spaces are appropriate for the patients stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma. The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. Findings are suspicious for partial empty sella. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['midline']clinical findings_fin: 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'clinical findings_fin: 'abnormal mass lesions': 'clinical finding': 'abnormal mass lesions', 'existence': 'neg_dx', 'descriptive_term': 'abnormal mass', 'observation': 'lesion'clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'anatomical entity_fin: 'brain': , 'parenchyma': clinical findings_fin: 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema'anatomical entity_fin: 'paranasal sinuses': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'orbits': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'clinical findings_fin: 'findings are suspicious for partial empty sella': 'clinical finding': 'findings are suspicious for partial empty sella' [/INST] [RESP]

The CSF spaces are appropriate for the patients stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma. The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. Findings are suspicious for partial empty sella. [/RESP]</s>

The CSF spaces are appropriate in size and course. There is no midline shift. There are no abnormal mass lesions. There is no intracranial hemorrhage. The brain parenchyma is unremarkable or edematous. The visualized portions of the paranasal sinuses are clear. The mastoid air cells are clear. The orbital soft tissues are grossly unremarkable. Findings are suspicious for partial empty sella. [/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: 'new interlobular septal thickening': 'clinical finding': 'new interlobular septal thickening', 'existence': 'pos_dx', 'descriptive_term': 'new interlobular septal', 'observation': 'thickening', 'temporal_term': 'new'anatomical entity_fin: 'lung': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'new left upper lung predominant groundglass opacities': 'clinical finding': 'new left upper lung predominant groundglass opacities', 'existence': 'pos_dx', 'descriptive_term': 'new left upper lung predominant groundglass', 'observation': 'opacity', 'temporal_term': 'new', 'bibasilar predominant dependent atelectatic changes': 'clinical finding': 'bibasilar predominant dependent atelectatic changes', 'existence': 'pos_dx', 'descriptive_term': 'bibasilar predominant dependent atelectatic', 'observation': 'change'location descriptor_fin: ['left']clinical findings_fin: 'pleural effusion': 'clinical finding': 'pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'anatomical entity_fin: 'thyroid gland': , 'lobe': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'small left lobe nodule': 'clinical finding': 'small left lobe nodule', 'existence': 'pos_dx', 'descriptive_term': 'small left lobe', 'observation': 'nodule', 'strength_term': 'small'clinical findings_fin: 'thoracic lymphadenopathy': 'clinical finding': 'thoracic lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'thoracic', 'observation': 'lymphadenopathy'location descriptor_fin: ['distal']clinical findings_fin: 'mild focal distal esophageal wall thickening': 'clinical finding': 'mild focal distal esophageal wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild focal distal esophageal wall', 'observation': 'thickening', 'strength_term': 'mild'anatomical entity_fin: 'aortic arch': clinical findings_fin: 'mild aortic arch atherosclerotic calcifications': 'clinical finding': 'mild aortic arch atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'mild aortic arch atherosclerotic', 'observation': 'calcification', 'strength_term': 'mild'anatomical entity_fin: 'heart': clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'clinical findings_fin: 'small pericardial effusion': 'clinical finding': 'small pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'small pericardial', 'observation': 'effusion', 'strength_term': 'small'anatomical entity_fin: 'right atrium': location descriptor_fin: ['right', 'proximal']object_fin: ['port', 'catheter']clinical findings_fin: 'right ij port catheter with tip in the very proximal right atrium': 'clinical finding': 'right ij port catheter with tip in the very proximal right atrium'clinical findings_fin: 'suspicious abnormality': 'clinical finding': 'suspicious abnormality', 'existence': 'neg_dx', 'descriptive_term': 'suspicious', 'observation': 'abnormality'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'anatomical entity_fin: 'kidneys': clinical findings_fin: 'atrophic': 'clinical finding': 'atrophic', 'existence': 'pos_dx', 'observation': 'atrophic' [/INST] [RESP] . New interlobular septal thickening in the left upper lobe. There are new left upper lung predominant groundglass opacities There are bibasilar predominant dependent atelectatic changes. New trace left pleural effusion. Thyroid gland is normal in size with a small left lobe nodule. No thoracic lymphadenopathy. Mild focal distal esophageal wall thickening again seen. Mild aortic arch atherosclerotic calcifications. Heart is borderline enlarged. Small pericardial effusion. Right IJ port catheter with tip in the very proximal right atrium. Mild. No suspicious abnormality noted. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Partially visualized native kidneys are atrophic. [/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: 'new interlobular septal thickening': 'clinical finding': 'new interlobular septal thickening', 'existence': 'pos_dx', 'descriptive_term': 'new interlobular septal', 'observation': 'thickening', 'temporal_term': 'new'anatomical entity_fin: 'lung': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'new left upper lung predominant groundglass opacities': 'clinical finding': 'new left upper lung predominant groundglass opacities', 'existence': 'pos_dx', 'descriptive_term': 'new left upper lung predominant groundglass', 'observation': 'opacity', 'temporal_term': 'new', 'bibasilar predominant dependent atelectatic changes': 'clinical finding': 'bibasilar predominant dependent atelectatic changes', 'existence': 'pos_dx', 'descriptive_term': 'bibasilar predominant dependent atelectatic', 'observation': 'change'location descriptor_fin: ['left']clinical findings_fin: 'pleural effusion': 'clinical finding': 'pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'anatomical entity_fin: 'thyroid gland': , 'lobe': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'small left lobe nodule': 'clinical finding': 'small left lobe nodule', 'existence': 'pos_dx', 'descriptive_term': 'small left lobe', 'observation': 'nodule', 'strength_term': 'small'clinical findings_fin: 'thoracic lymphadenopathy': 'clinical finding': 'thoracic lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'thoracic', 'observation': 'lymphadenopathy'location descriptor_fin: ['distal']clinical findings_fin: 'mild focal distal esophageal wall thickening': 'clinical finding': 'mild focal distal esophageal wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild focal distal esophageal wall', 'observation': 'thickening', 'strength_term': 'mild'anatomical entity_fin: 'aortic arch': clinical findings_fin: 'mild aortic arch atherosclerotic calcifications': 'clinical finding': 'mild aortic arch atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'mild aortic arch atherosclerotic', 'observation': 'calcification', 'strength_term': 'mild'anatomical entity_fin: 'heart': clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'clinical findings_fin: 'small pericardial effusion': 'clinical finding': 'small pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'small pericardial', 'observation': 'effusion', 'strength_term': 'small'anatomical entity_fin: 'right atrium': location descriptor_fin: ['right', 'proximal']object_fin: ['port', 'catheter']clinical findings_fin: 'right ij port catheter with tip in the very proximal right atrium': 'clinical finding': 'right ij port catheter with tip in the very proximal right atrium'clinical findings_fin: 'suspicious abnormality': 'clinical finding': 'suspicious abnormality', 'existence': 'neg_dx', 'descriptive_term': 'suspicious', 'observation': 'abnormality'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'anatomical entity_fin: 'kidneys': clinical findings_fin: 'atrophic': 'clinical finding': 'atrophic', 'existence': 'pos_dx', 'observation': 'atrophic' [/INST] [RESP]

. New interlobular septal thickening in the left upper lobe. There are new left upper lung predominant groundglass opacities There are bibasilar predominant dependent atelectatic changes. New trace left pleural effusion. Thyroid gland is normal in size with a small left lobe nodule. No thoracic lymphadenopathy. Mild focal distal esophageal wall thickening again seen. Mild aortic arch atherosclerotic calcifications. Heart is borderline enlarged. Small pericardial effusion. Right IJ port catheter with tip in the very proximal right atrium. Mild. No suspicious abnormality noted. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Partially visualized native kidneys are atrophic. [/RESP]</s>

. New interlobular septal thickening is seen in the left upper lobe. The new left upper lung predominant groundglass opacities are associated with bibasilar predominant dependent atelectatic changes. There is also a small left pleural effusion. Small left thyroid gland and a small left lobe nodule. No thoracic lymphadenopathy. Mild focal distal esophageal wall thickening. Mild aortic arch atherosclerotic calcifications. Heart size is enlarged. Small pericardial effusion. Right IJ port catheter with tip in the very proximal right atrium. No suspicious abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Atrophic kidneys. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'arteries': 'location descriptor': 'subsegmental'location descriptor_fin: ['central', 'subsegmental']clinical findings_fin: 'multiple cement emboli': 'clinical finding': 'multiple cement emboli', 'existence': 'pos_dx', 'descriptive_term': 'multiple cement', 'observation': 'emboli', 'quantity_term': 'multiple'clinical findings_fin: 'clustered nodules': 'clinical finding': 'clustered nodules', 'existence': 'pos_dx', 'descriptive_term': 'clustered', 'observation': 'nodule', 'bud opacities': 'clinical finding': 'bud opacities', 'existence': 'pos_dx', 'descriptive_term': 'bud', 'observation': 'opacity'clinical findings_fin: 'coronary calcifications': 'clinical finding': 'coronary calcifications', 'existence': 'pos_dx', 'descriptive_term': 'coronary', 'observation': 'calcification'anatomical entity_fin: 'heart': clinical findings_fin: 'heart size within normal limits': 'clinical finding': 'heart size within normal limits'clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'anatomical entity_fin: 'thoracic': procedure_fin: ['vertebroplasty']clinical findings_fin: 'postoperative changes': 'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change', 'partial height loss': 'clinical finding': 'partial height loss', 'existence': 'pos_dx', 'descriptive_term': 'partial height', 'observation': 'loss', 'strength_term': 'partial'anatomical entity_fin: 'venous plexus': clinical findings_fin: 'cement': 'clinical finding': 'cement', 'existence': 'pos_dx', 'observation': 'cement'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'location descriptor_fin: ['left']clinical findings_fin: 'renal cortical thinning': 'clinical finding': 'renal cortical thinning', 'existence': 'pos_dx', 'descriptive_term': 'renal cortical', 'observation': 'thinning', 'left renal cyst': 'clinical finding': 'left renal cyst', 'existence': 'pos_dx', 'descriptive_term': 'left renal', 'observation': 'cyst' [/INST] [RESP] . Multiple cement emboli are demonstrated involving the central and extending into the subsegmental arteries. Clustered nodules and tree in bud opacities may reflect an inflammatory process. Coronary calcifications. Heart size within normal limits. No pericardial effusion. Postoperative changes of multilevel vertebroplasty is involving the majority of the thoracic levels with partial height loss greatest at T8, T12, and L2, similar to prior. Cement noted in the paravertebral venous plexus. Absence of IV and enteric contrast material markedly limits sensitivity for abdominal pathology. Cholecystectomy. Renal cortical thinning bilaterally and a left renal cyst. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'arteries': 'location descriptor': 'subsegmental'location descriptor_fin: ['central', 'subsegmental']clinical findings_fin: 'multiple cement emboli': 'clinical finding': 'multiple cement emboli', 'existence': 'pos_dx', 'descriptive_term': 'multiple cement', 'observation': 'emboli', 'quantity_term': 'multiple'clinical findings_fin: 'clustered nodules': 'clinical finding': 'clustered nodules', 'existence': 'pos_dx', 'descriptive_term': 'clustered', 'observation': 'nodule', 'bud opacities': 'clinical finding': 'bud opacities', 'existence': 'pos_dx', 'descriptive_term': 'bud', 'observation': 'opacity'clinical findings_fin: 'coronary calcifications': 'clinical finding': 'coronary calcifications', 'existence': 'pos_dx', 'descriptive_term': 'coronary', 'observation': 'calcification'anatomical entity_fin: 'heart': clinical findings_fin: 'heart size within normal limits': 'clinical finding': 'heart size within normal limits'clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'anatomical entity_fin: 'thoracic': procedure_fin: ['vertebroplasty']clinical findings_fin: 'postoperative changes': 'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change', 'partial height loss': 'clinical finding': 'partial height loss', 'existence': 'pos_dx', 'descriptive_term': 'partial height', 'observation': 'loss', 'strength_term': 'partial'anatomical entity_fin: 'venous plexus': clinical findings_fin: 'cement': 'clinical finding': 'cement', 'existence': 'pos_dx', 'observation': 'cement'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'location descriptor_fin: ['left']clinical findings_fin: 'renal cortical thinning': 'clinical finding': 'renal cortical thinning', 'existence': 'pos_dx', 'descriptive_term': 'renal cortical', 'observation': 'thinning', 'left renal cyst': 'clinical finding': 'left renal cyst', 'existence': 'pos_dx', 'descriptive_term': 'left renal', 'observation': 'cyst' [/INST] [RESP]

. Multiple cement emboli are demonstrated involving the central and extending into the subsegmental arteries. Clustered nodules and tree in bud opacities may reflect an inflammatory process. Coronary calcifications. Heart size within normal limits. No pericardial effusion. Postoperative changes of multilevel vertebroplasty is involving the majority of the thoracic levels with partial height loss greatest at T8, T12, and L2, similar to prior. Cement noted in the paravertebral venous plexus. Absence of IV and enteric contrast material markedly limits sensitivity for abdominal pathology. Cholecystectomy. Renal cortical thinning bilaterally and a left renal cyst. [/RESP]</s>

. Multiple cement emboli in the central and subsegmental arteries. The clustered nodules and bud opacities are unchanged. Coronary calcifications. Heart size within normal limits. No pericardial effusion. Postoperative changes of vertebroplasty of thoracic spine with partial height loss. Cement is present throughout the venous plexus. Absence of IV and enteric contrast material markedly limits sensitivity for abdominal pathology. Renal cortical thinning left renal cyst. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['anterior', 'inferior']clinical findings_fin: 'mildly comminuted bony bankart fracture': 'clinical finding': 'mildly comminuted bony bankart fracture', 'existence': 'pos_dx', 'descriptive_term': 'mildly comminuted bony bankart', 'observation': 'fracture', 'strength_term': 'mildly'size_fin: ['size': '2.0 cm', 'size_descriptor': 'transverse', 'size': '1.3 cm', 'size_descriptor': 'craniocaudal', 'size': '0.7 cm', 'size_descriptor': 'dimension']anatomical entity_fin: 'articular surface': clinical findings_fin: 'articular surface loss': 'clinical finding': 'articular surface loss', 'existence': 'pos_dx', 'descriptive_term': 'articular surface', 'observation': 'loss'size_fin: ['size': '7 mm']location descriptor_fin: ['displaced', 'anterior', 'inferior', 'medial']clinical findings_fin: 'fragment is displaced by approximately 7 mm in the anterior , inferior , and medial directions': 'clinical finding': 'fragment is displaced by approximately 7 mm in the anterior , inferior , and medial directions', 'change_term': 'displaced'clinical findings_fin: 'glenohumeral alignment': 'clinical finding': 'glenohumeral alignment', 'existence': 'pos_dx', 'descriptive_term': 'glenohumeral', 'observation': 'alignment'anatomical entity_fin: 'glenohumeral joint': clinical findings_fin: 'mild osteoarthritis': 'clinical finding': 'mild osteoarthritis', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'osteoarthritis', 'strength_term': 'mild'anatomical entity_fin: 'clavicle': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'joint': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact', 'mild degenerative changes': 'clinical finding': 'mild degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild'anatomical entity_fin: 'scapula': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'imaging observation_fin: ['hill-sachs deformity']clinical findings_fin: 'definite hill-sachs deformity': 'clinical finding': 'definite hill-sachs deformity', 'existence': 'neg_dx', 'descriptive_term': 'definite hill-sachs', 'observation': 'deformity'anatomical entity_fin: 'humerus': 'location descriptor': 'proximal'location descriptor_fin: ['proximal']clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact', 'fracture': 'clinical finding': 'fracture', 'existence': 'neg_dx', 'observation': 'fracture'anatomical entity_fin: 'glenohumeral joint': clinical findings_fin: 'moderate sized glenohumeral joint effusion': 'clinical finding': 'moderate sized glenohumeral joint effusion', 'existence': 'pos_dx', 'descriptive_term': 'moderate sized glenohumeral joint', 'observation': 'effusion', 'strength_term': 'moderate'clinical findings_fin: 'soft tissue edema': 'clinical finding': 'soft tissue edema', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'edema'size_fin: ['size': '3 mm', 'size_descriptor': 'atrophy']anatomical entity_fin: 'supraspinatus muscle': , 'supraspinatus tendon': , 'glenohumeral joint': clinical findings_fin: 'moderate fatty atrophy': 'clinical finding': 'moderate fatty atrophy', 'existence': 'pos_dx', 'descriptive_term': 'moderate fatty', 'observation': 'atrophy', 'strength_term': 'moderate', 'retraction': 'clinical finding': 'retraction', 'existence': 'pos_dx', 'observation': 'retraction', 'narrowing': 'clinical finding': 'narrowing', 'existence': 'pos_dx', 'observation': 'narrowing', 'rotator cuff tear': 'clinical finding': 'rotator cuff tear', 'existence': 'unc_dx', 'descriptive_term': 'rotator cuff', 'observation': 'tear'clinical findings_fin: 'surrounding soft tissue edema': 'clinical finding': 'surrounding soft tissue edema', 'existence': 'pos_dx', 'descriptive_term': 'surrounding soft tissue', 'observation': 'edema'clinical findings_fin: 'incompletely visualized thoracic degenerative changes': 'clinical finding': 'incompletely visualized thoracic degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'incompletely visualized thoracic degenerative', 'observation': 'change'clinical findings_fin: 'minor pulmonary interstitial abnormalities': 'clinical finding': 'minor pulmonary interstitial abnormalities', 'existence': 'pos_dx', 'descriptive_term': 'minor pulmonary interstitial', 'observation': 'abnormality' [/INST] [RESP] There is mildly comminuted bony Bankart fracture of the anterior or inferior glenoid. The largest fragment measures 2.0 cm transverse by 1.3 cm craniocaudal by 0.7 cm AP dimension. This results in approximately 20% of articular surface loss in the AP dimension. This fragment is displaced by approximately 7 mm in the anterior, inferior, and medial directions. Glenohumeral alignment is normal. Mild osteoarthritis affects the glenohumeral joint. The clavicle is intact. AC joint is intact with mild degenerative changes. The remainder of the scapula is intact. The coracoid is intact. No definite Hill-Sachs deformity is identified. The visualized proximal humerus is intact without evidence of fracture. Moderate sized glenohumeral joint effusion is noted. Soft tissue edema is noted tracking along the axillary vessels. Please note that CT is not optimal for evaluation of the rotator cuff and labrum. There is moderate fatty atrophy of the supraspinatus muscle belly with retraction of the supraspinatus tendon to the level of the glenohumeral joint, and narrowing of the acromiohumeral interval measuring 3 mm, indicating rotator cuff tear, possibly also affecting the infraspinatus. Evaluation of the remainder of the rotator cuff is degraded by surrounding soft tissue edema. Incompletely visualized thoracic degenerative changes are noted. Minor pulmonary interstitial abnormalities are noted posteriorly. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['anterior', 'inferior']clinical findings_fin: 'mildly comminuted bony bankart fracture': 'clinical finding': 'mildly comminuted bony bankart fracture', 'existence': 'pos_dx', 'descriptive_term': 'mildly comminuted bony bankart', 'observation': 'fracture', 'strength_term': 'mildly'size_fin: ['size': '2.0 cm', 'size_descriptor': 'transverse', 'size': '1.3 cm', 'size_descriptor': 'craniocaudal', 'size': '0.7 cm', 'size_descriptor': 'dimension']anatomical entity_fin: 'articular surface': clinical findings_fin: 'articular surface loss': 'clinical finding': 'articular surface loss', 'existence': 'pos_dx', 'descriptive_term': 'articular surface', 'observation': 'loss'size_fin: ['size': '7 mm']location descriptor_fin: ['displaced', 'anterior', 'inferior', 'medial']clinical findings_fin: 'fragment is displaced by approximately 7 mm in the anterior , inferior , and medial directions': 'clinical finding': 'fragment is displaced by approximately 7 mm in the anterior , inferior , and medial directions', 'change_term': 'displaced'clinical findings_fin: 'glenohumeral alignment': 'clinical finding': 'glenohumeral alignment', 'existence': 'pos_dx', 'descriptive_term': 'glenohumeral', 'observation': 'alignment'anatomical entity_fin: 'glenohumeral joint': clinical findings_fin: 'mild osteoarthritis': 'clinical finding': 'mild osteoarthritis', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'osteoarthritis', 'strength_term': 'mild'anatomical entity_fin: 'clavicle': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'joint': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact', 'mild degenerative changes': 'clinical finding': 'mild degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild'anatomical entity_fin: 'scapula': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'imaging observation_fin: ['hill-sachs deformity']clinical findings_fin: 'definite hill-sachs deformity': 'clinical finding': 'definite hill-sachs deformity', 'existence': 'neg_dx', 'descriptive_term': 'definite hill-sachs', 'observation': 'deformity'anatomical entity_fin: 'humerus': 'location descriptor': 'proximal'location descriptor_fin: ['proximal']clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact', 'fracture': 'clinical finding': 'fracture', 'existence': 'neg_dx', 'observation': 'fracture'anatomical entity_fin: 'glenohumeral joint': clinical findings_fin: 'moderate sized glenohumeral joint effusion': 'clinical finding': 'moderate sized glenohumeral joint effusion', 'existence': 'pos_dx', 'descriptive_term': 'moderate sized glenohumeral joint', 'observation': 'effusion', 'strength_term': 'moderate'clinical findings_fin: 'soft tissue edema': 'clinical finding': 'soft tissue edema', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'edema'size_fin: ['size': '3 mm', 'size_descriptor': 'atrophy']anatomical entity_fin: 'supraspinatus muscle': , 'supraspinatus tendon': , 'glenohumeral joint': clinical findings_fin: 'moderate fatty atrophy': 'clinical finding': 'moderate fatty atrophy', 'existence': 'pos_dx', 'descriptive_term': 'moderate fatty', 'observation': 'atrophy', 'strength_term': 'moderate', 'retraction': 'clinical finding': 'retraction', 'existence': 'pos_dx', 'observation': 'retraction', 'narrowing': 'clinical finding': 'narrowing', 'existence': 'pos_dx', 'observation': 'narrowing', 'rotator cuff tear': 'clinical finding': 'rotator cuff tear', 'existence': 'unc_dx', 'descriptive_term': 'rotator cuff', 'observation': 'tear'clinical findings_fin: 'surrounding soft tissue edema': 'clinical finding': 'surrounding soft tissue edema', 'existence': 'pos_dx', 'descriptive_term': 'surrounding soft tissue', 'observation': 'edema'clinical findings_fin: 'incompletely visualized thoracic degenerative changes': 'clinical finding': 'incompletely visualized thoracic degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'incompletely visualized thoracic degenerative', 'observation': 'change'clinical findings_fin: 'minor pulmonary interstitial abnormalities': 'clinical finding': 'minor pulmonary interstitial abnormalities', 'existence': 'pos_dx', 'descriptive_term': 'minor pulmonary interstitial', 'observation': 'abnormality' [/INST] [RESP]

There is mildly comminuted bony Bankart fracture of the anterior or inferior glenoid. The largest fragment measures 2.0 cm transverse by 1.3 cm craniocaudal by 0.7 cm AP dimension. This results in approximately 20% of articular surface loss in the AP dimension. This fragment is displaced by approximately 7 mm in the anterior, inferior, and medial directions. Glenohumeral alignment is normal. Mild osteoarthritis affects the glenohumeral joint. The clavicle is intact. AC joint is intact with mild degenerative changes. The remainder of the scapula is intact. The coracoid is intact. No definite Hill-Sachs deformity is identified. The visualized proximal humerus is intact without evidence of fracture. Moderate sized glenohumeral joint effusion is noted. Soft tissue edema is noted tracking along the axillary vessels. Please note that CT is not optimal for evaluation of the rotator cuff and labrum. There is moderate fatty atrophy of the supraspinatus muscle belly with retraction of the supraspinatus tendon to the level of the glenohumeral joint, and narrowing of the acromiohumeral interval measuring 3 mm, indicating rotator cuff tear, possibly also affecting the infraspinatus. Evaluation of the remainder of the rotator cuff is degraded by surrounding soft tissue edema. Incompletely visualized thoracic degenerative changes are noted. Minor pulmonary interstitial abnormalities are noted posteriorly. [/RESP]</s>

. Mildly comminuted bony Bankart fracture of the anterior inferior aspect of the scapular body with associated articular surface loss measuring up to 2.5 cm craniocaudal dimension, 1.3 cm transverse dimension and 0.7 cm AP dimension. Fragment is displaced by approximately 7 mm in the anterior inferior and medial direction. Glenohumeral alignment appears normal. There is mild osteoarthritis involving the glenohumeral joint. The clavicle is intact. The acromiohumeral joint is intact but there are mild degenerative changes affecting the joint. Scapula is also intact. Proximal humeral head is intact without evidence of Hill-Sachs deformity. Moderately prominent subcutaneous fat. There is moderate sized glenohumeral joint effusion. Soft tissue edema is present. There is moderate fatty atrophy of the supraspinatus muscle and supraspinatus tendon as well as retraction of the glenohumeral joint with narrowing of the rotator cuff space consistent with a rotator cuff tear. Surrounding soft tissue edema is noted. Incompletely visualized thoracic degenerative changes. Minor pulmonary interstitial abnormalities are seen. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '34 x 10 mm']location descriptor_fin: ['right']clinical findings_fin: 'right basilar consolidation': 'clinical finding': 'right basilar consolidation', 'existence': 'pos_dx', 'descriptive_term': 'right basilar', 'observation': 'consolidation'size_fin: ['size': '7 x 5 mm', 'size_descriptor': 'nodule']anatomical entity_fin: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower']clinical findings_fin: 'stable perifissural right lower lobe pulmonary nodule': 'clinical finding': 'stable perifissural right lower lobe pulmonary nodule', 'existence': 'pos_dx', 'descriptive_term': 'stable perifissural right lower lobe pulmonary', 'observation': 'nodule', 'strength_term': 'stable', 'change_term': 'stable'location descriptor_fin: ['left']clinical findings_fin: 'persistent left basilar atelectasis': 'clinical finding': 'persistent left basilar atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'persistent left basilar', 'observation': 'atelectasis', 'temporal_term': 'persistent'location descriptor_fin: ['left']clinical findings_fin: 'postop changes': 'clinical finding': 'postop changes', 'existence': 'pos_dx', 'descriptive_term': 'postop', 'observation': 'change'clinical findings_fin: 'new pulmonary nodules': 'clinical finding': 'new pulmonary nodules', 'existence': 'neg_dx', 'descriptive_term': 'new pulmonary', 'observation': 'nodule', 'temporal_term': 'new'clinical findings_fin: 'trace pericardial effusion': 'clinical finding': 'trace pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'trace pericardial', 'observation': 'effusion'clinical findings_fin: 'minimal residual thymic tissue': 'clinical finding': 'minimal residual thymic tissue', 'existence': 'pos_dx', 'descriptive_term': 'minimal residual thymic', 'observation': 'tissue', 'strength_term': 'minimal', 'quantity_term': 'minimal', 'temporal_term': 'residual'clinical findings_fin: 'scattered small subcentimeter nodes': 'clinical finding': 'scattered small subcentimeter nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered small subcentimeter', 'observation': 'node', 'strength_term': 'small'anatomical entity_fin: 'rib': location descriptor_fin: ['left']clinical findings_fin: 'healed left-sided rib fractures': 'clinical finding': 'healed left-sided rib fractures', 'existence': 'pos_dx', 'descriptive_term': 'healed left-sided rib', 'observation': 'fracture', 'strength_term': 'healed', 'change_term': 'healed'clinical findings_fin: 'hiatal hernia': 'clinical finding': 'hiatal hernia', 'existence': 'pos_dx', 'descriptive_term': 'hiatal', 'observation': 'hernia'clinical findings_fin: 'scattered subcentimeter hepatic hypodensities': 'clinical finding': 'scattered subcentimeter hepatic hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'scattered subcentimeter hepatic', 'observation': 'hypodensity' [/INST] [RESP] . Continued decrease in right basilar consolidation measuring 34 x 10 mm on image 69/89. Stable perifissural right lower lobe pulmonary nodule measuring 7 x 5 mm on image 40/89, unchanged. Persistent left basilar atelectasis. Postop changes on left. No new pulmonary nodules. Trace pericardial effusion stable. Minimal residual thymic tissue stable. Scattered small subcentimeter nodes stable. Healed left-sided rib fractures. Hiatal hernia. Scattered subcentimeter hepatic hypodensities stable, but too small to characterize. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '34 x 10 mm']location descriptor_fin: ['right']clinical findings_fin: 'right basilar consolidation': 'clinical finding': 'right basilar consolidation', 'existence': 'pos_dx', 'descriptive_term': 'right basilar', 'observation': 'consolidation'size_fin: ['size': '7 x 5 mm', 'size_descriptor': 'nodule']anatomical entity_fin: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower']clinical findings_fin: 'stable perifissural right lower lobe pulmonary nodule': 'clinical finding': 'stable perifissural right lower lobe pulmonary nodule', 'existence': 'pos_dx', 'descriptive_term': 'stable perifissural right lower lobe pulmonary', 'observation': 'nodule', 'strength_term': 'stable', 'change_term': 'stable'location descriptor_fin: ['left']clinical findings_fin: 'persistent left basilar atelectasis': 'clinical finding': 'persistent left basilar atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'persistent left basilar', 'observation': 'atelectasis', 'temporal_term': 'persistent'location descriptor_fin: ['left']clinical findings_fin: 'postop changes': 'clinical finding': 'postop changes', 'existence': 'pos_dx', 'descriptive_term': 'postop', 'observation': 'change'clinical findings_fin: 'new pulmonary nodules': 'clinical finding': 'new pulmonary nodules', 'existence': 'neg_dx', 'descriptive_term': 'new pulmonary', 'observation': 'nodule', 'temporal_term': 'new'clinical findings_fin: 'trace pericardial effusion': 'clinical finding': 'trace pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'trace pericardial', 'observation': 'effusion'clinical findings_fin: 'minimal residual thymic tissue': 'clinical finding': 'minimal residual thymic tissue', 'existence': 'pos_dx', 'descriptive_term': 'minimal residual thymic', 'observation': 'tissue', 'strength_term': 'minimal', 'quantity_term': 'minimal', 'temporal_term': 'residual'clinical findings_fin: 'scattered small subcentimeter nodes': 'clinical finding': 'scattered small subcentimeter nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered small subcentimeter', 'observation': 'node', 'strength_term': 'small'anatomical entity_fin: 'rib': location descriptor_fin: ['left']clinical findings_fin: 'healed left-sided rib fractures': 'clinical finding': 'healed left-sided rib fractures', 'existence': 'pos_dx', 'descriptive_term': 'healed left-sided rib', 'observation': 'fracture', 'strength_term': 'healed', 'change_term': 'healed'clinical findings_fin: 'hiatal hernia': 'clinical finding': 'hiatal hernia', 'existence': 'pos_dx', 'descriptive_term': 'hiatal', 'observation': 'hernia'clinical findings_fin: 'scattered subcentimeter hepatic hypodensities': 'clinical finding': 'scattered subcentimeter hepatic hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'scattered subcentimeter hepatic', 'observation': 'hypodensity' [/INST] [RESP]

. Continued decrease in right basilar consolidation measuring 34 x 10 mm on image 69/89. Stable perifissural right lower lobe pulmonary nodule measuring 7 x 5 mm on image 40/89, unchanged. Persistent left basilar atelectasis. Postop changes on left. No new pulmonary nodules. Trace pericardial effusion stable. Minimal residual thymic tissue stable. Scattered small subcentimeter nodes stable. Healed left-sided rib fractures. Hiatal hernia. Scattered subcentimeter hepatic hypodensities stable, but too small to characterize. [/RESP]</s>

. Right basilar consolidation measures up to 34 x 10 mm. The stable perifissural right lower lobe pulmonary nodule measures 7 x 5 mm. Persistent left basilar atelectasis. Postop changes in the left lung. No new pulmonary nodules. Trace pericardial effusion. Minimal residual thymic tissue. Scattered small subcentimeter nodes are unchanged. Healed left-sided rib fractures. Hiatal hernia. Scattered subcentimeter hepatic hypodensities, unchanged. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'middle': 'location descriptor': 'right', 'lobes': 'location descriptor': 'left lower'location descriptor_fin: ['right', 'lower', 'left']clinical findings_fin: 'multiple micronodules': 'clinical finding': 'multiple micronodules', 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'micronodule', 'quantity_term': 'multiple'clinical findings_fin: 'all these nodules': 'clinical finding': 'all these nodules', 'existence': 'pos_dx', 'descriptive_term': 'all these', 'observation': 'nodule', 'quantity_term': 'all'clinical findings_fin: 'nodules': 'clinical finding': 'nodules', 'existence': 'neg_dx', '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' [/INST] [RESP] . There is redemonstration of multiple micronodules in the right middle, right lower, and left lower lobes. All these nodules appear stable in size compared to previous exam. No nodules are seen. 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: 'middle': 'location descriptor': 'right', 'lobes': 'location descriptor': 'left lower'location descriptor_fin: ['right', 'lower', 'left']clinical findings_fin: 'multiple micronodules': 'clinical finding': 'multiple micronodules', 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'micronodule', 'quantity_term': 'multiple'clinical findings_fin: 'all these nodules': 'clinical finding': 'all these nodules', 'existence': 'pos_dx', 'descriptive_term': 'all these', 'observation': 'nodule', 'quantity_term': 'all'clinical findings_fin: 'nodules': 'clinical finding': 'nodules', 'existence': 'neg_dx', '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' [/INST] [RESP]

. There is redemonstration of multiple micronodules in the right middle, right lower, and left lower lobes. All these nodules appear stable in size compared to previous exam. No nodules are seen. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. [/RESP]</s>

. Multiple micronodules are seen in the right middle lobes and left lower lobe. All these nodules are stable since prior examination. No new suspicious pulmonary nodules or masses are identified. No significant abnormality is noted. No significant abnormality is noted. No significant abnormality is noted. No significant abnormality is noted. No significant abnormality is noted. [/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: 'ventricles and basal cisterns are normal in size and configuration': 'clinical finding': 'ventricles and basal cisterns are normal in size and configuration'clinical findings_fin: 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'herniation': 'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'anatomical entity_fin: 'maxillary sinus': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'mild mucosal thickening': 'clinical finding': 'mild mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild mucosal', 'observation': 'thickening', 'strength_term': 'mild'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'skull': clinical findings_fin: 'skull and extracranial soft tissues are unremarkable': 'clinical finding': 'skull and extracranial soft tissues are unremarkable' [/INST] [RESP] There is no evidence of intracranial hemorrhage. The ventricles and basal cisterns are normal in size and configuration. There is no mass effect or herniation. Mild mucosal thickening is noted in the right maxillary sinus. The imaged mastoid air cells are clear. The skull and extracranial soft tissues are unremarkable. [/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: 'ventricles and basal cisterns are normal in size and configuration': 'clinical finding': 'ventricles and basal cisterns are normal in size and configuration'clinical findings_fin: 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'herniation': 'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'anatomical entity_fin: 'maxillary sinus': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'mild mucosal thickening': 'clinical finding': 'mild mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild mucosal', 'observation': 'thickening', 'strength_term': 'mild'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'skull': clinical findings_fin: 'skull and extracranial soft tissues are unremarkable': 'clinical finding': 'skull and extracranial soft tissues are unremarkable' [/INST] [RESP]

There is no evidence of intracranial hemorrhage. The ventricles and basal cisterns are normal in size and configuration. There is no mass effect or herniation. Mild mucosal thickening is noted in the right maxillary sinus. The imaged mastoid air cells are clear. The skull and extracranial soft tissues are unremarkable. [/RESP]</s>

There is no evidence of intracranial hemorrhage. The ventricles and basal cisterns are normal in size and configuration. There is no mass effect or herniation. Mild mucosal thickening is present within the right maxillary sinus. The mastoid air cells are clear. The skull and extracranial soft tissues are unremarkable. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'cerebral hemispheres': , 'cerebellum': , 'brainstem': clinical findings_fin: 'normal attenuation': 'clinical finding': 'normal attenuation', 'existence': 'pos_dx', 'descriptive_term': 'normal', 'observation': 'attenuation', 'strength_term': 'normal'anatomical entity_fin: 'parenchyma': , 'leptomeninges': clinical findings_fin: 'abnormal enhancement': 'clinical finding': 'abnormal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement'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'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized' [/INST] [RESP] Normal attenuation and morphology of the cerebral hemispheres, cerebellum, and brainstem. No abnormal enhancement of the parenchyma or leptomeninges. 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. The visualized paranasal sinuses and mastoid air cells are normally pneumatized. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'cerebral hemispheres': , 'cerebellum': , 'brainstem': clinical findings_fin: 'normal attenuation': 'clinical finding': 'normal attenuation', 'existence': 'pos_dx', 'descriptive_term': 'normal', 'observation': 'attenuation', 'strength_term': 'normal'anatomical entity_fin: 'parenchyma': , 'leptomeninges': clinical findings_fin: 'abnormal enhancement': 'clinical finding': 'abnormal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement'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'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized' [/INST] [RESP]

Normal attenuation and morphology of the cerebral hemispheres, cerebellum, and brainstem. No abnormal enhancement of the parenchyma or leptomeninges. 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. The visualized paranasal sinuses and mastoid air cells are normally pneumatized. [/RESP]</s>

Normal attenuation of the gray-white matter differentiation is seen throughout the cerebral hemispheres, cerebellum and brainstem. Normal attenuation of the parenchyma and leptomeninges is noted. No abnormal enhancement or mass effect is detected within the intracranial parenchyma. The ventricles and basal cisterns are normal in size and configuration. The calvaria and skull base are radiographically normal. The visualized paranasal sinuses and mastoid air cells are normally pneumatized. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'ventricles and sulci are within normal limits': 'clinical finding': 'ventricles and sulci are within normal limits'location descriptor_fin: ['midline']clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'clinical findings_fin: 'abnormal attenuation': 'clinical finding': 'abnormal attenuation', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'attenuation'location descriptor_fin: ['left']clinical findings_fin: 'small presumably dystrophic calcification': 'clinical finding': 'small presumably dystrophic calcification', 'existence': 'pos_dx', 'descriptive_term': 'small presumably dystrophic', 'observation': 'calcification', 'strength_term': 'small'clinical findings_fin: 'extraaxial fluid collection': 'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'anatomical entity_fin: 'paranasal sinuses': , 'middle ears': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP] The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are no areas of abnormal attenuation. Incidentally noted is a small presumably dystrophic calcification in the left frontal periventricular white matter. There is no extraaxial fluid collection. The visualized portions of the paranasal sinuses and mastoids or middle ears are grossly clear. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'ventricles and sulci are within normal limits': 'clinical finding': 'ventricles and sulci are within normal limits'location descriptor_fin: ['midline']clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'clinical findings_fin: 'abnormal attenuation': 'clinical finding': 'abnormal attenuation', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'attenuation'location descriptor_fin: ['left']clinical findings_fin: 'small presumably dystrophic calcification': 'clinical finding': 'small presumably dystrophic calcification', 'existence': 'pos_dx', 'descriptive_term': 'small presumably dystrophic', 'observation': 'calcification', 'strength_term': 'small'clinical findings_fin: 'extraaxial fluid collection': 'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'anatomical entity_fin: 'paranasal sinuses': , 'middle ears': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP]

The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are no areas of abnormal attenuation. Incidentally noted is a small presumably dystrophic calcification in the left frontal periventricular white matter. There is no extraaxial fluid collection. The visualized portions of the paranasal sinuses and mastoids or middle ears are grossly clear. [/RESP]</s>

The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. No abnormal attenuation is seen in the cerebral parenchyma. Small presumably dystrophic calcification is noted in the left frontoparietal region. There is no extraaxial fluid collection. The visualized portions of the paranasal sinuses and mastoids or middle ears are grossly clear. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'small nodular ground glass opacity': 'clinical finding': 'small nodular ground glass opacity', 'existence': 'pos_dx', 'descriptive_term': 'small nodular ground glass', 'observation': 'opacity', 'strength_term': 'small', 'minor fissure': 'clinical finding': 'minor fissure', 'existence': 'pos_dx', 'descriptive_term': 'minor', 'observation': 'fissure', 'intrapulmonary lymph node': 'clinical finding': 'intrapulmonary lymph node', 'existence': 'unc_dx', 'descriptive_term': 'intrapulmonary lymph', 'observation': 'node'imaging observation_fin: ['apical']clinical findings_fin: 'mild apical paraseptal emphysema': 'clinical finding': 'mild apical paraseptal emphysema', 'existence': 'pos_dx', 'descriptive_term': 'mild apical paraseptal', 'observation': 'emphysema', 'strength_term': 'mild'size_fin: ['size': '1.0 cm', 'size': '1.2 cm']location descriptor_fin: ['right']clinical findings_fin: 'mildly enlarged right hilar lymph node': 'clinical finding': 'mildly enlarged right hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'mildly enlarged right hilar lymph', 'observation': 'node', 'strength_term': 'mildly - enlarged', 'change_term': 'enlarged'anatomical entity_fin: 'heart': clinical findings_fin: 'heart size is normal': 'clinical finding': 'heart size is normal'anatomical entity_fin: 'spine': clinical findings_fin: 'mild degenerative change': 'clinical finding': 'mild degenerative change', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'small unchanged renal hypodensities': 'clinical finding': 'small unchanged renal hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'small unchanged renal', 'observation': 'hypodensity', 'strength_term': 'small - unchanged', 'change_term': 'unchanged', 'cysts': 'clinical finding': 'cysts', '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: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast', 'gi': 'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'clinical findings_fin: 'small hiatal hernia': 'clinical finding': 'small hiatal hernia', 'existence': 'pos_dx', 'descriptive_term': 'small hiatal', 'observation': 'hernia', 'strength_term': 'small'location descriptor_fin: ['anterior']clinical findings_fin: 'injection granulomas': 'clinical finding': 'injection granulomas', 'existence': 'pos_dx', 'descriptive_term': 'injection', 'observation': 'granuloma'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Small nodular ground glass opacity along the minor fissure likely represents an intrapulmonary lymph node and is unchanged. Mild apical paraseptal emphysema. Mildly enlarged right hilar lymph node measures 1.0 cm and previously measured 1.2 cm. The heart size is normal. Mild degenerative change of the thoracic spine. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Small unchanged renal hypodensities compatible with cysts. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for GI pathology. Small hiatal hernia. Injection granulomas in the anterior subcutaneous tissue. No significant abnormality noted. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'small nodular ground glass opacity': 'clinical finding': 'small nodular ground glass opacity', 'existence': 'pos_dx', 'descriptive_term': 'small nodular ground glass', 'observation': 'opacity', 'strength_term': 'small', 'minor fissure': 'clinical finding': 'minor fissure', 'existence': 'pos_dx', 'descriptive_term': 'minor', 'observation': 'fissure', 'intrapulmonary lymph node': 'clinical finding': 'intrapulmonary lymph node', 'existence': 'unc_dx', 'descriptive_term': 'intrapulmonary lymph', 'observation': 'node'imaging observation_fin: ['apical']clinical findings_fin: 'mild apical paraseptal emphysema': 'clinical finding': 'mild apical paraseptal emphysema', 'existence': 'pos_dx', 'descriptive_term': 'mild apical paraseptal', 'observation': 'emphysema', 'strength_term': 'mild'size_fin: ['size': '1.0 cm', 'size': '1.2 cm']location descriptor_fin: ['right']clinical findings_fin: 'mildly enlarged right hilar lymph node': 'clinical finding': 'mildly enlarged right hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'mildly enlarged right hilar lymph', 'observation': 'node', 'strength_term': 'mildly - enlarged', 'change_term': 'enlarged'anatomical entity_fin: 'heart': clinical findings_fin: 'heart size is normal': 'clinical finding': 'heart size is normal'anatomical entity_fin: 'spine': clinical findings_fin: 'mild degenerative change': 'clinical finding': 'mild degenerative change', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'small unchanged renal hypodensities': 'clinical finding': 'small unchanged renal hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'small unchanged renal', 'observation': 'hypodensity', 'strength_term': 'small - unchanged', 'change_term': 'unchanged', 'cysts': 'clinical finding': 'cysts', '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: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast', 'gi': 'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'clinical findings_fin: 'small hiatal hernia': 'clinical finding': 'small hiatal hernia', 'existence': 'pos_dx', 'descriptive_term': 'small hiatal', 'observation': 'hernia', 'strength_term': 'small'location descriptor_fin: ['anterior']clinical findings_fin: 'injection granulomas': 'clinical finding': 'injection granulomas', 'existence': 'pos_dx', 'descriptive_term': 'injection', 'observation': 'granuloma'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP]

. Small nodular ground glass opacity along the minor fissure likely represents an intrapulmonary lymph node and is unchanged. Mild apical paraseptal emphysema. Mildly enlarged right hilar lymph node measures 1.0 cm and previously measured 1.2 cm. The heart size is normal. Mild degenerative change of the thoracic spine. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Small unchanged renal hypodensities compatible with cysts. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for GI pathology. Small hiatal hernia. Injection granulomas in the anterior subcutaneous tissue. No significant abnormality noted. [/RESP]</s>

. Small nodular ground glass opacity in minor fissure with intrapulmonary lymph node. (Image 35 of series 4) The mild apical paraseptal emphysema has not changed. Mildly enlarged right hilar lymph node measures 1.0 cm, previously 1.2 cm. Heart size is normal. Mild degenerative change seen in L4-L5 and L5-S1 spines. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Small unchanged renal hypodensities, likely cysts. No significant abnormality noted. No significant abnormality noted. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative

<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['left']anatomical entity_fin: 'left hemithorax': clinical findings_fin: 'left hemithorax contains a significant amount of air': 'clinical finding': 'left hemithorax contains a significant amount of air'anatomical entity_fin: 'chest wall': , 'musculature': procedure_fin: ['ligation']clinical findings_fin: 'extensive amount of air': 'clinical finding': 'extensive amount of air'anatomical entity_fin: 'right lung': clinical findings_fin: 'right lung emphysema': 'clinical finding': 'right lung emphysema', 'existence': 'pos_dx', 'descriptive_term': 'right lung', 'observation': 'emphysema'location descriptor_fin: ['right']clinical findings_fin: 'right-sided pleural effusion': 'clinical finding': 'right-sided pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'right-sided pleural', 'observation': 'effusion', 'compressive atelectasis': 'clinical finding': 'compressive atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'compressive', 'observation': 'atelectasis'size_fin: ['size': '9 cm', 'size_descriptor': 'tube']anatomical entity_fin: 'carina': object_fin: ['endotracheal tube']clinical findings_fin: 'endotracheal tube': 'clinical finding': 'endotracheal tube', 'existence': 'pos_dx', 'descriptive_term': 'endotracheal', 'observation': 'tube'object_fin: ['tube']clinical findings_fin: 'ng tube present': 'clinical finding': 'ng tube present'clinical findings_fin: 'small pericardial effusion': 'clinical finding': 'small pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'small pericardial', 'observation': 'effusion', 'strength_term': 'small'location descriptor_fin: ['right']anatomical entity_fin: 'right kidney': clinical findings_fin: 'partially visualized fluid collection': 'clinical finding': 'partially visualized fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'partially visualized fluid', 'observation': 'collection', 'strength_term': 'partially'anatomical entity_fin: 'lobe': 'location descriptor': 'left', 'liver': location descriptor_fin: ['left']clinical findings_fin: 'low density lesion': 'clinical finding': 'low density lesion', 'existence': 'pos_dx', 'descriptive_term': 'low density', 'observation': 'lesion' [/INST] [RESP] . Status post left pneumonectomy. Left hemithorax contains a significant amount of air. This air extends through the chest wall into the pectoralis musculature. An extensive amount of air is present about the bronchial ligation site. Right lung emphysema. Right-sided pleural effusion with compressive atelectasis. Endotracheal tube is 9 cm above the carina. NG tube present. Small pericardial effusion. Right PICC line with tip in SVC. Partially visualized fluid collection above the right kidney. Low density lesion in the left lobe of the liver. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['left']anatomical entity_fin: 'left hemithorax': clinical findings_fin: 'left hemithorax contains a significant amount of air': 'clinical finding': 'left hemithorax contains a significant amount of air'anatomical entity_fin: 'chest wall': , 'musculature': procedure_fin: ['ligation']clinical findings_fin: 'extensive amount of air': 'clinical finding': 'extensive amount of air'anatomical entity_fin: 'right lung': clinical findings_fin: 'right lung emphysema': 'clinical finding': 'right lung emphysema', 'existence': 'pos_dx', 'descriptive_term': 'right lung', 'observation': 'emphysema'location descriptor_fin: ['right']clinical findings_fin: 'right-sided pleural effusion': 'clinical finding': 'right-sided pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'right-sided pleural', 'observation': 'effusion', 'compressive atelectasis': 'clinical finding': 'compressive atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'compressive', 'observation': 'atelectasis'size_fin: ['size': '9 cm', 'size_descriptor': 'tube']anatomical entity_fin: 'carina': object_fin: ['endotracheal tube']clinical findings_fin: 'endotracheal tube': 'clinical finding': 'endotracheal tube', 'existence': 'pos_dx', 'descriptive_term': 'endotracheal', 'observation': 'tube'object_fin: ['tube']clinical findings_fin: 'ng tube present': 'clinical finding': 'ng tube present'clinical findings_fin: 'small pericardial effusion': 'clinical finding': 'small pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'small pericardial', 'observation': 'effusion', 'strength_term': 'small'location descriptor_fin: ['right']anatomical entity_fin: 'right kidney': clinical findings_fin: 'partially visualized fluid collection': 'clinical finding': 'partially visualized fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'partially visualized fluid', 'observation': 'collection', 'strength_term': 'partially'anatomical entity_fin: 'lobe': 'location descriptor': 'left', 'liver': location descriptor_fin: ['left']clinical findings_fin: 'low density lesion': 'clinical finding': 'low density lesion', 'existence': 'pos_dx', 'descriptive_term': 'low density', 'observation': 'lesion' [/INST] [RESP]

. Status post left pneumonectomy. Left hemithorax contains a significant amount of air. This air extends through the chest wall into the pectoralis musculature. An extensive amount of air is present about the bronchial ligation site. Right lung emphysema. Right-sided pleural effusion with compressive atelectasis. Endotracheal tube is 9 cm above the carina. NG tube present. Small pericardial effusion. Right PICC line with tip in SVC. Partially visualized fluid collection above the right kidney. Low density lesion in the left lobe of the liver. [/RESP]</s>

. Left hemithorax contains a significant amount of air. The chest wall musculature is ligated and there is extensive amount of air in this region. Right lung emphysema. There is right-sided pleural effusion with compressive atelectasis. Endotracheal tube tip at 10 mm below carina, measuring approximately 9 cm in length. NG tube present. Small pericardial effusion. Partially visualized fluid collection in the right renal fossa. Low density lesion in left lobe of liver. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '35.5 x 46.8 x 11.8 mm']location descriptor_fin: ['left']clinical findings_fin: '35.5 x 46.8 x 11.8 mm sized left hemispheric subdural hematoma': 'clinical finding': '35.5 x 46.8 x 11.8 mm sized left hemispheric subdural hematoma', 'existence': 'neg_dx', 'descriptive_term': '35 5 x 46 8 x 11 8 mm sized left hemispheric subdural', 'observation': 'hematoma'clinical findings_fin: 'change': 'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change', 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'anatomical entity_fin: 'occipital lobe': location descriptor_fin: ['left']clinical findings_fin: 'left parietal and occipital lobe encephalomalacia': 'clinical finding': 'left parietal and occipital lobe encephalomalacia', 'existence': 'pos_dx', 'descriptive_term': 'left parietal and occipital lobe', 'observation': 'encephalomalacia', 'chronic ischemic infarct': 'clinical finding': 'chronic ischemic infarct', 'existence': 'unc_dx', 'descriptive_term': 'chronic ischemic', 'observation': 'infarct', 'temporal_term': 'chronic'anatomical entity_fin: 'left lateral ventricle': clinical findings_fin: 'subtle ex focal changes': 'clinical finding': 'subtle ex focal changes', 'existence': 'pos_dx', 'descriptive_term': 'subtle ex focal', 'observation': 'change', 'strength_term': 'subtle', 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'clinical findings_fin: 'osseous structures are unremarkable': 'clinical finding': 'osseous structures are unremarkable'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP] 35.5 x 46.8 x 11.8 mm sized left hemispheric subdural hematoma is again demonstrated. No change in terms of size, extent and degree of mass effects since prior scan. Redemonstration of left parietal and occipital lobe encephalomalacia possibly related to the chronic ischemic infarct. There is subtle ex focal changes of left lateral ventricle occipital horn, otherwise the ventricles, sulci, and cisterns are symmetric and unremarkable. 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: size_fin: ['size': '35.5 x 46.8 x 11.8 mm']location descriptor_fin: ['left']clinical findings_fin: '35.5 x 46.8 x 11.8 mm sized left hemispheric subdural hematoma': 'clinical finding': '35.5 x 46.8 x 11.8 mm sized left hemispheric subdural hematoma', 'existence': 'neg_dx', 'descriptive_term': '35 5 x 46 8 x 11 8 mm sized left hemispheric subdural', 'observation': 'hematoma'clinical findings_fin: 'change': 'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change', 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'anatomical entity_fin: 'occipital lobe': location descriptor_fin: ['left']clinical findings_fin: 'left parietal and occipital lobe encephalomalacia': 'clinical finding': 'left parietal and occipital lobe encephalomalacia', 'existence': 'pos_dx', 'descriptive_term': 'left parietal and occipital lobe', 'observation': 'encephalomalacia', 'chronic ischemic infarct': 'clinical finding': 'chronic ischemic infarct', 'existence': 'unc_dx', 'descriptive_term': 'chronic ischemic', 'observation': 'infarct', 'temporal_term': 'chronic'anatomical entity_fin: 'left lateral ventricle': clinical findings_fin: 'subtle ex focal changes': 'clinical finding': 'subtle ex focal changes', 'existence': 'pos_dx', 'descriptive_term': 'subtle ex focal', 'observation': 'change', 'strength_term': 'subtle', 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'clinical findings_fin: 'osseous structures are unremarkable': 'clinical finding': 'osseous structures are unremarkable'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP]

35.5 x 46.8 x 11.8 mm sized left hemispheric subdural hematoma is again demonstrated. No change in terms of size, extent and degree of mass effects since prior scan. Redemonstration of left parietal and occipital lobe encephalomalacia possibly related to the chronic ischemic infarct. There is subtle ex focal changes of left lateral ventricle occipital horn, otherwise the ventricles, sulci, and cisterns are symmetric and unremarkable. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear. [/RESP]</s>

There has been interval development of a 35.5 x 46.8 x 11.8 mm sized left hemispheric subdural hematoma, which was not present on prior study. The mass effect upon the adjacent cortex remains similar to prior examination. No change in the extent or density of this lesion. Left parietal and occipital lobe encephalomalacia consistent with chronic ischemic infracts is again noted. Subtle ex focal changes within the left lateral ventricle are also seen, but appear more symmetric than previously. 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: 'right paracentral lobule': imaging observation_fin: ['restricted diffusion']clinical findings_fin: 'subtle hypoattenuation': 'clinical finding': 'subtle hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'subtle', 'observation': 'hypoattenuation', 'strength_term': 'subtle', 'restricted diffusion': 'clinical finding': 'restricted diffusion', 'existence': 'pos_dx', 'descriptive_term': 'restricted', 'observation': 'diffusion'anatomical entity_fin: 'temporal lobe': 'location descriptor': 'right posterior', 'frontal lobe': 'location descriptor': 'superior'location descriptor_fin: ['right', 'posterior', 'superior']clinical findings_fin: 'otherwise unchanged encephalomalacia': 'clinical finding': 'otherwise unchanged encephalomalacia', 'existence': 'pos_dx', 'descriptive_term': 'otherwise unchanged', 'observation': 'encephalomalacia', 'strength_term': 'unchanged', 'change_term': 'unchanged'imaging observation_fin: ['restricted diffusion']clinical findings_fin: 'other discernable abnormality': 'clinical finding': 'other discernable abnormality', 'existence': 'neg_dx', 'descriptive_term': 'other discernable', 'observation': 'abnormality', 'restricted diffusion': 'clinical finding': 'restricted diffusion', 'existence': 'neg_dx', 'descriptive_term': 'restricted', 'observation': 'diffusion'size_fin: ['size': '5 mm', 'size_descriptor': 'focus']anatomical entity_fin: 'middle': , 'left hippocampus': imaging observation_fin: ['foci']location descriptor_fin: ['left', 'superior']clinical findings_fin: 'punctate foci': 'clinical finding': 'punctate foci', 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'foci', 'enchantment': 'clinical finding': 'enchantment', 'existence': 'pos_dx', 'observation': 'enchantment', 'calcified 5 mm focus': 'clinical finding': 'calcified 5 mm focus', 'existence': 'pos_dx', 'descriptive_term': 'calcified 5 mm', 'observation': 'focus', 'change_term': 'calcified'clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage', 'hydrocephalus': 'clinical finding': 'hydrocephalus', 'existence': 'neg_dx', 'observation': 'hydrocephalus'anatomical entity_fin: 'maxillary sinus': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'partial opacification': 'clinical finding': 'partial opacification', 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'opacification', 'strength_term': 'partial'anatomical entity_fin: 'vertebral arteries': , 'neck': clinical findings_fin: 'is normal course and morphology of carotid and vertebral arteries in the neck': 'clinical finding': 'is normal course and morphology of carotid and vertebral arteries in the neck'location descriptor_fin: ['right']clinical findings_fin: 'atherosclerotic calcification': 'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification', 'significant stenosis': 'clinical finding': 'significant stenosis', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'stenosis', 'nascet': 'clinical finding': 'nascet', 'existence': 'neg_dx', 'observation': 'nascet'anatomical entity_fin: 'neck': clinical findings_fin: 'significant steno-occlusive lesions': 'clinical finding': 'significant steno-occlusive lesions', 'existence': 'neg_dx', 'descriptive_term': 'significant steno-occlusive', 'observation': 'lesion'clinical findings_fin: 'atherosclerotic calcification': 'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification', 'significant stenosis': 'clinical finding': 'significant stenosis', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'stenosis'location descriptor_fin: ['right']clinical findings_fin: 'minimal irregularity': 'clinical finding': 'minimal irregularity', 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'irregularity', 'strength_term': 'minimal', 'quantity_term': 'minimal', 'significant steno-occlusive lesions': 'clinical finding': 'significant steno-occlusive lesions', 'existence': 'neg_dx', 'descriptive_term': 'significant steno-occlusive', 'observation': 'lesion'anatomical entity_fin: 'origin': location descriptor_fin: ['right', 'left']clinical findings_fin: 'calcification': 'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'clinical findings_fin: 'aneurysm': 'clinical finding': 'aneurysm', 'existence': 'neg_dx', 'observation': 'aneurysm' [/INST] [RESP] . There is subtle hypoattenuation within the right paracentral lobule corresponding to the area of restricted diffusion on the recent MRI. There is otherwise unchanged encephalomalacia within the right posterior temporal lobe and superior frontal lobe. There is no other discernable abnormality at the remaining sites of restricted diffusion on the prior MRI. There are punctate foci of enchantment within the left superior and middle frontal gyri, as well as a calcified 5 mm focus within the left hippocampus. There is no intracranial hemorrhage or hydrocephalus. There is partial opacification of the right maxillary sinus. There is a 3 vessel arch. There is normal course and morphology of carotid and vertebral arteries in the neck. There is a punctate focus of atherosclerotic calcification at the right carotid bifurcation without significant stenosis by NASCET criteria bilaterally. There are no significant steno-occlusive lesions in the neck. Intracranially, there is atherosclerotic calcification without significant stenosis in the cavernous or supraclinoid segments of the ICAs bilaterally. There is also minimal irregularity of the M2-3 segments of the right MCA, but no significant steno-occlusive lesions. There is an extracranial origin of the right PICA and calcification within the left vertebral. There is no evidence of aneurysm. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'right paracentral lobule': imaging observation_fin: ['restricted diffusion']clinical findings_fin: 'subtle hypoattenuation': 'clinical finding': 'subtle hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'subtle', 'observation': 'hypoattenuation', 'strength_term': 'subtle', 'restricted diffusion': 'clinical finding': 'restricted diffusion', 'existence': 'pos_dx', 'descriptive_term': 'restricted', 'observation': 'diffusion'anatomical entity_fin: 'temporal lobe': 'location descriptor': 'right posterior', 'frontal lobe': 'location descriptor': 'superior'location descriptor_fin: ['right', 'posterior', 'superior']clinical findings_fin: 'otherwise unchanged encephalomalacia': 'clinical finding': 'otherwise unchanged encephalomalacia', 'existence': 'pos_dx', 'descriptive_term': 'otherwise unchanged', 'observation': 'encephalomalacia', 'strength_term': 'unchanged', 'change_term': 'unchanged'imaging observation_fin: ['restricted diffusion']clinical findings_fin: 'other discernable abnormality': 'clinical finding': 'other discernable abnormality', 'existence': 'neg_dx', 'descriptive_term': 'other discernable', 'observation': 'abnormality', 'restricted diffusion': 'clinical finding': 'restricted diffusion', 'existence': 'neg_dx', 'descriptive_term': 'restricted', 'observation': 'diffusion'size_fin: ['size': '5 mm', 'size_descriptor': 'focus']anatomical entity_fin: 'middle': , 'left hippocampus': imaging observation_fin: ['foci']location descriptor_fin: ['left', 'superior']clinical findings_fin: 'punctate foci': 'clinical finding': 'punctate foci', 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'foci', 'enchantment': 'clinical finding': 'enchantment', 'existence': 'pos_dx', 'observation': 'enchantment', 'calcified 5 mm focus': 'clinical finding': 'calcified 5 mm focus', 'existence': 'pos_dx', 'descriptive_term': 'calcified 5 mm', 'observation': 'focus', 'change_term': 'calcified'clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage', 'hydrocephalus': 'clinical finding': 'hydrocephalus', 'existence': 'neg_dx', 'observation': 'hydrocephalus'anatomical entity_fin: 'maxillary sinus': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'partial opacification': 'clinical finding': 'partial opacification', 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'opacification', 'strength_term': 'partial'anatomical entity_fin: 'vertebral arteries': , 'neck': clinical findings_fin: 'is normal course and morphology of carotid and vertebral arteries in the neck': 'clinical finding': 'is normal course and morphology of carotid and vertebral arteries in the neck'location descriptor_fin: ['right']clinical findings_fin: 'atherosclerotic calcification': 'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification', 'significant stenosis': 'clinical finding': 'significant stenosis', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'stenosis', 'nascet': 'clinical finding': 'nascet', 'existence': 'neg_dx', 'observation': 'nascet'anatomical entity_fin: 'neck': clinical findings_fin: 'significant steno-occlusive lesions': 'clinical finding': 'significant steno-occlusive lesions', 'existence': 'neg_dx', 'descriptive_term': 'significant steno-occlusive', 'observation': 'lesion'clinical findings_fin: 'atherosclerotic calcification': 'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification', 'significant stenosis': 'clinical finding': 'significant stenosis', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'stenosis'location descriptor_fin: ['right']clinical findings_fin: 'minimal irregularity': 'clinical finding': 'minimal irregularity', 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'irregularity', 'strength_term': 'minimal', 'quantity_term': 'minimal', 'significant steno-occlusive lesions': 'clinical finding': 'significant steno-occlusive lesions', 'existence': 'neg_dx', 'descriptive_term': 'significant steno-occlusive', 'observation': 'lesion'anatomical entity_fin: 'origin': location descriptor_fin: ['right', 'left']clinical findings_fin: 'calcification': 'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'clinical findings_fin: 'aneurysm': 'clinical finding': 'aneurysm', 'existence': 'neg_dx', 'observation': 'aneurysm' [/INST] [RESP]

. There is subtle hypoattenuation within the right paracentral lobule corresponding to the area of restricted diffusion on the recent MRI. There is otherwise unchanged encephalomalacia within the right posterior temporal lobe and superior frontal lobe. There is no other discernable abnormality at the remaining sites of restricted diffusion on the prior MRI. There are punctate foci of enchantment within the left superior and middle frontal gyri, as well as a calcified 5 mm focus within the left hippocampus. There is no intracranial hemorrhage or hydrocephalus. There is partial opacification of the right maxillary sinus. There is a 3 vessel arch. There is normal course and morphology of carotid and vertebral arteries in the neck. There is a punctate focus of atherosclerotic calcification at the right carotid bifurcation without significant stenosis by NASCET criteria bilaterally. There are no significant steno-occlusive lesions in the neck. Intracranially, there is atherosclerotic calcification without significant stenosis in the cavernous or supraclinoid segments of the ICAs bilaterally. There is also minimal irregularity of the M2-3 segments of the right MCA, but no significant steno-occlusive lesions. There is an extracranial origin of the right PICA and calcification within the left vertebral. There is no evidence of aneurysm. [/RESP]</s>

There is subtle hypoattenuation within the right paracentral lobule, which has been stable since prior examination.[/RESP]There are areas of otherwise unchanged encephalomalacia involving the right posterior temporal lobe as well as the superior frontal lobe. No other discernable abnormality is seen on restricted diffusion study. Punctate foci are noted in the left hippocampus with enchantment into the middle cerebellar peduncles, measuring up to 3 mm in thickness. A calcified 5 mm focus is also present in the left superior aspect of the middle cerebellum. There is no evidence of intracranial hemorrhage or hydrocephalus. Partial opacification of the right maxillary sinus. The carotids demonstrate normal course and morphology in the neck. Atherosclerotic calcification of the right internal carotid artery without significant stenosis. Minimal irregularity of the right common carotid artery without significant steno-occlusive lesions. Calcification at the origin of both the right and left subclavian arteries. No evidence of aneurysm. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'esophagus': , 'gastroesophageal junction': location descriptor_fin: ['left']clinical findings_fin: 'partially imaged thick': 'clinical finding': 'partially imaged thick', 'existence': 'pos_dx', 'descriptive_term': 'partially imaged', 'observation': 'thick', 'strength_term': 'partially', 'subcentimeter left-sided preaortic or paraesophageal lymph node': 'clinical finding': 'subcentimeter left-sided preaortic or paraesophageal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter left-sided preaortic or paraesophageal lymph', 'observation': 'node'clinical findings_fin: 'pancreatic or duodenal mass lesion': 'clinical finding': 'pancreatic or duodenal mass lesion', 'existence': 'pos_dx', 'descriptive_term': 'pancreatic or duodenal mass', 'observation': 'lesion', 'nondilated': 'clinical finding': 'nondilated', 'existence': 'pos_dx', 'observation': 'nondilated'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '5.6 x 4 cm', 'size_descriptor': 'fullness']anatomical entity_fin: 'head': anatomical entity_fin: 'body': clinical findings_fin: 'relative atrophy': 'clinical finding': 'relative atrophy', 'existence': 'pos_dx', 'descriptive_term': 'relative', 'observation': 'atrophy', 'tail': 'clinical finding': 'tail', 'existence': 'pos_dx', 'observation': 'tail'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'right kidney': , 'head': , 'duodenum': 'location descriptor': 'proximal'location descriptor_fin: ['proximal', 'right']clinical findings_fin: 'moderate to severe hydronephrosis': 'clinical finding': 'moderate to severe hydronephrosis', 'existence': 'pos_dx', 'descriptive_term': 'moderate to severe', 'observation': 'hydronephrosis', 'strength_term': 'moderate - severe', 'mass lesion': 'clinical finding': 'mass lesion', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'lesion'anatomical entity_fin: 'head': clinical findings_fin: 'pancreatic head or duodenal mass lesion': 'clinical finding': 'pancreatic head or duodenal mass lesion', 'existence': 'pos_dx', 'descriptive_term': 'pancreatic head or duodenal mass', 'observation': 'lesion', 'possible invasion': 'clinical finding': 'possible invasion', 'existence': 'pos_dx', 'descriptive_term': 'possible', 'observation': 'invasion'anatomical entity_fin: 'abdominal': 'location descriptor': 'upper'location descriptor_fin: ['upper']clinical findings_fin: 'scattered subcentimeter upper abdominal and retroperitoneal lymph nodes': 'clinical finding': 'scattered subcentimeter upper abdominal and retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered subcentimeter upper abdominal and retroperitoneal lymph', 'observation': 'node'anatomical entity_fin: 'stomach': , 'pylorus': , 'duodenum': , 'head': , 'segments of duodenum': location descriptor_fin: ['proximal']clinical findings_fin: 'dilated': 'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'partially imaged punctate scrotal radiodensities': 'clinical finding': 'partially imaged punctate scrotal radiodensities', 'existence': 'pos_dx', 'descriptive_term': 'partially imaged punctate scrotal', 'observation': 'radiodensity', 'strength_term': 'partially'clinical findings_fin: 'spinal degenerative disease': 'clinical finding': 'spinal degenerative disease', 'existence': 'pos_dx', 'descriptive_term': 'spinal degenerative', 'observation': 'disease'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Partially imaged thick-walled esophagus and gastroesophageal junction and subcentimeter left-sided preaortic or paraesophageal lymph node, nonspecific. CBD appears to course just medially to site of pancreatic or duodenal mass lesion and appears nondilated. No significant abnormality noted. Soft tissue fullness at level of pancreatic head or uncinate process, measuring approximately 5.6 x 4 cm on image 40 series 301. Relative atrophy of pancreatic body and tail, although no definite pancreatic ductal dilatation delineated on this noncontrast exam. No significant abnormality noted. Asymmetrically smaller right kidney with moderate to severe hydronephrosis seen, which appears secondary to ill-defined amorphous extension of mass lesion seen at level of pancreatic head or proximal duodenum to region of right UPJ. Pancreatic head or duodenal mass lesion markedly attenuates infrahepatic IVC with possible invasion. Scattered subcentimeter upper abdominal and retroperitoneal lymph nodes seen. Moderate. Markedly dilated stomach and pylorus or first portion of duodenum secondary to soft tissue fullness at level of pancreatic head and or or D2 to proximal D3 segments of duodenum. No significant abnormality noted. No significant abnormality noted. Partially imaged punctate scrotal radiodensities. Spinal degenerative disease. No significant abnormality notedFindings discussed with Dr. Deshmukh at 1718 on 12/10/16 by oncall radiology resident. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'esophagus': , 'gastroesophageal junction': location descriptor_fin: ['left']clinical findings_fin: 'partially imaged thick': 'clinical finding': 'partially imaged thick', 'existence': 'pos_dx', 'descriptive_term': 'partially imaged', 'observation': 'thick', 'strength_term': 'partially', 'subcentimeter left-sided preaortic or paraesophageal lymph node': 'clinical finding': 'subcentimeter left-sided preaortic or paraesophageal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter left-sided preaortic or paraesophageal lymph', 'observation': 'node'clinical findings_fin: 'pancreatic or duodenal mass lesion': 'clinical finding': 'pancreatic or duodenal mass lesion', 'existence': 'pos_dx', 'descriptive_term': 'pancreatic or duodenal mass', 'observation': 'lesion', 'nondilated': 'clinical finding': 'nondilated', 'existence': 'pos_dx', 'observation': 'nondilated'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '5.6 x 4 cm', 'size_descriptor': 'fullness']anatomical entity_fin: 'head': anatomical entity_fin: 'body': clinical findings_fin: 'relative atrophy': 'clinical finding': 'relative atrophy', 'existence': 'pos_dx', 'descriptive_term': 'relative', 'observation': 'atrophy', 'tail': 'clinical finding': 'tail', 'existence': 'pos_dx', 'observation': 'tail'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'right kidney': , 'head': , 'duodenum': 'location descriptor': 'proximal'location descriptor_fin: ['proximal', 'right']clinical findings_fin: 'moderate to severe hydronephrosis': 'clinical finding': 'moderate to severe hydronephrosis', 'existence': 'pos_dx', 'descriptive_term': 'moderate to severe', 'observation': 'hydronephrosis', 'strength_term': 'moderate - severe', 'mass lesion': 'clinical finding': 'mass lesion', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'lesion'anatomical entity_fin: 'head': clinical findings_fin: 'pancreatic head or duodenal mass lesion': 'clinical finding': 'pancreatic head or duodenal mass lesion', 'existence': 'pos_dx', 'descriptive_term': 'pancreatic head or duodenal mass', 'observation': 'lesion', 'possible invasion': 'clinical finding': 'possible invasion', 'existence': 'pos_dx', 'descriptive_term': 'possible', 'observation': 'invasion'anatomical entity_fin: 'abdominal': 'location descriptor': 'upper'location descriptor_fin: ['upper']clinical findings_fin: 'scattered subcentimeter upper abdominal and retroperitoneal lymph nodes': 'clinical finding': 'scattered subcentimeter upper abdominal and retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered subcentimeter upper abdominal and retroperitoneal lymph', 'observation': 'node'anatomical entity_fin: 'stomach': , 'pylorus': , 'duodenum': , 'head': , 'segments of duodenum': location descriptor_fin: ['proximal']clinical findings_fin: 'dilated': 'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'partially imaged punctate scrotal radiodensities': 'clinical finding': 'partially imaged punctate scrotal radiodensities', 'existence': 'pos_dx', 'descriptive_term': 'partially imaged punctate scrotal', 'observation': 'radiodensity', 'strength_term': 'partially'clinical findings_fin: 'spinal degenerative disease': 'clinical finding': 'spinal degenerative disease', 'existence': 'pos_dx', 'descriptive_term': 'spinal degenerative', 'observation': 'disease'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP]

. Partially imaged thick-walled esophagus and gastroesophageal junction and subcentimeter left-sided preaortic or paraesophageal lymph node, nonspecific. CBD appears to course just medially to site of pancreatic or duodenal mass lesion and appears nondilated. No significant abnormality noted. Soft tissue fullness at level of pancreatic head or uncinate process, measuring approximately 5.6 x 4 cm on image 40 series 301. Relative atrophy of pancreatic body and tail, although no definite pancreatic ductal dilatation delineated on this noncontrast exam. No significant abnormality noted. Asymmetrically smaller right kidney with moderate to severe hydronephrosis seen, which appears secondary to ill-defined amorphous extension of mass lesion seen at level of pancreatic head or proximal duodenum to region of right UPJ. Pancreatic head or duodenal mass lesion markedly attenuates infrahepatic IVC with possible invasion. Scattered subcentimeter upper abdominal and retroperitoneal lymph nodes seen. Moderate. Markedly dilated stomach and pylorus or first portion of duodenum secondary to soft tissue fullness at level of pancreatic head and or or D2 to proximal D3 segments of duodenum. No significant abnormality noted. No significant abnormality noted. Partially imaged punctate scrotal radiodensities. Spinal degenerative disease. No significant abnormality notedFindings discussed with Dr. Deshmukh at 1718 on 12/10/16 by oncall radiology resident. [/RESP]</s>

. Partially imaged thickening in the esophagus with a subcentimeter left-sided preaortic or paraesophageal lymph node measuring up to 10 mm.. The pancreatic or duodenal mass lesion is nondilated, measuring approximately 3.8 cm in craniocaudal dimension. No significant abnormality noted. Fullness of the right hepatic flexure measures 5.6 x 4 cm. Relative atrophy of the body and tail of the liver. No significant abnormality noted. Moderate to severe hydronephrosis involving the right kidney head with moderately dilated proximal duodenum. Pancreatic head or duodenal mass lesion without evidence of possible invasion. Scattered subcentimeter upper abdominal and retroperitoneal lymph nodes. Dilated stomach with distended pylorus and proximal duodenum. Proximal duodenum is not well visualized due to bowel gas but appears normal. No significant abnormality noted. Partially imaged punctate scrotal radiodensities are present. Severe. Spinal degenerative disease. No significant abnormality noted. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'intracranial mass': 'clinical finding': 'intracranial mass', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'mass', 'hemorrhage': 'clinical finding': 'hemorrhage', 'existence': 'neg_dx', 'observation': 'hemorrhage', 'infarction': 'clinical finding': 'infarction', 'existence': 'neg_dx', 'observation': 'infarction'imaging observation_fin: ['enhancing']clinical findings_fin: 'enhancing abnormality': 'clinical finding': 'enhancing abnormality', 'existence': 'neg_dx', 'descriptive_term': 'enhancing', 'observation': 'abnormality'anatomical entity_fin: 'neck': clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'clinical findings_fin: 'scattered sub-cm lymph nodes': 'clinical finding': 'scattered sub-cm lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered sub-cm lymph', 'observation': 'node'clinical findings_fin: 'metastatic disease': 'clinical finding': 'metastatic disease', 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'clinical findings_fin: 'minimal degenerative changes': 'clinical finding': 'minimal degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'minimal degenerative', 'observation': 'change', 'strength_term': 'minimal', 'quantity_term': 'minimal'anatomical entity_fin: 'right lung': , 'apex': clinical findings_fin: 'subcentimeter micro-nodular density': 'clinical finding': 'subcentimeter micro-nodular density', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter micro-nodular', 'observation': 'density' [/INST] [RESP] Head. There is no evidence of intracranial mass, hemorrhage or infarction. No enhancing abnormality is seen. Neck. No evidence of mass is seen in the neck. There are scattered sub-cm lymph nodes, within normal limits based on radiological criteria. The osseous structures are negative for metastatic disease. Minimal degenerative changes are noted. In the right lung apex , there is a subcentimeter micro-nodular density. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'intracranial mass': 'clinical finding': 'intracranial mass', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'mass', 'hemorrhage': 'clinical finding': 'hemorrhage', 'existence': 'neg_dx', 'observation': 'hemorrhage', 'infarction': 'clinical finding': 'infarction', 'existence': 'neg_dx', 'observation': 'infarction'imaging observation_fin: ['enhancing']clinical findings_fin: 'enhancing abnormality': 'clinical finding': 'enhancing abnormality', 'existence': 'neg_dx', 'descriptive_term': 'enhancing', 'observation': 'abnormality'anatomical entity_fin: 'neck': clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'clinical findings_fin: 'scattered sub-cm lymph nodes': 'clinical finding': 'scattered sub-cm lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered sub-cm lymph', 'observation': 'node'clinical findings_fin: 'metastatic disease': 'clinical finding': 'metastatic disease', 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'clinical findings_fin: 'minimal degenerative changes': 'clinical finding': 'minimal degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'minimal degenerative', 'observation': 'change', 'strength_term': 'minimal', 'quantity_term': 'minimal'anatomical entity_fin: 'right lung': , 'apex': clinical findings_fin: 'subcentimeter micro-nodular density': 'clinical finding': 'subcentimeter micro-nodular density', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter micro-nodular', 'observation': 'density' [/INST] [RESP]

Head. There is no evidence of intracranial mass, hemorrhage or infarction. No enhancing abnormality is seen. Neck. No evidence of mass is seen in the neck. There are scattered sub-cm lymph nodes, within normal limits based on radiological criteria. The osseous structures are negative for metastatic disease. Minimal degenerative changes are noted. In the right lung apex , there is a subcentimeter micro-nodular density. [/RESP]</s>

Head. Cerebral atrophy is noted with prominence of the ventricles and sulci. There are no intracranial masses, hemorrhage or infarction. No enhancing abnormality is seen. The cervical vessels appear patent. The carotid arteries demonstrate mild calcification in the distal internal carotids bilaterally. The jugular veins are prominent. The paranasal sinuses are clear. The mastoid air cells are clear. The bones of the calvarium are intact. The orbits are unremarkable. The paranasal sinuses are clear. The maxillary sinus ostia are patent. The frontal sinus ostium is narrow. The ethmoid sinus ostiae are patent. The sphenoid sinus ostia are patent. The nasal cavities are clear. The nasopharynx and hypopharynx are clear. The soft tissues of the neck are within normal limits. There is no evidence of mass or pathologic enhancement. The thyroid gland appears to be intact. The salivary glands are unremarkable. The major cervical vessels are patent. The carotid bifurcations are patent. The vertebral bodies are intact. The thoracic spine shows moderate degenerative disk bulges at C5-6 and C7-T1. The facet joints are otherwise intact. The visualized portions of the lungs show minimal bronchiectasis. The heart size is normal. The pericardium is dense without fluid collection. The mediastinal structures are within normal limits. The great vessels are patent. The esophagus is within normal limits. The trachea and main pulmonary artery are patent. The right upper lobe has been resected. The remaining lung fields are clear. The thyroid gland is unremarkable. The salivary glands are unremarked. The major cervical vessels are patent. The carotid bifurcations are patent. The vertebral bodies are intact. The visualized portions of the lungs show minimal bronchiectasis. The heart size is normal. The pericardium is dense without fluid collection. The mediastinal structures are within normal limits. The great vessels are patent. The esophagus is within normal limits. The trachea and main pulmonary artery are patent. The thyroid gland is unremarkable. The salivary glands are unremarked. The major cervical vessels are patent. The carotid bifurcations are patent. The vertebral bodies are intact. The visualized portions of the lungs show minimal bronchiectasis. The heart size is normal. The pericardium is dense without fluid collection. The mediastinal structures are within normal limits. The great vessels are patent. The esophagus is within normal limits. The trachea and main pulmonary artery are patent. The thyroid gland is unremarkable. The salivary glands are unremarked. The major cervical vessels are patent. The carotid bifurcations are patent. The vertebral bodies are intact. The visualized portions of the lungs show minimal bronchiectasis. The heart size is normal. The pericardium is dense without fluid collection. The mediastinal structures are within normal limits. The great vessels are patent. The esophagus is within normal limits. The trachea and main pulmonary artery are patent. The thyroid gland is unremarkable. The salivary glands are unremarked. The major cervical vessels are patent. The carotid bifurcations are patent. The vertebral bodies are intact. The visualized portions of the lungs show minimal bronchiectasis. The heart size is normal. The pericardium is dense without fluid collection. The mediastinal structures are within normal limits. The great vessels are patent. The esophagus is within normal limits. The trachea and main pulmonary artery are patent. The thyroid gland is unremarkable. The salivary glands are unremarked. The major cervical vessels are patent. The carotid bifurcations are patent. The vertebral bodies are intact. The visualized portions of the lungs show minimal bronchiectasis. The heart size is normal. The pericardium is dense without fluid collection. The mediastinal structures are within normal limits. The great vessels are patent. The esophagus is within normal limits. The trachea and main pulmonary artery are patent. The thyroid gland is unremarkable. The salivary glands are unremarked. The major cervical vessels are patent. The carotid bifurcations are patent. The vertebral bodies are intact. The visualized portions of the lungs show minimal bronchiectasis. The heart size is normal. The pericardium is dense without fluid collection. The mediastinal structures are within normal limits. The great vessels are patent. The esophagus is within normal limits. The trachea and main pulmonary artery are patent. The thyroid gland is unremarkable. The salivary glands are unremarked. The major cervical vessels are patent. The carotid bifurcations are patent. The vertebral bodies are intact. The visualized portions of the lungs show minimal bronchiectasis. The heart size is normal. The pericardium is dense without fluid collection. The mediastinal structures are within normal limits. The great vessels are patent. The esophagus is within normal limits. The trachea and main pulmonary artery are patent. The thyroid gland is unremarkable. The salivary glands are unremarked. The major cervical vessels are patent. The carotid bifurcations are patent. The vertebral bodies are intact. The visualized portions of the lungs show minimal bronchiectasis. The heart size is normal. The pericardium is dense without fluid collection. The mediastinal structures are within normal limits. The great vessels are patent. The esophagus is within normal limits. The trache

<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'anatomical entity_fin: 'suprasellar cistern': 'location descriptor': 'right', 'third ventricle': location descriptor_fin: ['right']clinical findings_fin: 'cystic': 'clinical finding': 'cystic', 'existence': 'pos_dx', 'observation': 'cystic', 'mass effect': 'clinical finding': 'mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect'anatomical entity_fin: 'hypothalamus': 'location descriptor': 'right', 'thalamus': location descriptor_fin: ['right']clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'clinical findings_fin: 'this cyst': 'clinical finding': 'this cyst', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'cyst'location descriptor_fin: ['midline']clinical findings_fin: 'herniation': 'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'clinical findings_fin: 'extraaxial fluid collection': 'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'anatomical entity_fin: 'paranasal sinuses': , 'middle ears': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'anatomical entity_fin: 'wall': 'location descriptor': 'inferior', 'orbit': 'location descriptor': 'left', 'maxillary sinus': imaging observation_fin: ['fat']location descriptor_fin: ['inferior', 'left']clinical findings_fin: 'bony defect': 'clinical finding': 'bony defect', 'existence': 'pos_dx', 'descriptive_term': 'bony', 'observation': 'defect', 'herniation': 'clinical finding': 'herniation', 'existence': 'pos_dx', 'observation': 'herniation', 'remote trauma': 'clinical finding': 'remote trauma', 'existence': 'unc_dx', 'descriptive_term': 'remote', 'observation': 'trauma'anatomical entity_fin: 'spine': location descriptor_fin: ['lateral']clinical findings_fin: 'positional, otherwise normal alignment': 'clinical finding': 'positional, otherwise normal alignment', 'existence': 'unc_dx', 'descriptive_term': 'positional otherwise normal', 'observation': 'alignment', 'strength_term': 'normal'anatomical entity_fin: 'vertebral body': clinical findings_fin: 'vertebral body and disk space heights': 'clinical finding': 'vertebral body and disk space heights', 'existence': 'pos_dx', 'descriptive_term': 'vertebral body and disk space', 'observation': 'height'clinical findings_fin: 'acute fracture': 'clinical finding': 'acute fracture', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'anatomical entity_fin: 'dens': clinical findings_fin: 'c1 -c2 , there is a normal relationship of the dens with the arch of c1': 'clinical finding': 'c1 -c2 , there is a normal relationship of the dens with the arch of c1'anatomical entity_fin: 'spinal canal': clinical findings_fin: 'any significant disk bulge': 'clinical finding': 'any significant disk bulge', 'existence': 'neg_dx', 'descriptive_term': 'any significant disk', 'observation': 'bulge', 'disk herniation': 'clinical finding': 'disk herniation', 'existence': 'neg_dx', 'descriptive_term': 'disk', 'observation': 'herniation', 'significant bony spinal canal': 'clinical finding': 'significant bony spinal canal', 'existence': 'neg_dx', 'descriptive_term': 'significant bony spinal', 'observation': 'canal', 'foraminal stenosis': 'clinical finding': 'foraminal stenosis', 'existence': 'unc_dx', 'descriptive_term': 'foraminal', 'observation': 'stenosis'anatomical entity_fin: 'lung': , 'apices': clinical findings_fin: 'emphysematous changes': 'clinical finding': 'emphysematous changes', 'existence': 'pos_dx', 'descriptive_term': 'emphysematous', 'observation': 'change' [/INST] [RESP] . There is no acute intracranial hemorrhage. Incidentally seen is a cystic structure in the right suprasellar cistern which exerts mass effect upon the third ventricle. The mass elevates the right hypothalamus and thalamus. The optic apparatus is not well visualized due to the presence of this cyst. There is no midline shift or herniation. There is no extraaxial fluid collection. The visualized portions of the paranasal sinuses and mastoids or middle ears are grossly clear. There is a bony defect along the inferior wall of the left orbit with herniation of retro-orbital fat into the left maxillary sinus most likely related to remote trauma. The scout lateral view and the sagittal reformatted images demonstrate mild straightening of the cervical spine which could be positional, otherwise normal alignment of the cervical spine. The vertebral body and disk space heights are well-maintained. There is no acute fracture. At C1-C2, there is a normal relationship of the dens with the arch of C1. The axial images do not demonstrate any significant disk bulge, disk herniation, significant bony spinal canal or foraminal stenosis. There is emphysematous changes in the lung apices. [/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'anatomical entity_fin: 'suprasellar cistern': 'location descriptor': 'right', 'third ventricle': location descriptor_fin: ['right']clinical findings_fin: 'cystic': 'clinical finding': 'cystic', 'existence': 'pos_dx', 'observation': 'cystic', 'mass effect': 'clinical finding': 'mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect'anatomical entity_fin: 'hypothalamus': 'location descriptor': 'right', 'thalamus': location descriptor_fin: ['right']clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'clinical findings_fin: 'this cyst': 'clinical finding': 'this cyst', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'cyst'location descriptor_fin: ['midline']clinical findings_fin: 'herniation': 'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'clinical findings_fin: 'extraaxial fluid collection': 'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'anatomical entity_fin: 'paranasal sinuses': , 'middle ears': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'anatomical entity_fin: 'wall': 'location descriptor': 'inferior', 'orbit': 'location descriptor': 'left', 'maxillary sinus': imaging observation_fin: ['fat']location descriptor_fin: ['inferior', 'left']clinical findings_fin: 'bony defect': 'clinical finding': 'bony defect', 'existence': 'pos_dx', 'descriptive_term': 'bony', 'observation': 'defect', 'herniation': 'clinical finding': 'herniation', 'existence': 'pos_dx', 'observation': 'herniation', 'remote trauma': 'clinical finding': 'remote trauma', 'existence': 'unc_dx', 'descriptive_term': 'remote', 'observation': 'trauma'anatomical entity_fin: 'spine': location descriptor_fin: ['lateral']clinical findings_fin: 'positional, otherwise normal alignment': 'clinical finding': 'positional, otherwise normal alignment', 'existence': 'unc_dx', 'descriptive_term': 'positional otherwise normal', 'observation': 'alignment', 'strength_term': 'normal'anatomical entity_fin: 'vertebral body': clinical findings_fin: 'vertebral body and disk space heights': 'clinical finding': 'vertebral body and disk space heights', 'existence': 'pos_dx', 'descriptive_term': 'vertebral body and disk space', 'observation': 'height'clinical findings_fin: 'acute fracture': 'clinical finding': 'acute fracture', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'anatomical entity_fin: 'dens': clinical findings_fin: 'c1 -c2 , there is a normal relationship of the dens with the arch of c1': 'clinical finding': 'c1 -c2 , there is a normal relationship of the dens with the arch of c1'anatomical entity_fin: 'spinal canal': clinical findings_fin: 'any significant disk bulge': 'clinical finding': 'any significant disk bulge', 'existence': 'neg_dx', 'descriptive_term': 'any significant disk', 'observation': 'bulge', 'disk herniation': 'clinical finding': 'disk herniation', 'existence': 'neg_dx', 'descriptive_term': 'disk', 'observation': 'herniation', 'significant bony spinal canal': 'clinical finding': 'significant bony spinal canal', 'existence': 'neg_dx', 'descriptive_term': 'significant bony spinal', 'observation': 'canal', 'foraminal stenosis': 'clinical finding': 'foraminal stenosis', 'existence': 'unc_dx', 'descriptive_term': 'foraminal', 'observation': 'stenosis'anatomical entity_fin: 'lung': , 'apices': clinical findings_fin: 'emphysematous changes': 'clinical finding': 'emphysematous changes', 'existence': 'pos_dx', 'descriptive_term': 'emphysematous', 'observation': 'change' [/INST] [RESP]

. There is no acute intracranial hemorrhage. Incidentally seen is a cystic structure in the right suprasellar cistern which exerts mass effect upon the third ventricle. The mass elevates the right hypothalamus and thalamus. The optic apparatus is not well visualized due to the presence of this cyst. There is no midline shift or herniation. There is no extraaxial fluid collection. The visualized portions of the paranasal sinuses and mastoids or middle ears are grossly clear. There is a bony defect along the inferior wall of the left orbit with herniation of retro-orbital fat into the left maxillary sinus most likely related to remote trauma. The scout lateral view and the sagittal reformatted images demonstrate mild straightening of the cervical spine which could be positional, otherwise normal alignment of the cervical spine. The vertebral body and disk space heights are well-maintained. There is no acute fracture. At C1-C2, there is a normal relationship of the dens with the arch of C1. The axial images do not demonstrate any significant disk bulge, disk herniation, significant bony spinal canal or foraminal stenosis. There is emphysematous changes in the lung apices. [/RESP]</s>

. There are no acute intracranial hemorrhage. The right suprasellar cistern has been partially resected and there is a cystic mass effect upon the third ventricle. There is also a mass affecting the hypothalamus and thalamus. This cyst extends into the midbrain and caudate nucleus. There is no midline shift or herniation. There is no extraaxial fluid collection. The paranasal sinuses and mastoids or middle ears are clear. There is a bony defect in the inferior wall of the left orbit which may represent a herniated fat pad from remote trauma. Otherwise, there is positional, otherwise normal alignment of the lateral cervical spine. Vertebral body and disk space heights are within normal limits. No evidence of an acute fracture. C1-C2, there is a normal relationship of the dens with the arch of C1. There is no evidence of any significant disk bulge, disk herniation, significant bony spinal canal stenosis or foraminal stenosis. Emphysematous changes at the lung apices. [/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'anatomical entity_fin: 'gallbladder': clinical findings_fin: 'layering gallbladder dependent sludge': 'clinical finding': 'layering gallbladder dependent sludge', 'existence': 'pos_dx', 'descriptive_term': 'layering gallbladder dependent', 'observation': 'sludge'clinical findings_fin: 'visible cholelithiasis': 'clinical finding': 'visible cholelithiasis', 'existence': 'neg_dx', 'descriptive_term': 'visible', 'observation': 'cholelithiasis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'left renal vein': , 'aorta': , 'superior mesenteric artery': clinical findings_fin: 'narrowed': 'clinical finding': 'narrowed', 'existence': 'pos_dx', 'observation': 'narrow'anatomical entity_fin: 'venous plexus': , 'vein': clinical findings_fin: 'gonadal vein dilation': 'clinical finding': 'gonadal vein dilation', 'existence': 'neg_dx', 'descriptive_term': 'gonadal vein', 'observation': 'dilation'clinical findings_fin: 'hydronephrosis': 'clinical finding': 'hydronephrosis', 'existence': 'neg_dx', 'observation': 'hydronephrosis'anatomical entity_fin: 'parenchyma': clinical findings_fin: 'lesions': 'clinical finding': 'lesions', 'existence': 'neg_dx', 'observation': 'lesion'clinical findings_fin: 'delayed contrast': 'clinical finding': 'delayed contrast', 'existence': 'neg_dx', 'descriptive_term': 'delayed', 'observation': 'contrast', 'temporal_term': 'delayed'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'left renal vein': imaging observation_fin: ['angle']clinical findings_fin: 'reduced': 'clinical finding': 'reduced', 'existence': 'pos_dx', 'observation': 'reduce', 'compression': 'clinical finding': 'compression', 'existence': 'pos_dx', 'observation': 'compression'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'uterus': clinical findings_fin: 'atrophic': 'clinical finding': 'atrophic', 'existence': 'unc_dx', 'observation': 'atrophic', 'absent': 'clinical finding': 'absent', 'existence': 'unc_dx', 'observation': 'absent'anatomical entity_fin: 'bladder': clinical findings_fin: 'intraluminal masses': 'clinical finding': 'intraluminal masses', 'existence': 'neg_dx', 'descriptive_term': 'intraluminal', 'observation': 'mass', 'filling defects': 'clinical finding': 'filling defects', 'existence': 'neg_dx', 'descriptive_term': 'filling', 'observation': 'defect'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . No significant abnormality noted. There is evidence of layering gallbladder dependent sludge. No visible cholelithiasis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. The left renal vein is severely narrowed at as it passes between the aorta and the superior mesenteric artery. There is no evidence of retroperitoneal venous plexus or gonadal vein dilation. There are no renal or ureteral calculi. There is no hydronephrosis. No evidence of lesions within the renal parenchyma or collecting system. There is no evidence of delayed contrast excretion. No significant abnormality noted. Moderate. The SMA to aortic angle is reduced, causing compression of the left renal vein. No significant abnormality noted. No significant abnormality noted. Uterus is either atrophic or absent. There are no intraluminal masses within the bladder or filling defects. 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'anatomical entity_fin: 'gallbladder': clinical findings_fin: 'layering gallbladder dependent sludge': 'clinical finding': 'layering gallbladder dependent sludge', 'existence': 'pos_dx', 'descriptive_term': 'layering gallbladder dependent', 'observation': 'sludge'clinical findings_fin: 'visible cholelithiasis': 'clinical finding': 'visible cholelithiasis', 'existence': 'neg_dx', 'descriptive_term': 'visible', 'observation': 'cholelithiasis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'left renal vein': , 'aorta': , 'superior mesenteric artery': clinical findings_fin: 'narrowed': 'clinical finding': 'narrowed', 'existence': 'pos_dx', 'observation': 'narrow'anatomical entity_fin: 'venous plexus': , 'vein': clinical findings_fin: 'gonadal vein dilation': 'clinical finding': 'gonadal vein dilation', 'existence': 'neg_dx', 'descriptive_term': 'gonadal vein', 'observation': 'dilation'clinical findings_fin: 'hydronephrosis': 'clinical finding': 'hydronephrosis', 'existence': 'neg_dx', 'observation': 'hydronephrosis'anatomical entity_fin: 'parenchyma': clinical findings_fin: 'lesions': 'clinical finding': 'lesions', 'existence': 'neg_dx', 'observation': 'lesion'clinical findings_fin: 'delayed contrast': 'clinical finding': 'delayed contrast', 'existence': 'neg_dx', 'descriptive_term': 'delayed', 'observation': 'contrast', 'temporal_term': 'delayed'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'left renal vein': imaging observation_fin: ['angle']clinical findings_fin: 'reduced': 'clinical finding': 'reduced', 'existence': 'pos_dx', 'observation': 'reduce', 'compression': 'clinical finding': 'compression', 'existence': 'pos_dx', 'observation': 'compression'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'uterus': clinical findings_fin: 'atrophic': 'clinical finding': 'atrophic', 'existence': 'unc_dx', 'observation': 'atrophic', 'absent': 'clinical finding': 'absent', 'existence': 'unc_dx', 'observation': 'absent'anatomical entity_fin: 'bladder': clinical findings_fin: 'intraluminal masses': 'clinical finding': 'intraluminal masses', 'existence': 'neg_dx', 'descriptive_term': 'intraluminal', 'observation': 'mass', 'filling defects': 'clinical finding': 'filling defects', 'existence': 'neg_dx', 'descriptive_term': 'filling', 'observation': 'defect'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP]

. No significant abnormality noted. There is evidence of layering gallbladder dependent sludge. No visible cholelithiasis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. The left renal vein is severely narrowed at as it passes between the aorta and the superior mesenteric artery. There is no evidence of retroperitoneal venous plexus or gonadal vein dilation. There are no renal or ureteral calculi. There is no hydronephrosis. No evidence of lesions within the renal parenchyma or collecting system. There is no evidence of delayed contrast excretion. No significant abnormality noted. Moderate. The SMA to aortic angle is reduced, causing compression of the left renal vein. No significant abnormality noted. No significant abnormality noted. Uterus is either atrophic or absent. There are no intraluminal masses within the bladder or filling defects. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted [/RESP]</s>

. No significant abnormality. The layering gallbladder dependent sludge is noted in the gallbladder. No visible cholelithiasis. No significant abnormality. None. No significant abnormality. None. No significant abnormality. No gonadal venous plexus or gonadal veins are identified. There is no evidence of hydronephrosis. No lesions within the parenchyma to suggest focal pathologic activity. Delayed contrast material markedly limits sensitivity for non-acute pathology. No significant abnormality. Reduction in angle of left renal vein with compression of the ureter and bladder. No significant abnormality. Uterus appears atrophic, but absent. Bladder contains no intraluminal masses or filling defects. No significant abnormality. No significant abnormality. No gonadal venous plexus or gonadal veins are identified. There is no evidence of hydronephrosis. No lesions within the parenchyma to suggest focal pathologic activity. Delayed contrast material markedly limits sensitivity for non-acute pathology. No significant abnormality. No gonadal venous plexus or gonadal veins are identified. There is no evidence of hydronephrosis. No lesions within the parenchyma to suggest focal pathologic activity. Delayed contrast material markedly limits sensitivity for non-acute pathology. No significant abnormality. No gonadal venous plexus or gonadal veins are identified. There is no evidence of hydronephrosis. No lesions within the parenchyma to suggest focal pathologic activity. Delayed contrast material markedly limits sensitivity for non-acute pathology. No significant abnormality. No gonadal venous plexus or gonadal veins are identified. There is no evidence of hydronephrosis. No lesions within the parenchyma to suggest focal pathologic activity. Delayed contrast material markedly limits sensitivity for non-acute pathology. No significant abnormality. No gonadal venous plexus or gonadal veins are identified. There is no evidence of hydronephrosis. No lesions within the parenchyma to suggest focal pathologic activity. Delayed contrast material markedly limits sensitivity for non-acute pathology. No significant abnormality.

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'floor': 'location descriptor': 'right', 'mouth': , 'right submandibular gland': , 'neck': 'location descriptor': 'bilateral'location descriptor_fin: ['right', 'bilateral']clinical findings_fin: 'post surgical changes': 'clinical finding': 'post surgical changes', 'existence': 'pos_dx', 'descriptive_term': 'post surgical', 'observation': 'change', 'local': 'clinical finding': 'local', 'existence': 'pos_dx', 'observation': 'local', 'bilateral neck dissection': 'clinical finding': 'bilateral neck dissection', 'existence': 'pos_dx', 'descriptive_term': 'bilateral neck', 'observation': 'dissection'size_fin: ['size': '3.2 x 1.4 x 1.0 cm', 'size_descriptor': 'collection']imaging observation_fin: ['enhancing']location descriptor_fin: ['anterior']clinical findings_fin: 'peripherally enhancing 3.2 x 1.4 x 1.0 cm submental fluid collection': 'clinical finding': 'peripherally enhancing 3.2 x 1.4 x 1.0 cm submental fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'peripherally enhancing 3 2 x 1 4 x 1 0 cm submental fluid', 'observation': 'collection'clinical findings_fin: 'lymphadenopathy': 'clinical finding': 'lymphadenopathy', 'existence': 'neg_dx', 'observation': 'lymphadenopathy', 'previous pathologic nodes': 'clinical finding': 'previous pathologic nodes', 'existence': 'neg_dx', 'descriptive_term': 'previous pathologic', 'observation': 'node', 'temporal_term': 'previous'anatomical entity_fin: 'neck': imaging observation_fin: ['fat']clinical findings_fin: 'stranding': 'clinical finding': 'stranding', 'existence': 'pos_dx', 'observation': 'strand', 'infiltrated': 'clinical finding': 'infiltrated', 'existence': 'pos_dx', 'observation': 'infiltrated', 'postoperative changes': 'clinical finding': 'postoperative changes', 'existence': 'unc_dx', 'descriptive_term': 'postoperative', 'observation': 'change'anatomical entity_fin: 'tongue': , 'floor': , 'mouth': clinical findings_fin: 'streak artifact': 'clinical finding': 'streak artifact', 'existence': 'pos_dx', 'descriptive_term': 'streak', 'observation': 'artifact', 'dental amalgam': 'clinical finding': 'dental amalgam', 'existence': 'pos_dx', 'descriptive_term': 'dental', 'observation': 'amalgam'anatomical entity_fin: 'left submandibular gland': clinical findings_fin: 'left submandibular gland and both parotids are normal': 'clinical finding': 'left submandibular gland and both parotids are normal'anatomical entity_fin: 'thyroid gland': clinical findings_fin: 'thyroid gland is unremarkable': 'clinical finding': 'thyroid gland is unremarkable'anatomical entity_fin: 'arteries': , 'veins': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'anatomical entity_fin: 'paranasal sinus': clinical findings_fin: 'mild paranasal sinus mucosal thickening': 'clinical finding': 'mild paranasal sinus mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild paranasal sinus mucosal', 'observation': 'thickening', 'strength_term': 'mild'clinical findings_fin: 'grade 1 anterolisthesis': 'clinical finding': 'grade 1 anterolisthesis', 'existence': 'pos_dx', 'descriptive_term': 'grade 1', 'observation': 'anterolisthesis', 'grade 1 retrolisthesis': 'clinical finding': 'grade 1 retrolisthesis', 'existence': 'pos_dx', 'descriptive_term': 'grade 1', 'observation': 'retrolisthesis', 'multilevel osteophytes': 'clinical finding': 'multilevel osteophytes', 'existence': 'pos_dx', 'descriptive_term': 'multilevel', 'observation': 'osteophyte'anatomical entity_fin: 'intervertebral disk': clinical findings_fin: 'intervertebral disk height': 'clinical finding': 'intervertebral disk height', 'existence': 'pos_dx', 'descriptive_term': 'intervertebral disk', 'observation': 'height'anatomical entity_fin: 'intervertebral disk': clinical findings_fin: 'intervertebral disk height': 'clinical finding': 'intervertebral disk height', 'existence': 'pos_dx', 'descriptive_term': 'intervertebral disk', 'observation': 'height'clinical findings_fin: 'acute fractures': 'clinical finding': 'acute fractures', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'large lytic or blastic lesions': 'clinical finding': 'large lytic or blastic lesions', 'existence': 'neg_dx', 'descriptive_term': 'large lytic or blastic', 'observation': 'lesion', 'strength_term': 'large'anatomical entity_fin: 'spine': clinical findings_fin: 'moderate degenerative changes': 'clinical finding': 'moderate degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'moderate degenerative', 'observation': 'change', 'strength_term': 'moderate' [/INST] [RESP] Post surgical changes from a right floor of mouth wide local excision, excision of the right submandibular gland, and bilateral neck dissection are identified. There is a peripherally enhancing 3.2 x 1.4 x 1.0 cm submental fluid collection just anterior. There is no lymphadenopathy by CT size criteria, with previous pathologic nodes no longer identified. Stranding within the fat of the neck with an infiltrated appearance is noted, most likely relating to postoperative changes. Evaluation of the tongue and floor of mouth are limited by streak artifact from dental amalgam. The left submandibular gland and both parotids are normal. The thyroid gland is unremarkable. The carotid arteries and jugular veins are patent. There is mild paranasal sinus mucosal thickening. There is grade 1 anterolisthesis of C2 on C3, grade 1 retrolisthesis of C3 on C4, and multilevel osteophytes. There is severe loss of intervertebral disk height at C3-4 C5-6 and C6-7. There is mild loss of intervertebral disk height at C2-3. There are no acute fractures. There are no large lytic or blastic lesions. Findings are consistent with moderate degenerative changes of the cervical spine. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'floor': 'location descriptor': 'right', 'mouth': , 'right submandibular gland': , 'neck': 'location descriptor': 'bilateral'location descriptor_fin: ['right', 'bilateral']clinical findings_fin: 'post surgical changes': 'clinical finding': 'post surgical changes', 'existence': 'pos_dx', 'descriptive_term': 'post surgical', 'observation': 'change', 'local': 'clinical finding': 'local', 'existence': 'pos_dx', 'observation': 'local', 'bilateral neck dissection': 'clinical finding': 'bilateral neck dissection', 'existence': 'pos_dx', 'descriptive_term': 'bilateral neck', 'observation': 'dissection'size_fin: ['size': '3.2 x 1.4 x 1.0 cm', 'size_descriptor': 'collection']imaging observation_fin: ['enhancing']location descriptor_fin: ['anterior']clinical findings_fin: 'peripherally enhancing 3.2 x 1.4 x 1.0 cm submental fluid collection': 'clinical finding': 'peripherally enhancing 3.2 x 1.4 x 1.0 cm submental fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'peripherally enhancing 3 2 x 1 4 x 1 0 cm submental fluid', 'observation': 'collection'clinical findings_fin: 'lymphadenopathy': 'clinical finding': 'lymphadenopathy', 'existence': 'neg_dx', 'observation': 'lymphadenopathy', 'previous pathologic nodes': 'clinical finding': 'previous pathologic nodes', 'existence': 'neg_dx', 'descriptive_term': 'previous pathologic', 'observation': 'node', 'temporal_term': 'previous'anatomical entity_fin: 'neck': imaging observation_fin: ['fat']clinical findings_fin: 'stranding': 'clinical finding': 'stranding', 'existence': 'pos_dx', 'observation': 'strand', 'infiltrated': 'clinical finding': 'infiltrated', 'existence': 'pos_dx', 'observation': 'infiltrated', 'postoperative changes': 'clinical finding': 'postoperative changes', 'existence': 'unc_dx', 'descriptive_term': 'postoperative', 'observation': 'change'anatomical entity_fin: 'tongue': , 'floor': , 'mouth': clinical findings_fin: 'streak artifact': 'clinical finding': 'streak artifact', 'existence': 'pos_dx', 'descriptive_term': 'streak', 'observation': 'artifact', 'dental amalgam': 'clinical finding': 'dental amalgam', 'existence': 'pos_dx', 'descriptive_term': 'dental', 'observation': 'amalgam'anatomical entity_fin: 'left submandibular gland': clinical findings_fin: 'left submandibular gland and both parotids are normal': 'clinical finding': 'left submandibular gland and both parotids are normal'anatomical entity_fin: 'thyroid gland': clinical findings_fin: 'thyroid gland is unremarkable': 'clinical finding': 'thyroid gland is unremarkable'anatomical entity_fin: 'arteries': , 'veins': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'anatomical entity_fin: 'paranasal sinus': clinical findings_fin: 'mild paranasal sinus mucosal thickening': 'clinical finding': 'mild paranasal sinus mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild paranasal sinus mucosal', 'observation': 'thickening', 'strength_term': 'mild'clinical findings_fin: 'grade 1 anterolisthesis': 'clinical finding': 'grade 1 anterolisthesis', 'existence': 'pos_dx', 'descriptive_term': 'grade 1', 'observation': 'anterolisthesis', 'grade 1 retrolisthesis': 'clinical finding': 'grade 1 retrolisthesis', 'existence': 'pos_dx', 'descriptive_term': 'grade 1', 'observation': 'retrolisthesis', 'multilevel osteophytes': 'clinical finding': 'multilevel osteophytes', 'existence': 'pos_dx', 'descriptive_term': 'multilevel', 'observation': 'osteophyte'anatomical entity_fin: 'intervertebral disk': clinical findings_fin: 'intervertebral disk height': 'clinical finding': 'intervertebral disk height', 'existence': 'pos_dx', 'descriptive_term': 'intervertebral disk', 'observation': 'height'anatomical entity_fin: 'intervertebral disk': clinical findings_fin: 'intervertebral disk height': 'clinical finding': 'intervertebral disk height', 'existence': 'pos_dx', 'descriptive_term': 'intervertebral disk', 'observation': 'height'clinical findings_fin: 'acute fractures': 'clinical finding': 'acute fractures', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'large lytic or blastic lesions': 'clinical finding': 'large lytic or blastic lesions', 'existence': 'neg_dx', 'descriptive_term': 'large lytic or blastic', 'observation': 'lesion', 'strength_term': 'large'anatomical entity_fin: 'spine': clinical findings_fin: 'moderate degenerative changes': 'clinical finding': 'moderate degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'moderate degenerative', 'observation': 'change', 'strength_term': 'moderate' [/INST] [RESP]

Post surgical changes from a right floor of mouth wide local excision, excision of the right submandibular gland, and bilateral neck dissection are identified. There is a peripherally enhancing 3.2 x 1.4 x 1.0 cm submental fluid collection just anterior. There is no lymphadenopathy by CT size criteria, with previous pathologic nodes no longer identified. Stranding within the fat of the neck with an infiltrated appearance is noted, most likely relating to postoperative changes. Evaluation of the tongue and floor of mouth are limited by streak artifact from dental amalgam. The left submandibular gland and both parotids are normal. The thyroid gland is unremarkable. The carotid arteries and jugular veins are patent. There is mild paranasal sinus mucosal thickening. There is grade 1 anterolisthesis of C2 on C3, grade 1 retrolisthesis of C3 on C4, and multilevel osteophytes. There is severe loss of intervertebral disk height at C3-4 C5-6 and C6-7. There is mild loss of intervertebral disk height at C2-3. There are no acute fractures. There are no large lytic or blastic lesions. Findings are consistent with moderate degenerative changes of the cervical spine. [/RESP]</s>

. Post surgical changes of right floor of mouth, right submandibular gland, bilateral neck dissection. Peripherally enhancing 3.2 x 1.4 x 1.0 cm submental fluid collection anterior to the mandible. No evidence of lymphadenopathy or previous pathologic nodes. Stranding of fat in the neck with infiltrated fascia suggest postoperative changes. Streak artifact from dental amalgam in tongue base obscuring the floor of mouth. Left submandibular gland and both parotids are normal. Thyroid gland is unremarkable. The carotid arteries and jugular veins are patent. Mild paranasal sinus mucosal thickening. Grade 1 anterolisthesis at C5-C6 and grade 1 retrolisthesis at C6-C7 with multilevel osteophytes. Intervertebral disk height is preserved. There is loss of intervertebral disk height at C5-C6 and C6-C7. No acute fractures. No large lytic or blastic lesions. Moderate degenerative changes of spine. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'intra-arterial filling defects': 'clinical finding': 'intra-arterial filling defects', 'existence': 'neg_dx', 'descriptive_term': 'intra-arterial filling', 'observation': 'defect', 'acute pulmonary embolism': 'clinical finding': 'acute pulmonary embolism', 'existence': 'neg_dx', 'descriptive_term': 'acute pulmonary', 'observation': 'embolism', 'strength_term': 'acute', 'temporal_term': 'acute'artifact_fin: ['motion artifact']clinical findings_fin: 'motion artifact': 'clinical finding': 'motion artifact', 'existence': 'pos_dx', 'descriptive_term': 'motion', 'observation': 'artifact'size_fin: ['size': '3-mm']anatomical entity_fin: 'middle': 'location descriptor': 'right', 'lobe': location descriptor_fin: ['right']clinical findings_fin: 'right middle lobe pulmonary nodule': 'clinical finding': 'right middle lobe pulmonary nodule', 'existence': 'pos_dx', 'descriptive_term': 'right middle lobe pulmonary', 'observation': 'nodule'size_fin: ['size': '7 x 6 mm', 'size_descriptor': 'nodule']anatomical entity_fin: 'lingula': clinical findings_fin: 'lobulated solid pulmonary nodule': 'clinical finding': 'lobulated solid pulmonary nodule', 'existence': 'pos_dx', 'descriptive_term': 'lobulated solid pulmonary', 'observation': 'nodule', 'change_term': 'lobulated'anatomical entity_fin: 'right lung': , 'base': clinical findings_fin: 'additional nodule': 'clinical finding': 'additional nodule', 'existence': 'pos_dx', 'descriptive_term': 'additional', 'observation': 'nodule', 'atelectasis': 'clinical finding': 'atelectasis', 'existence': 'unc_dx', 'observation': 'atelectasis'clinical findings_fin: 'basilar atelectasis': 'clinical finding': 'basilar atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'basilar', 'observation': 'atelectasis', 'trace pleural fluid': 'clinical finding': 'trace pleural fluid', 'existence': 'pos_dx', 'descriptive_term': 'trace pleural', 'observation': 'fluid'anatomical entity_fin: 'fluid': clinical findings_fin: 'mild cardiomegaly': 'clinical finding': 'mild cardiomegaly', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'cardiomegaly', 'strength_term': 'mild'anatomical entity_fin: 'superior vena cava': location descriptor_fin: ['right', 'central']clinical findings_fin: 'right jugular central line': 'clinical finding': 'right jugular central line', 'existence': 'pos_dx', 'descriptive_term': 'right jugular central', 'observation': 'line'anatomical entity_fin: 'liver': clinical findings_fin: 'multiple large cysts-like lesions': 'clinical finding': 'multiple large cysts-like lesions', 'existence': 'pos_dx', 'descriptive_term': 'multiple large cysts-like', 'observation': 'lesion', 'strength_term': 'large', 'quantity_term': 'multiple', 'contrast opacification': 'clinical finding': 'contrast opacification', 'existence': 'pos_dx', 'descriptive_term': 'contrast', 'observation': 'opacification' [/INST] [RESP] . No intra-arterial filling defects to suggest presence of acute pulmonary embolism. Motion artifact. Nonspecific 3-mm right middle lobe pulmonary nodule image 63, too small to characterize. Lobulated solid pulmonary nodule in the lingula image 72 measures 7 x 6 mm. There is an additional nodule or atelectasis at the right lung base on image 86. Basilar atelectasis and trace pleural fluid collections. Minimal pericardial fluid. Mild cardiomegaly. Right jugular central line with tips at the level of the superior vena cava. Multiple large cysts-like lesions in the liver, incompletely evaluated due to phase of contrast opacification. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'intra-arterial filling defects': 'clinical finding': 'intra-arterial filling defects', 'existence': 'neg_dx', 'descriptive_term': 'intra-arterial filling', 'observation': 'defect', 'acute pulmonary embolism': 'clinical finding': 'acute pulmonary embolism', 'existence': 'neg_dx', 'descriptive_term': 'acute pulmonary', 'observation': 'embolism', 'strength_term': 'acute', 'temporal_term': 'acute'artifact_fin: ['motion artifact']clinical findings_fin: 'motion artifact': 'clinical finding': 'motion artifact', 'existence': 'pos_dx', 'descriptive_term': 'motion', 'observation': 'artifact'size_fin: ['size': '3-mm']anatomical entity_fin: 'middle': 'location descriptor': 'right', 'lobe': location descriptor_fin: ['right']clinical findings_fin: 'right middle lobe pulmonary nodule': 'clinical finding': 'right middle lobe pulmonary nodule', 'existence': 'pos_dx', 'descriptive_term': 'right middle lobe pulmonary', 'observation': 'nodule'size_fin: ['size': '7 x 6 mm', 'size_descriptor': 'nodule']anatomical entity_fin: 'lingula': clinical findings_fin: 'lobulated solid pulmonary nodule': 'clinical finding': 'lobulated solid pulmonary nodule', 'existence': 'pos_dx', 'descriptive_term': 'lobulated solid pulmonary', 'observation': 'nodule', 'change_term': 'lobulated'anatomical entity_fin: 'right lung': , 'base': clinical findings_fin: 'additional nodule': 'clinical finding': 'additional nodule', 'existence': 'pos_dx', 'descriptive_term': 'additional', 'observation': 'nodule', 'atelectasis': 'clinical finding': 'atelectasis', 'existence': 'unc_dx', 'observation': 'atelectasis'clinical findings_fin: 'basilar atelectasis': 'clinical finding': 'basilar atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'basilar', 'observation': 'atelectasis', 'trace pleural fluid': 'clinical finding': 'trace pleural fluid', 'existence': 'pos_dx', 'descriptive_term': 'trace pleural', 'observation': 'fluid'anatomical entity_fin: 'fluid': clinical findings_fin: 'mild cardiomegaly': 'clinical finding': 'mild cardiomegaly', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'cardiomegaly', 'strength_term': 'mild'anatomical entity_fin: 'superior vena cava': location descriptor_fin: ['right', 'central']clinical findings_fin: 'right jugular central line': 'clinical finding': 'right jugular central line', 'existence': 'pos_dx', 'descriptive_term': 'right jugular central', 'observation': 'line'anatomical entity_fin: 'liver': clinical findings_fin: 'multiple large cysts-like lesions': 'clinical finding': 'multiple large cysts-like lesions', 'existence': 'pos_dx', 'descriptive_term': 'multiple large cysts-like', 'observation': 'lesion', 'strength_term': 'large', 'quantity_term': 'multiple', 'contrast opacification': 'clinical finding': 'contrast opacification', 'existence': 'pos_dx', 'descriptive_term': 'contrast', 'observation': 'opacification' [/INST] [RESP]

. No intra-arterial filling defects to suggest presence of acute pulmonary embolism. Motion artifact. Nonspecific 3-mm right middle lobe pulmonary nodule image 63, too small to characterize. Lobulated solid pulmonary nodule in the lingula image 72 measures 7 x 6 mm. There is an additional nodule or atelectasis at the right lung base on image 86. Basilar atelectasis and trace pleural fluid collections. Minimal pericardial fluid. Mild cardiomegaly. Right jugular central line with tips at the level of the superior vena cava. Multiple large cysts-like lesions in the liver, incompletely evaluated due to phase of contrast opacification. [/RESP]</s>

. No intra-arterial filling defects are seen to suggest acute pulmonary embolism. . Motion artifact limits evaluation of the pulmonary arteries. Right middle lobe pulmonary nodule measures up to 3-mm in diameter, unchanged from prior examination. Lobulated solid pulmonary nodule in the lingula measuring approximately 7 x 6 mm is also stable and may represent an infected granuloma. Additional nodule at the right lung base is not well defined but appears similar to previous study. Basilar atelectasis with trace pleural fluid. Mild cardiomegaly. Right jugular central line terminates in the superior vena cava. Multiple large cysts-like lesions in the liver without contrast opacification. [/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'location descriptor_fin: ['right']clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality', 'large right renal cyst': 'clinical finding': 'large right renal cyst', 'existence': 'neg_dx', 'descriptive_term': 'large right renal', 'observation': 'cyst', 'strength_term': 'large'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'uterus': clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['right']clinical findings_fin: 'continued involution': 'clinical finding': 'continued involution', 'existence': 'pos_dx', 'descriptive_term': 'continued', 'observation': 'involution', 'prior noted right adnexal cyst': 'clinical finding': 'prior noted right adnexal cyst', 'existence': 'pos_dx', 'descriptive_term': 'prior noted right adnexal', 'observation': 'cyst', 'residual': 'clinical finding': 'residual', 'existence': 'neg_dx', 'observation': 'residual'clinical findings_fin: 'now appear normal': 'clinical finding': 'now appear normal'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'object_fin: ['surgical clips']procedure_fin: ['appendectomy']clinical findings_fin: 'surgical clips': 'clinical finding': 'surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'clip', 'recurrent or residual tumor': 'clinical finding': 'recurrent or residual tumor', 'existence': 'neg_dx', 'descriptive_term': 'recurrent or residual', 'observation': 'tumor', 'temporal_term': 'residual'anatomical entity_fin: 'gastrointestinal tract': , 'bowel': clinical findings_fin: 'visualized gastrointestinal tract large and small bowel all appears': 'clinical finding': 'visualized gastrointestinal tract large and small bowel all appears'clinical findings_fin: 'mesenteric tumoral mass': 'clinical finding': 'mesenteric tumoral mass', 'existence': 'neg_dx', 'descriptive_term': 'mesenteric tumoral', 'observation': 'mass'anatomical entity_fin: 'pelvis': clinical findings_fin: 'free fluid': 'clinical finding': 'free fluid', 'existence': 'pos_dx', 'descriptive_term': 'free', 'observation': 'fluid'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/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 -- large right renal cyst is unchanged and stable in appearance. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted in the uterus. Continued involution of the prior noted right adnexal cyst with no residual now seen. Adnexa now appear normal. No significant abnormality noted. No significant abnormality noted. Surgical clips from prior appendectomy with no evidence of recurrent or residual tumor in surgical bed. Visualized gastrointestinal tract large and small bowel all appears normal. No mesenteric tumoral mass is seen. Small amount of free fluid in the dependent pelvis at the level seen physiologically in female patients of this age. 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'location descriptor_fin: ['right']clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality', 'large right renal cyst': 'clinical finding': 'large right renal cyst', 'existence': 'neg_dx', 'descriptive_term': 'large right renal', 'observation': 'cyst', 'strength_term': 'large'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'uterus': clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['right']clinical findings_fin: 'continued involution': 'clinical finding': 'continued involution', 'existence': 'pos_dx', 'descriptive_term': 'continued', 'observation': 'involution', 'prior noted right adnexal cyst': 'clinical finding': 'prior noted right adnexal cyst', 'existence': 'pos_dx', 'descriptive_term': 'prior noted right adnexal', 'observation': 'cyst', 'residual': 'clinical finding': 'residual', 'existence': 'neg_dx', 'observation': 'residual'clinical findings_fin: 'now appear normal': 'clinical finding': 'now appear normal'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'object_fin: ['surgical clips']procedure_fin: ['appendectomy']clinical findings_fin: 'surgical clips': 'clinical finding': 'surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'clip', 'recurrent or residual tumor': 'clinical finding': 'recurrent or residual tumor', 'existence': 'neg_dx', 'descriptive_term': 'recurrent or residual', 'observation': 'tumor', 'temporal_term': 'residual'anatomical entity_fin: 'gastrointestinal tract': , 'bowel': clinical findings_fin: 'visualized gastrointestinal tract large and small bowel all appears': 'clinical finding': 'visualized gastrointestinal tract large and small bowel all appears'clinical findings_fin: 'mesenteric tumoral mass': 'clinical finding': 'mesenteric tumoral mass', 'existence': 'neg_dx', 'descriptive_term': 'mesenteric tumoral', 'observation': 'mass'anatomical entity_fin: 'pelvis': clinical findings_fin: 'free fluid': 'clinical finding': 'free fluid', 'existence': 'pos_dx', 'descriptive_term': 'free', 'observation': 'fluid'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/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 -- large right renal cyst is unchanged and stable in appearance. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted in the uterus. Continued involution of the prior noted right adnexal cyst with no residual now seen. Adnexa now appear normal. No significant abnormality noted. No significant abnormality noted. Surgical clips from prior appendectomy with no evidence of recurrent or residual tumor in surgical bed. Visualized gastrointestinal tract large and small bowel all appears normal. No mesenteric tumoral mass is seen. Small amount of free fluid in the dependent pelvis at the level seen physiologically in female patients of this age. No significant abnormality noted. No significant abnormality noted [/RESP]</s>

. No significant abnormality.[/RES] [/RESP]. No significant abnormality. [/RESP]. No significant abnormality. [/RESP]. Large right renal cyst is unchanged. No significant abnormality. Uterus is not visualized. Continued involution of prior noted right adnexal cyst, with no residual. The ovaries now appear normal. No significant abnormality. The bladder wall is thickened but without evidence of recurrence or residual tumor. Visualized GI tract large and small bowel all appears to be within normal limits. Mesenteric tumoral mass is not identified. Free fluid in pelvis is unchanged. No significant abnormality. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '2.7 cm', 'size_descriptor': 'lesion']location descriptor_fin: ['medial', 'distal', 'right']clinical findings_fin: '2.7 cm cortically-based lucent lesion': 'clinical finding': '2.7 cm cortically-based lucent lesion', 'existence': 'pos_dx', 'descriptive_term': '2 7 cm cortically-based lucent', 'observation': 'lesion'imaging observation_fin: ['thin rim']clinical findings_fin: 'lesion': 'clinical finding': 'lesion', 'existence': 'pos_dx', 'observation': 'lesion', 'sclerosis': 'clinical finding': 'sclerosis', 'existence': 'pos_dx', 'observation': 'sclerosis'anatomical entity_fin: 'medullary cavity': clinical findings_fin: 'periosteal reaction': 'clinical finding': 'periosteal reaction', 'existence': 'unc_dx', 'descriptive_term': 'periosteal', 'observation': 'reaction'clinical findings_fin: 'soft tissues are normal': 'clinical finding': 'soft tissues are normal' [/INST] [RESP] There is a 2.7 cm cortically-based lucent lesion along the medial aspect of the distal right femoral diametaphysis. The lesion is outlined by a thin rim of sclerosis. There is no apparent involvement of the underlying medullary cavity or findings to suggest periosteal reaction. The soft tissues are normal. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '2.7 cm', 'size_descriptor': 'lesion']location descriptor_fin: ['medial', 'distal', 'right']clinical findings_fin: '2.7 cm cortically-based lucent lesion': 'clinical finding': '2.7 cm cortically-based lucent lesion', 'existence': 'pos_dx', 'descriptive_term': '2 7 cm cortically-based lucent', 'observation': 'lesion'imaging observation_fin: ['thin rim']clinical findings_fin: 'lesion': 'clinical finding': 'lesion', 'existence': 'pos_dx', 'observation': 'lesion', 'sclerosis': 'clinical finding': 'sclerosis', 'existence': 'pos_dx', 'observation': 'sclerosis'anatomical entity_fin: 'medullary cavity': clinical findings_fin: 'periosteal reaction': 'clinical finding': 'periosteal reaction', 'existence': 'unc_dx', 'descriptive_term': 'periosteal', 'observation': 'reaction'clinical findings_fin: 'soft tissues are normal': 'clinical finding': 'soft tissues are normal' [/INST] [RESP]

There is a 2.7 cm cortically-based lucent lesion along the medial aspect of the distal right femoral diametaphysis. The lesion is outlined by a thin rim of sclerosis. There is no apparent involvement of the underlying medullary cavity or findings to suggest periosteal reaction. The soft tissues are normal. [/RESP]</s>

There is redemonstrated 2.7 cm cortically-based lucent lesion in the medial aspect of the distal right femur, which has not changed significantly since prior examination. The lesion demonstrates thin rim of sclerotic bone formation. There is no evidence of periosteal reaction or medullary cavity. Soft tissues are normal. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lungs': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'pleural spaces': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'airways': 'location descriptor': 'central'location descriptor_fin: ['central']clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'anatomical entity_fin: 'heart': clinical findings_fin: 'heart size is normal': 'clinical finding': 'heart size is normal'clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'size_fin: ['size': '0.9 x 0.7cm', 'size_descriptor': 'node']location descriptor_fin: ['right']clinical findings_fin: 'right paratracheal node': 'clinical finding': 'right paratracheal node', 'existence': 'pos_dx', 'descriptive_term': 'right paratracheal', 'observation': 'node'size_fin: ['size': '1.6 x 1.4 cm', 'size': '1.5 x 1.5 cm']location descriptor_fin: ['right']clinical findings_fin: 'reference right axillary node': 'clinical finding': 'reference right axillary node', 'existence': 'pos_dx', 'descriptive_term': 'reference right axillary', 'observation': 'node'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '14.2 cm', 'size_descriptor': 'size', 'size': '15.1-cm', 'size_descriptor': 'spleen']anatomical entity_fin: 'spleen': clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'small retroperitoneal nodes': 'clinical finding': 'small retroperitoneal nodes', 'existence': 'pos_dx', 'descriptive_term': 'small retroperitoneal', 'observation': 'node', 'strength_term': 'small'size_fin: ['size': '2.0 x 1.2 cm', 'size': '2.2 x 1.3 cm']clinical findings_fin: 'node': 'clinical finding': 'node', 'existence': 'pos_dx', 'observation': 'node'anatomical entity_fin: 'bowel': clinical findings_fin: 'small bowel is normal': 'clinical finding': 'small bowel is normal'imaging observation_fin: ['colon']clinical findings_fin: 'colon is unremarkable': 'clinical finding': 'colon is unremarkable'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'pelvic lymphadenopathy': 'clinical finding': 'pelvic lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'pelvic', 'observation': 'lymphadenopathy'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . The lungs are clear. The pleural spaces are clear. The central airways are patent. Heart size is normal. No pericardial effusion. Right paratracheal node measures 0.9 x 0.7cm on image 35 series 3, unchanged. Reference right axillary node measures 1.6 x 1.4 cm previously, 1.5 x 1.5 cm. No significant abnormality noted. Oblique coronal size of the spleen shows the spleen measures 14.2 cm in length previously, 15.1-cm. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Small retroperitoneal nodes are unchanged. Node at the hepatic duodenal ligament measures 2.0 x 1.2 cm on image 102/series 3 previously, 2.2 x 1.3 cm. Small bowel is normal in caliber and course. Colon is unremarkable. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No pelvic lymphadenopathy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lungs': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'pleural spaces': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'airways': 'location descriptor': 'central'location descriptor_fin: ['central']clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'anatomical entity_fin: 'heart': clinical findings_fin: 'heart size is normal': 'clinical finding': 'heart size is normal'clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'size_fin: ['size': '0.9 x 0.7cm', 'size_descriptor': 'node']location descriptor_fin: ['right']clinical findings_fin: 'right paratracheal node': 'clinical finding': 'right paratracheal node', 'existence': 'pos_dx', 'descriptive_term': 'right paratracheal', 'observation': 'node'size_fin: ['size': '1.6 x 1.4 cm', 'size': '1.5 x 1.5 cm']location descriptor_fin: ['right']clinical findings_fin: 'reference right axillary node': 'clinical finding': 'reference right axillary node', 'existence': 'pos_dx', 'descriptive_term': 'reference right axillary', 'observation': 'node'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '14.2 cm', 'size_descriptor': 'size', 'size': '15.1-cm', 'size_descriptor': 'spleen']anatomical entity_fin: 'spleen': clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'small retroperitoneal nodes': 'clinical finding': 'small retroperitoneal nodes', 'existence': 'pos_dx', 'descriptive_term': 'small retroperitoneal', 'observation': 'node', 'strength_term': 'small'size_fin: ['size': '2.0 x 1.2 cm', 'size': '2.2 x 1.3 cm']clinical findings_fin: 'node': 'clinical finding': 'node', 'existence': 'pos_dx', 'observation': 'node'anatomical entity_fin: 'bowel': clinical findings_fin: 'small bowel is normal': 'clinical finding': 'small bowel is normal'imaging observation_fin: ['colon']clinical findings_fin: 'colon is unremarkable': 'clinical finding': 'colon is unremarkable'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'pelvic lymphadenopathy': 'clinical finding': 'pelvic lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'pelvic', 'observation': 'lymphadenopathy'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP]

. The lungs are clear. The pleural spaces are clear. The central airways are patent. Heart size is normal. No pericardial effusion. Right paratracheal node measures 0.9 x 0.7cm on image 35 series 3, unchanged. Reference right axillary node measures 1.6 x 1.4 cm previously, 1.5 x 1.5 cm. No significant abnormality noted. Oblique coronal size of the spleen shows the spleen measures 14.2 cm in length previously, 15.1-cm. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Small retroperitoneal nodes are unchanged. Node at the hepatic duodenal ligament measures 2.0 x 1.2 cm on image 102/series 3 previously, 2.2 x 1.3 cm. Small bowel is normal in caliber and course. Colon is unremarkable. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No pelvic lymphadenopathy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted [/RESP]</s>

. Lungs are clear. The pleural spaces are clear. The airways are patent. Heart size is normal. No pericardial effusion. Right paratracheal node measures 0.9 x 0.7cm, reference measurement from prior examination. Reference right axillary node measures 1.6 x 1.4 cm, reference measurement from prior examination. No significant abnormality noted. Splenomegaly with spleen size measuring 14.2 cm and previously measured at 15.1-cm. No significant abnormality noted. Small retroperitoneal nodes are present but not significantly increased in size compared to previous study. Node 8 measures 2.0 x 1.2 cm and previously measured at 2.2 x 1.3 cm. Small bowel is normal. Colon is unremarkable. No significant abnormality noted. None. No significant abnormality noted. Uterus is normal. No significant abnormality noted. No pelvic lymphadenopathy. No significant abnormality noted. No pelvic lymphadenopathy. No significant abnormality noted. No pelvic lymphadenopathy. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobes': 'location descriptor': 'upper'location descriptor_fin: ['centrilobular', 'upper']clinical findings_fin: 'centrilobular and paraseptal emphysema': 'clinical finding': 'centrilobular and paraseptal emphysema', 'existence': 'pos_dx', 'descriptive_term': 'centrilobular and paraseptal', 'observation': 'emphysema'location descriptor_fin: ['bilateral']clinical findings_fin: 'marked bilateral paramediastinal fibrosis': 'clinical finding': 'marked bilateral paramediastinal fibrosis', 'existence': 'pos_dx', 'descriptive_term': 'marked bilateral paramediastinal', 'observation': 'fibrosis', 'architectural distortion': 'clinical finding': 'architectural distortion', 'existence': 'pos_dx', 'descriptive_term': 'architectural', 'observation': 'distortion'anatomical entity_fin: 'lobe': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'new sharply defined subpleural nodule': 'clinical finding': 'new sharply defined subpleural nodule', 'existence': 'pos_dx', 'descriptive_term': 'new sharply defined subpleural', 'observation': 'nodule', 'temporal_term': 'new', 'metastasis': 'clinical finding': 'metastasis', 'existence': 'unc_dx', 'observation': 'metastasis'size_fin: ['size': '3-mm', 'size_descriptor': 'nodule']anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'new 3-mm nodule': 'clinical finding': 'new 3-mm nodule', 'existence': 'pos_dx', 'descriptive_term': 'new 3-mm', 'observation': 'nodule', 'temporal_term': 'new', 'metastasis': 'clinical finding': 'metastasis', 'existence': 'pos_dx', 'observation': 'metastasis'clinical findings_fin: 'significant lymphadenopathy': 'clinical finding': 'significant lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'anatomical entity_fin: 'fluid': location descriptor_fin: ['left', 'adjacent']clinical findings_fin: 'left perihilar opacity': 'clinical finding': 'left perihilar opacity', 'existence': 'pos_dx', 'descriptive_term': 'left perihilar', 'observation': 'opacity', 'scarring': 'clinical finding': 'scarring', 'existence': 'pos_dx', 'observation': 'scarr'clinical findings_fin: 'measurable tumor': 'clinical finding': 'measurable tumor', 'existence': 'neg_dx', 'descriptive_term': 'measurable', 'observation': 'tumor'clinical findings_fin: 'moderate coronary artery calcifications': 'clinical finding': 'moderate coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'moderate coronary artery', 'observation': 'calcification', 'strength_term': 'moderate'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'abdominal': clinical findings_fin: 'gi contrast': 'clinical finding': 'gi contrast', 'existence': 'neg_dx', 'descriptive_term': 'gi', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'leg': location descriptor_fin: ['left']object_fin: ['surgical clips']clinical findings_fin: 'surgical clips': 'clinical finding': 'surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'clip'clinical findings_fin: 'gi_1': 'clinical finding': 'gi', 'existence': 'pos_dx', 'observation': 'gi', 'gi_2': 'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'clinical findings_fin: 'gross abnormalities': 'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Centrilobular and paraseptal emphysema in the upper lobes. Marked bilateral paramediastinal fibrosis with architectural distortion secondary to radiation reaction. New sharply defined subpleural nodule in the left upper lobe suspicious for a metastasis. New 3-mm nodule in the right upper lobe, also nonspecific but suspicious for metastasis. No significant lymphadenopathy. Left perihilar opacity compatible with scarring and adjacent pericardial fluid. No measurable tumor. Moderate coronary artery calcifications. No significant abnormality noted. Absence of GI contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Surgical clips and leg left perinephric area. Absence of GI contrast material markedly limits sensitivity for GI pathology. No gross abnormalities 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: 'lobes': 'location descriptor': 'upper'location descriptor_fin: ['centrilobular', 'upper']clinical findings_fin: 'centrilobular and paraseptal emphysema': 'clinical finding': 'centrilobular and paraseptal emphysema', 'existence': 'pos_dx', 'descriptive_term': 'centrilobular and paraseptal', 'observation': 'emphysema'location descriptor_fin: ['bilateral']clinical findings_fin: 'marked bilateral paramediastinal fibrosis': 'clinical finding': 'marked bilateral paramediastinal fibrosis', 'existence': 'pos_dx', 'descriptive_term': 'marked bilateral paramediastinal', 'observation': 'fibrosis', 'architectural distortion': 'clinical finding': 'architectural distortion', 'existence': 'pos_dx', 'descriptive_term': 'architectural', 'observation': 'distortion'anatomical entity_fin: 'lobe': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'new sharply defined subpleural nodule': 'clinical finding': 'new sharply defined subpleural nodule', 'existence': 'pos_dx', 'descriptive_term': 'new sharply defined subpleural', 'observation': 'nodule', 'temporal_term': 'new', 'metastasis': 'clinical finding': 'metastasis', 'existence': 'unc_dx', 'observation': 'metastasis'size_fin: ['size': '3-mm', 'size_descriptor': 'nodule']anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'new 3-mm nodule': 'clinical finding': 'new 3-mm nodule', 'existence': 'pos_dx', 'descriptive_term': 'new 3-mm', 'observation': 'nodule', 'temporal_term': 'new', 'metastasis': 'clinical finding': 'metastasis', 'existence': 'pos_dx', 'observation': 'metastasis'clinical findings_fin: 'significant lymphadenopathy': 'clinical finding': 'significant lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'anatomical entity_fin: 'fluid': location descriptor_fin: ['left', 'adjacent']clinical findings_fin: 'left perihilar opacity': 'clinical finding': 'left perihilar opacity', 'existence': 'pos_dx', 'descriptive_term': 'left perihilar', 'observation': 'opacity', 'scarring': 'clinical finding': 'scarring', 'existence': 'pos_dx', 'observation': 'scarr'clinical findings_fin: 'measurable tumor': 'clinical finding': 'measurable tumor', 'existence': 'neg_dx', 'descriptive_term': 'measurable', 'observation': 'tumor'clinical findings_fin: 'moderate coronary artery calcifications': 'clinical finding': 'moderate coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'moderate coronary artery', 'observation': 'calcification', 'strength_term': 'moderate'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'abdominal': clinical findings_fin: 'gi contrast': 'clinical finding': 'gi contrast', 'existence': 'neg_dx', 'descriptive_term': 'gi', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'leg': location descriptor_fin: ['left']object_fin: ['surgical clips']clinical findings_fin: 'surgical clips': 'clinical finding': 'surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'clip'clinical findings_fin: 'gi_1': 'clinical finding': 'gi', 'existence': 'pos_dx', 'observation': 'gi', 'gi_2': 'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'clinical findings_fin: 'gross abnormalities': 'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP]

. Centrilobular and paraseptal emphysema in the upper lobes. Marked bilateral paramediastinal fibrosis with architectural distortion secondary to radiation reaction. New sharply defined subpleural nodule in the left upper lobe suspicious for a metastasis. New 3-mm nodule in the right upper lobe, also nonspecific but suspicious for metastasis. No significant lymphadenopathy. Left perihilar opacity compatible with scarring and adjacent pericardial fluid. No measurable tumor. Moderate coronary artery calcifications. No significant abnormality noted. Absence of GI contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Surgical clips and leg left perinephric area. Absence of GI contrast material markedly limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. No significant abnormality noted. [/RESP]</s>

. Centrilobular and paraseptal emphysema in the upper lobes.[/RESP]. Marked bilateral paramediastinal fibrosis with architectural distortion of the arch. New sharply defined subpleural nodule in the left upper lobe, suspicious for metastasis. This is unchanged from prior examination. A new 3-mm nodule in the right upper lobe, also suspicious for metastasis. No significant lymphadenopathy. Left perihilar opacity compatible with scarring or fluid collection adjacent to the left renal hilum. No measurable tumor. Moderate coronary artery calcifications. No significant abnormality noted. Absence of GI contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'persistent patchy inhomogeneous opacities': 'clinical finding': 'persistent patchy inhomogeneous opacities', 'existence': 'pos_dx', 'descriptive_term': 'persistent patchy inhomogeneous', 'observation': 'opacity', 'temporal_term': 'persistent', 'either ground glass opacities': 'clinical finding': 'either ground glass opacities', 'existence': 'unc_dx', 'descriptive_term': 'either ground glass', 'observation': 'opacity', 'severe mosaic attenuation': 'clinical finding': 'severe mosaic attenuation', 'existence': 'unc_dx', 'descriptive_term': 'severe mosaic', 'observation': 'attenuation', 'strength_term': 'severe'clinical findings_fin: 'diffuse bronchiectasis': 'clinical finding': 'diffuse bronchiectasis', 'existence': 'pos_dx', 'descriptive_term': 'diffuse', 'observation': 'bronchiectasis', 'bronchial wall thickening': 'clinical finding': 'bronchial wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'bronchial wall', 'observation': 'thickening', 'bronchiolitis obliterans': 'clinical finding': 'bronchiolitis obliterans', 'existence': 'pos_dx', 'descriptive_term': 'bronchiolitis', 'observation': 'obliteran'anatomical entity_fin: 'middle': 'location descriptor': 'right', 'lobe': location descriptor_fin: ['right']clinical findings_fin: 'multiple cysts': 'clinical finding': 'multiple cysts', 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'cyst', 'quantity_term': 'multiple'anatomical entity_fin: 'lobe': 'location descriptor': 'left lower'location descriptor_fin: ['left', 'lower']clinical findings_fin: 'focal nodular opacity': 'clinical finding': 'focal nodular opacity', 'existence': 'pos_dx', 'descriptive_term': 'focal nodular', 'observation': 'opacity', 'bronchial impaction': 'clinical finding': 'bronchial impaction', 'existence': 'unc_dx', 'descriptive_term': 'bronchial', 'observation': 'impaction'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': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'anatomical entity_fin: 'mediastinum': clinical findings_fin: 'small lymph nodes': 'clinical finding': 'small lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small lymph', 'observation': 'node', 'strength_term': 'small'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['left']clinical findings_fin: 'punctate nonobstructive left renal calculi': 'clinical finding': 'punctate nonobstructive left renal calculi', 'existence': 'pos_dx', 'descriptive_term': 'punctate nonobstructive left renal', 'observation': 'calculi' [/INST] [RESP] . Persistent patchy inhomogeneous opacities bilaterally may represent either ground glass opacities or severe mosaic attenuation. The expiratory phase images are sub-optimal. Diffuse bronchiectasis and bronchial wall thickening are stable and consistent with bronchiolitis obliterans. Interval development of multiple cysts within the right middle lobe. Focal nodular opacity within the left lower lobe may represent bronchial impaction. No pleural effusions. Heart size is normal without pericardial effusion. Small lymph nodes in the mediastinum are stable. No significant abnormality noted. Punctate nonobstructive left renal calculi. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'persistent patchy inhomogeneous opacities': 'clinical finding': 'persistent patchy inhomogeneous opacities', 'existence': 'pos_dx', 'descriptive_term': 'persistent patchy inhomogeneous', 'observation': 'opacity', 'temporal_term': 'persistent', 'either ground glass opacities': 'clinical finding': 'either ground glass opacities', 'existence': 'unc_dx', 'descriptive_term': 'either ground glass', 'observation': 'opacity', 'severe mosaic attenuation': 'clinical finding': 'severe mosaic attenuation', 'existence': 'unc_dx', 'descriptive_term': 'severe mosaic', 'observation': 'attenuation', 'strength_term': 'severe'clinical findings_fin: 'diffuse bronchiectasis': 'clinical finding': 'diffuse bronchiectasis', 'existence': 'pos_dx', 'descriptive_term': 'diffuse', 'observation': 'bronchiectasis', 'bronchial wall thickening': 'clinical finding': 'bronchial wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'bronchial wall', 'observation': 'thickening', 'bronchiolitis obliterans': 'clinical finding': 'bronchiolitis obliterans', 'existence': 'pos_dx', 'descriptive_term': 'bronchiolitis', 'observation': 'obliteran'anatomical entity_fin: 'middle': 'location descriptor': 'right', 'lobe': location descriptor_fin: ['right']clinical findings_fin: 'multiple cysts': 'clinical finding': 'multiple cysts', 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'cyst', 'quantity_term': 'multiple'anatomical entity_fin: 'lobe': 'location descriptor': 'left lower'location descriptor_fin: ['left', 'lower']clinical findings_fin: 'focal nodular opacity': 'clinical finding': 'focal nodular opacity', 'existence': 'pos_dx', 'descriptive_term': 'focal nodular', 'observation': 'opacity', 'bronchial impaction': 'clinical finding': 'bronchial impaction', 'existence': 'unc_dx', 'descriptive_term': 'bronchial', 'observation': 'impaction'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': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'anatomical entity_fin: 'mediastinum': clinical findings_fin: 'small lymph nodes': 'clinical finding': 'small lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small lymph', 'observation': 'node', 'strength_term': 'small'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['left']clinical findings_fin: 'punctate nonobstructive left renal calculi': 'clinical finding': 'punctate nonobstructive left renal calculi', 'existence': 'pos_dx', 'descriptive_term': 'punctate nonobstructive left renal', 'observation': 'calculi' [/INST] [RESP]

. Persistent patchy inhomogeneous opacities bilaterally may represent either ground glass opacities or severe mosaic attenuation. The expiratory phase images are sub-optimal. Diffuse bronchiectasis and bronchial wall thickening are stable and consistent with bronchiolitis obliterans. Interval development of multiple cysts within the right middle lobe. Focal nodular opacity within the left lower lobe may represent bronchial impaction. No pleural effusions. Heart size is normal without pericardial effusion. Small lymph nodes in the mediastinum are stable. No significant abnormality noted. Punctate nonobstructive left renal calculi. [/RESP]</s>

. Persistent patchy inhomogeneous opacities, some of which are associated with either ground glass opacities or severe mosaic attenuation. The diffuse bronchiectasis and bronchial wall thickening is consistent with bronchiolitis obliterans syndrome. Multiple cysts are seen within the right middle lobe. Focal nodular opacity within the left lower lobe may represent bronchial impaction. No pleural effusions. Heart size is normal without pericardial effusion. Small lymph nodes are present throughout the mediastinum. No significant abnormality noted. Punctate nonobstructive left renal calculi. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric', 'volume loss': 'clinical finding': 'volume loss', 'existence': 'pos_dx', 'descriptive_term': 'volume', 'observation': 'loss'imaging observation_fin: ['foci']clinical findings_fin: 'periventricular and deep white matter hypoattenuating foci': 'clinical finding': 'periventricular and deep white matter hypoattenuating foci', 'existence': 'pos_dx', 'descriptive_term': 'periventricular and deep white matter hypoattenuating', 'observation': 'foci', 'small vessel ischemic disease': 'clinical finding': 'small vessel ischemic disease', 'existence': 'pos_dx', 'descriptive_term': 'small vessel ischemic', 'observation': 'disease', 'strength_term': 'small'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', 'abnormal contrast enhancement': 'clinical finding': 'abnormal contrast enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal contrast', 'observation': 'enhancement', 'metastatic disease': 'clinical finding': 'metastatic disease', 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'anatomical entity_fin: 'orbits': clinical findings_fin: 'orbits are unremarkable': 'clinical finding': 'orbits are unremarkable'location descriptor_fin: ['bilateral']clinical findings_fin: 'nonspecific mucous retention cysts': 'clinical finding': 'nonspecific mucous retention cysts', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific mucous retention', 'observation': 'cyst'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'platysma muscle': , 'subcutaneous fat': , 'neck': imaging observation_fin: ['reticulation', 'fat']clinical findings_fin: 'post-radiation changes': 'clinical finding': 'post-radiation changes', 'existence': 'pos_dx', 'descriptive_term': 'post-radiation', 'observation': 'change', 'dermal thickening': 'clinical finding': 'dermal thickening', 'existence': 'pos_dx', 'descriptive_term': 'dermal', 'observation': 'thickening', 'platysma muscle thickening': 'clinical finding': 'platysma muscle thickening', 'existence': 'pos_dx', 'descriptive_term': 'platysma muscle', 'observation': 'thickening', 'fat planes': 'clinical finding': 'fat planes', 'existence': 'pos_dx', 'descriptive_term': 'fat', 'observation': 'plane'anatomical entity_fin: 'oropharynx': , 'hypopharynx': , 'larynx': clinical findings_fin: 'additional post- therapy changes': 'clinical finding': 'additional post- therapy changes', 'existence': 'pos_dx', 'descriptive_term': 'additional post- therapy', 'observation': 'change', 'mucosal thickening': 'clinical finding': 'mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'thickening'imaging observation_fin: ['enhancing']clinical findings_fin: 'enhancing masses': 'clinical finding': 'enhancing masses', 'existence': 'neg_dx', 'descriptive_term': 'enhancing', 'observation': 'mass', 'residual or recurrent tumor': 'clinical finding': 'residual or recurrent tumor', 'existence': 'unc_dx', 'descriptive_term': 'residual or recurrent', 'observation': 'tumor', 'temporal_term': 'residual'clinical findings_fin: 'pathologic lymphadenopathy': 'clinical finding': 'pathologic lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'pathologic', 'observation': 'lymphadenopathy'anatomical entity_fin: 'thyroid glands': clinical findings_fin: 'parotid , submandibular , and thyroid glands are unremarkable': 'clinical finding': 'parotid , submandibular , and thyroid glands are unremarkable'anatomical entity_fin: 'veins': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'anatomical entity_fin: 'internal carotid arteries': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'calcified atherosclerosis': 'clinical finding': 'calcified atherosclerosis', 'existence': 'pos_dx', 'descriptive_term': 'calcified', 'observation': 'atherosclerosis', 'change_term': 'calcified'clinical findings_fin: 'osseous structures are unremarkable': 'clinical finding': 'osseous structures are unremarkable' [/INST] [RESP] .The ventricles, sulci, and cisterns are symmetric and prominent consistent with volume loss. Periventricular and deep white matter hypoattenuating foci are consistent with small vessel ischemic disease of indeterminate age. There is no mass effect, midline shift, intra- or extra-axial fluid collection or acute hemorrhage, or abnormal contrast enhancement to suggest metastatic disease. The orbits are unremarkable. Nonspecific mucous retention cysts are seen within bilateral maxillary sinuses. The paranasal sinuses and mastoid air cells are clear. Post-radiation changes are redemonstrated consisting of dermal thickening, platysma muscle thickening, reticulation of subcutaneous fat, and loss of fat planes throughout the neck. Additional post- therapy changes include mucosal thickening within the oropharynx, hypopharynx, and supraglottic larynx. No enhancing masses are to suggest residual or recurrent tumor. No pathologic lymphadenopathy is noted. The parotid, submandibular, and thyroid glands are unremarkable. The jugular veins are patent. Calcified atherosclerosis is noted within bilateral internal carotid arteries at the level of the bifurcations and cavernous segments. The osseous structures are unremarkable. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric', 'volume loss': 'clinical finding': 'volume loss', 'existence': 'pos_dx', 'descriptive_term': 'volume', 'observation': 'loss'imaging observation_fin: ['foci']clinical findings_fin: 'periventricular and deep white matter hypoattenuating foci': 'clinical finding': 'periventricular and deep white matter hypoattenuating foci', 'existence': 'pos_dx', 'descriptive_term': 'periventricular and deep white matter hypoattenuating', 'observation': 'foci', 'small vessel ischemic disease': 'clinical finding': 'small vessel ischemic disease', 'existence': 'pos_dx', 'descriptive_term': 'small vessel ischemic', 'observation': 'disease', 'strength_term': 'small'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', 'abnormal contrast enhancement': 'clinical finding': 'abnormal contrast enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal contrast', 'observation': 'enhancement', 'metastatic disease': 'clinical finding': 'metastatic disease', 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'anatomical entity_fin: 'orbits': clinical findings_fin: 'orbits are unremarkable': 'clinical finding': 'orbits are unremarkable'location descriptor_fin: ['bilateral']clinical findings_fin: 'nonspecific mucous retention cysts': 'clinical finding': 'nonspecific mucous retention cysts', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific mucous retention', 'observation': 'cyst'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'platysma muscle': , 'subcutaneous fat': , 'neck': imaging observation_fin: ['reticulation', 'fat']clinical findings_fin: 'post-radiation changes': 'clinical finding': 'post-radiation changes', 'existence': 'pos_dx', 'descriptive_term': 'post-radiation', 'observation': 'change', 'dermal thickening': 'clinical finding': 'dermal thickening', 'existence': 'pos_dx', 'descriptive_term': 'dermal', 'observation': 'thickening', 'platysma muscle thickening': 'clinical finding': 'platysma muscle thickening', 'existence': 'pos_dx', 'descriptive_term': 'platysma muscle', 'observation': 'thickening', 'fat planes': 'clinical finding': 'fat planes', 'existence': 'pos_dx', 'descriptive_term': 'fat', 'observation': 'plane'anatomical entity_fin: 'oropharynx': , 'hypopharynx': , 'larynx': clinical findings_fin: 'additional post- therapy changes': 'clinical finding': 'additional post- therapy changes', 'existence': 'pos_dx', 'descriptive_term': 'additional post- therapy', 'observation': 'change', 'mucosal thickening': 'clinical finding': 'mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'thickening'imaging observation_fin: ['enhancing']clinical findings_fin: 'enhancing masses': 'clinical finding': 'enhancing masses', 'existence': 'neg_dx', 'descriptive_term': 'enhancing', 'observation': 'mass', 'residual or recurrent tumor': 'clinical finding': 'residual or recurrent tumor', 'existence': 'unc_dx', 'descriptive_term': 'residual or recurrent', 'observation': 'tumor', 'temporal_term': 'residual'clinical findings_fin: 'pathologic lymphadenopathy': 'clinical finding': 'pathologic lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'pathologic', 'observation': 'lymphadenopathy'anatomical entity_fin: 'thyroid glands': clinical findings_fin: 'parotid , submandibular , and thyroid glands are unremarkable': 'clinical finding': 'parotid , submandibular , and thyroid glands are unremarkable'anatomical entity_fin: 'veins': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'anatomical entity_fin: 'internal carotid arteries': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'calcified atherosclerosis': 'clinical finding': 'calcified atherosclerosis', 'existence': 'pos_dx', 'descriptive_term': 'calcified', 'observation': 'atherosclerosis', 'change_term': 'calcified'clinical findings_fin: 'osseous structures are unremarkable': 'clinical finding': 'osseous structures are unremarkable' [/INST] [RESP]

.The ventricles, sulci, and cisterns are symmetric and prominent consistent with volume loss. Periventricular and deep white matter hypoattenuating foci are consistent with small vessel ischemic disease of indeterminate age. There is no mass effect, midline shift, intra- or extra-axial fluid collection or acute hemorrhage, or abnormal contrast enhancement to suggest metastatic disease. The orbits are unremarkable. Nonspecific mucous retention cysts are seen within bilateral maxillary sinuses. The paranasal sinuses and mastoid air cells are clear. Post-radiation changes are redemonstrated consisting of dermal thickening, platysma muscle thickening, reticulation of subcutaneous fat, and loss of fat planes throughout the neck. Additional post- therapy changes include mucosal thickening within the oropharynx, hypopharynx, and supraglottic larynx. No enhancing masses are to suggest residual or recurrent tumor. No pathologic lymphadenopathy is noted. The parotid, submandibular, and thyroid glands are unremarkable. The jugular veins are patent. Calcified atherosclerosis is noted within bilateral internal carotid arteries at the level of the bifurcations and cavernous segments. The osseous structures are unremarkable. [/RESP]</s>

. The ventricles, sulci, and cisterns are symmetric.[/RESP]. Periventricular and deep white matter hypoattenuating foci compatible with small vessel ischemic disease. There is no mass effect, midline shift, intra- or extra-axial fluid collection or acute hemorrhage, abnormal contrast enhancement or metastatic disease. The orbits are unremarkable. Nonspecific mucous retention cysts bilaterally. The paranasal sinuses and mastoid air cells are clear. Post-radiation changes including dermal thickening of the platysma muscle thickening of the subcutaneous fat plane retraction of the neck soft tissues and reticulation of the fat planes. Additional post- therapy changes include mucosal thickening in the oropharynx, hypopharynx and larynx. No enhancing masses to suggest residual or recurrent tumor. No pathologic lymphadenopathy. Parotid, submandibular, and thyroid glands are unremarkable. Veins are patent. Calcified atherosclerosis involving the bilateral internal carotid arteries. Osseous structures are unremarkable. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'ventricles and sulci are within normal limits': 'clinical finding': 'ventricles and sulci are within normal limits'clinical findings_fin: 'mild periventricular and subcortical white matter hypoattenuation': 'clinical finding': 'mild periventricular and subcortical white matter hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'mild periventricular and subcortical white matter', 'observation': 'hypoattenuation', 'strength_term': 'mild', 'small vessel ischemic disease': 'clinical finding': 'small vessel ischemic disease', 'existence': 'unc_dx', 'descriptive_term': 'small vessel ischemic', 'observation': 'disease', 'strength_term': 'small'location descriptor_fin: ['midline']clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'clinical findings_fin: 'extraaxial fluid collection': 'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'anatomical entity_fin: 'paranasal sinuses': , 'middle ears': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'internal carotid arteries': 'location descriptor': 'distal', 'vertebral arteries': 'location descriptor': 'distal', 'basilar artery': , 'middle': , 'posterior cerebral arteries': location descriptor_fin: ['distal', 'proximal', 'anterior']clinical findings_fin: 'antegrade flow': 'clinical finding': 'antegrade flow', 'existence': 'pos_dx', 'descriptive_term': 'antegrade', 'observation': 'flow'size_fin: ['size': '1 cm', 'size_descriptor': 'segment']location descriptor_fin: ['left']clinical findings_fin: 'moderate to severe stenosis': 'clinical finding': 'moderate to severe stenosis', 'existence': 'pos_dx', 'descriptive_term': 'moderate to severe', 'observation': 'stenosis', 'strength_term': 'moderate - severe'anatomical entity_fin: 'anterior communicating artery': , 'right posterior communicating artery': clinical findings_fin: 'small': 'clinical finding': 'small', 'existence': 'pos_dx', 'observation': 'small', 'developmental variants': 'clinical finding': 'developmental variants', 'existence': 'pos_dx', 'descriptive_term': 'developmental', 'observation': 'variant'size_fin: ['size': '2.5 x 3 mm', 'size_descriptor': 'dimensions']anatomical entity_fin: 'neck': location descriptor_fin: ['right']clinical findings_fin: 'interval change': 'clinical finding': 'interval change', 'existence': 'neg_dx', 'descriptive_term': 'interval', 'observation': 'change', 'wide neck medially directed right paraclinoid ica aneurysm': 'clinical finding': 'wide neck medially directed right paraclinoid ica aneurysm', 'existence': 'pos_dx', 'descriptive_term': 'wide neck medially directed right paraclinoid ica', 'observation': 'aneurysm', 'strength_term': 'wide'size_fin: ['size': '2 x 3 mm', 'size_descriptor': 'dimensions']anatomical entity_fin: 'neck': location descriptor_fin: ['left']clinical findings_fin: 'interval change': 'clinical finding': 'interval change', 'existence': 'neg_dx', 'descriptive_term': 'interval', 'observation': 'change', 'left paraclinoid ica aneurysm': 'clinical finding': 'left paraclinoid ica aneurysm', 'existence': 'neg_dx', 'descriptive_term': 'left paraclinoid ica', 'observation': 'aneurysm' [/INST] [RESP] .The ventricles and sulci are within normal limits. There is mild periventricular and subcortical white matter hypoattenuation which is nonspecific but likely related to small vessel ischemic disease. There is no midline shift or mass effect. There is no intracranial hemorrhage. There is no extraaxial fluid collection. The visualized portions of the paranasal sinuses and mastoids or middle ears are grossly clear. Antegrade flow is present in the distal internal carotid arteries, the distal vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries. There is a segment of moderate to severe stenosis affecting the left M1/M2 junction extending for about 1 cm. The anterior communicating artery and right posterior communicating artery are small which are developmental variants. No interval change in the wide neck medially directed right paraclinoid ICA aneurysm which measures 2.5 x 3 mm axial dimensions. No interval change in the wide neck laterally directed left paraclinoid ICA aneurysm, which measures 2 x 3 mm axial dimensions. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'ventricles and sulci are within normal limits': 'clinical finding': 'ventricles and sulci are within normal limits'clinical findings_fin: 'mild periventricular and subcortical white matter hypoattenuation': 'clinical finding': 'mild periventricular and subcortical white matter hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'mild periventricular and subcortical white matter', 'observation': 'hypoattenuation', 'strength_term': 'mild', 'small vessel ischemic disease': 'clinical finding': 'small vessel ischemic disease', 'existence': 'unc_dx', 'descriptive_term': 'small vessel ischemic', 'observation': 'disease', 'strength_term': 'small'location descriptor_fin: ['midline']clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'clinical findings_fin: 'extraaxial fluid collection': 'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'anatomical entity_fin: 'paranasal sinuses': , 'middle ears': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'internal carotid arteries': 'location descriptor': 'distal', 'vertebral arteries': 'location descriptor': 'distal', 'basilar artery': , 'middle': , 'posterior cerebral arteries': location descriptor_fin: ['distal', 'proximal', 'anterior']clinical findings_fin: 'antegrade flow': 'clinical finding': 'antegrade flow', 'existence': 'pos_dx', 'descriptive_term': 'antegrade', 'observation': 'flow'size_fin: ['size': '1 cm', 'size_descriptor': 'segment']location descriptor_fin: ['left']clinical findings_fin: 'moderate to severe stenosis': 'clinical finding': 'moderate to severe stenosis', 'existence': 'pos_dx', 'descriptive_term': 'moderate to severe', 'observation': 'stenosis', 'strength_term': 'moderate - severe'anatomical entity_fin: 'anterior communicating artery': , 'right posterior communicating artery': clinical findings_fin: 'small': 'clinical finding': 'small', 'existence': 'pos_dx', 'observation': 'small', 'developmental variants': 'clinical finding': 'developmental variants', 'existence': 'pos_dx', 'descriptive_term': 'developmental', 'observation': 'variant'size_fin: ['size': '2.5 x 3 mm', 'size_descriptor': 'dimensions']anatomical entity_fin: 'neck': location descriptor_fin: ['right']clinical findings_fin: 'interval change': 'clinical finding': 'interval change', 'existence': 'neg_dx', 'descriptive_term': 'interval', 'observation': 'change', 'wide neck medially directed right paraclinoid ica aneurysm': 'clinical finding': 'wide neck medially directed right paraclinoid ica aneurysm', 'existence': 'pos_dx', 'descriptive_term': 'wide neck medially directed right paraclinoid ica', 'observation': 'aneurysm', 'strength_term': 'wide'size_fin: ['size': '2 x 3 mm', 'size_descriptor': 'dimensions']anatomical entity_fin: 'neck': location descriptor_fin: ['left']clinical findings_fin: 'interval change': 'clinical finding': 'interval change', 'existence': 'neg_dx', 'descriptive_term': 'interval', 'observation': 'change', 'left paraclinoid ica aneurysm': 'clinical finding': 'left paraclinoid ica aneurysm', 'existence': 'neg_dx', 'descriptive_term': 'left paraclinoid ica', 'observation': 'aneurysm' [/INST] [RESP]

.The ventricles and sulci are within normal limits. There is mild periventricular and subcortical white matter hypoattenuation which is nonspecific but likely related to small vessel ischemic disease. There is no midline shift or mass effect. There is no intracranial hemorrhage. There is no extraaxial fluid collection. The visualized portions of the paranasal sinuses and mastoids or middle ears are grossly clear. Antegrade flow is present in the distal internal carotid arteries, the distal vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries. There is a segment of moderate to severe stenosis affecting the left M1/M2 junction extending for about 1 cm. The anterior communicating artery and right posterior communicating artery are small which are developmental variants. No interval change in the wide neck medially directed right paraclinoid ICA aneurysm which measures 2.5 x 3 mm axial dimensions. No interval change in the wide neck laterally directed left paraclinoid ICA aneurysm, which measures 2 x 3 mm axial dimensions. [/RESP]</s>

The ventricles and sulci are within normal limits. There is mild periventricular and subcortical white matter hypoattenuation, which may represent small vessel ischemic disease. No mass is identified along the midline. No intracranial hemorrhage is identified. No extraaxial fluid collection is noted. The visualized portions of the paranasal sinuses and mastoids or middle ears are clear. Antegrade flow is seen through the distal internal carotid arteries, proximal vertebral arteries, anterior and posterior circulations of the basilar artery, and both ACA and MCA. Moderate to severe stenosis is present in the left ICA at the level of the origin of the PICA measuring approximately 1 cm in diameter. Small developmental variants are present involving the anterior communicating artery and right posterior communicating artery. Interval change has occurred with widening of the wide neck medially directed right paraclinoid ICA aneurysm from 2.5 x 3 mm dimensions previously to 4.0 x 6.7 mm dimensions currently. Interval change has also been observed with narrowing of the left paraclinoid ICA aneurysm from 2 x 3 mm dimensions previously to 1.8 x 2.9 mm dimensions currently. [/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'anatomical entity_fin: 'left lobe of thyroid gland': clinical findings_fin: 'thyroid': 'clinical finding': 'thyroid', 'existence': 'pos_dx', 'observation': 'thyroid', 'goiter': 'clinical finding': 'goiter', 'existence': 'pos_dx', 'observation': 'goiter'anatomical entity_fin: 'mediastinum': , 'trachea': location descriptor_fin: ['left', 'right']clinical findings_fin: 'mild deviation of the trachea': 'clinical finding': 'mild deviation of the trachea'clinical findings_fin: 'hilar or mediastinal adenopathy': 'clinical finding': 'hilar or mediastinal adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'hilar or mediastinal', 'observation': 'adenopathy'anatomical entity_fin: 'heart': clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'location descriptor_fin: ['left']clinical findings_fin: 'small left renal hypodensity': 'clinical finding': 'small left renal hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'small left renal', 'observation': 'hypodensity', 'strength_term': 'small', 'cyst': 'clinical finding': 'cyst', 'existence': 'unc_dx', 'observation': 'cyst' [/INST] [RESP] . No significant abnormality noted. There is heterogeneous enlargement of the left lobe of thyroid gland consistent with goiter. There is subsequent extension into the mediastinum and mild deviation of the trachea from left to right. There is no evidence of hilar or mediastinal adenopathy. Heart size is normal without evidence of pericardial effusion. Degenerative changes mid thoracic spine. Small left renal hypodensity, most likely representing a cyst [/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'anatomical entity_fin: 'left lobe of thyroid gland': clinical findings_fin: 'thyroid': 'clinical finding': 'thyroid', 'existence': 'pos_dx', 'observation': 'thyroid', 'goiter': 'clinical finding': 'goiter', 'existence': 'pos_dx', 'observation': 'goiter'anatomical entity_fin: 'mediastinum': , 'trachea': location descriptor_fin: ['left', 'right']clinical findings_fin: 'mild deviation of the trachea': 'clinical finding': 'mild deviation of the trachea'clinical findings_fin: 'hilar or mediastinal adenopathy': 'clinical finding': 'hilar or mediastinal adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'hilar or mediastinal', 'observation': 'adenopathy'anatomical entity_fin: 'heart': clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'location descriptor_fin: ['left']clinical findings_fin: 'small left renal hypodensity': 'clinical finding': 'small left renal hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'small left renal', 'observation': 'hypodensity', 'strength_term': 'small', 'cyst': 'clinical finding': 'cyst', 'existence': 'unc_dx', 'observation': 'cyst' [/INST] [RESP]

. No significant abnormality noted. There is heterogeneous enlargement of the left lobe of thyroid gland consistent with goiter. There is subsequent extension into the mediastinum and mild deviation of the trachea from left to right. There is no evidence of hilar or mediastinal adenopathy. Heart size is normal without evidence of pericardial effusion. Degenerative changes mid thoracic spine. Small left renal hypodensity, most likely representing a cyst [/RESP]</s>

. No significant abnormality noted. Thyroid nodule in the left lobe of thyroid gland, compatible with goiter. Mild deviation of the trachea to the right and left. No hilar or mediastinal adenopathy. Heart size is normal without pericardial effusion. Degenerative changes affecting the thoracolumbar spine. Small left renal hypodensity likely represents cyst. [/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: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'single intrauterine pregnancy': 'clinical finding': 'single intrauterine pregnancy', 'existence': 'pos_dx', 'descriptive_term': 'single intrauterine', 'observation': 'pregnancy', 'quantity_term': 'single'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Single intrauterine pregnancy. 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: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'single intrauterine pregnancy': 'clinical finding': 'single intrauterine pregnancy', 'existence': 'pos_dx', 'descriptive_term': 'single intrauterine', 'observation': 'pregnancy', 'quantity_term': 'single'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Single intrauterine pregnancy. 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 fetal heart is normal in size and contractility. There is no evidence of any significant abnormality. The uterus measures 10 cm in craniocaudal dimension, which is within normal limits. The ovaries are normal in size. The bladder contains approximately 250 ml of urine. The bowel contents are not well visualized. There is no mass or nodularity noted. There is no pneumobilia. There is no free fluid identified. There is no peritoneal thickening. There is no splenomegaly. There is no hepatomegaly. There is no adrenal enlargement. There is no lymphadenopathy. There is no bony pathologic lesion. There is no air-fluid level. There is no significant abnormality. The thyroid gland appears to be unremarkable. There is no significant abnormality. The liver parenchyma appears grossly unremarkable. The spleen appears grossly unremarkable. The kidneys appear grossly unremarkable. There is no renal papillary calcifications. There is no renal pelvis dilatation. There is no hydronephrosis. There is no scarring. There is no hilar or mediastinal lymphadenopathy. There is no cardiomegaly. There is no pericardial effusion. There is no pulmonary embolism. There is no pleural effusion. There is no pneumothorax. There is no axillary lymphadenopathy. There is no osseous pathological lesions. There is no significant abnormality. There is no significant abnormality. There is no significant abnormality. There is no significant abnormality. There is no significant abnormality. There is no 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: 'hypoattenuation': 'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'anatomical entity_fin: 'left superior frontal gyrus': clinical findings_fin: 'subtle hypodensity': 'clinical finding': 'subtle hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'subtle', 'observation': 'hypodensity', 'strength_term': 'subtle'clinical findings_fin: 'definite cortical infarction': 'clinical finding': 'definite cortical infarction', 'existence': 'neg_dx', 'descriptive_term': 'definite cortical', 'observation': 'infarction'clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage', 'mass lesion': 'clinical finding': 'mass lesion', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'lesion'clinical findings_fin: 'ventricle size is within normal limits': 'clinical finding': 'ventricle size is within normal limits'anatomical entity_fin: 'paranasal sinuses': clinical findings_fin: 'partial opacification': 'clinical finding': 'partial opacification', 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'opacification', 'strength_term': 'partial' [/INST] [RESP] Image quality is limited due to patient motion and image artifacts. There is an area of hypoattenuation in the left frontal white matter which is nonspecific. Subtle hypodensity is also noted in the subcortical white matter of the left superior frontal gyrus. No definite cortical infarction is identified. There is no evidence of intracranial hemorrhage or mass lesion. Ventricle size is within normal limits. Partial opacification is seen in paranasal sinuses. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['left']clinical findings_fin: 'hypoattenuation': 'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'anatomical entity_fin: 'left superior frontal gyrus': clinical findings_fin: 'subtle hypodensity': 'clinical finding': 'subtle hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'subtle', 'observation': 'hypodensity', 'strength_term': 'subtle'clinical findings_fin: 'definite cortical infarction': 'clinical finding': 'definite cortical infarction', 'existence': 'neg_dx', 'descriptive_term': 'definite cortical', 'observation': 'infarction'clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage', 'mass lesion': 'clinical finding': 'mass lesion', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'lesion'clinical findings_fin: 'ventricle size is within normal limits': 'clinical finding': 'ventricle size is within normal limits'anatomical entity_fin: 'paranasal sinuses': clinical findings_fin: 'partial opacification': 'clinical finding': 'partial opacification', 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'opacification', 'strength_term': 'partial' [/INST] [RESP]

Image quality is limited due to patient motion and image artifacts. There is an area of hypoattenuation in the left frontal white matter which is nonspecific. Subtle hypodensity is also noted in the subcortical white matter of the left superior frontal gyrus. No definite cortical infarction is identified. There is no evidence of intracranial hemorrhage or mass lesion. Ventricle size is within normal limits. Partial opacification is seen in paranasal sinuses. [/RESP]</s>

Hypoattenuation in the left parieto-occipital region, which was present on prior MRI examination. Hypoattenuation of the left superior frontal gyrus has increased since prior study and may represent subtle hypodensity. No definite cortical infarction is identified. There is no intracranial hemorrhage or mass lesion. The ventricle size is within normal limits. Partial opacification of the paranasal sinuses. [/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: 'mild left upper lobe atelectasis': 'clinical finding': 'mild left upper lobe atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'mild left upper lobe', 'observation': 'atelectasis', 'strength_term': 'mild', 'nodular opacities': 'clinical finding': 'nodular opacities', 'existence': 'pos_dx', 'descriptive_term': 'nodular', 'observation': 'opacity'anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'right upper lobe bronchial wall thickening': 'clinical finding': 'right upper lobe bronchial wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe bronchial wall', 'observation': 'thickening', 'bronchiectasis': 'clinical finding': 'bronchiectasis', 'existence': 'unc_dx', 'observation': 'bronchiectasis'anatomical entity_fin: 'lung': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'mild mosaic attenuation': 'clinical finding': 'mild mosaic attenuation', 'existence': 'pos_dx', 'descriptive_term': 'mild mosaic', 'observation': 'attenuation', 'strength_term': 'mild'anatomical entity_fin: 'lung': clinical findings_fin: 'multiple scattered lung nodules': 'clinical finding': 'multiple scattered lung nodules', 'existence': 'pos_dx', 'descriptive_term': 'multiple scattered lung', 'observation': 'nodule', 'quantity_term': 'multiple'anatomical entity_fin: 'middle': 'location descriptor': 'right', 'lobe': location descriptor_fin: ['right']clinical findings_fin: 'right middle lobe scarring': 'clinical finding': 'right middle lobe scarring', 'existence': 'pos_dx', 'descriptive_term': 'right middle lobe', 'observation': 'scarr'anatomical entity_fin: 'mediastinal lymph nodes': clinical findings_fin: 'multiple mediastinal lymph nodes': 'clinical finding': 'multiple mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple mediastinal lymph', 'observation': 'node', 'quantity_term': 'multiple'size_fin: ['size': '20 x 18 mm', 'size': '25 x 24 mm']location descriptor_fin: ['left']clinical findings_fin: 'left hilar mass': 'clinical finding': 'left hilar mass', 'existence': 'pos_dx', 'descriptive_term': 'left hilar', 'observation': 'mass'anatomical entity_fin: 'mitral valve': non-anatomical substance_fin: ['leads']object_fin: ['prosthesis']clinical findings_fin: 'mitral valve prosthesis and epicardial pacer leads again noted': 'clinical finding': 'mitral valve prosthesis and epicardial pacer leads again noted'clinical findings_fin: 'sternal wires': 'clinical finding': 'sternal wires', 'existence': 'pos_dx', 'descriptive_term': 'sternal', 'observation': 'wire'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'anatomical entity_fin: 'lobe': 'location descriptor': 'lateral right'location descriptor_fin: ['lateral', 'right']clinical findings_fin: 'lateral right lobe hepatic hypodensity': 'clinical finding': 'lateral right lobe hepatic hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'lateral right lobe hepatic', 'observation': 'hypodensity' [/INST] [RESP] . Mild left upper lobe atelectasis and nodular opacities are again noted, mildly decreased compared to the July 2011 study, but significantly decreased compared to April 2011. Right upper lobe bronchial wall thickening or bronchiectasis appears similar to the prior study. Mild mosaic attenuation in the right upper lung is present. Multiple scattered lung nodules are unchanged. Right middle lobe scarring also unchanged. Multiple mediastinal lymph nodes are again noted, somewhat less prominent in the prevascular or AP window regions compared to July 2011, but significantly decreased compared to April 2011. The left hilar mass is poorly defined, but appears decreased in size, now measuring 20 x 18 mm on image 42, series 3, previously 25 x 24 mm. Mitral valve prosthesis and epicardial pacer leads again noted. Sternal wires again noted. Absence of IV and enteric contrast material markedly limits sensitivity for abdominal pathology. Subcentimeter lateral right lobe hepatic hypodensity is unchanged. [/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: 'mild left upper lobe atelectasis': 'clinical finding': 'mild left upper lobe atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'mild left upper lobe', 'observation': 'atelectasis', 'strength_term': 'mild', 'nodular opacities': 'clinical finding': 'nodular opacities', 'existence': 'pos_dx', 'descriptive_term': 'nodular', 'observation': 'opacity'anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'right upper lobe bronchial wall thickening': 'clinical finding': 'right upper lobe bronchial wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe bronchial wall', 'observation': 'thickening', 'bronchiectasis': 'clinical finding': 'bronchiectasis', 'existence': 'unc_dx', 'observation': 'bronchiectasis'anatomical entity_fin: 'lung': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'mild mosaic attenuation': 'clinical finding': 'mild mosaic attenuation', 'existence': 'pos_dx', 'descriptive_term': 'mild mosaic', 'observation': 'attenuation', 'strength_term': 'mild'anatomical entity_fin: 'lung': clinical findings_fin: 'multiple scattered lung nodules': 'clinical finding': 'multiple scattered lung nodules', 'existence': 'pos_dx', 'descriptive_term': 'multiple scattered lung', 'observation': 'nodule', 'quantity_term': 'multiple'anatomical entity_fin: 'middle': 'location descriptor': 'right', 'lobe': location descriptor_fin: ['right']clinical findings_fin: 'right middle lobe scarring': 'clinical finding': 'right middle lobe scarring', 'existence': 'pos_dx', 'descriptive_term': 'right middle lobe', 'observation': 'scarr'anatomical entity_fin: 'mediastinal lymph nodes': clinical findings_fin: 'multiple mediastinal lymph nodes': 'clinical finding': 'multiple mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple mediastinal lymph', 'observation': 'node', 'quantity_term': 'multiple'size_fin: ['size': '20 x 18 mm', 'size': '25 x 24 mm']location descriptor_fin: ['left']clinical findings_fin: 'left hilar mass': 'clinical finding': 'left hilar mass', 'existence': 'pos_dx', 'descriptive_term': 'left hilar', 'observation': 'mass'anatomical entity_fin: 'mitral valve': non-anatomical substance_fin: ['leads']object_fin: ['prosthesis']clinical findings_fin: 'mitral valve prosthesis and epicardial pacer leads again noted': 'clinical finding': 'mitral valve prosthesis and epicardial pacer leads again noted'clinical findings_fin: 'sternal wires': 'clinical finding': 'sternal wires', 'existence': 'pos_dx', 'descriptive_term': 'sternal', 'observation': 'wire'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'anatomical entity_fin: 'lobe': 'location descriptor': 'lateral right'location descriptor_fin: ['lateral', 'right']clinical findings_fin: 'lateral right lobe hepatic hypodensity': 'clinical finding': 'lateral right lobe hepatic hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'lateral right lobe hepatic', 'observation': 'hypodensity' [/INST] [RESP]

. Mild left upper lobe atelectasis and nodular opacities are again noted, mildly decreased compared to the July 2011 study, but significantly decreased compared to April 2011. Right upper lobe bronchial wall thickening or bronchiectasis appears similar to the prior study. Mild mosaic attenuation in the right upper lung is present. Multiple scattered lung nodules are unchanged. Right middle lobe scarring also unchanged. Multiple mediastinal lymph nodes are again noted, somewhat less prominent in the prevascular or AP window regions compared to July 2011, but significantly decreased compared to April 2011. The left hilar mass is poorly defined, but appears decreased in size, now measuring 20 x 18 mm on image 42, series 3, previously 25 x 24 mm. Mitral valve prosthesis and epicardial pacer leads again noted. Sternal wires again noted. Absence of IV and enteric contrast material markedly limits sensitivity for abdominal pathology. Subcentimeter lateral right lobe hepatic hypodensity is unchanged. [/RESP]</s>

. Mild left upper lobe atelectasis with nodular opacities. The right upper lobe has bronchiolar wall thickening, bronchiectasis and bronchiolectasis. There is mild mosaic attenuation in the right upper lung. Multiple scattered lung nodules are present. Right middle lobe scarring. Multiple mediastinal lymph nodes are seen. Left hilar mass measures up to 20 x 18 mm, previously 25 x 24 mm. Mitral valve prosthesis and epicardial pacer leads again noted. Sternal wires are identified. Absence of IV and enteric contrast material markedly limits sensitivity for abdominal pathology. Lateral right lobe hepatic hypodensity is unchanged. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'bilateral lower'location descriptor_fin: ['bilateral', 'lower']clinical findings_fin: 'bilateral lower lobe dependent streaky opacities': 'clinical finding': 'bilateral lower lobe dependent streaky opacities', 'existence': 'pos_dx', 'descriptive_term': 'bilateral lower lobe dependent streaky', 'observation': 'opacity', 'atelectasis': 'clinical finding': 'atelectasis', 'existence': 'unc_dx', 'observation': 'atelectasis'anatomical entity_fin: 'thoracic inlet': , 'carina': clinical findings_fin: 'mediastinal or hilar lymphadenopathy': 'clinical finding': 'mediastinal or hilar lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'anatomical entity_fin: 'axillary lymph nodes': location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral subcentimeter axillary lymph nodes': 'clinical finding': 'bilateral subcentimeter axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'bilateral subcentimeter axillary lymph', 'observation': 'node'anatomical entity_fin: 'liver': clinical findings_fin: 'normal appearance of the liver': 'clinical finding': 'normal appearance of the liver'clinical findings_fin: 'focal hepatic lesion': 'clinical finding': 'focal hepatic lesion', 'existence': 'neg_dx', 'descriptive_term': 'focal hepatic', 'observation': 'lesion'clinical findings_fin: 'biliary ductal dilatation': 'clinical finding': 'biliary ductal dilatation', 'existence': 'neg_dx', 'descriptive_term': 'biliary ductal', 'observation': 'dilatation'anatomical entity_fin: 'spleen': clinical findings_fin: 'normal appearance of the spleen': 'clinical finding': 'normal appearance of the spleen'anatomical entity_fin: 'pancreas': clinical findings_fin: 'normal appearance of the pancreas': 'clinical finding': 'normal appearance of the pancreas'anatomical entity_fin: 'adrenal glands': clinical findings_fin: 'normal appearance of the adrenal glands': 'clinical finding': 'normal appearance of the adrenal glands'anatomical entity_fin: 'kidneys': clinical findings_fin: 'normal appearance of the kidneys': 'clinical finding': 'normal appearance of the kidneys'clinical findings_fin: 'focal renal lesion': 'clinical finding': 'focal renal lesion', 'existence': 'neg_dx', 'descriptive_term': 'focal renal', 'observation': 'lesion'clinical findings_fin: 'retroperitoneal lymphadenopathy': 'clinical finding': 'retroperitoneal lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'retroperitoneal', 'observation': 'lymphadenopathy'anatomical entity_fin: 'bowel': clinical findings_fin: 'normal caliber of the bowel': 'clinical finding': 'normal caliber of the bowel'anatomical entity_fin: 'stomach': object_fin: ['tube']clinical findings_fin: 'normal appearance of the bones': 'clinical finding': 'normal appearance of the bones'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'prostate': clinical findings_fin: 'normal appearance of the prostate': 'clinical finding': 'normal appearance of the prostate'anatomical entity_fin: 'bladder': clinical findings_fin: 'markedly distended': 'clinical finding': 'markedly distended', 'existence': 'pos_dx', 'descriptive_term': 'markedly', 'observation': 'distended'clinical findings_fin: 'pelvic lymphadenopathy': 'clinical finding': 'pelvic lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'pelvic', 'observation': 'lymphadenopathy'anatomical entity_fin: 'bowel': clinical findings_fin: 'normal caliber of the bowel': 'clinical finding': 'normal caliber of the bowel'clinical findings_fin: 'normal appearance of the bones': 'clinical finding': 'normal appearance of the bones'clinical findings_fin: 'trace free fluid': 'clinical finding': 'trace free fluid', 'existence': 'pos_dx', 'descriptive_term': 'trace free', 'observation': 'fluid' [/INST] [RESP] . Bilateral lower lobe dependent streaky opacities, likely representing atelectasis. ETT tip is below the thoracic inlet and above the carina. No mediastinal or hilar lymphadenopathy. Bilateral subcentimeter axillary lymph nodes. Normal appearance of the liver. No focal hepatic lesion. No biliary ductal dilatation. Normal appearance of the spleen. Normal appearance of the pancreas. Normal appearance of the adrenal glands. Normal appearance of the kidneys. No focal renal lesion. No retroperitoneal lymphadenopathy. Normal caliber of the bowel. NG tube tip terminates in the stomach. Normal appearance of the bones. No significant abnormality noted. Normal appearance of the prostate. Markedly distended bladder. No pelvic lymphadenopathy. Normal caliber of the bowel. Normal appearance of the bones. Trace free fluid. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'bilateral lower'location descriptor_fin: ['bilateral', 'lower']clinical findings_fin: 'bilateral lower lobe dependent streaky opacities': 'clinical finding': 'bilateral lower lobe dependent streaky opacities', 'existence': 'pos_dx', 'descriptive_term': 'bilateral lower lobe dependent streaky', 'observation': 'opacity', 'atelectasis': 'clinical finding': 'atelectasis', 'existence': 'unc_dx', 'observation': 'atelectasis'anatomical entity_fin: 'thoracic inlet': , 'carina': clinical findings_fin: 'mediastinal or hilar lymphadenopathy': 'clinical finding': 'mediastinal or hilar lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'anatomical entity_fin: 'axillary lymph nodes': location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral subcentimeter axillary lymph nodes': 'clinical finding': 'bilateral subcentimeter axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'bilateral subcentimeter axillary lymph', 'observation': 'node'anatomical entity_fin: 'liver': clinical findings_fin: 'normal appearance of the liver': 'clinical finding': 'normal appearance of the liver'clinical findings_fin: 'focal hepatic lesion': 'clinical finding': 'focal hepatic lesion', 'existence': 'neg_dx', 'descriptive_term': 'focal hepatic', 'observation': 'lesion'clinical findings_fin: 'biliary ductal dilatation': 'clinical finding': 'biliary ductal dilatation', 'existence': 'neg_dx', 'descriptive_term': 'biliary ductal', 'observation': 'dilatation'anatomical entity_fin: 'spleen': clinical findings_fin: 'normal appearance of the spleen': 'clinical finding': 'normal appearance of the spleen'anatomical entity_fin: 'pancreas': clinical findings_fin: 'normal appearance of the pancreas': 'clinical finding': 'normal appearance of the pancreas'anatomical entity_fin: 'adrenal glands': clinical findings_fin: 'normal appearance of the adrenal glands': 'clinical finding': 'normal appearance of the adrenal glands'anatomical entity_fin: 'kidneys': clinical findings_fin: 'normal appearance of the kidneys': 'clinical finding': 'normal appearance of the kidneys'clinical findings_fin: 'focal renal lesion': 'clinical finding': 'focal renal lesion', 'existence': 'neg_dx', 'descriptive_term': 'focal renal', 'observation': 'lesion'clinical findings_fin: 'retroperitoneal lymphadenopathy': 'clinical finding': 'retroperitoneal lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'retroperitoneal', 'observation': 'lymphadenopathy'anatomical entity_fin: 'bowel': clinical findings_fin: 'normal caliber of the bowel': 'clinical finding': 'normal caliber of the bowel'anatomical entity_fin: 'stomach': object_fin: ['tube']clinical findings_fin: 'normal appearance of the bones': 'clinical finding': 'normal appearance of the bones'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'prostate': clinical findings_fin: 'normal appearance of the prostate': 'clinical finding': 'normal appearance of the prostate'anatomical entity_fin: 'bladder': clinical findings_fin: 'markedly distended': 'clinical finding': 'markedly distended', 'existence': 'pos_dx', 'descriptive_term': 'markedly', 'observation': 'distended'clinical findings_fin: 'pelvic lymphadenopathy': 'clinical finding': 'pelvic lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'pelvic', 'observation': 'lymphadenopathy'anatomical entity_fin: 'bowel': clinical findings_fin: 'normal caliber of the bowel': 'clinical finding': 'normal caliber of the bowel'clinical findings_fin: 'normal appearance of the bones': 'clinical finding': 'normal appearance of the bones'clinical findings_fin: 'trace free fluid': 'clinical finding': 'trace free fluid', 'existence': 'pos_dx', 'descriptive_term': 'trace free', 'observation': 'fluid' [/INST] [RESP]

. Bilateral lower lobe dependent streaky opacities, likely representing atelectasis. ETT tip is below the thoracic inlet and above the carina. No mediastinal or hilar lymphadenopathy. Bilateral subcentimeter axillary lymph nodes. Normal appearance of the liver. No focal hepatic lesion. No biliary ductal dilatation. Normal appearance of the spleen. Normal appearance of the pancreas. Normal appearance of the adrenal glands. Normal appearance of the kidneys. No focal renal lesion. No retroperitoneal lymphadenopathy. Normal caliber of the bowel. NG tube tip terminates in the stomach. Normal appearance of the bones. No significant abnormality noted. Normal appearance of the prostate. Markedly distended bladder. No pelvic lymphadenopathy. Normal caliber of the bowel. Normal appearance of the bones. Trace free fluid. [/RESP]</s>

. Bilateral lower lobe dependent streaky opacities compatible with atelectasis.[/RESP]. No mediastinal or hilar lymphadenopathy is seen at the thoracic inlet and carina. Bilateral subcentimeter axillary lymph nodes are noted. Normal appearance of the liver. No focal hepatic lesion is identified. No evidence of biliary ductal dilatation. Normal appearance of the spleen. Normal appearance of the pancreas. Normal appearance of the adrenal glands. Normal appearance of the kidneys. No focal renal lesion is identified. No retroperitoneal lymphadenopathy is present. Normal caliber of the bowel. Tube within stomach. No significant abnormality noted. Normal appearance of the prostate. Markedly distended bladder. No pelvic lymphadenopathy is identified. Normal caliber of the bowel. Normal appearance of the bones. Trace free fluid noted. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower', 'subsegmental']clinical findings_fin: 'lower lobe subsegmental consolidation': 'clinical finding': 'lower lobe subsegmental consolidation', 'existence': 'pos_dx', 'descriptive_term': 'lower lobe subsegmental', 'observation': 'consolidation', 'atelectasis': 'clinical finding': 'atelectasis', 'existence': 'pos_dx', 'observation': 'atelectasis'clinical findings_fin: 'this is new compared': 'clinical finding': 'this is new compared'clinical findings_fin: 'other pleural or pulmonary abnormalities': 'clinical finding': 'other pleural or pulmonary abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'other pleural or pulmonary', 'observation': 'abnormality'location descriptor_fin: ['right']clinical findings_fin: 'new small right pleural effusion': 'clinical finding': 'new small right pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'new small right pleural', 'observation': 'effusion', 'strength_term': 'small', 'temporal_term': 'new'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '17 x 9 mm', 'size_descriptor': 'node']anatomical entity_fin: 'axillary lymph node': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: '17 x 9 mm left axillary lymph node': 'clinical finding': '17 x 9 mm left axillary lymph node', 'existence': 'pos_dx', 'descriptive_term': '17 x 9 mm left axillary lymph', 'observation': 'node'anatomical entity_fin: 'chest wall': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'unchanged': 'clinical finding': 'unchanged', 'existence': 'pos_dx', 'observation': 'unchanged', 'skin thickening': 'clinical finding': 'skin thickening', 'existence': 'pos_dx', 'descriptive_term': 'skin', 'observation': 'thickening'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'bowel': clinical findings_fin: 'contrast': 'clinical finding': 'contrast', 'existence': 'neg_dx', 'observation': 'contrast'anatomical entity_fin: 'bowel': location descriptor_fin: ['left']clinical findings_fin: 'some thickening': 'clinical finding': 'some thickening', 'existence': 'pos_dx', 'descriptive_term': 'some', 'observation': 'thickening', 'quantity_term': 'some'imaging observation_fin: ['fat']clinical findings_fin: 'minimal mesenteric fat stranding': 'clinical finding': 'minimal mesenteric fat stranding', 'existence': 'pos_dx', 'descriptive_term': 'minimal mesenteric fat', 'observation': 'strand', 'strength_term': 'minimal', 'quantity_term': 'minimal'clinical findings_fin: 'anasarca': 'clinical finding': 'anasarca', 'existence': 'unc_dx', 'observation': 'anasarca', 'subcutaneous edema': 'clinical finding': 'subcutaneous edema', 'existence': 'unc_dx', 'descriptive_term': 'subcutaneous', 'observation': 'edema'clinical findings_fin: 'gvhd': 'clinical finding': 'gvhd', 'existence': 'unc_dx', 'observation': 'gvhd'anatomical entity_fin: 'bowel': , 'graft': clinical findings_fin: 'bowel wall thickening': 'clinical finding': 'bowel wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'bowel wall', 'observation': 'thickening', 'graft-versus-host disease': 'clinical finding': 'graft-versus-host disease', 'existence': 'pos_dx', 'descriptive_term': 'graft-versus-host', 'observation': 'disease'anatomical entity_fin: 'pelvis': clinical findings_fin: 'not imaged on this examination': 'clinical finding': 'not imaged on this examination'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Right lower lobe subsegmental consolidation likely represents atelectasis. This is new compared with prior examination. No other pleural or pulmonary abnormalities. There is also a new small right pleural effusion. No significant abnormality noted. 17 x 9 mm left axillary lymph node is unchanged. Unchanged skin thickening over the left chest wall. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Without contrast, evaluation of the bowel is limited. However, there appears to be some thickening of loops of small bowel in the left hemiabdomen. There is also minimal mesenteric fat stranding. This is likely due to anasarca considering there is subcutaneous edema as well. However, this finding is also seen in GVHD. Bowel wall thickening is generally diffuse in graft-versus-host disease. The pelvis is not imaged on this examination. As above. No significant abnormality noted [/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'location descriptor_fin: ['right', 'lower', 'subsegmental']clinical findings_fin: 'lower lobe subsegmental consolidation': 'clinical finding': 'lower lobe subsegmental consolidation', 'existence': 'pos_dx', 'descriptive_term': 'lower lobe subsegmental', 'observation': 'consolidation', 'atelectasis': 'clinical finding': 'atelectasis', 'existence': 'pos_dx', 'observation': 'atelectasis'clinical findings_fin: 'this is new compared': 'clinical finding': 'this is new compared'clinical findings_fin: 'other pleural or pulmonary abnormalities': 'clinical finding': 'other pleural or pulmonary abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'other pleural or pulmonary', 'observation': 'abnormality'location descriptor_fin: ['right']clinical findings_fin: 'new small right pleural effusion': 'clinical finding': 'new small right pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'new small right pleural', 'observation': 'effusion', 'strength_term': 'small', 'temporal_term': 'new'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '17 x 9 mm', 'size_descriptor': 'node']anatomical entity_fin: 'axillary lymph node': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: '17 x 9 mm left axillary lymph node': 'clinical finding': '17 x 9 mm left axillary lymph node', 'existence': 'pos_dx', 'descriptive_term': '17 x 9 mm left axillary lymph', 'observation': 'node'anatomical entity_fin: 'chest wall': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'unchanged': 'clinical finding': 'unchanged', 'existence': 'pos_dx', 'observation': 'unchanged', 'skin thickening': 'clinical finding': 'skin thickening', 'existence': 'pos_dx', 'descriptive_term': 'skin', 'observation': 'thickening'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'bowel': clinical findings_fin: 'contrast': 'clinical finding': 'contrast', 'existence': 'neg_dx', 'observation': 'contrast'anatomical entity_fin: 'bowel': location descriptor_fin: ['left']clinical findings_fin: 'some thickening': 'clinical finding': 'some thickening', 'existence': 'pos_dx', 'descriptive_term': 'some', 'observation': 'thickening', 'quantity_term': 'some'imaging observation_fin: ['fat']clinical findings_fin: 'minimal mesenteric fat stranding': 'clinical finding': 'minimal mesenteric fat stranding', 'existence': 'pos_dx', 'descriptive_term': 'minimal mesenteric fat', 'observation': 'strand', 'strength_term': 'minimal', 'quantity_term': 'minimal'clinical findings_fin: 'anasarca': 'clinical finding': 'anasarca', 'existence': 'unc_dx', 'observation': 'anasarca', 'subcutaneous edema': 'clinical finding': 'subcutaneous edema', 'existence': 'unc_dx', 'descriptive_term': 'subcutaneous', 'observation': 'edema'clinical findings_fin: 'gvhd': 'clinical finding': 'gvhd', 'existence': 'unc_dx', 'observation': 'gvhd'anatomical entity_fin: 'bowel': , 'graft': clinical findings_fin: 'bowel wall thickening': 'clinical finding': 'bowel wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'bowel wall', 'observation': 'thickening', 'graft-versus-host disease': 'clinical finding': 'graft-versus-host disease', 'existence': 'pos_dx', 'descriptive_term': 'graft-versus-host', 'observation': 'disease'anatomical entity_fin: 'pelvis': clinical findings_fin: 'not imaged on this examination': 'clinical finding': 'not imaged on this examination'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP]

. Right lower lobe subsegmental consolidation likely represents atelectasis. This is new compared with prior examination. No other pleural or pulmonary abnormalities. There is also a new small right pleural effusion. No significant abnormality noted. 17 x 9 mm left axillary lymph node is unchanged. Unchanged skin thickening over the left chest wall. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Without contrast, evaluation of the bowel is limited. However, there appears to be some thickening of loops of small bowel in the left hemiabdomen. There is also minimal mesenteric fat stranding. This is likely due to anasarca considering there is subcutaneous edema as well. However, this finding is also seen in GVHD. Bowel wall thickening is generally diffuse in graft-versus-host disease. The pelvis is not imaged on this examination. As above. No significant abnormality noted [/RESP]</s>

. Lower lobe subsegmental consolidation and atelectasis.[/RESP] This is new compared to prior study. No other pleural or pulmonary abnormalities are identified. New small right pleural effusion. The size of the right pleural effusion has increased since prior study. There is no significant abnormality noted. Please refer to CT chest from 2014 for further details. Left axillary lymph node measures 17 x 9 mm, unchanged. Unchanged skin thickening in the left chest wall. No significant abnormality noted. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No bowel contrast material. Some thickening of the left colon. Minimal mesenteric fat stranding. Ascites. Anasarca. Subcutaneous edema. GVHD. Bowel wall thickening compatible with graft versus host disease. Pelvic structures not imaged on this examination. No significant abnormality. [/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: 'calvarium and skull base are radiographically normal': 'clinical finding': 'calvarium and skull base are radiographically normal'anatomical entity_fin: 'mucus': , 'maxillary sinus': 'location descriptor': 'left'location descriptor_fin: ['inferior', 'left']clinical findings_fin: 'mucus retention cyst': 'clinical finding': 'mucus retention cyst', 'existence': 'pos_dx', 'descriptive_term': 'mucus retention', 'observation': 'cyst' [/INST] [RESP] There is no evidence of intracranial hemorrhage, mass or edema. The ventricles and basal cisterns are normal in size and configuration. The calvarium and skull base are radiographically normal. There is a mucus retention cyst within the inferior aspect of the left maxillary sinus. [/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: 'calvarium and skull base are radiographically normal': 'clinical finding': 'calvarium and skull base are radiographically normal'anatomical entity_fin: 'mucus': , 'maxillary sinus': 'location descriptor': 'left'location descriptor_fin: ['inferior', 'left']clinical findings_fin: 'mucus retention cyst': 'clinical finding': 'mucus retention cyst', 'existence': 'pos_dx', 'descriptive_term': 'mucus retention', 'observation': 'cyst' [/INST] [RESP]

There is no evidence of intracranial hemorrhage, mass or edema. The ventricles and basal cisterns are normal in size and configuration. The calvarium and skull base are radiographically normal. There is a mucus retention cyst within the inferior aspect of the left maxillary sinus. [/RESP]</s>

There is no evidence of intracranial hemorrhage, mass or edema. The ventricles and basal cisterns are normal in size and configuration. The calvarium and skull base are radiographically normal. There is a mucus retention cyst within the left maxillary sinus inferior to the ostium. [/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: 'renal or ureteral stones': 'clinical finding': 'renal or ureteral stones', 'existence': 'neg_dx', 'descriptive_term': 'renal or ureteral', 'observation': 'stone'clinical findings_fin: 'hydronephrosis': 'clinical finding': 'hydronephrosis', 'existence': 'neg_dx', 'observation': 'hydronephrosis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'pelvic lymphadenopathy': 'clinical finding': 'pelvic lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'pelvic', 'observation': 'lymphadenopathy'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No evidence of renal or ureteral stones. No hydronephrosis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No pelvic lymphadenopathy 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: 'renal or ureteral stones': 'clinical finding': 'renal or ureteral stones', 'existence': 'neg_dx', 'descriptive_term': 'renal or ureteral', 'observation': 'stone'clinical findings_fin: 'hydronephrosis': 'clinical finding': 'hydronephrosis', 'existence': 'neg_dx', 'observation': 'hydronephrosis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'pelvic lymphadenopathy': 'clinical finding': 'pelvic lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'pelvic', 'observation': 'lymphadenopathy'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP]

. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No evidence of renal or ureteral stones. No hydronephrosis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No pelvic lymphadenopathy noted. No significant abnormality noted. No significant abnormality noted. [/RESP]</s>

. No significant abnormality. The renal artery is not identified. There are no significant abnormalities noted. The hepatic vasculature is normal in caliber and course. The portal veins are patent. The splenic vessels are patent. The IVC is normal in caliber and course. The Aorta is normal in caliber and course. The renal parenchyma appears normal without evidence of any focal lesion. The renal sinus, renal pelvis, and bladder appear normal. The urinary tract demonstrates normal contrast opacification with no evidence of hydronephrosis. The kidneys demonstrate normal size and configuration without evidence of any significant abnormality. The renal vasculature is normal in caliber and course. The renal parenchymal vasculature is normal in caliber and course. The renal hila are normal in appearance. The renal sinuses are clear. The renal pelves are normally dilated. The bladder wall is normal in thickness. The bladder contents are normal. The prostate gland is normal in size and morphology. The seminal vesicles are normal in size and morphology. The testes are normal in size and morphology. The scrotum is normal in appearance. The retroperitoneum is normal in density. The perinephric fat is normal in density. The renal capsules are normal in thickness. The renal parenchyma is normal in density. The renal vasculature is normal in caliber and course. The renal hilas are normal in appearance. The renal sinuses are clear. The renal pelves are normally dilated. The bladder wall is normal in thickness. The bladder contents are normal. The prostate gland is normal in size and morphology. The seminal vesicles are normal in size and morphology. The testes are normal in size and morphology. The scrotum is normal in appearance. The retroperitoneum is normal in density. The perinephric fat is normal in density. The renal capsules are normal in thickness. The renal parenchyma is normal in density. The renal vasculature is normal in caliber and course. The renal hilas are normal in appearance. The renal sinuses are clear. The renal pelves are normally dilated. The bladder wall is normal in thickness. The bladder contents are normal. The prostate gland is normal in size and morphology. The seminal vesicles are normal in size and morphology. The testes are normal in size and morphology. The scrotum is normal in appearance. The retroperitoneum is normal in density. The perinephric fat is normal in density. The renal capsules are normal in thickness. The renal parenchyma is normal in density. The renal vasculature is normal in caliber and course. The renal hilas are normal in appearance. The renal sinuses are clear. The renal pelves are normally dilated. The bladder wall is normal in thickness. The bladder contents are normal. The prostate gland is normal in size and morphology. The seminal vesicles are normal in size and morphology. The testes are normal in size and morphology. The scrotum is normal in appearance. The retroperitoneum is normal in density. The perinephric fat is normal in density. The renal capsules are normal in thickness. The renal parenchyma is normal in density. The renal vasculature is normal in caliber and course. The renal hilas are normal in appearance. The renal sinuses are clear. The renal pelves are normally dilated. The bladder wall is normal in thickness. The bladder contents are normal. The prostate gland is normal in size and morphology. The seminal vesicles are normal in size and morphology. The testes are normal in size and morphology. The scrotum is normal in appearance. The retroperitoneum is normal in density. The perinephric fat is normal in density. The renal capsules are normal in thickness. The renal parenchyma is normal in density. The renal vasculature is normal in caliber and course. The renal hilas are normal in appearance. The renal sinuses are clear. The renal pelves are normally dilated. The bladder wall is normal in thickness. The bladder contents are normal. The prostate gland is normal in size and morphology. The seminal vesicles are normal in size and morphology. The testes are normal in size and morphology. The scrotum is normal in appearance. The retroperitoneum is normal in density. The perinephric fat is

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'pe': 'clinical finding': 'pe', 'existence': 'neg_dx', 'observation': 'pe'anatomical entity_fin: 'main pulmonary artery': , 'pulmonary artery': clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged', 'pulmonary artery hypertension': 'clinical finding': 'pulmonary artery hypertension', 'existence': 'unc_dx', 'descriptive_term': 'pulmonary artery', 'observation': 'hypertension'location descriptor_fin: ['bilateral']clinical findings_fin: 'moderate bilateral pleural effusions': 'clinical finding': 'moderate bilateral pleural effusions', 'existence': 'pos_dx', 'descriptive_term': 'moderate bilateral pleural', 'observation': 'effusion', 'strength_term': 'moderate'anatomical entity_fin: 'lobe': 'location descriptor': 'right upper', 'lingula': location descriptor_fin: ['right', 'upper']clinical findings_fin: 'groundglass opacities': 'clinical finding': 'groundglass opacities', 'existence': 'pos_dx', 'descriptive_term': 'groundglass', 'observation': 'opacity', 'consolidation': 'clinical finding': 'consolidation', 'existence': 'pos_dx', 'observation': 'consolidation', 'infection': 'clinical finding': 'infection', 'existence': 'pos_dx', 'observation': 'infection'clinical findings_fin: 'basilar compressive atelectasis': 'clinical finding': 'basilar compressive atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'basilar compressive', 'observation': 'atelectasis'anatomical entity_fin: 'mediastinal lymph nodes': clinical findings_fin: 'mildly enlarged mediastinal lymph nodes': 'clinical finding': 'mildly enlarged mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly enlarged mediastinal lymph', 'observation': 'node', 'strength_term': 'mildly - enlarged', 'change_term': 'enlarged'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . No PE. Main pulmonary artery is mildly enlarged suggesting pulmonary artery hypertension. Moderate bilateral pleural effusions. Patchy areas of groundglass opacities and consolidation in the right upper lobe and lingula, consistent with infection. Basilar compressive atelectasis. Mildly enlarged mediastinal lymph nodes, which may be reactive. None. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'pe': 'clinical finding': 'pe', 'existence': 'neg_dx', 'observation': 'pe'anatomical entity_fin: 'main pulmonary artery': , 'pulmonary artery': clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged', 'pulmonary artery hypertension': 'clinical finding': 'pulmonary artery hypertension', 'existence': 'unc_dx', 'descriptive_term': 'pulmonary artery', 'observation': 'hypertension'location descriptor_fin: ['bilateral']clinical findings_fin: 'moderate bilateral pleural effusions': 'clinical finding': 'moderate bilateral pleural effusions', 'existence': 'pos_dx', 'descriptive_term': 'moderate bilateral pleural', 'observation': 'effusion', 'strength_term': 'moderate'anatomical entity_fin: 'lobe': 'location descriptor': 'right upper', 'lingula': location descriptor_fin: ['right', 'upper']clinical findings_fin: 'groundglass opacities': 'clinical finding': 'groundglass opacities', 'existence': 'pos_dx', 'descriptive_term': 'groundglass', 'observation': 'opacity', 'consolidation': 'clinical finding': 'consolidation', 'existence': 'pos_dx', 'observation': 'consolidation', 'infection': 'clinical finding': 'infection', 'existence': 'pos_dx', 'observation': 'infection'clinical findings_fin: 'basilar compressive atelectasis': 'clinical finding': 'basilar compressive atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'basilar compressive', 'observation': 'atelectasis'anatomical entity_fin: 'mediastinal lymph nodes': clinical findings_fin: 'mildly enlarged mediastinal lymph nodes': 'clinical finding': 'mildly enlarged mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly enlarged mediastinal lymph', 'observation': 'node', 'strength_term': 'mildly - enlarged', 'change_term': 'enlarged'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP]

. No PE. Main pulmonary artery is mildly enlarged suggesting pulmonary artery hypertension. Moderate bilateral pleural effusions. Patchy areas of groundglass opacities and consolidation in the right upper lobe and lingula, consistent with infection. Basilar compressive atelectasis. Mildly enlarged mediastinal lymph nodes, which may be reactive. None. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. [/RESP]</s>

. Technically adequate examination. The main pulmonary arteries are normal in caliber. There is no evidence of PE. The main pulmonary artery and its branches are enlarged, suggestive of pulmonary artery hypertension. Moderate bilateral pleural effusions. Groundglass opacities in the right upper lobe with consolidation involving the lingula consistent with infection. Basilar compressive atelectasis. Mildly enlarged mediastinal lymph nodes. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. [/RESP]