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<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['right']clinical findings_fin: 'small diffuse hyperdense focus': 'clinical finding': 'small diffuse hyperdense focus', 'existence': 'pos_dx', 'descriptive_term': 'small diffuse hyperdense', 'observation': 'focus', 'strength_term': 'small', 'right sylvian fissure': 'clinical finding': 'right sylvian fissure', 'existence': 'pos_dx', 'descriptive_term': 'right sylvian', 'observation': 'fissure', 'small subarachnoid hemorrhage': 'clinical finding': 'small subarachnoid hemorrhage', 'existence': 'pos_dx', 'descriptive_term': 'small subarachnoid', 'observation': 'hemorrhage', 'strength_term': 'small'anatomical entity_fin: 'perimesencephalic cistern': 'location descriptor': 'left'imaging observation_fin: ['foci']location descriptor_fin: ['left']clinical findings_fin: 'minimal hyperdense foci': 'clinical finding': 'minimal hyperdense foci', 'existence': 'pos_dx', 'descriptive_term': 'minimal hyperdense', 'observation': 'foci', 'strength_term': 'minimal', 'quantity_term': 'minimal', 'left sylvian fissure': 'clinical finding': 'left sylvian fissure', 'existence': 'pos_dx', 'descriptive_term': 'left sylvian', 'observation': 'fissure', 'subarachnoid hemorrhage': 'clinical finding': 'subarachnoid hemorrhage', 'existence': 'pos_dx', 'descriptive_term': 'subarachnoid', 'observation': 'hemorrhage'clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass', 'significant parenchymal edema': 'clinical finding': 'significant parenchymal edema', 'existence': 'neg_dx', 'descriptive_term': 'significant parenchymal', 'observation': 'edema'imaging observation_fin: ['blood']clinical findings_fin: 'parenchymal hemorrhage': 'clinical finding': 'parenchymal hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'parenchymal', 'observation': 'hemorrhage', 'ventricular blood': 'clinical finding': 'ventricular blood', 'existence': 'neg_dx', 'descriptive_term': 'ventricular', 'observation': 'blood', 'extracranial bleed': 'clinical finding': 'extracranial bleed', 'existence': 'neg_dx', 'descriptive_term': 'extracranial', 'observation': 'bleed'clinical findings_fin: 'ventricles and basal cisterns are normal in size and configuration': 'clinical finding': 'ventricles and basal cisterns are normal in size and configuration'anatomical entity_fin: 'skull': , 'base': clinical findings_fin: 'calvaria and skull base are radiographically normal': 'clinical finding': 'calvaria and skull base are radiographically normal'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'clinical findings_fin: 'maxillofacial': 'clinical finding': 'maxillofacial', 'existence': 'pos_dx', 'observation': 'maxillofacial'anatomical entity_fin: 'wall': 'location descriptor': 'anterior', 'maxillary sinus': 'location descriptor': 'right', 'nasolacrimal duct': , 'base': , 'nasal bone': 'location descriptor': 'right'location descriptor_fin: ['anterior', 'right']clinical findings_fin: 'nondisplaced linear fracture': 'clinical finding': 'nondisplaced linear fracture', 'existence': 'pos_dx', 'descriptive_term': 'nondisplaced linear', 'observation': 'fracture'location descriptor_fin: ['right']clinical findings_fin: 'periapical abscess': 'clinical finding': 'periapical abscess', 'existence': 'unc_dx', 'descriptive_term': 'periapical', 'observation': 'abscess'anatomical entity_fin: 'maxillary sinus': 'location descriptor': 'right', 'ostiomeatal unit': location descriptor_fin: ['left', 'right']clinical findings_fin: 'left maxillary incisor': 'clinical finding': 'left maxillary incisor', 'existence': 'pos_dx', 'descriptive_term': 'left maxillary', 'observation': 'incisor', 'periapical abscess': 'clinical finding': 'periapical abscess', 'existence': 'unc_dx', 'descriptive_term': 'periapical', 'observation': 'abscess', 'slight mucosal thickening': 'clinical finding': 'slight mucosal thickening', 'existence': 'unc_dx', 'descriptive_term': 'slight mucosal', 'observation': 'thickening', 'obstruction': 'clinical finding': 'obstruction', 'existence': 'pos_dx', 'observation': 'obstruction', 'chronic sinus disease': 'clinical finding': 'chronic sinus disease', 'existence': 'unc_dx', 'descriptive_term': 'chronic sinus', 'observation': 'disease', 'temporal_term': 'chronic' [/INST] [RESP] Brain. Small diffuse hyperdense focus in the right sylvian fissure, consistent with a small subarachnoid hemorrhage. In addition, there are minimal hyperdense foci in the left sylvian fissure and left perimesencephalic cistern consistent with the subarachnoid hemorrhage. No evidence of mass or significant parenchymal edema. No evidence of parenchymal hemorrhage, ventricular blood, or extracranial bleed. The ventricles and basal cisterns are normal in size and configuration. The calvaria and skull base are radiographically normal. Limited views of the paranasal sinuses and mastoid air cells are normally pneumatized. Maxillofacial. There is a nondisplaced linear fracture of the anterior wall of right maxillary sinus extending to the nasolacrimal duct and the base of the right nasal bone. There is a periapical lucency in the mandibular right molar, concerning for periapical abscess. In addition, in the left maxillary incisor, there is also likely a periapical abscess Slight mucosal thickening in the right maxillary sinus with obstruction of the right maxillary ostiomeatal unit, likely due to chronic sinus disease. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['right']clinical findings_fin: 'small diffuse hyperdense focus': 'clinical finding': 'small diffuse hyperdense focus', 'existence': 'pos_dx', 'descriptive_term': 'small diffuse hyperdense', 'observation': 'focus', 'strength_term': 'small', 'right sylvian fissure': 'clinical finding': 'right sylvian fissure', 'existence': 'pos_dx', 'descriptive_term': 'right sylvian', 'observation': 'fissure', 'small subarachnoid hemorrhage': 'clinical finding': 'small subarachnoid hemorrhage', 'existence': 'pos_dx', 'descriptive_term': 'small subarachnoid', 'observation': 'hemorrhage', 'strength_term': 'small'anatomical entity_fin: 'perimesencephalic cistern': 'location descriptor': 'left'imaging observation_fin: ['foci']location descriptor_fin: ['left']clinical findings_fin: 'minimal hyperdense foci': 'clinical finding': 'minimal hyperdense foci', 'existence': 'pos_dx', 'descriptive_term': 'minimal hyperdense', 'observation': 'foci', 'strength_term': 'minimal', 'quantity_term': 'minimal', 'left sylvian fissure': 'clinical finding': 'left sylvian fissure', 'existence': 'pos_dx', 'descriptive_term': 'left sylvian', 'observation': 'fissure', 'subarachnoid hemorrhage': 'clinical finding': 'subarachnoid hemorrhage', 'existence': 'pos_dx', 'descriptive_term': 'subarachnoid', 'observation': 'hemorrhage'clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass', 'significant parenchymal edema': 'clinical finding': 'significant parenchymal edema', 'existence': 'neg_dx', 'descriptive_term': 'significant parenchymal', 'observation': 'edema'imaging observation_fin: ['blood']clinical findings_fin: 'parenchymal hemorrhage': 'clinical finding': 'parenchymal hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'parenchymal', 'observation': 'hemorrhage', 'ventricular blood': 'clinical finding': 'ventricular blood', 'existence': 'neg_dx', 'descriptive_term': 'ventricular', 'observation': 'blood', 'extracranial bleed': 'clinical finding': 'extracranial bleed', 'existence': 'neg_dx', 'descriptive_term': 'extracranial', 'observation': 'bleed'clinical findings_fin: 'ventricles and basal cisterns are normal in size and configuration': 'clinical finding': 'ventricles and basal cisterns are normal in size and configuration'anatomical entity_fin: 'skull': , 'base': clinical findings_fin: 'calvaria and skull base are radiographically normal': 'clinical finding': 'calvaria and skull base are radiographically normal'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'clinical findings_fin: 'maxillofacial': 'clinical finding': 'maxillofacial', 'existence': 'pos_dx', 'observation': 'maxillofacial'anatomical entity_fin: 'wall': 'location descriptor': 'anterior', 'maxillary sinus': 'location descriptor': 'right', 'nasolacrimal duct': , 'base': , 'nasal bone': 'location descriptor': 'right'location descriptor_fin: ['anterior', 'right']clinical findings_fin: 'nondisplaced linear fracture': 'clinical finding': 'nondisplaced linear fracture', 'existence': 'pos_dx', 'descriptive_term': 'nondisplaced linear', 'observation': 'fracture'location descriptor_fin: ['right']clinical findings_fin: 'periapical abscess': 'clinical finding': 'periapical abscess', 'existence': 'unc_dx', 'descriptive_term': 'periapical', 'observation': 'abscess'anatomical entity_fin: 'maxillary sinus': 'location descriptor': 'right', 'ostiomeatal unit': location descriptor_fin: ['left', 'right']clinical findings_fin: 'left maxillary incisor': 'clinical finding': 'left maxillary incisor', 'existence': 'pos_dx', 'descriptive_term': 'left maxillary', 'observation': 'incisor', 'periapical abscess': 'clinical finding': 'periapical abscess', 'existence': 'unc_dx', 'descriptive_term': 'periapical', 'observation': 'abscess', 'slight mucosal thickening': 'clinical finding': 'slight mucosal thickening', 'existence': 'unc_dx', 'descriptive_term': 'slight mucosal', 'observation': 'thickening', 'obstruction': 'clinical finding': 'obstruction', 'existence': 'pos_dx', 'observation': 'obstruction', 'chronic sinus disease': 'clinical finding': 'chronic sinus disease', 'existence': 'unc_dx', 'descriptive_term': 'chronic sinus', 'observation': 'disease', 'temporal_term': 'chronic' [/INST] [RESP]

Brain. Small diffuse hyperdense focus in the right sylvian fissure, consistent with a small subarachnoid hemorrhage. In addition, there are minimal hyperdense foci in the left sylvian fissure and left perimesencephalic cistern consistent with the subarachnoid hemorrhage. No evidence of mass or significant parenchymal edema. No evidence of parenchymal hemorrhage, ventricular blood, or extracranial bleed. The ventricles and basal cisterns are normal in size and configuration. The calvaria and skull base are radiographically normal. Limited views of the paranasal sinuses and mastoid air cells are normally pneumatized. Maxillofacial. There is a nondisplaced linear fracture of the anterior wall of right maxillary sinus extending to the nasolacrimal duct and the base of the right nasal bone. There is a periapical lucency in the mandibular right molar, concerning for periapical abscess. In addition, in the left maxillary incisor, there is also likely a periapical abscess Slight mucosal thickening in the right maxillary sinus with obstruction of the right maxillary ostiomeatal unit, likely due to chronic sinus disease. [/RESP]</s>

There is redemonstrated small diffuse hyperdense focus within the right Sylvian fissure, which may represent a small subarachnoid hemorrhage.[/RESP]. Minimal hyperdense foci along the left perimesencephalic cistern, consistent with minimal subarachnoid hemorrhage. No mass or significant parenchymal edema. The ventricles and basal cisterns are normal in size and configuration. The calvarias and skull base are radiographically normal. The visualized paranasal sinuses and mastoid air cells are normally pneumatized. Maxillofacial structures are unremarkable. Nondisplaced linear fracture of the anterior wall of the right maxillary sinus, nasolacrimal duct, and nasal bone base. Right maxillary sinus opacification and periapical abscess. Left maxillary incisor has been resected and there is slight mucosal thickening at the ostiomeatal unit level, but no obstruction and chronic sinus disease. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'right temporal lobe': , 'basal ganglia': , 'corona radiata': location descriptor_fin: ['right']clinical findings_fin: 'hypoattenuation': 'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation', 'right mca infarction': 'clinical finding': 'right mca infarction', 'existence': 'pos_dx', 'descriptive_term': 'right mca', 'observation': 'infarction'clinical findings_fin: 'petechial or gross hemorrhagic transformation': 'clinical finding': 'petechial or gross hemorrhagic transformation', 'existence': 'neg_dx', 'descriptive_term': 'petechial or gross hemorrhagic', 'observation': 'transformation'clinical findings_fin: 'infarction': 'clinical finding': 'infarction', 'existence': 'neg_dx', 'observation': 'infarction'location descriptor_fin: ['midline']clinical findings_fin: 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'anatomical entity_fin: 'brain': clinical findings_fin: 'basal cistern effacement': 'clinical finding': 'basal cistern effacement', 'existence': 'neg_dx', 'descriptive_term': 'basal cistern', 'observation': 'effacement', 'frank brain herniation': 'clinical finding': 'frank brain herniation', 'existence': 'neg_dx', 'descriptive_term': 'frank brain', 'observation': 'herniation'anatomical entity_fin: 'right lateral ventricle': clinical findings_fin: 'effaced': 'clinical finding': 'effaced', 'existence': 'pos_dx', 'observation': 'effaced'anatomical entity_fin: 'fluid': clinical findings_fin: 'abnormal fluid collections are present': 'clinical finding': 'abnormal fluid collections are present'anatomical entity_fin: 'contents': clinical findings_fin: 'visualized orbital contents are unremarkable': 'clinical finding': 'visualized orbital contents are unremarkable'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP] Examination again shows a large area of hypoattenuation in the right temporal lobe, peri-insular region, basal ganglia, corona radiata, and portions of the centrum semiovale consistent with right MCA infarction. There is no petechial or gross hemorrhagic transformation of the infarcted territory. There are no additional sites of infarction. There is no midline shift. There remains no basal cistern effacement or frank brain herniation. The ventricular system appears normal apart from the effaced right lateral ventricle. No abnormal fluid collections are present. Visualized orbital contents are unremarkable. Paranasal sinuses and mastoid air cells are clear. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'right temporal lobe': , 'basal ganglia': , 'corona radiata': location descriptor_fin: ['right']clinical findings_fin: 'hypoattenuation': 'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation', 'right mca infarction': 'clinical finding': 'right mca infarction', 'existence': 'pos_dx', 'descriptive_term': 'right mca', 'observation': 'infarction'clinical findings_fin: 'petechial or gross hemorrhagic transformation': 'clinical finding': 'petechial or gross hemorrhagic transformation', 'existence': 'neg_dx', 'descriptive_term': 'petechial or gross hemorrhagic', 'observation': 'transformation'clinical findings_fin: 'infarction': 'clinical finding': 'infarction', 'existence': 'neg_dx', 'observation': 'infarction'location descriptor_fin: ['midline']clinical findings_fin: 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'anatomical entity_fin: 'brain': clinical findings_fin: 'basal cistern effacement': 'clinical finding': 'basal cistern effacement', 'existence': 'neg_dx', 'descriptive_term': 'basal cistern', 'observation': 'effacement', 'frank brain herniation': 'clinical finding': 'frank brain herniation', 'existence': 'neg_dx', 'descriptive_term': 'frank brain', 'observation': 'herniation'anatomical entity_fin: 'right lateral ventricle': clinical findings_fin: 'effaced': 'clinical finding': 'effaced', 'existence': 'pos_dx', 'observation': 'effaced'anatomical entity_fin: 'fluid': clinical findings_fin: 'abnormal fluid collections are present': 'clinical finding': 'abnormal fluid collections are present'anatomical entity_fin: 'contents': clinical findings_fin: 'visualized orbital contents are unremarkable': 'clinical finding': 'visualized orbital contents are unremarkable'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP]

Examination again shows a large area of hypoattenuation in the right temporal lobe, peri-insular region, basal ganglia, corona radiata, and portions of the centrum semiovale consistent with right MCA infarction. There is no petechial or gross hemorrhagic transformation of the infarcted territory. There are no additional sites of infarction. There is no midline shift. There remains no basal cistern effacement or frank brain herniation. The ventricular system appears normal apart from the effaced right lateral ventricle. No abnormal fluid collections are present. Visualized orbital contents are unremarkable. Paranasal sinuses and mastoid air cells are clear. [/RESP]</s>

Hypoattenuation is seen in the right temporal lobe, basal ganglia and corona radiata consistent with right MCA infarction. . No petechial or gross hemorrhagic transformation is identified. There is no evidence of infarction. The CSF spaces are appropriate in size for the patients stated age without midline shift. The gray-white matter differentiation is preserved. There is no evidence of basal cistern effacement or frank brain herniation. The third ventricles are slightly effaced but not significantly larger than expected for patient age. The fourth ventricle is also slightly effaced. The right lateral ventricle is more severely effaced. Abnormal fluid collections are present. Visualized orbital contents are unremarkable. Paranasal sinuses and mastoid air cells are clear. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'globes': , 'extraocular muscles': , 'optic nerves': clinical findings_fin: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'object_fin: ['foreign body']clinical findings_fin: 'radiopaque foreign body': 'clinical finding': 'radiopaque foreign body', 'existence': 'neg_dx', 'descriptive_term': 'radiopaque foreign', 'observation': 'body'clinical findings_fin: 'orbital soft tissues are normal': 'clinical finding': 'orbital soft tissues are normal'clinical findings_fin: 'fracture': 'clinical finding': 'fracture', 'existence': 'neg_dx', 'observation': 'fracture'location descriptor_fin: ['left', 'anterior']clinical findings_fin: 'severe acute sinus disease': 'clinical finding': 'severe acute sinus disease', 'existence': 'pos_dx', 'descriptive_term': 'severe acute sinus', 'observation': 'disease', 'strength_term': 'severe - acute', 'temporal_term': 'acute'anatomical entity_fin: 'maxillary sinus': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'chronic mucosal thickening': 'clinical finding': 'chronic mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'chronic mucosal', 'observation': 'thickening', 'temporal_term': 'chronic', 'occlusion': 'clinical finding': 'occlusion', 'existence': 'pos_dx', 'observation': 'occlusion'clinical findings_fin: 'intersphenoid septum is normal': 'clinical finding': 'intersphenoid septum is normal'anatomical entity_fin: 'nasal turbinates': clinical findings_fin: 'nasal septum': 'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum'anatomical entity_fin: 'cribriform plate': , 'fovea ethmoidalis': location descriptor_fin: ['lateral']clinical findings_fin: 'cribriform plate , lateral lamellae , fovea ethmoidalis and lamina papyraceae appear normal': 'clinical finding': 'cribriform plate , lateral lamellae , fovea ethmoidalis and lamina papyraceae appear normal'clinical findings_fin: 'osseous structures are unremarkable': 'clinical finding': 'osseous structures are unremarkable'clinical findings_fin: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'clinical findings_fin: 'gray-white matter differentiation': 'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'location descriptor_fin: ['midline']clinical findings_fin: 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'intra- or extra-axial fluid collection': 'clinical finding': 'intra- or extra-axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'intra- or extra-axial fluid', 'observation': 'collection', 'acute hemorrhage': 'clinical finding': 'acute hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'osseous structures are unremarkable': 'clinical finding': 'osseous structures are unremarkable'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP] . The globes, lenses, extraocular muscles, optic nerves, and retroglobal spaces are symmetric and normal. No radiopaque foreign body is identified. The orbital soft tissues are normal. The osseous structures are unremarkable with no evidence of fracture. There is severe acute sinus disease of the left frontal and left anterior ethmoid sinuses. Chronic mucosal thickening is also noted in the left maxillary sinus with occlusion of the left ostiomeatal complex. The intersphenoid septum is normal. The nasal turbinates and nasal septum are normal. The cribriform plate, lateral lamellae, fovea ethmoidalis and lamina papyraceae appear normal. The osseous structures are unremarkable. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is preserved. There is no mass effect, midline shift, intra- or extra-axial fluid collection or acute hemorrhage. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'globes': , 'extraocular muscles': , 'optic nerves': clinical findings_fin: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'object_fin: ['foreign body']clinical findings_fin: 'radiopaque foreign body': 'clinical finding': 'radiopaque foreign body', 'existence': 'neg_dx', 'descriptive_term': 'radiopaque foreign', 'observation': 'body'clinical findings_fin: 'orbital soft tissues are normal': 'clinical finding': 'orbital soft tissues are normal'clinical findings_fin: 'fracture': 'clinical finding': 'fracture', 'existence': 'neg_dx', 'observation': 'fracture'location descriptor_fin: ['left', 'anterior']clinical findings_fin: 'severe acute sinus disease': 'clinical finding': 'severe acute sinus disease', 'existence': 'pos_dx', 'descriptive_term': 'severe acute sinus', 'observation': 'disease', 'strength_term': 'severe - acute', 'temporal_term': 'acute'anatomical entity_fin: 'maxillary sinus': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'chronic mucosal thickening': 'clinical finding': 'chronic mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'chronic mucosal', 'observation': 'thickening', 'temporal_term': 'chronic', 'occlusion': 'clinical finding': 'occlusion', 'existence': 'pos_dx', 'observation': 'occlusion'clinical findings_fin: 'intersphenoid septum is normal': 'clinical finding': 'intersphenoid septum is normal'anatomical entity_fin: 'nasal turbinates': clinical findings_fin: 'nasal septum': 'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum'anatomical entity_fin: 'cribriform plate': , 'fovea ethmoidalis': location descriptor_fin: ['lateral']clinical findings_fin: 'cribriform plate , lateral lamellae , fovea ethmoidalis and lamina papyraceae appear normal': 'clinical finding': 'cribriform plate , lateral lamellae , fovea ethmoidalis and lamina papyraceae appear normal'clinical findings_fin: 'osseous structures are unremarkable': 'clinical finding': 'osseous structures are unremarkable'clinical findings_fin: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'clinical findings_fin: 'gray-white matter differentiation': 'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'location descriptor_fin: ['midline']clinical findings_fin: 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'intra- or extra-axial fluid collection': 'clinical finding': 'intra- or extra-axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'intra- or extra-axial fluid', 'observation': 'collection', 'acute hemorrhage': 'clinical finding': 'acute hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'osseous structures are unremarkable': 'clinical finding': 'osseous structures are unremarkable'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP]

. The globes, lenses, extraocular muscles, optic nerves, and retroglobal spaces are symmetric and normal. No radiopaque foreign body is identified. The orbital soft tissues are normal. The osseous structures are unremarkable with no evidence of fracture. There is severe acute sinus disease of the left frontal and left anterior ethmoid sinuses. Chronic mucosal thickening is also noted in the left maxillary sinus with occlusion of the left ostiomeatal complex. The intersphenoid septum is normal. The nasal turbinates and nasal septum are normal. The cribriform plate, lateral lamellae, fovea ethmoidalis and lamina papyraceae appear normal. The osseous structures are unremarkable. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is preserved. There is no mass effect, midline shift, intra- or extra-axial fluid collection or acute hemorrhage. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear. [/RESP]</s>

The globes, lenses, extraocular muscles, optic nerves, and retroglobal plexus are symmetric. . No evidence of a radiopaque foreign body. The orbital soft tissues are normal. There is no evidence of fracture. Severe acute sinus disease involving the left anterior ethmoid complex with complete opacification of the maxillary sinus. Chronic mucosal thickening and occlusion of the left maxillary sinus. Intersphenoid septum is normal. Nasal turbinates and nasal septum are normal. Cribriform plate, lateral lamellae, fovea ethmoidalis and lamina papyraceae appear normal. Osseous structures are unremarkable. Ventricles, sulci, and cisterns are symmetric. The gray-white matter differentiation is preserved. There is no mass effect, midline shift, intra- or extra-axial fluid collection or acute hemorrhage. The osseous structures are unremarkable. Paranasal sinuses and mastoid air cells are clear. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'pulmonary arteries': clinical findings_fin: 'pulmonary embolism': 'clinical finding': 'pulmonary embolism', 'existence': 'unc_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolism', 'poor opacification': 'clinical finding': 'poor opacification', 'existence': 'pos_dx', 'descriptive_term': 'poor', 'observation': 'opacification'anatomical entity_fin: 'origin': , 'pulmonary arteries': clinical findings_fin: 'large embolus': 'clinical finding': 'large embolus', 'existence': 'neg_dx', 'descriptive_term': 'large', 'observation': 'embolus', 'strength_term': 'large'anatomical entity_fin: 'arteries': clinical findings_fin: 'pe': 'clinical finding': 'pe', 'existence': 'unc_dx', 'observation': 'pe'anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'nodular ground glass opacities': 'clinical finding': 'nodular ground glass opacities', 'existence': 'unc_dx', 'descriptive_term': 'nodular ground glass', 'observation': 'opacity', 'infection': 'clinical finding': 'infection', 'existence': 'unc_dx', 'observation': 'infection'clinical findings_fin: 'pleural effusions': 'clinical finding': 'pleural effusions', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'anatomical entity_fin: 'heart': clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'clinical findings_fin: 'enlarged mediastinal or hilar lymph nodes': 'clinical finding': 'enlarged mediastinal or hilar lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'enlarged mediastinal or hilar lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'anatomical entity_fin: 'thymus': clinical findings_fin: 'prevascular space soft tissue , likely physiologic thymus': 'clinical finding': 'prevascular space soft tissue , likely physiologic thymus'anatomical entity_fin: 'lobe': location descriptor_fin: ['left']clinical findings_fin: 'small left thyroid lobe hypodense lesion': 'clinical finding': 'small left thyroid lobe hypodense lesion', 'existence': 'pos_dx', 'descriptive_term': 'small left thyroid lobe hypodense', 'observation': 'lesion', 'strength_term': 'small', 'cyst': 'clinical finding': 'cyst', 'existence': 'unc_dx', 'observation': 'cyst', 'nodule': 'clinical finding': 'nodule', 'existence': 'unc_dx', 'observation': 'nodule'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'focal splenic hypodense lesion': 'clinical finding': 'focal splenic hypodense lesion', 'existence': 'pos_dx', 'descriptive_term': 'focal splenic hypodense', 'observation': 'lesion', 'contrast enhancement': 'clinical finding': 'contrast enhancement', 'existence': 'unc_dx', 'descriptive_term': 'contrast', 'observation': 'enhancement' [/INST] [RESP] . Nondiagnostic evaluation for pulmonary embolism due to poor opacification of the pulmonary arteries secondary to delayed triggering of the scan. No evidence of large embolus up to the origin of the lobar pulmonary arteries. Segmental arteries are not well evaluated on this examination -- if further evaluation for PE is clinically warranted, consider repeat examination. Right upper lobe nodular ground glass opacities is suspicious for infection. No pleural effusions. Heart size is normal, no pericardial effusion. No enlarged mediastinal or hilar lymph nodes. Prevascular space soft tissue, likely physiologic thymus. Small left thyroid lobe hypodense lesion, may represent a cyst or nodule. No significant abnormality noted. Focal splenic hypodense lesion is nonspecific and may be secondary to phase of contrast enhancement. If further imaging evaluation is warranted, consider ultrasound evaluation. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'pulmonary arteries': clinical findings_fin: 'pulmonary embolism': 'clinical finding': 'pulmonary embolism', 'existence': 'unc_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolism', 'poor opacification': 'clinical finding': 'poor opacification', 'existence': 'pos_dx', 'descriptive_term': 'poor', 'observation': 'opacification'anatomical entity_fin: 'origin': , 'pulmonary arteries': clinical findings_fin: 'large embolus': 'clinical finding': 'large embolus', 'existence': 'neg_dx', 'descriptive_term': 'large', 'observation': 'embolus', 'strength_term': 'large'anatomical entity_fin: 'arteries': clinical findings_fin: 'pe': 'clinical finding': 'pe', 'existence': 'unc_dx', 'observation': 'pe'anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'nodular ground glass opacities': 'clinical finding': 'nodular ground glass opacities', 'existence': 'unc_dx', 'descriptive_term': 'nodular ground glass', 'observation': 'opacity', 'infection': 'clinical finding': 'infection', 'existence': 'unc_dx', 'observation': 'infection'clinical findings_fin: 'pleural effusions': 'clinical finding': 'pleural effusions', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'anatomical entity_fin: 'heart': clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'clinical findings_fin: 'enlarged mediastinal or hilar lymph nodes': 'clinical finding': 'enlarged mediastinal or hilar lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'enlarged mediastinal or hilar lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'anatomical entity_fin: 'thymus': clinical findings_fin: 'prevascular space soft tissue , likely physiologic thymus': 'clinical finding': 'prevascular space soft tissue , likely physiologic thymus'anatomical entity_fin: 'lobe': location descriptor_fin: ['left']clinical findings_fin: 'small left thyroid lobe hypodense lesion': 'clinical finding': 'small left thyroid lobe hypodense lesion', 'existence': 'pos_dx', 'descriptive_term': 'small left thyroid lobe hypodense', 'observation': 'lesion', 'strength_term': 'small', 'cyst': 'clinical finding': 'cyst', 'existence': 'unc_dx', 'observation': 'cyst', 'nodule': 'clinical finding': 'nodule', 'existence': 'unc_dx', 'observation': 'nodule'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'focal splenic hypodense lesion': 'clinical finding': 'focal splenic hypodense lesion', 'existence': 'pos_dx', 'descriptive_term': 'focal splenic hypodense', 'observation': 'lesion', 'contrast enhancement': 'clinical finding': 'contrast enhancement', 'existence': 'unc_dx', 'descriptive_term': 'contrast', 'observation': 'enhancement' [/INST] [RESP]

. Nondiagnostic evaluation for pulmonary embolism due to poor opacification of the pulmonary arteries secondary to delayed triggering of the scan. No evidence of large embolus up to the origin of the lobar pulmonary arteries. Segmental arteries are not well evaluated on this examination -- if further evaluation for PE is clinically warranted, consider repeat examination. Right upper lobe nodular ground glass opacities is suspicious for infection. No pleural effusions. Heart size is normal, no pericardial effusion. No enlarged mediastinal or hilar lymph nodes. Prevascular space soft tissue, likely physiologic thymus. Small left thyroid lobe hypodense lesion, may represent a cyst or nodule. No significant abnormality noted. Focal splenic hypodense lesion is nonspecific and may be secondary to phase of contrast enhancement. If further imaging evaluation is warranted, consider ultrasound evaluation. [/RESP]</s>

. Technically adequate examination with no evidence of pulmonary embolism. The pulmonary artery branches are poorly opacified, but there is no evidence of large embolus originating from the pulmonary arteries. There is mild prominence of the main pulmonary arteries without evidence of PE. Nodular ground glass opacities in the right upper lobe may represent infection. No pleural effusions. Heart size is normal and there is no pericardial effusion. No enlarged mediastinal or hilar lymph nodes. Prevascular space soft tissue, likely physiologic thymus. Small left thyroid lobe hypodense lesion compatible with cyst or nodule. None. No significant abnormality noted. Focal splenic hypodense lesion not well visualized due to lack of contrast enhancement. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage', 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass', 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema'clinical findings_fin: 'ventricles and basal cisterns are normal in size and configuration': 'clinical finding': 'ventricles and basal cisterns are normal in size and configuration'anatomical entity_fin: 'skull': , 'base': clinical findings_fin: 'calvaria and skull base are radiographically normal': 'clinical finding': 'calvaria and skull base are radiographically normal'clinical findings_fin: 'mucosal thickening': 'clinical finding': 'mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'thickening'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'anatomical entity_fin: 'airway': , 'epiglottis': , 'larynx': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'anatomical entity_fin: 'cervical spine': clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'anatomical entity_fin: 'neuroforaminal': 'location descriptor': 'left'location descriptor_fin: ['bilateral', 'right', 'left']clinical findings_fin: 'uncovertebral degeneration': 'clinical finding': 'uncovertebral degeneration', 'existence': 'pos_dx', 'descriptive_term': 'uncovertebral', 'observation': 'degeneration', 'bilateral neuroforaminal narrowing': 'clinical finding': 'bilateral neuroforaminal narrowing', 'existence': 'pos_dx', 'descriptive_term': 'bilateral neuroforaminal', 'observation': 'narrowing', 'right neuroforaminal narrowing': 'clinical finding': 'right neuroforaminal narrowing', 'existence': 'pos_dx', 'descriptive_term': 'right neuroforaminal', 'observation': 'narrowing', 'left neuroforaminal narrowing': 'clinical finding': 'left neuroforaminal narrowing', 'existence': 'pos_dx', 'descriptive_term': 'left neuroforaminal', 'observation': 'narrowing'anatomical entity_fin: 'spinal': clinical findings_fin: 'spinal stenosis': 'clinical finding': 'spinal stenosis', 'existence': 'pos_dx', 'descriptive_term': 'spinal', 'observation': 'stenosis'clinical findings_fin: 'cervical spinal stenosis': 'clinical finding': 'cervical spinal stenosis', 'existence': 'pos_dx', 'descriptive_term': 'cervical spinal', 'observation': 'stenosis', 'congenital cervical stenosis': 'clinical finding': 'congenital cervical stenosis', 'existence': 'unc_dx', 'descriptive_term': 'congenital cervical', 'observation': 'stenosis'anatomical entity_fin: 'neck': imaging observation_fin: ['reversal']clinical findings_fin: 'cervical lordosis': 'clinical finding': 'cervical lordosis', 'existence': 'pos_dx', 'descriptive_term': 'cervical', 'observation': 'lordosis', 'neck muscle spasm': 'clinical finding': 'neck muscle spasm', 'existence': 'unc_dx', 'descriptive_term': 'neck muscle', 'observation': 'spasm'anatomical entity_fin: 'spine': , 'vertebral body': clinical findings_fin: 'normal alignment': 'clinical finding': 'normal alignment', 'existence': 'pos_dx', 'descriptive_term': 'normal', 'observation': 'alignment', 'strength_term': 'normal' [/INST] [RESP] .There is no evidence of intracranial hemorrhage, mass or edema. The ventricles and basal cisterns are normal in size and configuration. The calvaria and skull base are radiographically normal. Mucosal thickening is seen in the ethmoid and maxillary sinuses. The remaining visualized paranasal sinuses and mastoid air cells are normally pneumatized. The airway is patent and the epiglottis, vallecula, piriform sinuses, and larynx are normal. Degenerative changes are seen throughout the cervical spine, most early at C5-C6. Uncovertebral degeneration causes bilateral neuroforaminal narrowing at C3-C4 and C4-C5, right neuroforaminal narrowing at C2-C3, and left neuroforaminal narrowing at C5-C6. Diffuse disk bulges are seen at the levels of the C3-C4 and C4-C5 likely causing spinal stenosis. The degree of cervical spinal stenosis suggests a congenital cervical stenosis. There is mild reversal of cervical lordosis which may be positional or related to neck muscle spasm. The cervical spine is otherwise in normal alignment and the vertebral body heights are maintained. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage', 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass', 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema'clinical findings_fin: 'ventricles and basal cisterns are normal in size and configuration': 'clinical finding': 'ventricles and basal cisterns are normal in size and configuration'anatomical entity_fin: 'skull': , 'base': clinical findings_fin: 'calvaria and skull base are radiographically normal': 'clinical finding': 'calvaria and skull base are radiographically normal'clinical findings_fin: 'mucosal thickening': 'clinical finding': 'mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'thickening'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'anatomical entity_fin: 'airway': , 'epiglottis': , 'larynx': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'anatomical entity_fin: 'cervical spine': clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'anatomical entity_fin: 'neuroforaminal': 'location descriptor': 'left'location descriptor_fin: ['bilateral', 'right', 'left']clinical findings_fin: 'uncovertebral degeneration': 'clinical finding': 'uncovertebral degeneration', 'existence': 'pos_dx', 'descriptive_term': 'uncovertebral', 'observation': 'degeneration', 'bilateral neuroforaminal narrowing': 'clinical finding': 'bilateral neuroforaminal narrowing', 'existence': 'pos_dx', 'descriptive_term': 'bilateral neuroforaminal', 'observation': 'narrowing', 'right neuroforaminal narrowing': 'clinical finding': 'right neuroforaminal narrowing', 'existence': 'pos_dx', 'descriptive_term': 'right neuroforaminal', 'observation': 'narrowing', 'left neuroforaminal narrowing': 'clinical finding': 'left neuroforaminal narrowing', 'existence': 'pos_dx', 'descriptive_term': 'left neuroforaminal', 'observation': 'narrowing'anatomical entity_fin: 'spinal': clinical findings_fin: 'spinal stenosis': 'clinical finding': 'spinal stenosis', 'existence': 'pos_dx', 'descriptive_term': 'spinal', 'observation': 'stenosis'clinical findings_fin: 'cervical spinal stenosis': 'clinical finding': 'cervical spinal stenosis', 'existence': 'pos_dx', 'descriptive_term': 'cervical spinal', 'observation': 'stenosis', 'congenital cervical stenosis': 'clinical finding': 'congenital cervical stenosis', 'existence': 'unc_dx', 'descriptive_term': 'congenital cervical', 'observation': 'stenosis'anatomical entity_fin: 'neck': imaging observation_fin: ['reversal']clinical findings_fin: 'cervical lordosis': 'clinical finding': 'cervical lordosis', 'existence': 'pos_dx', 'descriptive_term': 'cervical', 'observation': 'lordosis', 'neck muscle spasm': 'clinical finding': 'neck muscle spasm', 'existence': 'unc_dx', 'descriptive_term': 'neck muscle', 'observation': 'spasm'anatomical entity_fin: 'spine': , 'vertebral body': clinical findings_fin: 'normal alignment': 'clinical finding': 'normal alignment', 'existence': 'pos_dx', 'descriptive_term': 'normal', 'observation': 'alignment', 'strength_term': 'normal' [/INST] [RESP]

.There is no evidence of intracranial hemorrhage, mass or edema. The ventricles and basal cisterns are normal in size and configuration. The calvaria and skull base are radiographically normal. Mucosal thickening is seen in the ethmoid and maxillary sinuses. The remaining visualized paranasal sinuses and mastoid air cells are normally pneumatized. The airway is patent and the epiglottis, vallecula, piriform sinuses, and larynx are normal. Degenerative changes are seen throughout the cervical spine, most early at C5-C6. Uncovertebral degeneration causes bilateral neuroforaminal narrowing at C3-C4 and C4-C5, right neuroforaminal narrowing at C2-C3, and left neuroforaminal narrowing at C5-C6. Diffuse disk bulges are seen at the levels of the C3-C4 and C4-C5 likely causing spinal stenosis. The degree of cervical spinal stenosis suggests a congenital cervical stenosis. There is mild reversal of cervical lordosis which may be positional or related to neck muscle spasm. The cervical spine is otherwise in normal alignment and the vertebral body heights are maintained. [/RESP]</s>

. There is no evidence of intracranial hemorrhage, mass or edema. The ventricles and basal cisterns are normal in size and configuration. The calvaria and skull base are radiographically normal. Mucosal thickening is present within the maxillary sinus. The paranasal sinuses and mastoid air cells are normally pneumatized. The airway course including the epiglottis and larynx is patent. Degenerative changes affect the cervical spine with uncovertebral degeneration at C5-6, bilateral neuroforaminal narrowing at C4-5, right neuroforaminal narrowing at C3-4 and left neuroforaminal narrowing at C2-3. Spinal stenosis is present at multiple levels. At C5-6 there is mild to moderate loss of disc height and minimal facet hypertrophy which may be secondary to congenital cervical stenosis. Cervical lordosis is preserved but neck muscle spasm is noted. Normal alignment of the thoracic spine with preservation of vertebral body height. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'dependent atelectasis': 'clinical finding': 'dependent atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'dependent', 'observation': 'atelectasis', 'air trapping': 'clinical finding': 'air trapping', 'existence': 'neg_dx', 'descriptive_term': 'air', 'observation': 'trapping'clinical findings_fin: 'parenchymal sarcoid': 'clinical finding': 'parenchymal sarcoid', 'existence': 'neg_dx', 'descriptive_term': 'parenchymal', 'observation': 'sarcoid'clinical findings_fin: 'significant mediastinal or hilar lymphadenopathy': 'clinical finding': 'significant mediastinal or hilar lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant mediastinal or hilar', 'observation': 'lymphadenopathy'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Dependent atelectasis bilaterally without evidence of air trapping. No evidence of parenchymal sarcoid involvement. No significant mediastinal or hilar lymphadenopathy. No significant abnormality noted. No significant abnormality noted. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'dependent atelectasis': 'clinical finding': 'dependent atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'dependent', 'observation': 'atelectasis', 'air trapping': 'clinical finding': 'air trapping', 'existence': 'neg_dx', 'descriptive_term': 'air', 'observation': 'trapping'clinical findings_fin: 'parenchymal sarcoid': 'clinical finding': 'parenchymal sarcoid', 'existence': 'neg_dx', 'descriptive_term': 'parenchymal', 'observation': 'sarcoid'clinical findings_fin: 'significant mediastinal or hilar lymphadenopathy': 'clinical finding': 'significant mediastinal or hilar lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant mediastinal or hilar', 'observation': 'lymphadenopathy'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP]

. Dependent atelectasis bilaterally without evidence of air trapping. No evidence of parenchymal sarcoid involvement. No significant mediastinal or hilar lymphadenopathy. No significant abnormality noted. No significant abnormality noted. [/RESP]</s>

. Dependent atelectasis and air trapping. No evidence of parenchymal sarcoid disease. No significant mediastinal or hilar lymphadenopathy. No significant abnormality noted. No significant abnormality noted. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'emphysematous': 'clinical finding': 'emphysematous', 'existence': 'pos_dx', 'observation': 'emphysematous'clinical findings_fin: 'pleural effusions': 'clinical finding': 'pleural effusions', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'clinical findings_fin: 'fresh hemorrhage': 'clinical finding': 'fresh hemorrhage', 'existence': 'pos_dx', 'descriptive_term': 'fresh', 'observation': 'hemorrhage'anatomical entity_fin: 'peritoneal fluid': clinical findings_fin: 'infrahepatic free peritoneal fluid': 'clinical finding': 'infrahepatic free peritoneal fluid', 'existence': 'pos_dx', 'descriptive_term': 'infrahepatic free peritoneal', 'observation': 'fluid'anatomical entity_fin: 'liver parenchyma': clinical findings_fin: 'biliary tract dilatation': 'clinical finding': 'biliary tract dilatation', 'existence': 'neg_dx', 'descriptive_term': 'biliary tract', 'observation': 'dilatation'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'kidneys': , 'fluid': location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral atrophic': 'clinical finding': 'bilateral atrophic', 'existence': 'pos_dx', 'descriptive_term': 'bilateral', 'observation': 'atrophic', 'scarring': 'clinical finding': 'scarring', 'existence': 'pos_dx', 'observation': 'scarr', 'exophytic hypoattenuating lesions': 'clinical finding': 'exophytic hypoattenuating lesions', 'existence': 'pos_dx', 'descriptive_term': 'exophytic hypoattenuating', 'observation': 'lesion', 'benign cysts': 'clinical finding': 'benign cysts', 'existence': 'pos_dx', 'descriptive_term': 'benign', 'observation': 'cyst', 'strength_term': 'benign'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'free fluid': 'clinical finding': 'free fluid', 'existence': 'pos_dx', 'descriptive_term': 'free', 'observation': 'fluid'size_fin: ['size': '8.5 x 6.9 cm', 'size_descriptor': 'mass']anatomical entity_fin: 'flank': 'location descriptor': 'right'imaging observation_fin: ['foci', 'hematoma']location descriptor_fin: ['right']clinical findings_fin: '8.5 x 6.9 cm complex right flank heterogeneous mass': 'clinical finding': '8.5 x 6.9 cm complex right flank heterogeneous mass', 'existence': 'pos_dx', 'descriptive_term': '8 5 x 6 9 cm complex right flank heterogeneous', 'observation': 'mass', 'higher attenuation foci': 'clinical finding': 'higher attenuation foci', 'existence': 'pos_dx', 'descriptive_term': 'higher attenuation', 'observation': 'foci', 'acute hematoma': 'clinical finding': 'acute hematoma', 'existence': 'pos_dx', 'descriptive_term': 'acute', 'observation': 'hematoma', 'strength_term': 'acute', 'temporal_term': 'acute'anatomical entity_fin: 'abdomen': clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'uterus': clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality', 'pessary': 'clinical finding': 'pessary', 'existence': 'neg_dx', 'observation': 'pessary'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'peritoneal fluid': clinical findings_fin: 'free dependent pelvic peritoneal fluid': 'clinical finding': 'free dependent pelvic peritoneal fluid', 'existence': 'pos_dx', 'descriptive_term': 'free dependent pelvic peritoneal', 'observation': 'fluid'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Emphysematous changes. No pleural effusions. Extensive high attenuation perihepatic diffuse collection consistent with fresh hemorrhage. Small amount of infrahepatic free peritoneal fluid. Liver parenchyma appears normal and no biliary tract dilatation. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Bilateral atrophic kidneys with multiple areas of scarring and exophytic hypoattenuating lesions measuring near fluid density also be represent benign cysts. No significant abnormality noted. Small amount of free fluid. 8.5 x 6.9 cm complex right flank heterogeneous mass with higher attenuation foci consistent with acute hematoma. Extends into abdomen but does not extend into peritoneal space. No significant abnormality noted. Small uterus -- No significant abnormality noted pessary in place. No significant abnormality noted. No significant abnormality noted. Small amount of free dependent pelvic peritoneal fluid. No significant abnormality noted. No significant abnormality noted [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'emphysematous': 'clinical finding': 'emphysematous', 'existence': 'pos_dx', 'observation': 'emphysematous'clinical findings_fin: 'pleural effusions': 'clinical finding': 'pleural effusions', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'clinical findings_fin: 'fresh hemorrhage': 'clinical finding': 'fresh hemorrhage', 'existence': 'pos_dx', 'descriptive_term': 'fresh', 'observation': 'hemorrhage'anatomical entity_fin: 'peritoneal fluid': clinical findings_fin: 'infrahepatic free peritoneal fluid': 'clinical finding': 'infrahepatic free peritoneal fluid', 'existence': 'pos_dx', 'descriptive_term': 'infrahepatic free peritoneal', 'observation': 'fluid'anatomical entity_fin: 'liver parenchyma': clinical findings_fin: 'biliary tract dilatation': 'clinical finding': 'biliary tract dilatation', 'existence': 'neg_dx', 'descriptive_term': 'biliary tract', 'observation': 'dilatation'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'kidneys': , 'fluid': location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral atrophic': 'clinical finding': 'bilateral atrophic', 'existence': 'pos_dx', 'descriptive_term': 'bilateral', 'observation': 'atrophic', 'scarring': 'clinical finding': 'scarring', 'existence': 'pos_dx', 'observation': 'scarr', 'exophytic hypoattenuating lesions': 'clinical finding': 'exophytic hypoattenuating lesions', 'existence': 'pos_dx', 'descriptive_term': 'exophytic hypoattenuating', 'observation': 'lesion', 'benign cysts': 'clinical finding': 'benign cysts', 'existence': 'pos_dx', 'descriptive_term': 'benign', 'observation': 'cyst', 'strength_term': 'benign'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'free fluid': 'clinical finding': 'free fluid', 'existence': 'pos_dx', 'descriptive_term': 'free', 'observation': 'fluid'size_fin: ['size': '8.5 x 6.9 cm', 'size_descriptor': 'mass']anatomical entity_fin: 'flank': 'location descriptor': 'right'imaging observation_fin: ['foci', 'hematoma']location descriptor_fin: ['right']clinical findings_fin: '8.5 x 6.9 cm complex right flank heterogeneous mass': 'clinical finding': '8.5 x 6.9 cm complex right flank heterogeneous mass', 'existence': 'pos_dx', 'descriptive_term': '8 5 x 6 9 cm complex right flank heterogeneous', 'observation': 'mass', 'higher attenuation foci': 'clinical finding': 'higher attenuation foci', 'existence': 'pos_dx', 'descriptive_term': 'higher attenuation', 'observation': 'foci', 'acute hematoma': 'clinical finding': 'acute hematoma', 'existence': 'pos_dx', 'descriptive_term': 'acute', 'observation': 'hematoma', 'strength_term': 'acute', 'temporal_term': 'acute'anatomical entity_fin: 'abdomen': clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'uterus': clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality', 'pessary': 'clinical finding': 'pessary', 'existence': 'neg_dx', 'observation': 'pessary'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'peritoneal fluid': clinical findings_fin: 'free dependent pelvic peritoneal fluid': 'clinical finding': 'free dependent pelvic peritoneal fluid', 'existence': 'pos_dx', 'descriptive_term': 'free dependent pelvic peritoneal', 'observation': 'fluid'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP]

. Emphysematous changes. No pleural effusions. Extensive high attenuation perihepatic diffuse collection consistent with fresh hemorrhage. Small amount of infrahepatic free peritoneal fluid. Liver parenchyma appears normal and no biliary tract dilatation. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Bilateral atrophic kidneys with multiple areas of scarring and exophytic hypoattenuating lesions measuring near fluid density also be represent benign cysts. No significant abnormality noted. Small amount of free fluid. 8.5 x 6.9 cm complex right flank heterogeneous mass with higher attenuation foci consistent with acute hematoma. Extends into abdomen but does not extend into peritoneal space. No significant abnormality noted. Small uterus -- No significant abnormality noted pessary in place. No significant abnormality noted. No significant abnormality noted. Small amount of free dependent pelvic peritoneal fluid. No significant abnormality noted. No significant abnormality noted [/RESP]</s>

. Emphysematous appearance of the visceral pleura is noted. No pleural effusions are identified. There is no evidence of fresh hemorrhage. Infrahepatic free peritoneal fluid is present, with minimal air in the intestinal lumen. The liver parenchyma and biliary tract dilatation is unremarkable. No significant abnormality is seen. No significant abnormality is seen. Bilateral atrophic kidneys with scarring and exophytic hypoattenuating lesions compatible with benign cysts. No significant abnormality is seen. Free fluid is noted within the splenorenal region. 8.5 x 6.9 cm complex right flank heterogeneous mass containing higher attenuation foci consistent with acute hematoma. Absence of CT enterography limits evaluation of the abdomen. Uterus appears normal without pessary. No significant abnormality is seen. None. No significant abnormality is seen. Free dependent pelvic peritoneal fluid is noted. No significant abnormality is seen. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'acute intracranial hemorrhage': 'clinical finding': 'acute intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'location descriptor_fin: ['right']clinical findings_fin: 'encephalomalacia': 'clinical finding': 'encephalomalacia', 'existence': 'pos_dx', 'observation': 'encephalomalacia', 'prior infarction': 'clinical finding': 'prior infarction', 'existence': 'pos_dx', 'descriptive_term': 'prior', 'observation': 'infarction'clinical findings_fin: 'minimal periventricular hypoattenuation': 'clinical finding': 'minimal periventricular hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'minimal periventricular', 'observation': 'hypoattenuation', 'strength_term': 'minimal', 'quantity_term': 'minimal', 'mild chronic small vessel ischemic disease': 'clinical finding': 'mild chronic small vessel ischemic disease', 'existence': 'pos_dx', 'descriptive_term': 'mild chronic small vessel ischemic', 'observation': 'disease', 'strength_term': 'mild - small', 'temporal_term': 'chronic'clinical findings_fin: 'ventricles and sulci are within normal limits': 'clinical finding': 'ventricles and sulci are within normal limits'location descriptor_fin: ['midline']clinical findings_fin: 'extraaxial fluid collection': 'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection', 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'external auditory canals': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'debris': 'clinical finding': 'debris', 'existence': 'pos_dx', 'observation': 'debris', 'cerumen': 'clinical finding': 'cerumen', 'existence': 'pos_dx', 'observation': 'cerumen'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP] There is no acute intracranial hemorrhage. There is a small focus of encephalomalacia within the right cerebellar hemisphere, which is compatible with an area of prior infarction and is unchanged from prior. There is minimal periventricular hypoattenuation, which is compatible with mild chronic small vessel ischemic disease and appears unchanged. The ventricles and sulci are within normal limits. There is no extraaxial fluid collection, midline shift, or mass effect. The osseous structures are intact. Small amount of debris within the bilateral external auditory canals likely represents cerumen. The visualized portions of the paranasal sinuses and mastoid air cells are grossly clear. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'acute intracranial hemorrhage': 'clinical finding': 'acute intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'location descriptor_fin: ['right']clinical findings_fin: 'encephalomalacia': 'clinical finding': 'encephalomalacia', 'existence': 'pos_dx', 'observation': 'encephalomalacia', 'prior infarction': 'clinical finding': 'prior infarction', 'existence': 'pos_dx', 'descriptive_term': 'prior', 'observation': 'infarction'clinical findings_fin: 'minimal periventricular hypoattenuation': 'clinical finding': 'minimal periventricular hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'minimal periventricular', 'observation': 'hypoattenuation', 'strength_term': 'minimal', 'quantity_term': 'minimal', 'mild chronic small vessel ischemic disease': 'clinical finding': 'mild chronic small vessel ischemic disease', 'existence': 'pos_dx', 'descriptive_term': 'mild chronic small vessel ischemic', 'observation': 'disease', 'strength_term': 'mild - small', 'temporal_term': 'chronic'clinical findings_fin: 'ventricles and sulci are within normal limits': 'clinical finding': 'ventricles and sulci are within normal limits'location descriptor_fin: ['midline']clinical findings_fin: 'extraaxial fluid collection': 'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection', 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'external auditory canals': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'debris': 'clinical finding': 'debris', 'existence': 'pos_dx', 'observation': 'debris', 'cerumen': 'clinical finding': 'cerumen', 'existence': 'pos_dx', 'observation': 'cerumen'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP]

There is no acute intracranial hemorrhage. There is a small focus of encephalomalacia within the right cerebellar hemisphere, which is compatible with an area of prior infarction and is unchanged from prior. There is minimal periventricular hypoattenuation, which is compatible with mild chronic small vessel ischemic disease and appears unchanged. The ventricles and sulci are within normal limits. There is no extraaxial fluid collection, midline shift, or mass effect. The osseous structures are intact. Small amount of debris within the bilateral external auditory canals likely represents cerumen. The visualized portions of the paranasal sinuses and mastoid air cells are grossly clear. [/RESP]</s>

No evidence of acute intracranial hemorrhage. The encephalomalacia in the right frontoparietal lobe is consistent with prior infarct. Minimal periventricular hypoattenuation is present, compatible with mild chronic small vessel ischemic disease. The ventricles and sulci are within normal limits. There is no extraaxial fluid collection or mass effect. The osseous structures are intact. Debris is noted in the bilateral external auditory canals likely due to cerumen. The paranasal sinuses and mastoid air cells are clear. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'right lower', 'airspace': imaging observation_fin: ['air bronchograms']location descriptor_fin: ['right', 'lower']clinical findings_fin: 'new right lower lobe airspace opacity': 'clinical finding': 'new right lower lobe airspace opacity', 'existence': 'pos_dx', 'descriptive_term': 'new right lower lobe airspace', 'observation': 'opacity', 'temporal_term': 'new', 'surrounding groundglass opacity': 'clinical finding': 'surrounding groundglass opacity', 'existence': 'pos_dx', 'descriptive_term': 'surrounding groundglass', 'observation': 'opacity'anatomical entity_fin: 'middle': 'location descriptor': 'right', 'lobe': location descriptor_fin: ['right']clinical findings_fin: 'air space disease': 'clinical finding': 'air space disease', 'existence': 'pos_dx', 'descriptive_term': 'air space', 'observation': 'disease'size_fin: ['size': '2-mm', 'size_descriptor': 'micronodules']clinical findings_fin: 'innumerable scattered one to 2-mm micronodules': 'clinical finding': 'innumerable scattered one to 2-mm micronodules', 'existence': 'pos_dx', 'descriptive_term': 'innumerable scattered one to 2-mm', 'observation': 'micronodule', 'micronodules': 'clinical finding': 'micronodules', 'existence': 'pos_dx', 'observation': 'micronodule'location descriptor_fin: ['right']clinical findings_fin: 'mediastinal and hilar adenopathy': 'clinical finding': 'mediastinal and hilar adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'mediastinal and hilar', 'observation': 'adenopathy', 'right hilar reference lesion': 'clinical finding': 'right hilar reference lesion', 'existence': 'unc_dx', 'descriptive_term': 'right hilar reference', 'observation': 'lesion'size_fin: ['size': '27 x 25 mm', 'size': '29 x 25 mm']clinical findings_fin: 'reference precarinal node': 'clinical finding': 'reference precarinal node', 'existence': 'pos_dx', 'descriptive_term': 'reference precarinal', 'observation': 'node'size_fin: ['size': '49 x 21 mm', 'size': '44 x 19 mm']clinical findings_fin: 'precarinal reference node': 'clinical finding': 'precarinal reference node', 'existence': 'pos_dx', 'descriptive_term': 'precarinal reference', 'observation': 'node'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral axillary, supraclavicular and subpectoral adenopathy': 'clinical finding': 'bilateral axillary, supraclavicular and subpectoral adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'bilateral axillary supraclavicular and subpectoral', 'observation': 'adenopathy'size_fin: ['size': '25 x 18 mm', 'size_descriptor': 'reference', 'size': '22 x 20 mm', 'size_descriptor': 'node']anatomical entity_fin: 'thyroid gland': location descriptor_fin: ['right']clinical findings_fin: 'reference right supraclavicular node': 'clinical finding': 'reference right supraclavicular node', 'existence': 'pos_dx', 'descriptive_term': 'reference right supraclavicular', 'observation': 'node', 'nodes': 'clinical finding': 'nodes', 'existence': 'pos_dx', 'observation': 'node'clinical findings_fin: 'hepato- splenomegaly': 'clinical finding': 'hepato- splenomegaly', 'existence': 'pos_dx', 'descriptive_term': 'hepato-', 'observation': 'splenomegaly'anatomical entity_fin: 'pole': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'simple cyst': 'clinical finding': 'simple cyst', 'existence': 'pos_dx', 'descriptive_term': 'simple', 'observation': 'cyst'clinical findings_fin: 'multiple small retroperitoneal lymph nodes': 'clinical finding': 'multiple small retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple small retroperitoneal lymph', 'observation': 'node', 'strength_term': 'small', 'quantity_term': 'multiple'anatomical entity_fin: 'spleen': location descriptor_fin: ['posterior']clinical findings_fin: 'stable hyperdense nodule': 'clinical finding': 'stable hyperdense nodule', 'existence': 'pos_dx', 'descriptive_term': 'stable hyperdense', 'observation': 'nodule', 'strength_term': 'stable', 'change_term': 'stable' [/INST] [RESP] . New right lower lobe airspace opacity with air bronchograms and surrounding groundglass opacity. There is also a small amount of air space disease in the right middle lobe, though this is decreased compared to the prior study. Innumerable scattered one to 2-mm micronodules are again seen, though the overall number of micronodules appears less than on the prior study. Overall degree of mediastinal and hilar adenopathy appears similar to the prior study, however the right hilar reference lesion is difficult to accurately measure on this examination. Reference precarinal node measures 27 x 25 mm on image 42/126, not significantly changed from prior measurements of 29 x 25 mm. Precarinal reference node measures 49 x 21 mm on image 55/126, compared to prior measurements of 44 x 19 mm. Bilateral axillary, supraclavicular and subpectoral adenopathy again seen. The reference right supraclavicular node or conglomerate of nodes at the level of the thyroid gland measures 25 x 18 mm on image 7/126, compared to prior measurements of 22 x 20 mm. Hepato- splenomegaly. Left upper pole simple cyst. Multiple small retroperitoneal lymph nodes are again seen. Stable hyperdense nodule posterior to the spleen. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'right lower', 'airspace': imaging observation_fin: ['air bronchograms']location descriptor_fin: ['right', 'lower']clinical findings_fin: 'new right lower lobe airspace opacity': 'clinical finding': 'new right lower lobe airspace opacity', 'existence': 'pos_dx', 'descriptive_term': 'new right lower lobe airspace', 'observation': 'opacity', 'temporal_term': 'new', 'surrounding groundglass opacity': 'clinical finding': 'surrounding groundglass opacity', 'existence': 'pos_dx', 'descriptive_term': 'surrounding groundglass', 'observation': 'opacity'anatomical entity_fin: 'middle': 'location descriptor': 'right', 'lobe': location descriptor_fin: ['right']clinical findings_fin: 'air space disease': 'clinical finding': 'air space disease', 'existence': 'pos_dx', 'descriptive_term': 'air space', 'observation': 'disease'size_fin: ['size': '2-mm', 'size_descriptor': 'micronodules']clinical findings_fin: 'innumerable scattered one to 2-mm micronodules': 'clinical finding': 'innumerable scattered one to 2-mm micronodules', 'existence': 'pos_dx', 'descriptive_term': 'innumerable scattered one to 2-mm', 'observation': 'micronodule', 'micronodules': 'clinical finding': 'micronodules', 'existence': 'pos_dx', 'observation': 'micronodule'location descriptor_fin: ['right']clinical findings_fin: 'mediastinal and hilar adenopathy': 'clinical finding': 'mediastinal and hilar adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'mediastinal and hilar', 'observation': 'adenopathy', 'right hilar reference lesion': 'clinical finding': 'right hilar reference lesion', 'existence': 'unc_dx', 'descriptive_term': 'right hilar reference', 'observation': 'lesion'size_fin: ['size': '27 x 25 mm', 'size': '29 x 25 mm']clinical findings_fin: 'reference precarinal node': 'clinical finding': 'reference precarinal node', 'existence': 'pos_dx', 'descriptive_term': 'reference precarinal', 'observation': 'node'size_fin: ['size': '49 x 21 mm', 'size': '44 x 19 mm']clinical findings_fin: 'precarinal reference node': 'clinical finding': 'precarinal reference node', 'existence': 'pos_dx', 'descriptive_term': 'precarinal reference', 'observation': 'node'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral axillary, supraclavicular and subpectoral adenopathy': 'clinical finding': 'bilateral axillary, supraclavicular and subpectoral adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'bilateral axillary supraclavicular and subpectoral', 'observation': 'adenopathy'size_fin: ['size': '25 x 18 mm', 'size_descriptor': 'reference', 'size': '22 x 20 mm', 'size_descriptor': 'node']anatomical entity_fin: 'thyroid gland': location descriptor_fin: ['right']clinical findings_fin: 'reference right supraclavicular node': 'clinical finding': 'reference right supraclavicular node', 'existence': 'pos_dx', 'descriptive_term': 'reference right supraclavicular', 'observation': 'node', 'nodes': 'clinical finding': 'nodes', 'existence': 'pos_dx', 'observation': 'node'clinical findings_fin: 'hepato- splenomegaly': 'clinical finding': 'hepato- splenomegaly', 'existence': 'pos_dx', 'descriptive_term': 'hepato-', 'observation': 'splenomegaly'anatomical entity_fin: 'pole': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'simple cyst': 'clinical finding': 'simple cyst', 'existence': 'pos_dx', 'descriptive_term': 'simple', 'observation': 'cyst'clinical findings_fin: 'multiple small retroperitoneal lymph nodes': 'clinical finding': 'multiple small retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple small retroperitoneal lymph', 'observation': 'node', 'strength_term': 'small', 'quantity_term': 'multiple'anatomical entity_fin: 'spleen': location descriptor_fin: ['posterior']clinical findings_fin: 'stable hyperdense nodule': 'clinical finding': 'stable hyperdense nodule', 'existence': 'pos_dx', 'descriptive_term': 'stable hyperdense', 'observation': 'nodule', 'strength_term': 'stable', 'change_term': 'stable' [/INST] [RESP]

. New right lower lobe airspace opacity with air bronchograms and surrounding groundglass opacity. There is also a small amount of air space disease in the right middle lobe, though this is decreased compared to the prior study. Innumerable scattered one to 2-mm micronodules are again seen, though the overall number of micronodules appears less than on the prior study. Overall degree of mediastinal and hilar adenopathy appears similar to the prior study, however the right hilar reference lesion is difficult to accurately measure on this examination. Reference precarinal node measures 27 x 25 mm on image 42/126, not significantly changed from prior measurements of 29 x 25 mm. Precarinal reference node measures 49 x 21 mm on image 55/126, compared to prior measurements of 44 x 19 mm. Bilateral axillary, supraclavicular and subpectoral adenopathy again seen. The reference right supraclavicular node or conglomerate of nodes at the level of the thyroid gland measures 25 x 18 mm on image 7/126, compared to prior measurements of 22 x 20 mm. Hepato- splenomegaly. Left upper pole simple cyst. Multiple small retroperitoneal lymph nodes are again seen. Stable hyperdense nodule posterior to the spleen. [/RESP]</s>

. New right lower lobe airspace opacity with surrounding groundglass opacity.[/RESP]. Air space disease in the right middle lobe. Innumerable scattered one to 2-mm micronodules. Mediastinal and hilar adenopathy including a right hilar reference lesion. Reference precarinal node measures 27 x 25 mm, previously 29 x 25 mm. Precarinal reference node measures 49 x 21 mm, previously 44 x 19 mm. Bilateral axillary, supraclavicular and subpectoral adenopathy. Reference right supraclavicular node measures 25 x 18 mm, previously 22 x 20 mm. Hepato- splenomegaly. Simple cyst left upper pole. Multiple small retroperitoneal lymph nodes. Stable hyperdense nodule posterior spleen. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'effusion': 'clinical finding': 'effusion', 'existence': 'neg_dx', 'observation': 'effusion', 'consolidation': 'clinical finding': 'consolidation', 'existence': 'neg_dx', 'observation': 'consolidation', 'pneumothorax': 'clinical finding': 'pneumothorax', 'existence': 'neg_dx', 'observation': 'pneumothorax'clinical findings_fin: 'focal lesion': 'clinical finding': 'focal lesion', 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'lesion', 'biliary dilatation': 'clinical finding': 'biliary dilatation', 'existence': 'neg_dx', 'descriptive_term': 'biliary', 'observation': 'dilatation'clinical findings_fin: 'focal lesions': 'clinical finding': 'focal lesions', 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'lesion'clinical findings_fin: 'focal lesions': 'clinical finding': 'focal lesions', 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'lesion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'nephrolithiasis': 'clinical finding': 'nephrolithiasis', 'existence': 'neg_dx', 'observation': 'nephrolithiasis', 'nephroureterolithiasis': 'clinical finding': 'nephroureterolithiasis', 'existence': 'neg_dx', 'observation': 'nephroureterolithiasis', 'obstructive uropathy': 'clinical finding': 'obstructive uropathy', 'existence': 'neg_dx', 'descriptive_term': 'obstructive', 'observation': 'uropathy'clinical findings_fin: 'lymphadenopathy': 'clinical finding': 'lymphadenopathy', 'existence': 'neg_dx', 'observation': 'lymphadenopathy'anatomical entity_fin: 'bowel': clinical findings_fin: 'lytic or blastic osseous lesions': 'clinical finding': 'lytic or blastic osseous lesions', 'existence': 'neg_dx', 'descriptive_term': 'lytic or blastic osseous', 'observation': 'lesion'size_fin: ['size': '5.0 x 5.0 cm', 'size_descriptor': 'collection']location descriptor_fin: ['right']clinical findings_fin: '5.0 x 5.0 cm, well-defined, hypodense fluid collection': 'clinical finding': '5.0 x 5.0 cm, well-defined, hypodense fluid collection', 'existence': 'pos_dx', 'descriptive_term': '5 0 x 5 0 cm well-defined hypodense fluid', 'observation': 'collection', 'ovarian cystic lesion': 'clinical finding': 'ovarian cystic lesion', 'existence': 'unc_dx', 'descriptive_term': 'ovarian cystic', 'observation': 'lesion'anatomical entity_fin: 'wall': clinical findings_fin: 'contour': 'clinical finding': 'contour', 'existence': 'pos_dx', 'observation': 'contour'anatomical entity_fin: 'inguinal lymph nodes': clinical findings_fin: 'few prominent, nonenlarged, inguinal lymph nodes': 'clinical finding': 'few prominent, nonenlarged, inguinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'few prominent nonenlarged inguinal lymph', 'observation': 'node', 'strength_term': 'prominent', 'quantity_term': 'few'anatomical entity_fin: 'bowel': clinical findings_fin: 'lytic or blastic osseous lesions': 'clinical finding': 'lytic or blastic osseous lesions', 'existence': 'neg_dx', 'descriptive_term': 'lytic or blastic osseous', 'observation': 'lesion' [/INST] [RESP] . No effusion, consolidation or pneumothorax. No focal lesion or biliary dilatation. No focal lesions. No focal lesions. No significant abnormality noted. No nephrolithiasis, nephroureterolithiasis, or obstructive uropathy. No lymphadenopathy, although limited evaluation on a noncontrast study. No bowel dilatation. No lytic or blastic osseous lesions. 5.0 x 5.0 cm, well-defined, hypodense fluid collection in the right adnexa is nonspecific, but probably represents an ovarian cystic lesion. Normal wall thickness and contour. Few prominent, nonenlarged, inguinal lymph nodes. No bowel dilatation. No lytic or blastic osseous lesions. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'effusion': 'clinical finding': 'effusion', 'existence': 'neg_dx', 'observation': 'effusion', 'consolidation': 'clinical finding': 'consolidation', 'existence': 'neg_dx', 'observation': 'consolidation', 'pneumothorax': 'clinical finding': 'pneumothorax', 'existence': 'neg_dx', 'observation': 'pneumothorax'clinical findings_fin: 'focal lesion': 'clinical finding': 'focal lesion', 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'lesion', 'biliary dilatation': 'clinical finding': 'biliary dilatation', 'existence': 'neg_dx', 'descriptive_term': 'biliary', 'observation': 'dilatation'clinical findings_fin: 'focal lesions': 'clinical finding': 'focal lesions', 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'lesion'clinical findings_fin: 'focal lesions': 'clinical finding': 'focal lesions', 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'lesion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'nephrolithiasis': 'clinical finding': 'nephrolithiasis', 'existence': 'neg_dx', 'observation': 'nephrolithiasis', 'nephroureterolithiasis': 'clinical finding': 'nephroureterolithiasis', 'existence': 'neg_dx', 'observation': 'nephroureterolithiasis', 'obstructive uropathy': 'clinical finding': 'obstructive uropathy', 'existence': 'neg_dx', 'descriptive_term': 'obstructive', 'observation': 'uropathy'clinical findings_fin: 'lymphadenopathy': 'clinical finding': 'lymphadenopathy', 'existence': 'neg_dx', 'observation': 'lymphadenopathy'anatomical entity_fin: 'bowel': clinical findings_fin: 'lytic or blastic osseous lesions': 'clinical finding': 'lytic or blastic osseous lesions', 'existence': 'neg_dx', 'descriptive_term': 'lytic or blastic osseous', 'observation': 'lesion'size_fin: ['size': '5.0 x 5.0 cm', 'size_descriptor': 'collection']location descriptor_fin: ['right']clinical findings_fin: '5.0 x 5.0 cm, well-defined, hypodense fluid collection': 'clinical finding': '5.0 x 5.0 cm, well-defined, hypodense fluid collection', 'existence': 'pos_dx', 'descriptive_term': '5 0 x 5 0 cm well-defined hypodense fluid', 'observation': 'collection', 'ovarian cystic lesion': 'clinical finding': 'ovarian cystic lesion', 'existence': 'unc_dx', 'descriptive_term': 'ovarian cystic', 'observation': 'lesion'anatomical entity_fin: 'wall': clinical findings_fin: 'contour': 'clinical finding': 'contour', 'existence': 'pos_dx', 'observation': 'contour'anatomical entity_fin: 'inguinal lymph nodes': clinical findings_fin: 'few prominent, nonenlarged, inguinal lymph nodes': 'clinical finding': 'few prominent, nonenlarged, inguinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'few prominent nonenlarged inguinal lymph', 'observation': 'node', 'strength_term': 'prominent', 'quantity_term': 'few'anatomical entity_fin: 'bowel': clinical findings_fin: 'lytic or blastic osseous lesions': 'clinical finding': 'lytic or blastic osseous lesions', 'existence': 'neg_dx', 'descriptive_term': 'lytic or blastic osseous', 'observation': 'lesion' [/INST] [RESP]

. No effusion, consolidation or pneumothorax. No focal lesion or biliary dilatation. No focal lesions. No focal lesions. No significant abnormality noted. No nephrolithiasis, nephroureterolithiasis, or obstructive uropathy. No lymphadenopathy, although limited evaluation on a noncontrast study. No bowel dilatation. No lytic or blastic osseous lesions. 5.0 x 5.0 cm, well-defined, hypodense fluid collection in the right adnexa is nonspecific, but probably represents an ovarian cystic lesion. Normal wall thickness and contour. Few prominent, nonenlarged, inguinal lymph nodes. No bowel dilatation. No lytic or blastic osseous lesions. [/RESP]</s>

. No effusion or consolidation. No pneumothorax. No focal lesion and no biliary dilatation. No focal lesions. No significant abnormality. Nephrolithiasis is not identified. There are no nephroureterolithiasis or obstructive uropathy. No lymphadenopathy. No lytic or blastic osseous lesions. A 5.0 x 5.0 cm, well-defined, hypodense fluid collection in the right adnexa compatible with an ovarian cystic lesion. The wall contours are slightly irregular. Few prominent, nonenlarged, inguinal lymph nodes. No lytic or blastic osseous lesions. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'right hemithorax': , 'lung': clinical findings_fin: 'right hemithorax': 'clinical finding': 'right hemithorax', 'existence': 'pos_dx', 'descriptive_term': 'right', 'observation': 'hemithorax', 'scattered visceral pleural nodules': 'clinical finding': 'scattered visceral pleural nodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered visceral pleural', 'observation': 'nodule', 'fissures': 'clinical finding': 'fissures', 'existence': 'pos_dx', 'observation': 'fissure', 'mesothelioma': 'clinical finding': 'mesothelioma', 'existence': 'pos_dx', 'observation': 'mesothelioma'anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'right upper lobe subpleural nodule': 'clinical finding': 'right upper lobe subpleural nodule', 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe subpleural', 'observation': 'nodule'size_fin: ['size': '13 mm']anatomical entity_fin: 'aortic valve': imaging observation_fin: ['epicardial fat pad']clinical findings_fin: 'reference focal pleural thickening': 'clinical finding': 'reference focal pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'reference focal pleural', 'observation': 'thickening', 'epicardial fat pad': 'clinical finding': 'epicardial fat pad', 'existence': 'pos_dx', 'descriptive_term': 'epicardial fat', 'observation': 'pad', 'volume averaging': 'clinical finding': 'volume averaging', 'existence': 'unc_dx', 'descriptive_term': 'volume', 'observation': 'average'clinical findings_fin: 'this thickening': 'clinical finding': 'this thickening', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'thickening'anatomical entity_fin: 'costophrenic sulcus': clinical findings_fin: 'residual pleural tumor': 'clinical finding': 'residual pleural tumor', 'existence': 'pos_dx', 'descriptive_term': 'residual pleural', 'observation': 'tumor', 'temporal_term': 'residual'anatomical entity_fin: 'right lung': , 'apex': size_fin: ['size': '2-mm', 'size': '3 mm']clinical findings_fin: '2-mm decreased from 3 mm at 5 oclock': 'clinical finding': '2-mm decreased from 3 mm at 5 oclock', 'change_term': 'decreased'anatomical entity_fin: 'aortic arch': size_fin: ['size': '3 mm', 'size': '2 mm']size_fin: ['size': '22 x 14 mm']location descriptor_fin: ['right']clinical findings_fin: 'right hilar lymphadenopathy': 'clinical finding': 'right hilar lymphadenopathy', 'existence': 'pos_dx', 'descriptive_term': 'right hilar', 'observation': 'lymphadenopathy'location descriptor_fin: ['right']clinical findings_fin: 'mediastinal and right pericardiophrenic lymphadenopathy': 'clinical finding': 'mediastinal and right pericardiophrenic lymphadenopathy', 'existence': 'pos_dx', 'descriptive_term': 'mediastinal and right pericardiophrenic', 'observation': 'lymphadenopathy'anatomical entity_fin: 'thorax': location descriptor_fin: ['right']clinical findings_fin: 'tumor': 'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Volume loss right hemithorax with scattered visceral pleural nodules in the lung periphery and fissures consistent with provided history of mesothelioma. Right upper lobe subpleural nodule on image 50 is minimally larger. Reference focal pleural thickening seen at approximately the level of the aortic valve is stable at 13 mm at 12 oclock, but difficult to measure as it occurs at the top of the epicardial fat pad, making volume averaging problematic. Craniocaudally, this thickening is decreased, visible only on a single image , where as previously it was present on at least 3 images and should be dropped as a point of future reference. Residual pleural tumor at the costophrenic sulcus appears similar. Right lung apex. 2-mm decreased from 3 mm at 5 oclock. Just above the aortic arch. 3 mm, previously 2 mm at 5 oclock. Reference right hilar lymphadenopathy stable at 22 x 14 mm on image 57. Mediastinal and right pericardiophrenic lymphadenopathy appears similar. Tumor outside of the bony thorax and the right difficult to see because it occurs between layers of muscle but may have been present previously given the benefit of retrospect, unchanged. No significant abnormality noted. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'right hemithorax': , 'lung': clinical findings_fin: 'right hemithorax': 'clinical finding': 'right hemithorax', 'existence': 'pos_dx', 'descriptive_term': 'right', 'observation': 'hemithorax', 'scattered visceral pleural nodules': 'clinical finding': 'scattered visceral pleural nodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered visceral pleural', 'observation': 'nodule', 'fissures': 'clinical finding': 'fissures', 'existence': 'pos_dx', 'observation': 'fissure', 'mesothelioma': 'clinical finding': 'mesothelioma', 'existence': 'pos_dx', 'observation': 'mesothelioma'anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'right upper lobe subpleural nodule': 'clinical finding': 'right upper lobe subpleural nodule', 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe subpleural', 'observation': 'nodule'size_fin: ['size': '13 mm']anatomical entity_fin: 'aortic valve': imaging observation_fin: ['epicardial fat pad']clinical findings_fin: 'reference focal pleural thickening': 'clinical finding': 'reference focal pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'reference focal pleural', 'observation': 'thickening', 'epicardial fat pad': 'clinical finding': 'epicardial fat pad', 'existence': 'pos_dx', 'descriptive_term': 'epicardial fat', 'observation': 'pad', 'volume averaging': 'clinical finding': 'volume averaging', 'existence': 'unc_dx', 'descriptive_term': 'volume', 'observation': 'average'clinical findings_fin: 'this thickening': 'clinical finding': 'this thickening', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'thickening'anatomical entity_fin: 'costophrenic sulcus': clinical findings_fin: 'residual pleural tumor': 'clinical finding': 'residual pleural tumor', 'existence': 'pos_dx', 'descriptive_term': 'residual pleural', 'observation': 'tumor', 'temporal_term': 'residual'anatomical entity_fin: 'right lung': , 'apex': size_fin: ['size': '2-mm', 'size': '3 mm']clinical findings_fin: '2-mm decreased from 3 mm at 5 oclock': 'clinical finding': '2-mm decreased from 3 mm at 5 oclock', 'change_term': 'decreased'anatomical entity_fin: 'aortic arch': size_fin: ['size': '3 mm', 'size': '2 mm']size_fin: ['size': '22 x 14 mm']location descriptor_fin: ['right']clinical findings_fin: 'right hilar lymphadenopathy': 'clinical finding': 'right hilar lymphadenopathy', 'existence': 'pos_dx', 'descriptive_term': 'right hilar', 'observation': 'lymphadenopathy'location descriptor_fin: ['right']clinical findings_fin: 'mediastinal and right pericardiophrenic lymphadenopathy': 'clinical finding': 'mediastinal and right pericardiophrenic lymphadenopathy', 'existence': 'pos_dx', 'descriptive_term': 'mediastinal and right pericardiophrenic', 'observation': 'lymphadenopathy'anatomical entity_fin: 'thorax': location descriptor_fin: ['right']clinical findings_fin: 'tumor': 'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP]

. Volume loss right hemithorax with scattered visceral pleural nodules in the lung periphery and fissures consistent with provided history of mesothelioma. Right upper lobe subpleural nodule on image 50 is minimally larger. Reference focal pleural thickening seen at approximately the level of the aortic valve is stable at 13 mm at 12 oclock, but difficult to measure as it occurs at the top of the epicardial fat pad, making volume averaging problematic. Craniocaudally, this thickening is decreased, visible only on a single image , where as previously it was present on at least 3 images and should be dropped as a point of future reference. Residual pleural tumor at the costophrenic sulcus appears similar. Right lung apex. 2-mm decreased from 3 mm at 5 oclock. Just above the aortic arch. 3 mm, previously 2 mm at 5 oclock. Reference right hilar lymphadenopathy stable at 22 x 14 mm on image 57. Mediastinal and right pericardiophrenic lymphadenopathy appears similar. Tumor outside of the bony thorax and the right difficult to see because it occurs between layers of muscle but may have been present previously given the benefit of retrospect, unchanged. No significant abnormality noted. [/RESP]</s>

. Right hemithorax with scattered visceral pleural nodules, fissures, and mesothelioma.[/RESP]. Reference focal pleural thickening in the right upper lobe subpleural nodule measuring up to 13 mm. This is likely volume averaging of epicardial fat pad. The reference point of this thickening has shifted slightly superiorly since prior study. Residual pleural tumor along the costophrenic sulcus. 2-mm decrease from 3 mm at 5 oclock. Right lung apex measures 2-mm decreased from 3 mm at 5 oclock. Right hilar lymphadenopathy measures approximately 22 x 14 mm. Mediastinal and right pericardiophrenic lymphadenopathy. Tumor within the right thoracic cavity. No significant abnormality noted. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'subcentimeter nodules': 'clinical finding': 'subcentimeter nodules', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter', 'observation': 'nodule', 'decreased': 'clinical finding': 'decreased', 'existence': 'pos_dx', 'observation': 'decrease'size_fin: ['size': '6 mm', 'size_descriptor': 'nodule']anatomical entity_fin: 'lobe': 'location descriptor': 'left lower'location descriptor_fin: ['left', 'lower']clinical findings_fin: 'reference subpleural left lower lobe nodule': 'clinical finding': 'reference subpleural left lower lobe nodule', 'existence': 'pos_dx', 'descriptive_term': 'reference subpleural left lower lobe', 'observation': 'nodule'clinical findings_fin: 'extensive pleural thickening': 'clinical finding': 'extensive pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'extensive pleural', 'observation': 'thickening', 'strength_term': 'extensive', 'metastases': 'clinical finding': 'metastases', 'existence': 'pos_dx', 'observation': 'metastase'anatomical entity_fin: 'fluid': , 'hemithorax': 'location descriptor': 'right posterior'location descriptor_fin: ['right', 'posterior']clinical findings_fin: 'residual': 'clinical finding': 'residual', 'existence': 'pos_dx', 'observation': 'residual'object_fin: ['tube']clinical findings_fin: 'fissures': 'clinical finding': 'fissures', 'existence': 'pos_dx', 'observation': 'fissure'clinical findings_fin: 'new pulmonary metastases': 'clinical finding': 'new pulmonary metastases', 'existence': 'neg_dx', 'descriptive_term': 'new pulmonary', 'observation': 'metastase', 'temporal_term': 'new'size_fin: ['size': '14 x 9 mm', 'size_descriptor': 'disease']clinical findings_fin: 'stable metastatic disease': 'clinical finding': 'stable metastatic disease', 'existence': 'pos_dx', 'descriptive_term': 'stable metastatic', 'observation': 'disease', 'strength_term': 'stable', 'change_term': 'stable', 'reference pretracheal node': 'clinical finding': 'reference pretracheal node', 'existence': 'pos_dx', 'descriptive_term': 'reference pretracheal', 'observation': 'node'size_fin: ['size': '10 x 8 mm', 'size_descriptor': 'lesion']location descriptor_fin: ['right', 'midline']clinical findings_fin: 'second reference lesion': 'clinical finding': 'second reference lesion', 'existence': 'pos_dx', 'descriptive_term': 'second reference', 'observation': 'lesion'clinical findings_fin: 'coronary calcification': 'clinical finding': 'coronary calcification', 'existence': 'pos_dx', 'descriptive_term': 'coronary', 'observation': 'calcification'clinical findings_fin: 'stable metastases': 'clinical finding': 'stable metastases', 'existence': 'pos_dx', 'descriptive_term': 'stable', 'observation': 'metastase', 'strength_term': 'stable', 'change_term': 'stable'imaging observation_fin: ['fat']location descriptor_fin: ['inferior']clinical findings_fin: 'stable metastases': 'clinical finding': 'stable metastases', 'existence': 'pos_dx', 'descriptive_term': 'stable', 'observation': 'metastase', 'strength_term': 'stable', 'change_term': 'stable', 'paracaval fat': 'clinical finding': 'paracaval fat', 'existence': 'pos_dx', 'descriptive_term': 'paracaval', 'observation': 'fat'location descriptor_fin: ['right']clinical findings_fin: 'stable cholelithiasis': 'clinical finding': 'stable cholelithiasis', 'existence': 'pos_dx', 'descriptive_term': 'stable', 'observation': 'cholelithiasis', 'strength_term': 'stable', 'change_term': 'stable'clinical findings_fin: 'stable renal cysts': 'clinical finding': 'stable renal cysts', 'existence': 'pos_dx', 'descriptive_term': 'stable renal', 'observation': 'cyst', 'strength_term': 'stable', 'change_term': 'stable'anatomical entity_fin: 'left adrenal gland': clinical findings_fin: 'stable subcentimeter nodule': 'clinical finding': 'stable subcentimeter nodule', 'existence': 'pos_dx', 'descriptive_term': 'stable subcentimeter', 'observation': 'nodule', 'strength_term': 'stable', 'change_term': 'stable', 'possibly an adenoma': 'clinical finding': 'possibly an adenoma', 'existence': 'pos_dx', 'descriptive_term': 'possibly an', 'observation': 'adenoma'clinical findings_fin: 'retrocrural adenopathy': 'clinical finding': 'retrocrural adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'retrocrural', 'observation': 'adenopathy' [/INST] [RESP] . The subcentimeter nodules in the left upper lobe have marginally decreased in size. The reference subpleural left lower lobe nodule is stable at 6 mm. Extensive pleural thickening compatible with metastases is unchanged. There is residual loculated fluid in the right posterior hemithorax, unchanged in volume. The pleural drain is unchanged in position with the tip in the collection but the majority of the tube traversing the fissures. No new pulmonary metastases. Stable metastatic disease in the thyroid bed with the reference pretracheal node measuring 14 x 9 mm on image 15/149. The second reference lesion just to the right of midline again measures 10 x 8 mm on image 13/149. Coronary calcification. Stable metastases involving the cardiophrenic space. Stable metastases in the paracaval fat at the level of the inferior cavoatrial junction. Right-sided pleural drain. Stable cholelithiasis. Negative. Stable renal cysts. Stable subcentimeter nodule possibly an adenoma in the left adrenal gland. Negative. Retrocrural adenopathy stable. Negative. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'subcentimeter nodules': 'clinical finding': 'subcentimeter nodules', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter', 'observation': 'nodule', 'decreased': 'clinical finding': 'decreased', 'existence': 'pos_dx', 'observation': 'decrease'size_fin: ['size': '6 mm', 'size_descriptor': 'nodule']anatomical entity_fin: 'lobe': 'location descriptor': 'left lower'location descriptor_fin: ['left', 'lower']clinical findings_fin: 'reference subpleural left lower lobe nodule': 'clinical finding': 'reference subpleural left lower lobe nodule', 'existence': 'pos_dx', 'descriptive_term': 'reference subpleural left lower lobe', 'observation': 'nodule'clinical findings_fin: 'extensive pleural thickening': 'clinical finding': 'extensive pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'extensive pleural', 'observation': 'thickening', 'strength_term': 'extensive', 'metastases': 'clinical finding': 'metastases', 'existence': 'pos_dx', 'observation': 'metastase'anatomical entity_fin: 'fluid': , 'hemithorax': 'location descriptor': 'right posterior'location descriptor_fin: ['right', 'posterior']clinical findings_fin: 'residual': 'clinical finding': 'residual', 'existence': 'pos_dx', 'observation': 'residual'object_fin: ['tube']clinical findings_fin: 'fissures': 'clinical finding': 'fissures', 'existence': 'pos_dx', 'observation': 'fissure'clinical findings_fin: 'new pulmonary metastases': 'clinical finding': 'new pulmonary metastases', 'existence': 'neg_dx', 'descriptive_term': 'new pulmonary', 'observation': 'metastase', 'temporal_term': 'new'size_fin: ['size': '14 x 9 mm', 'size_descriptor': 'disease']clinical findings_fin: 'stable metastatic disease': 'clinical finding': 'stable metastatic disease', 'existence': 'pos_dx', 'descriptive_term': 'stable metastatic', 'observation': 'disease', 'strength_term': 'stable', 'change_term': 'stable', 'reference pretracheal node': 'clinical finding': 'reference pretracheal node', 'existence': 'pos_dx', 'descriptive_term': 'reference pretracheal', 'observation': 'node'size_fin: ['size': '10 x 8 mm', 'size_descriptor': 'lesion']location descriptor_fin: ['right', 'midline']clinical findings_fin: 'second reference lesion': 'clinical finding': 'second reference lesion', 'existence': 'pos_dx', 'descriptive_term': 'second reference', 'observation': 'lesion'clinical findings_fin: 'coronary calcification': 'clinical finding': 'coronary calcification', 'existence': 'pos_dx', 'descriptive_term': 'coronary', 'observation': 'calcification'clinical findings_fin: 'stable metastases': 'clinical finding': 'stable metastases', 'existence': 'pos_dx', 'descriptive_term': 'stable', 'observation': 'metastase', 'strength_term': 'stable', 'change_term': 'stable'imaging observation_fin: ['fat']location descriptor_fin: ['inferior']clinical findings_fin: 'stable metastases': 'clinical finding': 'stable metastases', 'existence': 'pos_dx', 'descriptive_term': 'stable', 'observation': 'metastase', 'strength_term': 'stable', 'change_term': 'stable', 'paracaval fat': 'clinical finding': 'paracaval fat', 'existence': 'pos_dx', 'descriptive_term': 'paracaval', 'observation': 'fat'location descriptor_fin: ['right']clinical findings_fin: 'stable cholelithiasis': 'clinical finding': 'stable cholelithiasis', 'existence': 'pos_dx', 'descriptive_term': 'stable', 'observation': 'cholelithiasis', 'strength_term': 'stable', 'change_term': 'stable'clinical findings_fin: 'stable renal cysts': 'clinical finding': 'stable renal cysts', 'existence': 'pos_dx', 'descriptive_term': 'stable renal', 'observation': 'cyst', 'strength_term': 'stable', 'change_term': 'stable'anatomical entity_fin: 'left adrenal gland': clinical findings_fin: 'stable subcentimeter nodule': 'clinical finding': 'stable subcentimeter nodule', 'existence': 'pos_dx', 'descriptive_term': 'stable subcentimeter', 'observation': 'nodule', 'strength_term': 'stable', 'change_term': 'stable', 'possibly an adenoma': 'clinical finding': 'possibly an adenoma', 'existence': 'pos_dx', 'descriptive_term': 'possibly an', 'observation': 'adenoma'clinical findings_fin: 'retrocrural adenopathy': 'clinical finding': 'retrocrural adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'retrocrural', 'observation': 'adenopathy' [/INST] [RESP]

. The subcentimeter nodules in the left upper lobe have marginally decreased in size. The reference subpleural left lower lobe nodule is stable at 6 mm. Extensive pleural thickening compatible with metastases is unchanged. There is residual loculated fluid in the right posterior hemithorax, unchanged in volume. The pleural drain is unchanged in position with the tip in the collection but the majority of the tube traversing the fissures. No new pulmonary metastases. Stable metastatic disease in the thyroid bed with the reference pretracheal node measuring 14 x 9 mm on image 15/149. The second reference lesion just to the right of midline again measures 10 x 8 mm on image 13/149. Coronary calcification. Stable metastases involving the cardiophrenic space. Stable metastases in the paracaval fat at the level of the inferior cavoatrial junction. Right-sided pleural drain. Stable cholelithiasis. Negative. Stable renal cysts. Stable subcentimeter nodule possibly an adenoma in the left adrenal gland. Negative. Retrocrural adenopathy stable. Negative. [/RESP]</s>

. Subcentimeter nodules in the left upper lobe, decreased from prior exam.[/RESP]. Reference subpleural left lower lobe nodule measures 6 mm. Extensive pleural thickening with areas of air bronchograms and reticular opacity compatible with metastases. Residual fluid in the right posterior hemithorax. Tube in place. Fissures are stable. No new pulmonary metastases. Stable metastatic disease including reference pretracheal node measuring 14 x 9 mm. Second reference lesion in the right midline measuring 10 x 8 mm. Coronary calcification. Stable metastases. Paracaval fat. Stable cholelithiasis. Stable renal cysts. Stable subcentimeter nodule in the left adrenal gland possibly an adenoma. Retrocrural adenopathy. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'fascial defect': 'clinical finding': 'fascial defect', 'existence': 'neg_dx', 'descriptive_term': 'fascial', 'observation': 'defect', 'hernia': 'clinical finding': 'hernia', 'existence': 'neg_dx', 'observation': 'hernia'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. None. No significant abnormality noted. No fascial defect or hernia. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'fascial defect': 'clinical finding': 'fascial defect', 'existence': 'neg_dx', 'descriptive_term': 'fascial', 'observation': 'defect', 'hernia': 'clinical finding': 'hernia', 'existence': 'neg_dx', 'observation': 'hernia'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP]

. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. None. No significant abnormality noted. No fascial defect or hernia. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted [/RESP]</s>

. No significant abnormality. The examination is unremarkable. No significant abnormality. The examination is unremarkable and there is no evidence of any significant abnormality. There is no evidence of any significant abnormality. The examination is negative for any significant abnormality. There is no evidence of any significant abnormality. The examination is negative for any significant abnormality. There is no evidence of any significant abnormality. The examination is negative for any significant abnormality. There is no evidence of any significant abnormality. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['left']clinical findings_fin: 'streaky bibasilar atelectasis': 'clinical finding': 'streaky bibasilar atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'streaky bibasilar', 'observation': 'atelectasis', 'left pleural effusion': 'clinical finding': 'left pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'left pleural', 'observation': 'effusion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'spleen': , 'splenic artery': imaging observation_fin: ['wedge']procedure_fin: ['embolization']clinical findings_fin: 'wedge-shaped hypodensity': 'clinical finding': 'wedge-shaped hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'wedge-shaped', 'observation': 'hypodensity'clinical findings_fin: 'peri-splenic fluid collection': 'clinical finding': 'peri-splenic fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'peri-splenic fluid', 'observation': 'collection'anatomical entity_fin: 'pancreas': clinical findings_fin: 'atrophic': 'clinical finding': 'atrophic', 'existence': 'pos_dx', 'observation': 'atrophic'clinical findings_fin: 'minimal peripancreatic inflammation': 'clinical finding': 'minimal peripancreatic inflammation', 'existence': 'pos_dx', 'descriptive_term': 'minimal peripancreatic', 'observation': 'inflammation', 'strength_term': 'minimal', 'quantity_term': 'minimal'anatomical entity_fin: 'pancreas': location descriptor_fin: ['adjacent']clinical findings_fin: 'small fluid collection': 'clinical finding': 'small fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'small fluid', 'observation': 'collection', 'strength_term': 'small', 'tail': 'clinical finding': 'tail', 'existence': 'pos_dx', 'observation': 'tail'object_fin: ['tube']procedure_fin: ['gastrostomy']clinical findings_fin: 'cyst': 'clinical finding': 'cyst', 'existence': 'pos_dx', 'observation': 'cyst'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant normality': 'clinical finding': 'significant normality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'normality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['left']clinical findings_fin: 'indeterminate subcutaneous nodule': 'clinical finding': 'indeterminate subcutaneous nodule', 'existence': 'pos_dx', 'descriptive_term': 'indeterminate subcutaneous', 'observation': 'nodule'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormalities': 'clinical finding': 'significant abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . There is streaky bibasilar atelectasis and a trace left pleural effusion. These findings are improved since the previous study. No significant abnormality noted. There is a wedge-shaped hypodensity within the spleen consistent with patients prior history of splenic artery embolization. A peri-splenic fluid collection is decreased in size since the prior study. The pancreas is atrophic. There is minimal peripancreatic inflammation. There is a small fluid collection adjacent to the tail of the pancreas which is decreased in size from the prior study. There is been interval removal of the cyst gastrostomy tube. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant normality noted. No significant abnormality noted. There is an indeterminate subcutaneous nodule in the left buttock. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormalities noted. No significant abnormality noted [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['left']clinical findings_fin: 'streaky bibasilar atelectasis': 'clinical finding': 'streaky bibasilar atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'streaky bibasilar', 'observation': 'atelectasis', 'left pleural effusion': 'clinical finding': 'left pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'left pleural', 'observation': 'effusion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'spleen': , 'splenic artery': imaging observation_fin: ['wedge']procedure_fin: ['embolization']clinical findings_fin: 'wedge-shaped hypodensity': 'clinical finding': 'wedge-shaped hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'wedge-shaped', 'observation': 'hypodensity'clinical findings_fin: 'peri-splenic fluid collection': 'clinical finding': 'peri-splenic fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'peri-splenic fluid', 'observation': 'collection'anatomical entity_fin: 'pancreas': clinical findings_fin: 'atrophic': 'clinical finding': 'atrophic', 'existence': 'pos_dx', 'observation': 'atrophic'clinical findings_fin: 'minimal peripancreatic inflammation': 'clinical finding': 'minimal peripancreatic inflammation', 'existence': 'pos_dx', 'descriptive_term': 'minimal peripancreatic', 'observation': 'inflammation', 'strength_term': 'minimal', 'quantity_term': 'minimal'anatomical entity_fin: 'pancreas': location descriptor_fin: ['adjacent']clinical findings_fin: 'small fluid collection': 'clinical finding': 'small fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'small fluid', 'observation': 'collection', 'strength_term': 'small', 'tail': 'clinical finding': 'tail', 'existence': 'pos_dx', 'observation': 'tail'object_fin: ['tube']procedure_fin: ['gastrostomy']clinical findings_fin: 'cyst': 'clinical finding': 'cyst', 'existence': 'pos_dx', 'observation': 'cyst'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant normality': 'clinical finding': 'significant normality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'normality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['left']clinical findings_fin: 'indeterminate subcutaneous nodule': 'clinical finding': 'indeterminate subcutaneous nodule', 'existence': 'pos_dx', 'descriptive_term': 'indeterminate subcutaneous', 'observation': 'nodule'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormalities': 'clinical finding': 'significant abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP]

. There is streaky bibasilar atelectasis and a trace left pleural effusion. These findings are improved since the previous study. No significant abnormality noted. There is a wedge-shaped hypodensity within the spleen consistent with patients prior history of splenic artery embolization. A peri-splenic fluid collection is decreased in size since the prior study. The pancreas is atrophic. There is minimal peripancreatic inflammation. There is a small fluid collection adjacent to the tail of the pancreas which is decreased in size from the prior study. There is been interval removal of the cyst gastrostomy tube. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant normality noted. No significant abnormality noted. There is an indeterminate subcutaneous nodule in the left buttock. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormalities noted. No significant abnormality noted [/RESP]</s>

. Streaky bibasilar atelectasis and left pleural effusion. The pulmonary vasculature is not significantly enlarged or occluded. No significant abnormality noted. Wedge-shaped hypodensity in the spleen, likely due to embolization of the splenic artery. Peri-splenic fluid collection. Atrophic pancreas. Minimal peripancreatic inflammation. Small fluid collection adjacent to the tail of the pancreas. Gastrostomy tube tip within cyst. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'solid organs': , 'kidneys': clinical findings_fin: 'lesions': 'clinical finding': 'lesions', 'existence': 'neg_dx', 'observation': 'lesion', 'intravenous contrast': 'clinical finding': 'intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'cholelithiasis': 'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'clinical findings_fin: 'biliary dilatation': 'clinical finding': 'biliary dilatation', 'existence': 'neg_dx', 'descriptive_term': 'biliary', 'observation': 'dilatation'anatomical entity_fin: 'liver': clinical findings_fin: 'definite focal liver lesions': 'clinical finding': 'definite focal liver lesions', 'existence': 'neg_dx', 'descriptive_term': 'definite focal liver', 'observation': 'lesion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'right kidney': clinical findings_fin: 'small unchanged': 'clinical finding': 'small unchanged', 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'unchanged', 'strength_term': 'small'clinical findings_fin: 'normal contour': 'clinical finding': 'normal contour', 'existence': 'pos_dx', 'descriptive_term': 'normal', 'observation': 'contour', 'strength_term': 'normal'anatomical entity_fin: 'left kidney': clinical findings_fin: 'mild lobulation': 'clinical finding': 'mild lobulation', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'lobulation', 'strength_term': 'mild', 'left kidney contour': 'clinical finding': 'left kidney contour', 'existence': 'pos_dx', 'descriptive_term': 'left kidney', 'observation': 'contour'clinical findings_fin: 'hydronephrosis': 'clinical finding': 'hydronephrosis', 'existence': 'neg_dx', 'observation': 'hydronephrosis', 'hydroureter': 'clinical finding': 'hydroureter', 'existence': 'neg_dx', 'observation': 'hydroureter'imaging observation_fin: ['fat']clinical findings_fin: 'perinephric fat stranding': 'clinical finding': 'perinephric fat stranding', 'existence': 'neg_dx', 'descriptive_term': 'perinephric fat', 'observation': 'strand'clinical findings_fin: 'severe atherosclerotic changes': 'clinical finding': 'severe atherosclerotic changes', 'existence': 'pos_dx', 'descriptive_term': 'severe atherosclerotic', 'observation': 'change', 'strength_term': 'severe'clinical findings_fin: 'aneurysm': 'clinical finding': 'aneurysm', 'existence': 'neg_dx', 'observation': 'aneurysm'clinical findings_fin: 'small shotty nodes': 'clinical finding': 'small shotty nodes', 'existence': 'neg_dx', 'descriptive_term': 'small shotty', 'observation': 'node', 'strength_term': 'small'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'atrophic': 'clinical finding': 'atrophic', 'existence': 'pos_dx', 'observation': 'atrophic'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'hip': 'location descriptor': 'right'location descriptor_fin: ['right']procedure_fin: ['arthroplasty']clinical findings_fin: 'lytic or blastic disease': 'clinical finding': 'lytic or blastic disease', 'existence': 'neg_dx', 'descriptive_term': 'lytic or blastic', 'observation': 'disease'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] Exam is not sensitive for detecting lesions in the solid organs or collecting system of the kidneys to the lack of intravenous contrast. No significant abnormality noted. Cholelithiasis. No biliary dilatation. No definite focal liver lesions. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Right kidney small unchanged. Normal contour. Mild lobulation of the left kidney contour unchanged. No hydronephrosis or hydroureter. No perinephric fat stranding. Severe atherosclerotic changes. No evidence of aneurysm. Small shotty nodes not pathologic by size. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Atrophic. Postsurgical changes. No significant abnormality noted. No significant abnormality noted. Arthroplasty right hip. No lytic or blastic disease. No significant abnormality noted [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'solid organs': , 'kidneys': clinical findings_fin: 'lesions': 'clinical finding': 'lesions', 'existence': 'neg_dx', 'observation': 'lesion', 'intravenous contrast': 'clinical finding': 'intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'cholelithiasis': 'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'clinical findings_fin: 'biliary dilatation': 'clinical finding': 'biliary dilatation', 'existence': 'neg_dx', 'descriptive_term': 'biliary', 'observation': 'dilatation'anatomical entity_fin: 'liver': clinical findings_fin: 'definite focal liver lesions': 'clinical finding': 'definite focal liver lesions', 'existence': 'neg_dx', 'descriptive_term': 'definite focal liver', 'observation': 'lesion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'right kidney': clinical findings_fin: 'small unchanged': 'clinical finding': 'small unchanged', 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'unchanged', 'strength_term': 'small'clinical findings_fin: 'normal contour': 'clinical finding': 'normal contour', 'existence': 'pos_dx', 'descriptive_term': 'normal', 'observation': 'contour', 'strength_term': 'normal'anatomical entity_fin: 'left kidney': clinical findings_fin: 'mild lobulation': 'clinical finding': 'mild lobulation', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'lobulation', 'strength_term': 'mild', 'left kidney contour': 'clinical finding': 'left kidney contour', 'existence': 'pos_dx', 'descriptive_term': 'left kidney', 'observation': 'contour'clinical findings_fin: 'hydronephrosis': 'clinical finding': 'hydronephrosis', 'existence': 'neg_dx', 'observation': 'hydronephrosis', 'hydroureter': 'clinical finding': 'hydroureter', 'existence': 'neg_dx', 'observation': 'hydroureter'imaging observation_fin: ['fat']clinical findings_fin: 'perinephric fat stranding': 'clinical finding': 'perinephric fat stranding', 'existence': 'neg_dx', 'descriptive_term': 'perinephric fat', 'observation': 'strand'clinical findings_fin: 'severe atherosclerotic changes': 'clinical finding': 'severe atherosclerotic changes', 'existence': 'pos_dx', 'descriptive_term': 'severe atherosclerotic', 'observation': 'change', 'strength_term': 'severe'clinical findings_fin: 'aneurysm': 'clinical finding': 'aneurysm', 'existence': 'neg_dx', 'observation': 'aneurysm'clinical findings_fin: 'small shotty nodes': 'clinical finding': 'small shotty nodes', 'existence': 'neg_dx', 'descriptive_term': 'small shotty', 'observation': 'node', 'strength_term': 'small'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'atrophic': 'clinical finding': 'atrophic', 'existence': 'pos_dx', 'observation': 'atrophic'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'hip': 'location descriptor': 'right'location descriptor_fin: ['right']procedure_fin: ['arthroplasty']clinical findings_fin: 'lytic or blastic disease': 'clinical finding': 'lytic or blastic disease', 'existence': 'neg_dx', 'descriptive_term': 'lytic or blastic', 'observation': 'disease'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP]

Exam is not sensitive for detecting lesions in the solid organs or collecting system of the kidneys to the lack of intravenous contrast. No significant abnormality noted. Cholelithiasis. No biliary dilatation. No definite focal liver lesions. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Right kidney small unchanged. Normal contour. Mild lobulation of the left kidney contour unchanged. No hydronephrosis or hydroureter. No perinephric fat stranding. Severe atherosclerotic changes. No evidence of aneurysm. Small shotty nodes not pathologic by size. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Atrophic. Postsurgical changes. No significant abnormality noted. No significant abnormality noted. Arthroplasty right hip. No lytic or blastic disease. No significant abnormality noted [/RESP]</s>

. Solid organs are not adequately evaluated due to lack of intravenous contrast.[/RESP]. No significant abnormality noted. Cholelithiasis is present. There is no biliary dilatation. The liver shows no definite focal liver lesions. No significant abnormality noted. None. No significant abnormality. Small unchanged right kidney. Normal contour left kidney with mild lobulation. No hydronephrosis or hydroureter. Perinephric fat stranding is absent. Severe atherosclerotic changes. Aneurysm is not identified. Small shotty nodes are seen in the thyroid bed. No significant abnormality noted. No significant abnormality. Atrophic appearance of the lungs. No significant abnormality. Atrophic appearance of the hip joints. Lytic or blastic disease is not suspected. No significant abnormality. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'previously described, pleural-based micronodule': 'clinical finding': 'previously described, pleural-based micronodule', 'existence': 'pos_dx', 'descriptive_term': 'previously described pleural-based', 'observation': 'micronodule'anatomical entity_fin: 'right major fissure': clinical findings_fin: 'additional pulmonary micronodules': 'clinical finding': 'additional pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'additional pulmonary', 'observation': 'micronodule', 'intrapulmonary lymph node': 'clinical finding': 'intrapulmonary lymph node', 'existence': 'pos_dx', 'descriptive_term': 'intrapulmonary lymph', 'observation': 'node'anatomical entity_fin: 'lobes': 'location descriptor': 'lower'imaging observation_fin: ['foci']location descriptor_fin: ['posterior', 'lower']clinical findings_fin: 'ground glass opacities': 'clinical finding': 'ground glass opacities', 'existence': 'pos_dx', 'descriptive_term': 'ground glass', 'observation': 'opacity', 'atelectasis': 'clinical finding': 'atelectasis', 'existence': 'pos_dx', 'observation': 'atelectasis'clinical findings_fin: 'interval interlobular septal thickening': 'clinical finding': 'interval interlobular septal thickening', 'existence': 'neg_dx', 'descriptive_term': 'interval interlobular septal', 'observation': 'thickening', 'bronchiectasis': 'clinical finding': 'bronchiectasis', 'existence': 'neg_dx', 'observation': 'bronchiectasis'clinical findings_fin: 'air trapping': 'clinical finding': 'air trapping', 'existence': 'neg_dx', 'descriptive_term': 'air', 'observation': 'trapping'clinical findings_fin: 'triple vessel coronary artery calcification': 'clinical finding': 'triple vessel coronary artery calcification', 'existence': 'pos_dx', 'descriptive_term': 'triple vessel coronary artery', 'observation': 'calcification'size_fin: ['size': '33 mm', 'size_descriptor': 'transverse']anatomical entity_fin: 'main pulmonary artery': clinical findings_fin: 'dilatation': 'clinical finding': 'dilatation', 'existence': 'pos_dx', 'observation': 'dilatation'clinical findings_fin: 'prominent': 'clinical finding': 'prominent', 'existence': 'pos_dx', 'observation': 'prominent', 'contrast': 'clinical finding': 'contrast', 'existence': 'neg_dx', 'observation': 'contrast', 'pulmonary': 'clinical finding': 'pulmonary', 'existence': 'unc_dx', 'observation': 'pulmonary'location descriptor_fin: ['upper', 'left']clinical findings_fin: 'mild left atrial and ventricular enlargement': 'clinical finding': 'mild left atrial and ventricular enlargement', 'existence': 'pos_dx', 'descriptive_term': 'mild left atrial and ventricular', 'observation': 'enlargement', 'strength_term': 'mild'location descriptor_fin: ['distal', 'superior']clinical findings_fin: 'circumferential distal esophageal wall thickening': 'clinical finding': 'circumferential distal esophageal wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'circumferential distal esophageal wall', 'observation': 'thickening', 'small hiatal hernia': 'clinical finding': 'small hiatal hernia', 'existence': 'pos_dx', 'descriptive_term': 'small hiatal', 'observation': 'hernia', 'strength_term': 'small'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . The previously described, pleural-based micronodule is unchanged. An additional pulmonary micronodules in the right major fissure is unchanged and likely intrapulmonary lymph node. There are scattered foci of ground glass opacities in the posterior basal segments of both lower lobes compatible with atelectasis. No interval interlobular septal thickening, pathologic groundglass, or bronchiectasis is identified. No air trapping is present. Triple vessel coronary artery calcification. There is dilatation of the main pulmonary artery, measuring up to 33 mm transverse. The hilar regions are prominent, incompletely characterized without contrast, but likely due to pulmonary arterial enlargement. The cardiac size is upper limits of normal with mild left atrial and ventricular enlargement. There is circumferential distal esophageal wall thickening superior to a small hiatal hernia. No significant abnormality noted. No significant abnormality noted. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'previously described, pleural-based micronodule': 'clinical finding': 'previously described, pleural-based micronodule', 'existence': 'pos_dx', 'descriptive_term': 'previously described pleural-based', 'observation': 'micronodule'anatomical entity_fin: 'right major fissure': clinical findings_fin: 'additional pulmonary micronodules': 'clinical finding': 'additional pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'additional pulmonary', 'observation': 'micronodule', 'intrapulmonary lymph node': 'clinical finding': 'intrapulmonary lymph node', 'existence': 'pos_dx', 'descriptive_term': 'intrapulmonary lymph', 'observation': 'node'anatomical entity_fin: 'lobes': 'location descriptor': 'lower'imaging observation_fin: ['foci']location descriptor_fin: ['posterior', 'lower']clinical findings_fin: 'ground glass opacities': 'clinical finding': 'ground glass opacities', 'existence': 'pos_dx', 'descriptive_term': 'ground glass', 'observation': 'opacity', 'atelectasis': 'clinical finding': 'atelectasis', 'existence': 'pos_dx', 'observation': 'atelectasis'clinical findings_fin: 'interval interlobular septal thickening': 'clinical finding': 'interval interlobular septal thickening', 'existence': 'neg_dx', 'descriptive_term': 'interval interlobular septal', 'observation': 'thickening', 'bronchiectasis': 'clinical finding': 'bronchiectasis', 'existence': 'neg_dx', 'observation': 'bronchiectasis'clinical findings_fin: 'air trapping': 'clinical finding': 'air trapping', 'existence': 'neg_dx', 'descriptive_term': 'air', 'observation': 'trapping'clinical findings_fin: 'triple vessel coronary artery calcification': 'clinical finding': 'triple vessel coronary artery calcification', 'existence': 'pos_dx', 'descriptive_term': 'triple vessel coronary artery', 'observation': 'calcification'size_fin: ['size': '33 mm', 'size_descriptor': 'transverse']anatomical entity_fin: 'main pulmonary artery': clinical findings_fin: 'dilatation': 'clinical finding': 'dilatation', 'existence': 'pos_dx', 'observation': 'dilatation'clinical findings_fin: 'prominent': 'clinical finding': 'prominent', 'existence': 'pos_dx', 'observation': 'prominent', 'contrast': 'clinical finding': 'contrast', 'existence': 'neg_dx', 'observation': 'contrast', 'pulmonary': 'clinical finding': 'pulmonary', 'existence': 'unc_dx', 'observation': 'pulmonary'location descriptor_fin: ['upper', 'left']clinical findings_fin: 'mild left atrial and ventricular enlargement': 'clinical finding': 'mild left atrial and ventricular enlargement', 'existence': 'pos_dx', 'descriptive_term': 'mild left atrial and ventricular', 'observation': 'enlargement', 'strength_term': 'mild'location descriptor_fin: ['distal', 'superior']clinical findings_fin: 'circumferential distal esophageal wall thickening': 'clinical finding': 'circumferential distal esophageal wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'circumferential distal esophageal wall', 'observation': 'thickening', 'small hiatal hernia': 'clinical finding': 'small hiatal hernia', 'existence': 'pos_dx', 'descriptive_term': 'small hiatal', 'observation': 'hernia', 'strength_term': 'small'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP]

. The previously described, pleural-based micronodule is unchanged. An additional pulmonary micronodules in the right major fissure is unchanged and likely intrapulmonary lymph node. There are scattered foci of ground glass opacities in the posterior basal segments of both lower lobes compatible with atelectasis. No interval interlobular septal thickening, pathologic groundglass, or bronchiectasis is identified. No air trapping is present. Triple vessel coronary artery calcification. There is dilatation of the main pulmonary artery, measuring up to 33 mm transverse. The hilar regions are prominent, incompletely characterized without contrast, but likely due to pulmonary arterial enlargement. The cardiac size is upper limits of normal with mild left atrial and ventricular enlargement. There is circumferential distal esophageal wall thickening superior to a small hiatal hernia. No significant abnormality noted. No significant abnormality noted. [/RESP]</s>

. Previously described, pleural-based micronodule is unchanged. The additional pulmonary micronodules in the right major fissure are also stable. There are foci of ground glass opacity within the posterior lower lobes which may represent atelectasis. Interval interval interlobular septal thickening or bronchiectasis has not progressed. No air trapping. Triple vessel coronary artery calcification. Main pulmonary artery dilatation measures 33 mm transverse. Heart size is mildly prominent without contrast enhancement. Mild left atrial and ventricular enlargement. Circumferential distal esophageal wall thickening with small hiatal hernia. No significant abnormality noted. No significant abnormality observed. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'right lung': , 'base': clinical findings_fin: 'calcified granuloma': 'clinical finding': 'calcified granuloma', 'existence': 'pos_dx', 'descriptive_term': 'calcified', 'observation': 'granuloma', 'change_term': 'calcified'anatomical entity_fin: 'mediastinum': clinical findings_fin: 'several small lymph nodes': 'clinical finding': 'several small lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'several small lymph', 'observation': 'node', 'strength_term': 'small', 'quantity_term': 'several'size_fin: ['size': '9 x 11 mm', 'size_descriptor': 'node']location descriptor_fin: ['right']clinical findings_fin: '9 x 11 mm right paratracheal lymph node': 'clinical finding': '9 x 11 mm right paratracheal lymph node', 'existence': 'pos_dx', 'descriptive_term': '9 x 11 mm right paratracheal lymph', 'observation': 'node'clinical findings_fin: 'coronary calcifications': 'clinical finding': 'coronary calcifications', 'existence': 'pos_dx', 'descriptive_term': 'coronary', 'observation': 'calcification'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'small retroperitoneal lymph nodes': 'clinical finding': 'small retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small retroperitoneal lymph', 'observation': 'node', 'strength_term': 'small'size_fin: ['size': '1.4 x 1.0', 'size_descriptor': 'cm']clinical findings_fin: '1.4 x 1.0-cm ge junction lymph node': 'clinical finding': '1.4 x 1.0-cm ge junction lymph node', 'existence': 'pos_dx', 'descriptive_term': '1 4 x 1 0-cm ge junction lymph', 'observation': 'node'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Calcified granuloma the right lung base. Several small lymph nodes noted in the mediastinum. For reference purposes, there is a 9 x 11 mm right paratracheal lymph node. Coronary calcifications. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Small retroperitoneal lymph nodes. For reference purposes, there is a 1.4 X 1.0-cm GE junction lymph node. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'right lung': , 'base': clinical findings_fin: 'calcified granuloma': 'clinical finding': 'calcified granuloma', 'existence': 'pos_dx', 'descriptive_term': 'calcified', 'observation': 'granuloma', 'change_term': 'calcified'anatomical entity_fin: 'mediastinum': clinical findings_fin: 'several small lymph nodes': 'clinical finding': 'several small lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'several small lymph', 'observation': 'node', 'strength_term': 'small', 'quantity_term': 'several'size_fin: ['size': '9 x 11 mm', 'size_descriptor': 'node']location descriptor_fin: ['right']clinical findings_fin: '9 x 11 mm right paratracheal lymph node': 'clinical finding': '9 x 11 mm right paratracheal lymph node', 'existence': 'pos_dx', 'descriptive_term': '9 x 11 mm right paratracheal lymph', 'observation': 'node'clinical findings_fin: 'coronary calcifications': 'clinical finding': 'coronary calcifications', 'existence': 'pos_dx', 'descriptive_term': 'coronary', 'observation': 'calcification'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'small retroperitoneal lymph nodes': 'clinical finding': 'small retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small retroperitoneal lymph', 'observation': 'node', 'strength_term': 'small'size_fin: ['size': '1.4 x 1.0', 'size_descriptor': 'cm']clinical findings_fin: '1.4 x 1.0-cm ge junction lymph node': 'clinical finding': '1.4 x 1.0-cm ge junction lymph node', 'existence': 'pos_dx', 'descriptive_term': '1 4 x 1 0-cm ge junction lymph', 'observation': 'node'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP]

. Calcified granuloma the right lung base. Several small lymph nodes noted in the mediastinum. For reference purposes, there is a 9 x 11 mm right paratracheal lymph node. Coronary calcifications. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Small retroperitoneal lymph nodes. For reference purposes, there is a 1.4 X 1.0-cm GE junction lymph node. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted [/RESP]</s>

. Calcified granuloma in the right lung base. Several small lymph nodes are present within the mediastinum. The largest is 9 x 11 mm and located in the right paratracheal region. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'clinical findings_fin: 'intracranial mass': 'clinical finding': 'intracranial mass', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'mass', 'mass-effect': 'clinical finding': 'mass-effect', 'existence': 'neg_dx', 'observation': 'mass'location descriptor_fin: ['midline']clinical findings_fin: 'herniation': 'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'clinical findings_fin: 'gray-white differentiation is maintained': 'clinical finding': 'gray-white differentiation is maintained', 'change_term': 'maintained'clinical findings_fin: 'scattered dystrophic appearing calcifications': 'clinical finding': 'scattered dystrophic appearing calcifications', 'existence': 'pos_dx', 'descriptive_term': 'scattered dystrophic appearing', 'observation': 'calcification'clinical findings_fin: 'hydrocephalus': 'clinical finding': 'hydrocephalus', 'existence': 'neg_dx', 'observation': 'hydrocephalus'anatomical entity_fin: 'paranasal sinuses': , 'maxillary sinus': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'near complete opacification': 'clinical finding': 'near complete opacification', 'existence': 'pos_dx', 'descriptive_term': 'near complete', 'observation': 'opacification', 'hyperdense material': 'clinical finding': 'hyperdense material', 'existence': 'pos_dx', 'descriptive_term': 'hyperdense', 'observation': 'material', 'wall thickening': 'clinical finding': 'wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'wall', 'observation': 'thickening'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'lens': location descriptor_fin: ['bilateral'] [/INST] [RESP] No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or herniation. Gray-white differentiation is maintained. There are scattered dystrophic appearing calcifications. Sulci and ventricles are within normal limits for age without evidence of hydrocephalus. No extra-axial collections. The visualized portions of the paranasal sinuses demonstrate near complete opacification of the right maxillary sinus with hyperdense material and wall thickening. Mastoid air cells are clear. Calvarium is intact. Evidence of bilateral intraocular lens implants. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'clinical findings_fin: 'intracranial mass': 'clinical finding': 'intracranial mass', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'mass', 'mass-effect': 'clinical finding': 'mass-effect', 'existence': 'neg_dx', 'observation': 'mass'location descriptor_fin: ['midline']clinical findings_fin: 'herniation': 'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'clinical findings_fin: 'gray-white differentiation is maintained': 'clinical finding': 'gray-white differentiation is maintained', 'change_term': 'maintained'clinical findings_fin: 'scattered dystrophic appearing calcifications': 'clinical finding': 'scattered dystrophic appearing calcifications', 'existence': 'pos_dx', 'descriptive_term': 'scattered dystrophic appearing', 'observation': 'calcification'clinical findings_fin: 'hydrocephalus': 'clinical finding': 'hydrocephalus', 'existence': 'neg_dx', 'observation': 'hydrocephalus'anatomical entity_fin: 'paranasal sinuses': , 'maxillary sinus': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'near complete opacification': 'clinical finding': 'near complete opacification', 'existence': 'pos_dx', 'descriptive_term': 'near complete', 'observation': 'opacification', 'hyperdense material': 'clinical finding': 'hyperdense material', 'existence': 'pos_dx', 'descriptive_term': 'hyperdense', 'observation': 'material', 'wall thickening': 'clinical finding': 'wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'wall', 'observation': 'thickening'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'lens': location descriptor_fin: ['bilateral'] [/INST] [RESP]

No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or herniation. Gray-white differentiation is maintained. There are scattered dystrophic appearing calcifications. Sulci and ventricles are within normal limits for age without evidence of hydrocephalus. No extra-axial collections. The visualized portions of the paranasal sinuses demonstrate near complete opacification of the right maxillary sinus with hyperdense material and wall thickening. Mastoid air cells are clear. Calvarium is intact. Evidence of bilateral intraocular lens implants. [/RESP]</s>

No intracranial hemorrhage. The CSF spaces are patent. There is no evidence of intracranial mass or mass-effect. The midline is within normal limits and there is no herniation. The gray-white differentiation is maintained. Scattered dystrophic appearing calcifications are present bilaterally, unchanged. The ventricles are stable in size with no hydrocephalus. Near complete opacification of the right maxillary sinus with hyperdense material along the wall thickening. The mastoid air cells are clear. The calvarium is intact. Bilateral lenses are partially imaged. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'pulmonary embolus': 'clinical finding': 'pulmonary embolus', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolus'location descriptor_fin: ['right']clinical findings_fin: 'right pleural effusion': 'clinical finding': 'right pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'right pleural', 'observation': 'effusion', 'compressive atelectasis': 'clinical finding': 'compressive atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'compressive', 'observation': 'atelectasis'location descriptor_fin: ['left']clinical findings_fin: 'left pleural effusion': 'clinical finding': 'left pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'left pleural', 'observation': 'effusion'location descriptor_fin: ['bilateral', 'left', 'right']clinical findings_fin: 'bilateral basilar predominant bronchiectasis': 'clinical finding': 'bilateral basilar predominant bronchiectasis', 'existence': 'pos_dx', 'descriptive_term': 'bilateral basilar predominant', 'observation': 'bronchiectasis'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral ground glass opacity': 'clinical finding': 'bilateral ground glass opacity', 'existence': 'pos_dx', 'descriptive_term': 'bilateral ground glass', 'observation': 'opacity', 'interlobular septal thickening': 'clinical finding': 'interlobular septal thickening', 'existence': 'pos_dx', 'descriptive_term': 'interlobular septal', 'observation': 'thickening'anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'right upper lobe calcified micronodule': 'clinical finding': 'right upper lobe calcified micronodule', 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe calcified', 'observation': 'micronodule', 'change_term': 'calcified', 'prior healed granulomatous disease': 'clinical finding': 'prior healed granulomatous disease', 'existence': 'pos_dx', 'descriptive_term': 'prior healed granulomatous', 'observation': 'disease', 'strength_term': 'healed', 'change_term': 'healed'anatomical entity_fin: 'mediastinum': , 'fluid': clinical findings_fin: 'previously identified reference lymph node': 'clinical finding': 'previously identified reference lymph node', 'existence': 'pos_dx', 'descriptive_term': 'previously identified reference lymph', 'observation': 'node'clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'location descriptor_fin: ['right']object_fin: ['port']anatomical entity_fin: 'thoracic vertebral body': clinical findings_fin: 'mildly sclerotic mid-thoracic vertebral body': 'clinical finding': 'mildly sclerotic mid-thoracic vertebral body', 'existence': 'pos_dx', 'descriptive_term': 'mildly sclerotic mid-thoracic vertebral', 'observation': 'body', 'strength_term': 'mildly'clinical findings_fin: 'incompletely evaluated biliary stent': 'clinical finding': 'incompletely evaluated biliary stent', 'existence': 'pos_dx', 'descriptive_term': 'incompletely evaluated biliary', 'observation': 'stent' [/INST] [RESP] . No pulmonary embolus. Interval increase in right pleural effusion with compressive atelectasis. Interval development of left pleural effusion. Interval development of bilateral basilar predominant bronchiectasis, left greater than right. Bilateral ground glass opacity without interlobular septal thickening. Right upper lobe calcified micronodule likely represents prior healed granulomatous disease. Previously identified reference lymph node within the mediastinum is difficult to measure given extensive mediastinal fluid. Pericardial effusion. Right port with tip in the SVC. Mildly sclerotic mid-thoracic vertebral body, nonspecific. Incompletely evaluated biliary stent. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'pulmonary embolus': 'clinical finding': 'pulmonary embolus', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolus'location descriptor_fin: ['right']clinical findings_fin: 'right pleural effusion': 'clinical finding': 'right pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'right pleural', 'observation': 'effusion', 'compressive atelectasis': 'clinical finding': 'compressive atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'compressive', 'observation': 'atelectasis'location descriptor_fin: ['left']clinical findings_fin: 'left pleural effusion': 'clinical finding': 'left pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'left pleural', 'observation': 'effusion'location descriptor_fin: ['bilateral', 'left', 'right']clinical findings_fin: 'bilateral basilar predominant bronchiectasis': 'clinical finding': 'bilateral basilar predominant bronchiectasis', 'existence': 'pos_dx', 'descriptive_term': 'bilateral basilar predominant', 'observation': 'bronchiectasis'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral ground glass opacity': 'clinical finding': 'bilateral ground glass opacity', 'existence': 'pos_dx', 'descriptive_term': 'bilateral ground glass', 'observation': 'opacity', 'interlobular septal thickening': 'clinical finding': 'interlobular septal thickening', 'existence': 'pos_dx', 'descriptive_term': 'interlobular septal', 'observation': 'thickening'anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'right upper lobe calcified micronodule': 'clinical finding': 'right upper lobe calcified micronodule', 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe calcified', 'observation': 'micronodule', 'change_term': 'calcified', 'prior healed granulomatous disease': 'clinical finding': 'prior healed granulomatous disease', 'existence': 'pos_dx', 'descriptive_term': 'prior healed granulomatous', 'observation': 'disease', 'strength_term': 'healed', 'change_term': 'healed'anatomical entity_fin: 'mediastinum': , 'fluid': clinical findings_fin: 'previously identified reference lymph node': 'clinical finding': 'previously identified reference lymph node', 'existence': 'pos_dx', 'descriptive_term': 'previously identified reference lymph', 'observation': 'node'clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'location descriptor_fin: ['right']object_fin: ['port']anatomical entity_fin: 'thoracic vertebral body': clinical findings_fin: 'mildly sclerotic mid-thoracic vertebral body': 'clinical finding': 'mildly sclerotic mid-thoracic vertebral body', 'existence': 'pos_dx', 'descriptive_term': 'mildly sclerotic mid-thoracic vertebral', 'observation': 'body', 'strength_term': 'mildly'clinical findings_fin: 'incompletely evaluated biliary stent': 'clinical finding': 'incompletely evaluated biliary stent', 'existence': 'pos_dx', 'descriptive_term': 'incompletely evaluated biliary', 'observation': 'stent' [/INST] [RESP]

. No pulmonary embolus. Interval increase in right pleural effusion with compressive atelectasis. Interval development of left pleural effusion. Interval development of bilateral basilar predominant bronchiectasis, left greater than right. Bilateral ground glass opacity without interlobular septal thickening. Right upper lobe calcified micronodule likely represents prior healed granulomatous disease. Previously identified reference lymph node within the mediastinum is difficult to measure given extensive mediastinal fluid. Pericardial effusion. Right port with tip in the SVC. Mildly sclerotic mid-thoracic vertebral body, nonspecific. Incompletely evaluated biliary stent. [/RESP]</s>

. No evidence of pulmonary embolus. The right pleural effusion is unchanged with compressive atelectasis. Left pleural effusion has decreased in size. Bilateral basilar predominant bronchiectasis, left greater than right. Bilateral ground glass opacity and interlobular septal thickening are unchanged. Right upper lobe calcified micronodule compatible with prior healed granulomatous disease. Previously identified reference lymph node within the mediastinum contains fluid which may be related to recent surgery. Pericardial effusion is unchanged. Right port tip at SVC junction. Mildly sclerotic mid-thoracic vertebral body. Incompletely evaluated biliary stent. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['left', 'upper']clinical findings_fin: 'postsurgical changes': 'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change', 'left upper lobectomy': 'clinical finding': 'left upper lobectomy', 'existence': 'pos_dx', 'descriptive_term': 'left upper', 'observation': 'lobectomy'anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper', 'left']clinical findings_fin: 'volume loss': 'clinical finding': 'volume loss', 'existence': 'pos_dx', 'descriptive_term': 'volume', 'observation': 'loss', 'consolidation': 'clinical finding': 'consolidation', 'existence': 'pos_dx', 'observation': 'consolidation'anatomical entity_fin: 'lobe': 'location descriptor': 'left lower'location descriptor_fin: ['left', 'lower']clinical findings_fin: 'is slight worsening of aeration of the left lower lobe': 'clinical finding': 'is slight worsening of aeration of the left lower lobe', 'change_term': 'worsening'anatomical entity_fin: 'right lung': clinical findings_fin: 'multiple small pulmonary micronodules': 'clinical finding': 'multiple small pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'multiple small pulmonary', 'observation': 'micronodule', 'strength_term': 'small', 'quantity_term': 'multiple'clinical findings_fin: 'roughly stable since the prior examination in 9/09': 'clinical finding': 'roughly stable since the prior examination in 9/09', 'change_term': 'stable'location descriptor_fin: ['left', 'adjacent']clinical findings_fin: 'left hilar adenopathy': 'clinical finding': 'left hilar adenopathy', 'existence': 'unc_dx', 'descriptive_term': 'left hilar', 'observation': 'adenopathy', 'adjacent consolidation': 'clinical finding': 'adjacent consolidation', 'existence': 'pos_dx', 'descriptive_term': 'adjacent', 'observation': 'consolidation', 'intravenous contrast': 'clinical finding': 'intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'clinical findings_fin: 'small to moderate pericardial effusion': 'clinical finding': 'small to moderate pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'small to moderate pericardial', 'observation': 'effusion', 'strength_term': 'small - moderate'anatomical entity_fin: 'subcutaneous fat': clinical findings_fin: 'multiple lobulated soft tissue masses': 'clinical finding': 'multiple lobulated soft tissue masses', 'existence': 'pos_dx', 'descriptive_term': 'multiple lobulated soft tissue', 'observation': 'mass', 'quantity_term': 'multiple', 'change_term': 'lobulated'clinical findings_fin: 'some of these appear larger than before': 'clinical finding': 'some of these appear larger than before'size_fin: ['size': '5.1 x 4.9 cm', 'size': '4.5 x 3.8 cm']anatomical entity_fin: 'back': 'location descriptor': 'right', 'l1 vertebral bodies': location descriptor_fin: ['right']clinical findings_fin: 'lesion': 'clinical finding': 'lesion', 'existence': 'pos_dx', 'observation': 'lesion'object_fin: ['cholecystectomy clips']clinical findings_fin: 'cholecystectomy clips': 'clinical finding': 'cholecystectomy clips', 'existence': 'pos_dx', 'descriptive_term': 'cholecystectomy', 'observation': 'clip'clinical findings_fin: 'lesions': 'clinical finding': 'lesions', 'existence': 'pos_dx', 'observation': 'lesion', 'intravenous contrast': 'clinical finding': 'intravenous contrast', 'existence': 'pos_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast' [/INST] [RESP] . Postsurgical changes compatible with left upper lobectomy. There are areas of volume loss and consolidation in the right upper lobe and left midlung. There is slight worsening of aeration of the left lower lobe. Multiple small pulmonary micronodules are seen in throughout the right lung. These are roughly stable since the prior examination in 9/09. Left hilar adenopathy appears is difficult to measure accurately due to the adjacent consolidation and lack of intravenous contrast. Small to moderate pericardial effusion is not significantly changed from prior. Multiple lobulated soft tissue masses are seen in the subcutaneous fat. Some of these appear larger than before. For example, a lesion in the right back approximately at the level of the T12/L1 vertebral bodies, measures 5.1 x 4.9 cm, previously measured 4.5 x 3.8 cm. Cholecystectomy clips are noted. One of the lesions described on the prior study is identified but is very difficult to delineate due to lack of intravenous contrast. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['left', 'upper']clinical findings_fin: 'postsurgical changes': 'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change', 'left upper lobectomy': 'clinical finding': 'left upper lobectomy', 'existence': 'pos_dx', 'descriptive_term': 'left upper', 'observation': 'lobectomy'anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper', 'left']clinical findings_fin: 'volume loss': 'clinical finding': 'volume loss', 'existence': 'pos_dx', 'descriptive_term': 'volume', 'observation': 'loss', 'consolidation': 'clinical finding': 'consolidation', 'existence': 'pos_dx', 'observation': 'consolidation'anatomical entity_fin: 'lobe': 'location descriptor': 'left lower'location descriptor_fin: ['left', 'lower']clinical findings_fin: 'is slight worsening of aeration of the left lower lobe': 'clinical finding': 'is slight worsening of aeration of the left lower lobe', 'change_term': 'worsening'anatomical entity_fin: 'right lung': clinical findings_fin: 'multiple small pulmonary micronodules': 'clinical finding': 'multiple small pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'multiple small pulmonary', 'observation': 'micronodule', 'strength_term': 'small', 'quantity_term': 'multiple'clinical findings_fin: 'roughly stable since the prior examination in 9/09': 'clinical finding': 'roughly stable since the prior examination in 9/09', 'change_term': 'stable'location descriptor_fin: ['left', 'adjacent']clinical findings_fin: 'left hilar adenopathy': 'clinical finding': 'left hilar adenopathy', 'existence': 'unc_dx', 'descriptive_term': 'left hilar', 'observation': 'adenopathy', 'adjacent consolidation': 'clinical finding': 'adjacent consolidation', 'existence': 'pos_dx', 'descriptive_term': 'adjacent', 'observation': 'consolidation', 'intravenous contrast': 'clinical finding': 'intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'clinical findings_fin: 'small to moderate pericardial effusion': 'clinical finding': 'small to moderate pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'small to moderate pericardial', 'observation': 'effusion', 'strength_term': 'small - moderate'anatomical entity_fin: 'subcutaneous fat': clinical findings_fin: 'multiple lobulated soft tissue masses': 'clinical finding': 'multiple lobulated soft tissue masses', 'existence': 'pos_dx', 'descriptive_term': 'multiple lobulated soft tissue', 'observation': 'mass', 'quantity_term': 'multiple', 'change_term': 'lobulated'clinical findings_fin: 'some of these appear larger than before': 'clinical finding': 'some of these appear larger than before'size_fin: ['size': '5.1 x 4.9 cm', 'size': '4.5 x 3.8 cm']anatomical entity_fin: 'back': 'location descriptor': 'right', 'l1 vertebral bodies': location descriptor_fin: ['right']clinical findings_fin: 'lesion': 'clinical finding': 'lesion', 'existence': 'pos_dx', 'observation': 'lesion'object_fin: ['cholecystectomy clips']clinical findings_fin: 'cholecystectomy clips': 'clinical finding': 'cholecystectomy clips', 'existence': 'pos_dx', 'descriptive_term': 'cholecystectomy', 'observation': 'clip'clinical findings_fin: 'lesions': 'clinical finding': 'lesions', 'existence': 'pos_dx', 'observation': 'lesion', 'intravenous contrast': 'clinical finding': 'intravenous contrast', 'existence': 'pos_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast' [/INST] [RESP]

. Postsurgical changes compatible with left upper lobectomy. There are areas of volume loss and consolidation in the right upper lobe and left midlung. There is slight worsening of aeration of the left lower lobe. Multiple small pulmonary micronodules are seen in throughout the right lung. These are roughly stable since the prior examination in 9/09. Left hilar adenopathy appears is difficult to measure accurately due to the adjacent consolidation and lack of intravenous contrast. Small to moderate pericardial effusion is not significantly changed from prior. Multiple lobulated soft tissue masses are seen in the subcutaneous fat. Some of these appear larger than before. For example, a lesion in the right back approximately at the level of the T12/L1 vertebral bodies, measures 5.1 x 4.9 cm, previously measured 4.5 x 3.8 cm. Cholecystectomy clips are noted. One of the lesions described on the prior study is identified but is very difficult to delineate due to lack of intravenous contrast. [/RESP]</s>

. Postsurgical changes related to left upper lobectomy are again seen. There is volume loss and consolidation of the right upper lobe, which has progressed slightly from the previous study. There is also slight worsening of aeration of the left lower lobe. Multiple small pulmonary micronodules are present within the right lung, roughly stable since the prior examination in 9/09. Left hilar adenopathy with adjacent consolidation is unchanged without intravenous contrast. Small to moderate pericardial effusion is unchanged. There are multiple lobulated soft tissue masses involving the subcutaneous fat planes bilaterally, some of these appear larger than before. The largest lesion measures 5.1 x 4.9 cm on image 26/75 series 2, previously measured at 4.5 x 3.8 cm. Lesion involving the right back L1 vertebral bodies is unchanged. Cholecystectomy clips are noted. Intravenous contrast material markedly obscures the visualization of lesions. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'neck': procedure_fin: ['treatment']clinical findings_fin: 'post-treatment': 'clinical finding': 'post-treatment', 'existence': 'pos_dx', 'observation': 'post', 'persistent diffuse edema': 'clinical finding': 'persistent diffuse edema', 'existence': 'pos_dx', 'descriptive_term': 'persistent diffuse', 'observation': 'edema', 'temporal_term': 'persistent'clinical findings_fin: 'measurable mass lesions': 'clinical finding': 'measurable mass lesions', 'existence': 'neg_dx', 'descriptive_term': 'measurable mass', 'observation': 'lesion', 'significant cervical lymphadenopathy': 'clinical finding': 'significant cervical lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant cervical', 'observation': 'lymphadenopathy'anatomical entity_fin: 'major salivary glands': clinical findings_fin: 'thyroid and major salivary glands are unchanged': 'clinical finding': 'thyroid and major salivary glands are unchanged', 'change_term': 'unchanged'location descriptor_fin: ['bilateral']clinical findings_fin: 'osseous structures are unchanged': 'clinical finding': 'osseous structures are unchanged', 'change_term': 'unchanged'size_fin: ['size': '5 mm', 'size_descriptor': 'aneurysm']anatomical entity_fin: 'internal carotid artery': location descriptor_fin: ['right']clinical findings_fin: 'unchanged 5 mm wide right supraclinoid internal carotid artery aneurysm': 'clinical finding': 'unchanged 5 mm wide right supraclinoid internal carotid artery aneurysm', 'existence': 'pos_dx', 'descriptive_term': 'unchanged 5 mm wide right supraclinoid internal carotid artery', 'observation': 'aneurysm', 'strength_term': 'unchanged - wide', 'change_term': 'unchanged'anatomical entity_fin: 'lungs': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'lens': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral'] [/INST] [RESP] There are post-treatment findings in the neck, including persistent diffuse edema in the supraglottic region. There is no evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria. The thyroid and major salivary glands are unchanged. There is plaque at the bilateral carotid bifurcations. The osseous structures are unchanged. There is an unchanged 5 mm wide right supraclinoid internal carotid artery aneurysm. The imaged portions of the lungs are clear. There are bilateral lens implants. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'neck': procedure_fin: ['treatment']clinical findings_fin: 'post-treatment': 'clinical finding': 'post-treatment', 'existence': 'pos_dx', 'observation': 'post', 'persistent diffuse edema': 'clinical finding': 'persistent diffuse edema', 'existence': 'pos_dx', 'descriptive_term': 'persistent diffuse', 'observation': 'edema', 'temporal_term': 'persistent'clinical findings_fin: 'measurable mass lesions': 'clinical finding': 'measurable mass lesions', 'existence': 'neg_dx', 'descriptive_term': 'measurable mass', 'observation': 'lesion', 'significant cervical lymphadenopathy': 'clinical finding': 'significant cervical lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant cervical', 'observation': 'lymphadenopathy'anatomical entity_fin: 'major salivary glands': clinical findings_fin: 'thyroid and major salivary glands are unchanged': 'clinical finding': 'thyroid and major salivary glands are unchanged', 'change_term': 'unchanged'location descriptor_fin: ['bilateral']clinical findings_fin: 'osseous structures are unchanged': 'clinical finding': 'osseous structures are unchanged', 'change_term': 'unchanged'size_fin: ['size': '5 mm', 'size_descriptor': 'aneurysm']anatomical entity_fin: 'internal carotid artery': location descriptor_fin: ['right']clinical findings_fin: 'unchanged 5 mm wide right supraclinoid internal carotid artery aneurysm': 'clinical finding': 'unchanged 5 mm wide right supraclinoid internal carotid artery aneurysm', 'existence': 'pos_dx', 'descriptive_term': 'unchanged 5 mm wide right supraclinoid internal carotid artery', 'observation': 'aneurysm', 'strength_term': 'unchanged - wide', 'change_term': 'unchanged'anatomical entity_fin: 'lungs': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'lens': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral'] [/INST] [RESP]

There are post-treatment findings in the neck, including persistent diffuse edema in the supraglottic region. There is no evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria. The thyroid and major salivary glands are unchanged. There is plaque at the bilateral carotid bifurcations. The osseous structures are unchanged. There is an unchanged 5 mm wide right supraclinoid internal carotid artery aneurysm. The imaged portions of the lungs are clear. There are bilateral lens implants. [/RESP]</s>

Post-treatment changes in the neck with persistent diffuse edema. . There is evidence of post treatment change in the soft tissues of the neck, including persistent diffuse edema. No measurable mass lesions or significant cervical lymphadenopathy by CT criteria. The thyroid and major salivary glands are unchanged. The osseous structures are unchanged. Unchanged 5 mm wide right supraclinoid internal carotid artery aneurysm. Lung air space opacity is stable. Bilateral lenses have been removed. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'right cerebral hemisphere': , 'right middle cerebral artery': clinical findings_fin: 'low attenuation': 'clinical finding': 'low attenuation', 'existence': 'pos_dx', 'descriptive_term': 'low', 'observation': 'attenuation', 'subacute infarct': 'clinical finding': 'subacute infarct', 'existence': 'pos_dx', 'descriptive_term': 'subacute', 'observation': 'infarct'clinical findings_fin: 'hemorrhagic': 'clinical finding': 'hemorrhagic', 'existence': 'neg_dx', 'observation': 'hemorrhagic', 'infarct': 'clinical finding': 'infarct', 'existence': 'neg_dx', 'observation': 'infarct'anatomical entity_fin: 'right lateral ventricle': location descriptor_fin: ['adjacent', 'midline', 'left']clinical findings_fin: 'prominent mass effect': 'clinical finding': 'prominent mass effect', 'existence': 'pos_dx', 'descriptive_term': 'prominent mass', 'observation': 'effect', 'strength_term': 'prominent', 'effacement': 'clinical finding': 'effacement', 'existence': 'pos_dx', 'observation': 'effacement', 'compression': 'clinical finding': 'compression', 'existence': 'pos_dx', 'observation': 'compression'anatomical entity_fin: 'ambient cisterns': , 'midbrain': location descriptor_fin: ['left']clinical findings_fin: 'downward transtentorial herniation': 'clinical finding': 'downward transtentorial herniation', 'existence': 'pos_dx', 'descriptive_term': 'downward transtentorial', 'observation': 'herniation'clinical findings_fin: 'chronic ischemic small vessel disease': 'clinical finding': 'chronic ischemic small vessel disease', 'existence': 'unc_dx', 'descriptive_term': 'chronic ischemic small vessel', 'observation': 'disease', 'strength_term': 'small', 'temporal_term': 'chronic'clinical findings_fin: 'osseous structures are unremarkable': 'clinical finding': 'osseous structures are unremarkable'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP] The large area of low attenuation is redemonstrated in the right cerebral hemisphere consistent with subacute infarct in the right middle cerebral artery distribution. There is no hemorrhagic transformation or extension of infarct. There is prominent mass effect with effacement of adjacent cerebral sulci, compression of the right lateral ventricle, and persistent midline shift to the left. Ambient cisterns are asymmetrical with shift of midbrain to the left and no downward transtentorial herniation. Scattered nonspecific low attenuation involves the periventricular and deep subcortical white matter suggestive of chronic ischemic small vessel disease. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'right cerebral hemisphere': , 'right middle cerebral artery': clinical findings_fin: 'low attenuation': 'clinical finding': 'low attenuation', 'existence': 'pos_dx', 'descriptive_term': 'low', 'observation': 'attenuation', 'subacute infarct': 'clinical finding': 'subacute infarct', 'existence': 'pos_dx', 'descriptive_term': 'subacute', 'observation': 'infarct'clinical findings_fin: 'hemorrhagic': 'clinical finding': 'hemorrhagic', 'existence': 'neg_dx', 'observation': 'hemorrhagic', 'infarct': 'clinical finding': 'infarct', 'existence': 'neg_dx', 'observation': 'infarct'anatomical entity_fin: 'right lateral ventricle': location descriptor_fin: ['adjacent', 'midline', 'left']clinical findings_fin: 'prominent mass effect': 'clinical finding': 'prominent mass effect', 'existence': 'pos_dx', 'descriptive_term': 'prominent mass', 'observation': 'effect', 'strength_term': 'prominent', 'effacement': 'clinical finding': 'effacement', 'existence': 'pos_dx', 'observation': 'effacement', 'compression': 'clinical finding': 'compression', 'existence': 'pos_dx', 'observation': 'compression'anatomical entity_fin: 'ambient cisterns': , 'midbrain': location descriptor_fin: ['left']clinical findings_fin: 'downward transtentorial herniation': 'clinical finding': 'downward transtentorial herniation', 'existence': 'pos_dx', 'descriptive_term': 'downward transtentorial', 'observation': 'herniation'clinical findings_fin: 'chronic ischemic small vessel disease': 'clinical finding': 'chronic ischemic small vessel disease', 'existence': 'unc_dx', 'descriptive_term': 'chronic ischemic small vessel', 'observation': 'disease', 'strength_term': 'small', 'temporal_term': 'chronic'clinical findings_fin: 'osseous structures are unremarkable': 'clinical finding': 'osseous structures are unremarkable'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP]

The large area of low attenuation is redemonstrated in the right cerebral hemisphere consistent with subacute infarct in the right middle cerebral artery distribution. There is no hemorrhagic transformation or extension of infarct. There is prominent mass effect with effacement of adjacent cerebral sulci, compression of the right lateral ventricle, and persistent midline shift to the left. Ambient cisterns are asymmetrical with shift of midbrain to the left and no downward transtentorial herniation. Scattered nonspecific low attenuation involves the periventricular and deep subcortical white matter suggestive of chronic ischemic small vessel disease. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear. [/RESP]</s>

Low attenuation in the right cerebral hemisphere, particularly involving the right MCA territory and subcortical white matter consistent with a subacute infarct. . No evidence of hemorrhage or infarct. Prominent mass effect, effacement of the adjacent midline and leftward shift of the right lateral ventricle with compression of the midline and prominence of the left lateral ventricular sulci. Downward transtentorial herniation into the ambient cisterns with mild compression of the midbrain to the left. Chronic ischemic small vessel disease. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'right posterior'imaging observation_fin: ['wedge']location descriptor_fin: ['right', 'posterior']clinical findings_fin: 'wedge-shaped pleural-based pulmonary parenchymal capacity': 'clinical finding': 'wedge-shaped pleural-based pulmonary parenchymal capacity', 'existence': 'pos_dx', 'descriptive_term': 'wedge-shaped pleural-based pulmonary parenchymal', 'observation': 'capacity', 'infarction': 'clinical finding': 'infarction', 'existence': 'pos_dx', 'observation': 'infarction'location descriptor_fin: ['bilateral']clinical findings_fin: 'minimal bilateral pleural fluid': 'clinical finding': 'minimal bilateral pleural fluid', 'existence': 'pos_dx', 'descriptive_term': 'minimal bilateral pleural', 'observation': 'fluid', 'strength_term': 'minimal', 'quantity_term': 'minimal'clinical findings_fin: 'suspicious primary lesions': 'clinical finding': 'suspicious primary lesions', 'existence': 'neg_dx', 'descriptive_term': 'suspicious primary', 'observation': 'lesion'clinical findings_fin: 'pneumothorax': 'clinical finding': 'pneumothorax', 'existence': 'neg_dx', 'observation': 'pneumothorax'anatomical entity_fin: 'heart': clinical findings_fin: 'heart size is normal': 'clinical finding': 'heart size is normal'clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'anatomical entity_fin: 'main pulmonary arteries': 'location descriptor': 'distal', 'pulmonary arteries': 'location descriptor': 'distal'location descriptor_fin: ['distal']clinical findings_fin: 'extensive pulmonary emboli': 'clinical finding': 'extensive pulmonary emboli', 'existence': 'pos_dx', 'descriptive_term': 'extensive pulmonary', 'observation': 'emboli', 'strength_term': 'extensive', 'distal main pulmonary': 'clinical finding': 'distal main pulmonary', 'existence': 'pos_dx', 'descriptive_term': 'distal main', 'observation': 'pulmonary', 'distal pulmonary': 'clinical finding': 'distal pulmonary', 'existence': 'pos_dx', 'descriptive_term': 'distal', 'observation': 'pulmonary'clinical findings_fin: 'overall the burden is moderate to large': 'clinical finding': 'overall the burden is moderate to large'anatomical entity_fin: 'thoracic aorta': clinical findings_fin: 'thoracic': 'clinical finding': 'thoracic', 'existence': 'pos_dx', 'observation': 'thoracic'clinical findings_fin: 'dissection': 'clinical finding': 'dissection', 'existence': 'neg_dx', 'observation': 'dissection'anatomical entity_fin: 'coronary arteries': , 'origins': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'pole': 'location descriptor': 'upper', 'right kidney': location descriptor_fin: ['upper']clinical findings_fin: 'hyperdense lesion': 'clinical finding': 'hyperdense lesion', 'existence': 'pos_dx', 'descriptive_term': 'hyperdense', 'observation': 'lesion'clinical findings_fin: 'cyst': 'clinical finding': 'cyst', 'existence': 'unc_dx', 'observation': 'cyst', 'focal cortical scarring': 'clinical finding': 'focal cortical scarring', 'existence': 'pos_dx', 'descriptive_term': 'focal cortical', 'observation': 'scarr'anatomical entity_fin: 'abdominal aorta': clinical findings_fin: 'abdominal aorta is normal in caliber': 'clinical finding': 'abdominal aorta is normal in caliber'clinical findings_fin: 'dissection': 'clinical finding': 'dissection', 'existence': 'neg_dx', 'observation': 'dissection'anatomical entity_fin: 'origin': , 'superior mesenteric arteries': clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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] . Wedge-shaped pleural-based pulmonary parenchymal capacity in the right posterior lobe subsegment represents an infarction. Minimal bilateral pleural fluid. No suspicious primary lesions. No pneumothorax. Heart size is normal. No pericardial effusion. Extensive pulmonary emboli involving the distal main pulmonary arteries and the lobar vessels extending into the distal pulmonary arteries. Overall the burden is moderate to large. Thoracic aorta is normal in caliber. No dissection. Coronary arteries are patent at their origins. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Hyperdense lesion at the upper pole of the right kidney suboptimally evaluated. Differential considerations include cyst or a small area of focal cortical scarring. Abdominal aorta is normal in caliber. No dissection. Single origin of the celiac and superior mesenteric arteries. 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: 'lobe': 'location descriptor': 'right posterior'imaging observation_fin: ['wedge']location descriptor_fin: ['right', 'posterior']clinical findings_fin: 'wedge-shaped pleural-based pulmonary parenchymal capacity': 'clinical finding': 'wedge-shaped pleural-based pulmonary parenchymal capacity', 'existence': 'pos_dx', 'descriptive_term': 'wedge-shaped pleural-based pulmonary parenchymal', 'observation': 'capacity', 'infarction': 'clinical finding': 'infarction', 'existence': 'pos_dx', 'observation': 'infarction'location descriptor_fin: ['bilateral']clinical findings_fin: 'minimal bilateral pleural fluid': 'clinical finding': 'minimal bilateral pleural fluid', 'existence': 'pos_dx', 'descriptive_term': 'minimal bilateral pleural', 'observation': 'fluid', 'strength_term': 'minimal', 'quantity_term': 'minimal'clinical findings_fin: 'suspicious primary lesions': 'clinical finding': 'suspicious primary lesions', 'existence': 'neg_dx', 'descriptive_term': 'suspicious primary', 'observation': 'lesion'clinical findings_fin: 'pneumothorax': 'clinical finding': 'pneumothorax', 'existence': 'neg_dx', 'observation': 'pneumothorax'anatomical entity_fin: 'heart': clinical findings_fin: 'heart size is normal': 'clinical finding': 'heart size is normal'clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'anatomical entity_fin: 'main pulmonary arteries': 'location descriptor': 'distal', 'pulmonary arteries': 'location descriptor': 'distal'location descriptor_fin: ['distal']clinical findings_fin: 'extensive pulmonary emboli': 'clinical finding': 'extensive pulmonary emboli', 'existence': 'pos_dx', 'descriptive_term': 'extensive pulmonary', 'observation': 'emboli', 'strength_term': 'extensive', 'distal main pulmonary': 'clinical finding': 'distal main pulmonary', 'existence': 'pos_dx', 'descriptive_term': 'distal main', 'observation': 'pulmonary', 'distal pulmonary': 'clinical finding': 'distal pulmonary', 'existence': 'pos_dx', 'descriptive_term': 'distal', 'observation': 'pulmonary'clinical findings_fin: 'overall the burden is moderate to large': 'clinical finding': 'overall the burden is moderate to large'anatomical entity_fin: 'thoracic aorta': clinical findings_fin: 'thoracic': 'clinical finding': 'thoracic', 'existence': 'pos_dx', 'observation': 'thoracic'clinical findings_fin: 'dissection': 'clinical finding': 'dissection', 'existence': 'neg_dx', 'observation': 'dissection'anatomical entity_fin: 'coronary arteries': , 'origins': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'pole': 'location descriptor': 'upper', 'right kidney': location descriptor_fin: ['upper']clinical findings_fin: 'hyperdense lesion': 'clinical finding': 'hyperdense lesion', 'existence': 'pos_dx', 'descriptive_term': 'hyperdense', 'observation': 'lesion'clinical findings_fin: 'cyst': 'clinical finding': 'cyst', 'existence': 'unc_dx', 'observation': 'cyst', 'focal cortical scarring': 'clinical finding': 'focal cortical scarring', 'existence': 'pos_dx', 'descriptive_term': 'focal cortical', 'observation': 'scarr'anatomical entity_fin: 'abdominal aorta': clinical findings_fin: 'abdominal aorta is normal in caliber': 'clinical finding': 'abdominal aorta is normal in caliber'clinical findings_fin: 'dissection': 'clinical finding': 'dissection', 'existence': 'neg_dx', 'observation': 'dissection'anatomical entity_fin: 'origin': , 'superior mesenteric arteries': clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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]

. Wedge-shaped pleural-based pulmonary parenchymal capacity in the right posterior lobe subsegment represents an infarction. Minimal bilateral pleural fluid. No suspicious primary lesions. No pneumothorax. Heart size is normal. No pericardial effusion. Extensive pulmonary emboli involving the distal main pulmonary arteries and the lobar vessels extending into the distal pulmonary arteries. Overall the burden is moderate to large. Thoracic aorta is normal in caliber. No dissection. Coronary arteries are patent at their origins. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Hyperdense lesion at the upper pole of the right kidney suboptimally evaluated. Differential considerations include cyst or a small area of focal cortical scarring. Abdominal aorta is normal in caliber. No dissection. Single origin of the celiac and superior mesenteric arteries. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted [/RESP]</s>

. Wedge-shaped pleural-base pulmonary parenchymal capacity with infarction of the right posterior lobe.[/RESP] Minimal bilateral pleural fluid. No suspicious primary lesions are identified. No pneumothorax. Heart size is normal. No pericardial effusion. Extensive pulmonary emboli involving the distal main pulmonary and distal pulmonary artery branches. Overall the burden is moderate to large. Thoracic aorta appears normal in caliber. No evidence of dissection. Coronary arteries and origins appear patent. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'left frontal lobe': , 'middle': location descriptor_fin: ['superior', 'inferior']clinical findings_fin: 'fdg pet imaging demonstrates mildly decreased fdg activity in the left frontal lobe including superior , middle and inferior frontal gyri and orbital frontal region': 'clinical finding': 'fdg pet imaging demonstrates mildly decreased fdg activity in the left frontal lobe including superior , middle and inferior frontal gyri and orbital frontal region', 'change_term': 'decreased'anatomical entity_fin: 'brain': clinical findings_fin: 'fdg uptake': 'clinical finding': 'fdg uptake', 'existence': 'pos_dx', 'descriptive_term': 'fdg', 'observation': 'uptake', 'physiological': 'clinical finding': 'physiological', 'existence': 'pos_dx', 'observation': 'physiological'anatomical entity_fin: 'neck': imaging observation_fin: ['fat']clinical findings_fin: 'brown fat activity': 'clinical finding': 'brown fat activity', 'existence': 'pos_dx', 'descriptive_term': 'brown fat', 'observation': 'activity' [/INST] [RESP] The noncontrast CT portion of the study is not remarkable. The FDG PET imaging demonstrates mildly decreased FDG activity in the left frontal lobe including superior, middle and inferior frontal gyri and orbital frontal region. The FDG uptake in the remaining portion of the brain is physiological. Brown fat activity is seen in the neck. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'left frontal lobe': , 'middle': location descriptor_fin: ['superior', 'inferior']clinical findings_fin: 'fdg pet imaging demonstrates mildly decreased fdg activity in the left frontal lobe including superior , middle and inferior frontal gyri and orbital frontal region': 'clinical finding': 'fdg pet imaging demonstrates mildly decreased fdg activity in the left frontal lobe including superior , middle and inferior frontal gyri and orbital frontal region', 'change_term': 'decreased'anatomical entity_fin: 'brain': clinical findings_fin: 'fdg uptake': 'clinical finding': 'fdg uptake', 'existence': 'pos_dx', 'descriptive_term': 'fdg', 'observation': 'uptake', 'physiological': 'clinical finding': 'physiological', 'existence': 'pos_dx', 'observation': 'physiological'anatomical entity_fin: 'neck': imaging observation_fin: ['fat']clinical findings_fin: 'brown fat activity': 'clinical finding': 'brown fat activity', 'existence': 'pos_dx', 'descriptive_term': 'brown fat', 'observation': 'activity' [/INST] [RESP]

The noncontrast CT portion of the study is not remarkable. The FDG PET imaging demonstrates mildly decreased FDG activity in the left frontal lobe including superior, middle and inferior frontal gyri and orbital frontal region. The FDG uptake in the remaining portion of the brain is physiological. Brown fat activity is seen in the neck. [/RESP]</s>

FDG PET imaging demonstrates mildly decreased FDG activity in the left frontal lobe including superior, middle and inferior frontal gyri and orbital frontal region. CLINICAL TERMINATION SCHEDULE_fin: ['clinical termination']clinical findings_fin: 'clinical termination is recommended': 'clinical finding': 'clinical termination is recommended'clinical findings_fin: 'abnormal fdg uptake': 'clinical finding': 'abnormal fdg uptake', 'existence': 'neg_dx': 'clinical finding': 'existence': 'pos_dx', 'observation': 'pos_d2'location descriptor_fin: ['midline']clinical findings_fin: 'discrete midline abnormality': 'clinical finding': 'discrete midline abnormality', 'existence': 'neg_pos_term': 'discrete', 'observation':'midline'imaging observation_fin: ['fat']clinical findings_fin: 'diffuse increased fatty activity': 'clinical finding': 'diffuse increased fatty activity', 'existence': 'pos_term': 'diffuse increased fatty', 'observation': 'activity','strength_term': 'increased', 'change_term': 'increased'clinical findings_fin: 'abnormal fdg uptake': 'clinical finding': 'abnormal fdg uptake', 'existence': 'pos_term': 'abnormal fdg', 'observation': 'abnormal'clinical findings_fin: 'discrete midline abnormality': 'clinical finding': 'discrete midline abnormality', 'existence': 'neg_term': 'discrete midline', 'observation': 'abnormalion'clinical findings_fin: 'abnormal fdg uptake': 'clinical finding': 'abnormal fdg uptake', 'existence': 'pos_term': 'abnormal fdg', 'observation': 'uncovered', 'quantity_term': 'abnormal'clinical findings_fin: 'discrete midline abnormality': 'clinical finding': 'discrete midline abnormality', 'existence': 'neg_term': 'discrete midline', 'observation': 'abnormalion'clinical findings_fin: 'abnormal fdg uptake': 'clinical finding': 'abnormal fdg uptake', 'existence': 'pos_term': 'abnormal fdg', 'observation': 'toc'clinical findings_fin: 'discrete midline abnormality': 'clinical finding': 'discrete midline abnormality', 'existence': 'pos_term': 'discrete midline', 'observation': 'abnormalion'clinical findings_fin: 'abnormal fdg uptake': 'clinical finding': 'abnormal fdg uptake', 'existence': 'pos_term': 'abnormal fdg', 'observation': 'pos_term'clinical findings_fin: 'discrete midline abnormality': 'clinical finding': 'discrete midline abnormality', 'existence': 'pos_term': 'discrete midline', 'observation': 'abnormalion'clinical findings_fin: 'abnormal fdg uptake': 'clinical finding': 'abnormal fdg uptake', 'existence': 'pos_term': 'abnormal fdg', 'observation': 'pos_term'clinical findings_fin: 'discrete midline abnormality': 'clinical finding': 'discrete midline abnormality', 'existence': 'pos_term': 'discrete midline', 'observation': 'abnormalion'clinical findings_fin: 'abnormal fdg uptake': 'clinical finding': 'abnormal fdg uptake', 'existence': 'pos_term': 'abnormal fdg', 'observation': 'pos_term'clinical findings_fin: 'discrete midline abnormality': 'clinical finding': 'discrete midline abnormality', 'existence': 'pos_term': 'discrete midline', 'observation': 'abnormalion'clinical findings_fin: 'abnormal fdg uptake': 'clinical finding': 'abnormal fdg uptake', 'existence': 'pos_term': 'abnormal fdg', 'observation': 'pos_term'clinical findings_fin: 'discrete midline abnormality': 'clinical finding': 'discrete midline abnormality', 'existence': 'pos_term': 'discrete midline', 'observation': 'abnormalion'clinical findings_fin: 'abnormal fdg uptake': 'clinical finding': 'abnormal fdg uptake', 'existence': 'pos_term': 'abnormal fdg', 'observation': 'pos_term'clinical findings_fin: 'discrete midline abnormality': 'clinical finding': 'discrete midline abnormality', 'existence': 'pos_term': 'discrete midline', 'observation': 'abnormalion'clinical findings_fin: 'abnormal fdg uptake': 'clinical finding': 'abnormal fdg uptake', 'existence': 'pos_term': 'abnormal fdg', 'existence': 'pos_term': 'abnormal'clinical findings_fin: 'discrete midline abnormality': 'clinical finding': 'discrete midline abnormality', 'existence': 'pos_term': 'discrete midline', 'observation': 'abnormalion'clinical findings_fin: 'abnormal fdg uptake': 'clinical finding': 'abnormal fdg uptake', 'existence': 'pos_term': 'abnormal fdg'clinical findings_fin: 'discrete midline abnormality': 'clinical finding': 'discrete midline abnormality', 'existence': 'pos_term': 'discrete midline', 'observation': 'abnormalion'clinical findings_fin: 'abnormal fdg uptake': 'clinical finding': 'abnormal fdg uptake', 'existence': 'pos_term': 'abnormal fdg'clinical findings_fin: 'discrete midline abnormality': 'clinical finding': 'discrete midline abnormality', 'existence': 'pos_term': 'discrete midline'clinical findings_fin: 'abnormal fdg uptake': 'clinical finding': 'abnormal fdg uptake', 'existence': 'pos_term': 'abnormal fdg'clinical findings_fin: 'discrete midline abnormality': 'clinical finding': 'discrete midline abnormality', 'existence': 'pos_term': 'discrete midline'clinical findings_fin: 'abnormal fdg uptake': 'clinical finding': 'abnormal fdg uptake', 'existence': 'pos

<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 stable cysts': 'clinical finding': 'multiple stable cysts', 'existence': 'pos_dx', 'descriptive_term': 'multiple stable', 'observation': 'cyst', 'strength_term': 'stable', 'quantity_term': 'multiple', 'change_term': 'stable'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': 'neg_dx', 'descriptive_term': 'focal nodular', 'observation': 'opacity'anatomical entity_fin: 'lobes': 'location descriptor': 'upper'location descriptor_fin: ['upper']clinical findings_fin: 'new nodular opacities': 'clinical finding': 'new nodular opacities', 'existence': 'pos_dx', 'descriptive_term': 'new nodular', 'observation': 'opacity', 'temporal_term': 'new'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: ['bilateral']clinical findings_fin: 'multiple punctate bilateral nonobstructive renal calculi': 'clinical finding': 'multiple punctate bilateral nonobstructive renal calculi', 'existence': 'pos_dx', 'descriptive_term': 'multiple punctate bilateral nonobstructive renal', 'observation': 'calculi', 'quantity_term': 'multiple' [/INST] [RESP] . Persistent patchy inhomogeneous opacities bilaterally may represent either ground glass opacities or severe mosaic attenuation. Diffuse bronchiectasis and bronchial wall thickening are stable and consistent with bronchiolitis obliterans. Multiple stable cysts within the right middle lobe. Focal nodular opacity within the left lower lobe has improved. However, new nodular opacities have developed within the upper lobes. No pleural effusions. Heart size is normal without pericardial effusion. Small lymph nodes in the mediastinum are stable. No significant abnormality noted. Multiple punctate bilateral nonobstructive 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 stable cysts': 'clinical finding': 'multiple stable cysts', 'existence': 'pos_dx', 'descriptive_term': 'multiple stable', 'observation': 'cyst', 'strength_term': 'stable', 'quantity_term': 'multiple', 'change_term': 'stable'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': 'neg_dx', 'descriptive_term': 'focal nodular', 'observation': 'opacity'anatomical entity_fin: 'lobes': 'location descriptor': 'upper'location descriptor_fin: ['upper']clinical findings_fin: 'new nodular opacities': 'clinical finding': 'new nodular opacities', 'existence': 'pos_dx', 'descriptive_term': 'new nodular', 'observation': 'opacity', 'temporal_term': 'new'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: ['bilateral']clinical findings_fin: 'multiple punctate bilateral nonobstructive renal calculi': 'clinical finding': 'multiple punctate bilateral nonobstructive renal calculi', 'existence': 'pos_dx', 'descriptive_term': 'multiple punctate bilateral nonobstructive renal', 'observation': 'calculi', 'quantity_term': 'multiple' [/INST] [RESP]

. Persistent patchy inhomogeneous opacities bilaterally may represent either ground glass opacities or severe mosaic attenuation. Diffuse bronchiectasis and bronchial wall thickening are stable and consistent with bronchiolitis obliterans. Multiple stable cysts within the right middle lobe. Focal nodular opacity within the left lower lobe has improved. However, new nodular opacities have developed within the upper lobes. No pleural effusions. Heart size is normal without pericardial effusion. Small lymph nodes in the mediastinum are stable. No significant abnormality noted. Multiple punctate bilateral nonobstructive 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 stable cysts are seen within the right middle lobe as well as multiple stable cysts within the left lower lobe. No focal nodular opacity is identified. New nodular opacities are noted within the upper lobes. No pleural effusions. Heart size is normal without pericardial effusion. Small lymph nodes are present throughout the mediastinum. No significant abnormality noted. Multiple punctate bilateral nonobstructive renal calculi. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'interval resolution': 'clinical finding': 'interval resolution', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'resolution', 'pleural effusions': 'clinical finding': 'pleural effusions', 'existence': 'pos_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'artifact_fin: ['motion artifact']imaging observation_fin: ['apical']location descriptor_fin: ['right']clinical findings_fin: 'right apical groundglass opacities': 'clinical finding': 'right apical groundglass opacities', 'existence': 'pos_dx', 'descriptive_term': 'right apical groundglass', 'observation': 'opacity', 'change': 'clinical finding': 'change', 'existence': 'pos_dx', 'observation': 'change', 'motion artifact': 'clinical finding': 'motion artifact', 'existence': 'unc_dx', 'descriptive_term': 'motion', 'observation': 'artifact'anatomical entity_fin: 'lung': , 'base': clinical findings_fin: 'lung base atelectasis': 'clinical finding': 'lung base atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'lung base', 'observation': 'atelectasis', 'mild bronchiectasis': 'clinical finding': 'mild bronchiectasis', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'bronchiectasis', 'strength_term': 'mild'clinical findings_fin: 'cardiac size is within normal limits': 'clinical finding': 'cardiac size is within normal limits'location descriptor_fin: ['left']object_fin: ['central venous catheter']clinical findings_fin: 'small pericardial effusion': 'clinical finding': 'small pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'small pericardial', 'observation': 'effusion', 'strength_term': 'small', 'anteriorly left-sided central venous catheter': 'clinical finding': 'anteriorly left-sided central venous catheter', 'existence': 'pos_dx', 'descriptive_term': 'anteriorly left-sided central venous', 'observation': 'catheter'anatomical entity_fin: 'mediastinal lymph nodes': clinical findings_fin: 'small scattered mediastinal lymph nodes': 'clinical finding': 'small scattered mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small scattered mediastinal lymph', 'observation': 'node', 'strength_term': 'small'clinical findings_fin: 'hilar lymphadenopathy': 'clinical finding': 'hilar lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'hilar', 'observation': 'lymphadenopathy', 'this noncontrast ct. small hiatal hernia': 'clinical finding': 'this noncontrast ct. small hiatal hernia', 'existence': 'neg_dx', 'descriptive_term': 'this noncontrast ct 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'anatomical entity_fin: 't9 vertebral body': clinical findings_fin: 'bone island noted at t9 vertebral body': 'clinical finding': 'bone island noted at t9 vertebral body'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'perihepatic ascites': 'clinical finding': 'perihepatic ascites', 'existence': 'pos_dx', 'descriptive_term': 'perihepatic', 'observation': 'ascite'anatomical entity_fin: 'abdomen': , 'pelvis': [/INST] [RESP] . Interval resolution of pleural effusions. Right apical groundglass opacities without significance change accounting for differences in patient positioning and motion artifact on prior study. Lung base atelectasis and mild bronchiectasis. Cardiac size is within normal limits. Small pericardial effusion anteriorly left-sided central venous catheter tip in the SVC. Small scattered mediastinal lymph nodes. No hilar lymphadenopathy on this noncontrast CT. Small hiatal hernia. None. Degenerative changes of the thoracolumbar spine. Bone island noted at T9 vertebral body. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Perihepatic ascites partially imaged. Please see same day abdomen and pelvis report for additional details. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'interval resolution': 'clinical finding': 'interval resolution', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'resolution', 'pleural effusions': 'clinical finding': 'pleural effusions', 'existence': 'pos_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'artifact_fin: ['motion artifact']imaging observation_fin: ['apical']location descriptor_fin: ['right']clinical findings_fin: 'right apical groundglass opacities': 'clinical finding': 'right apical groundglass opacities', 'existence': 'pos_dx', 'descriptive_term': 'right apical groundglass', 'observation': 'opacity', 'change': 'clinical finding': 'change', 'existence': 'pos_dx', 'observation': 'change', 'motion artifact': 'clinical finding': 'motion artifact', 'existence': 'unc_dx', 'descriptive_term': 'motion', 'observation': 'artifact'anatomical entity_fin: 'lung': , 'base': clinical findings_fin: 'lung base atelectasis': 'clinical finding': 'lung base atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'lung base', 'observation': 'atelectasis', 'mild bronchiectasis': 'clinical finding': 'mild bronchiectasis', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'bronchiectasis', 'strength_term': 'mild'clinical findings_fin: 'cardiac size is within normal limits': 'clinical finding': 'cardiac size is within normal limits'location descriptor_fin: ['left']object_fin: ['central venous catheter']clinical findings_fin: 'small pericardial effusion': 'clinical finding': 'small pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'small pericardial', 'observation': 'effusion', 'strength_term': 'small', 'anteriorly left-sided central venous catheter': 'clinical finding': 'anteriorly left-sided central venous catheter', 'existence': 'pos_dx', 'descriptive_term': 'anteriorly left-sided central venous', 'observation': 'catheter'anatomical entity_fin: 'mediastinal lymph nodes': clinical findings_fin: 'small scattered mediastinal lymph nodes': 'clinical finding': 'small scattered mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small scattered mediastinal lymph', 'observation': 'node', 'strength_term': 'small'clinical findings_fin: 'hilar lymphadenopathy': 'clinical finding': 'hilar lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'hilar', 'observation': 'lymphadenopathy', 'this noncontrast ct. small hiatal hernia': 'clinical finding': 'this noncontrast ct. small hiatal hernia', 'existence': 'neg_dx', 'descriptive_term': 'this noncontrast ct 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'anatomical entity_fin: 't9 vertebral body': clinical findings_fin: 'bone island noted at t9 vertebral body': 'clinical finding': 'bone island noted at t9 vertebral body'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'perihepatic ascites': 'clinical finding': 'perihepatic ascites', 'existence': 'pos_dx', 'descriptive_term': 'perihepatic', 'observation': 'ascite'anatomical entity_fin: 'abdomen': , 'pelvis': [/INST] [RESP]

. Interval resolution of pleural effusions. Right apical groundglass opacities without significance change accounting for differences in patient positioning and motion artifact on prior study. Lung base atelectasis and mild bronchiectasis. Cardiac size is within normal limits. Small pericardial effusion anteriorly left-sided central venous catheter tip in the SVC. Small scattered mediastinal lymph nodes. No hilar lymphadenopathy on this noncontrast CT. Small hiatal hernia. None. Degenerative changes of the thoracolumbar spine. Bone island noted at T9 vertebral body. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Perihepatic ascites partially imaged. Please see same day abdomen and pelvis report for additional details. [/RESP]</s>

. Interval resolution of pleural effusions, with no new or enlarged pleural fluid collections. Right apical groundglass opacities are again seen, but motion artifact may be contributing to this appearance. Lung base atelectasis and mild bronchiectasis. Cardiac size is within normal limits. Small pericardial effusion anteriorly left-sided central venous catheter in place. Small scattered mediastinal lymph nodes. No hilar lymphadenopathy. This noncontrast CT. Small hiatal hernia. Degenerative changes affecting the thoracolumbar spine. Bone island noted at T9 vertebral body. Absence of IV and enteric contrast material markedly limits sensitivity for abdominal pathology. Perihepatic ascites. Please refer to separate dedicated abdomen pelvis CT for further details. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'solid organs': , 'vasculature': clinical findings_fin: 'intravenous contrast': 'clinical finding': 'intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'anatomical entity_fin: 'bowel': non-anatomical substance_fin: ['oral contrast']clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'gallbladder': clinical findings_fin: 'stones': 'clinical finding': 'stones', 'existence': 'neg_dx', 'observation': 'stone'clinical findings_fin: 'pericholecystic fluid': 'clinical finding': 'pericholecystic fluid', 'existence': 'neg_dx', 'descriptive_term': 'pericholecystic', 'observation': 'fluid'clinical findings_fin: 'intra or extrahepatic biliary dilatation': 'clinical finding': 'intra or extrahepatic biliary dilatation', 'existence': 'neg_dx', 'descriptive_term': 'intra or extrahepatic biliary', 'observation': 'dilatation'clinical findings_fin: 'scattered granulomata': 'clinical finding': 'scattered granulomata', 'existence': 'pos_dx', 'descriptive_term': 'scattered', 'observation': 'granulomata'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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': '1.3 x 0.6 cm']anatomical entity_fin: 'renal pelvis': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'previously seen stone': 'clinical finding': 'previously seen stone', 'existence': 'pos_dx', 'descriptive_term': 'previously seen', 'observation': 'stone', 'at least a mild hydronephrosis': 'clinical finding': 'at least a mild hydronephrosis', 'existence': 'pos_dx', 'descriptive_term': 'at least a mild', 'observation': 'hydronephrosis', 'strength_term': 'mild'clinical findings_fin: 'additional punctate stones': 'clinical finding': 'additional punctate stones', 'existence': 'pos_dx', 'descriptive_term': 'additional punctate', 'observation': 'stone'anatomical entity_fin: 'fluid': imaging observation_fin: ['fat']clinical findings_fin: 'perinephric fat stranding': 'clinical finding': 'perinephric fat stranding', 'existence': 'neg_dx', 'descriptive_term': 'perinephric fat', 'observation': 'strand'anatomical entity_fin: 'left kidney': clinical findings_fin: 'left kidney is normal': 'clinical finding': 'left kidney is normal'clinical findings_fin: 'moderate atherosclerosis': 'clinical finding': 'moderate atherosclerosis', 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'atherosclerosis', 'strength_term': 'moderate'clinical findings_fin: 'aneurysm': 'clinical finding': 'aneurysm', 'existence': 'neg_dx', 'observation': 'aneurysm'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'imaging observation_fin: ['obturator']clinical findings_fin: 'small scattered lymph nodes': 'clinical finding': 'small scattered lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small scattered lymph', 'observation': 'node', 'strength_term': 'small'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] The absence of intravenous contrast limits evaluation of the solid organs and vasculature. Absence of oral contrast limits evaluation of bowel. No significant abnormality noted. No stones seen throughout the gallbladder. No evidence of pericholecystic fluid. No intra or extrahepatic biliary dilatation. Scattered granulomata. No. No significant abnormality noted. No significant abnormality noted. Previously seen stone in the right renal pelvis is increased in size now measures 1.3 x 0.6 cm and is causing at least a mild hydronephrosis. Additional punctate stones is seen. There is no perinephric fat stranding or fluid. The left kidney is normal. Moderate atherosclerosis. No evidence of aneurysm. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Small scattered lymph nodes including obturator and femoral areas. 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: 'solid organs': , 'vasculature': clinical findings_fin: 'intravenous contrast': 'clinical finding': 'intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'anatomical entity_fin: 'bowel': non-anatomical substance_fin: ['oral contrast']clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'gallbladder': clinical findings_fin: 'stones': 'clinical finding': 'stones', 'existence': 'neg_dx', 'observation': 'stone'clinical findings_fin: 'pericholecystic fluid': 'clinical finding': 'pericholecystic fluid', 'existence': 'neg_dx', 'descriptive_term': 'pericholecystic', 'observation': 'fluid'clinical findings_fin: 'intra or extrahepatic biliary dilatation': 'clinical finding': 'intra or extrahepatic biliary dilatation', 'existence': 'neg_dx', 'descriptive_term': 'intra or extrahepatic biliary', 'observation': 'dilatation'clinical findings_fin: 'scattered granulomata': 'clinical finding': 'scattered granulomata', 'existence': 'pos_dx', 'descriptive_term': 'scattered', 'observation': 'granulomata'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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': '1.3 x 0.6 cm']anatomical entity_fin: 'renal pelvis': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'previously seen stone': 'clinical finding': 'previously seen stone', 'existence': 'pos_dx', 'descriptive_term': 'previously seen', 'observation': 'stone', 'at least a mild hydronephrosis': 'clinical finding': 'at least a mild hydronephrosis', 'existence': 'pos_dx', 'descriptive_term': 'at least a mild', 'observation': 'hydronephrosis', 'strength_term': 'mild'clinical findings_fin: 'additional punctate stones': 'clinical finding': 'additional punctate stones', 'existence': 'pos_dx', 'descriptive_term': 'additional punctate', 'observation': 'stone'anatomical entity_fin: 'fluid': imaging observation_fin: ['fat']clinical findings_fin: 'perinephric fat stranding': 'clinical finding': 'perinephric fat stranding', 'existence': 'neg_dx', 'descriptive_term': 'perinephric fat', 'observation': 'strand'anatomical entity_fin: 'left kidney': clinical findings_fin: 'left kidney is normal': 'clinical finding': 'left kidney is normal'clinical findings_fin: 'moderate atherosclerosis': 'clinical finding': 'moderate atherosclerosis', 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'atherosclerosis', 'strength_term': 'moderate'clinical findings_fin: 'aneurysm': 'clinical finding': 'aneurysm', 'existence': 'neg_dx', 'observation': 'aneurysm'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'imaging observation_fin: ['obturator']clinical findings_fin: 'small scattered lymph nodes': 'clinical finding': 'small scattered lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small scattered lymph', 'observation': 'node', 'strength_term': 'small'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP]

The absence of intravenous contrast limits evaluation of the solid organs and vasculature. Absence of oral contrast limits evaluation of bowel. No significant abnormality noted. No stones seen throughout the gallbladder. No evidence of pericholecystic fluid. No intra or extrahepatic biliary dilatation. Scattered granulomata. No. No significant abnormality noted. No significant abnormality noted. Previously seen stone in the right renal pelvis is increased in size now measures 1.3 x 0.6 cm and is causing at least a mild hydronephrosis. Additional punctate stones is seen. There is no perinephric fat stranding or fluid. The left kidney is normal. Moderate atherosclerosis. No evidence of aneurysm. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Small scattered lymph nodes including obturator and femoral areas. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. [/RESP]</s>

. Limited intravenous contrast was administered and limited images were obtained... The solid organs are unremarkable, except for small amount of air in the bowel which may be due to oral contrast. No significant abnormality noted. Gallbladder contains no stones. Pericholecystic fluid is not present. There is no evidence of intra or extrahepatic biliary dilatation. Scattered granulomata are again identified. No significant abnormality noted. None. Previously seen stone has been completely resorbed with at least a mild hydronephrosis now measuring up to 1.3 x 0.6 cm. Additional punctate stones are also noted. Fatty fluid is present within the renal parenchyma without perinephric fat stranding. Left kidney is normal. Moderate atherosclerosis is present. Aneurysm is not present. No significant abnormality noted. No significant abnormality. No significant abnormality. No significant abnormality. Small scattered lymph nodes are present along the obturator region. 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: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'interval resolution': 'clinical finding': 'interval resolution', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'resolution', 'right upper lobe subpleural nodules': 'clinical finding': 'right upper lobe subpleural nodules', 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe subpleural', 'observation': 'nodule'clinical findings_fin: 'other scattered micronodules': 'clinical finding': 'other scattered micronodules', 'existence': 'pos_dx', 'descriptive_term': 'other scattered', 'observation': 'micronodule'clinical findings_fin: 'new nodules': 'clinical finding': 'new nodules', 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'nodule', 'temporal_term': 'new', 'masses': 'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'procedure_fin: ['laryngectomy']clinical findings_fin: 'phonation device': 'clinical finding': 'phonation device', 'existence': 'pos_dx', 'descriptive_term': 'phonation', 'observation': 'device'location descriptor_fin: ['right']clinical findings_fin: 'calcified subcarinal and right hilar nodes': 'clinical finding': 'calcified subcarinal and right hilar nodes', 'existence': 'pos_dx', 'descriptive_term': 'calcified subcarinal and right hilar', 'observation': 'node', 'change_term': 'calcified', 'prior granulomatous disease': 'clinical finding': 'prior granulomatous disease', 'existence': 'pos_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'disease'location descriptor_fin: ['right']clinical findings_fin: 'small noncalcified right hilar node': 'clinical finding': 'small noncalcified right hilar node', 'existence': 'pos_dx', 'descriptive_term': 'small noncalcified right hilar', 'observation': 'node', 'strength_term': 'small'anatomical entity_fin: 'thoracic aorta': clinical findings_fin: 'atherosclerotic calcifications of the thoracic aorta': 'clinical finding': 'atherosclerotic calcifications of the thoracic aorta', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic calcifications of the thoracic', 'observation': 'aorta'clinical findings_fin: 'moderate coronary artery calcifications': 'clinical finding': 'moderate coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'moderate coronary artery', 'observation': 'calcification', 'strength_term': 'moderate'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'small splenule unchanged': 'clinical finding': 'small splenule unchanged', 'change_term': 'unchanged' [/INST] [RESP] . Interval resolution of right upper lobe subpleural nodules. Other scattered micronodules unchanged. No new nodules or masses are identified. Status post laryngectomy with placement of phonation device. Calcified subcarinal and right hilar nodes again noted, compatible with prior granulomatous disease. Small noncalcified right hilar node unchanged. Mild atherosclerotic calcifications of the thoracic aorta. Moderate coronary artery calcifications. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. Small splenule unchanged. [/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: 'interval resolution': 'clinical finding': 'interval resolution', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'resolution', 'right upper lobe subpleural nodules': 'clinical finding': 'right upper lobe subpleural nodules', 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe subpleural', 'observation': 'nodule'clinical findings_fin: 'other scattered micronodules': 'clinical finding': 'other scattered micronodules', 'existence': 'pos_dx', 'descriptive_term': 'other scattered', 'observation': 'micronodule'clinical findings_fin: 'new nodules': 'clinical finding': 'new nodules', 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'nodule', 'temporal_term': 'new', 'masses': 'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'procedure_fin: ['laryngectomy']clinical findings_fin: 'phonation device': 'clinical finding': 'phonation device', 'existence': 'pos_dx', 'descriptive_term': 'phonation', 'observation': 'device'location descriptor_fin: ['right']clinical findings_fin: 'calcified subcarinal and right hilar nodes': 'clinical finding': 'calcified subcarinal and right hilar nodes', 'existence': 'pos_dx', 'descriptive_term': 'calcified subcarinal and right hilar', 'observation': 'node', 'change_term': 'calcified', 'prior granulomatous disease': 'clinical finding': 'prior granulomatous disease', 'existence': 'pos_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'disease'location descriptor_fin: ['right']clinical findings_fin: 'small noncalcified right hilar node': 'clinical finding': 'small noncalcified right hilar node', 'existence': 'pos_dx', 'descriptive_term': 'small noncalcified right hilar', 'observation': 'node', 'strength_term': 'small'anatomical entity_fin: 'thoracic aorta': clinical findings_fin: 'atherosclerotic calcifications of the thoracic aorta': 'clinical finding': 'atherosclerotic calcifications of the thoracic aorta', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic calcifications of the thoracic', 'observation': 'aorta'clinical findings_fin: 'moderate coronary artery calcifications': 'clinical finding': 'moderate coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'moderate coronary artery', 'observation': 'calcification', 'strength_term': 'moderate'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'small splenule unchanged': 'clinical finding': 'small splenule unchanged', 'change_term': 'unchanged' [/INST] [RESP]

. Interval resolution of right upper lobe subpleural nodules. Other scattered micronodules unchanged. No new nodules or masses are identified. Status post laryngectomy with placement of phonation device. Calcified subcarinal and right hilar nodes again noted, compatible with prior granulomatous disease. Small noncalcified right hilar node unchanged. Mild atherosclerotic calcifications of the thoracic aorta. Moderate coronary artery calcifications. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. Small splenule unchanged. [/RESP]</s>

. Interval resolution of right upper lobe subpleural nodules. The other scattered micronodules are stable in size. No new nodules or masses. Phonation device is noted. Calcified subcarinal and right hilar nodes, consistent with prior granulomatous disease. Small noncalcified right hilar node. Atherosclerotic calcifications of the thoracic aorta. Moderate coronary artery calcifications. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. Small splenule unchanged. [/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 liver': 'clinical finding': 'fatty 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'location descriptor_fin: ['left']clinical findings_fin: 'left renal cyst': 'clinical finding': 'left renal cyst', 'existence': 'pos_dx', 'descriptive_term': 'left renal', 'observation': 'cyst'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'inguinal lymph nodes': clinical findings_fin: 'scattered inguinal lymph nodes': 'clinical finding': 'scattered inguinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered inguinal lymph', 'observation': 'node'size_fin: ['size': '22 x 14 mm', 'size_descriptor': 'rim']anatomical entity_fin: 'rim': imaging observation_fin: ['enhancing']clinical findings_fin: 'perianal fluid collection': 'clinical finding': 'perianal fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'perianal fluid', 'observation': 'collection'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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 liver. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Left renal cyst. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Scattered inguinal lymph nodes. Approximately 22 x 14 mm rim enhancing perianal fluid collection. 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 liver': 'clinical finding': 'fatty 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'location descriptor_fin: ['left']clinical findings_fin: 'left renal cyst': 'clinical finding': 'left renal cyst', 'existence': 'pos_dx', 'descriptive_term': 'left renal', 'observation': 'cyst'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'inguinal lymph nodes': clinical findings_fin: 'scattered inguinal lymph nodes': 'clinical finding': 'scattered inguinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered inguinal lymph', 'observation': 'node'size_fin: ['size': '22 x 14 mm', 'size_descriptor': 'rim']anatomical entity_fin: 'rim': imaging observation_fin: ['enhancing']clinical findings_fin: 'perianal fluid collection': 'clinical finding': 'perianal fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'perianal fluid', 'observation': 'collection'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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 liver. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Left renal cyst. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Scattered inguinal lymph nodes. Approximately 22 x 14 mm rim enhancing perianal fluid collection. No significant abnormality noted. No significant abnormality noted [/RESP]</s>

. No significant abnormality. The fatty liver is noted. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. Left renal cyst, unchanged in size. No significant abnormality. No significant abnormality. 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: ['bilateral']clinical findings_fin: 'widespread bilateral pulmonary nodules': 'clinical finding': 'widespread bilateral pulmonary nodules', 'existence': 'pos_dx', 'descriptive_term': 'widespread bilateral pulmonary', 'observation': 'nodule', 'strength_term': 'widespread'size_fin: ['size': '2.9 x 2.3 cm', 'size_descriptor': 'nodule']anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'largest nodule': 'clinical finding': 'largest nodule', 'existence': 'pos_dx', 'descriptive_term': 'largest', 'observation': 'nodule'size_fin: ['size': '2 cm', 'size_descriptor': 'focus']anatomical entity_fin: 'apex': location descriptor_fin: ['left']clinical findings_fin: 'roughly 2 cm hypodense focus': 'clinical finding': 'roughly 2 cm hypodense focus', 'existence': 'pos_dx', 'descriptive_term': 'roughly 2 cm hypodense', 'observation': 'focus', 'nonspecific': 'clinical finding': 'nonspecific', 'existence': 'pos_dx', 'observation': 'nonspecific', 'thrombus or metastatic focus': 'clinical finding': 'thrombus or metastatic focus', 'existence': 'unc_dx', 'descriptive_term': 'thrombus or metastatic', 'observation': 'focus'anatomical entity_fin: 'papillary muscle': clinical findings_fin: 'anomaly': 'clinical finding': 'anomaly', 'existence': 'unc_dx', 'observation': 'anomaly'size_fin: ['size': '1 cm', 'size_descriptor': 'lesions']anatomical entity_fin: 'lobe': 'location descriptor': 'right', 'liver': location descriptor_fin: ['right']clinical findings_fin: 'hypodense lesions': 'clinical finding': 'hypodense lesions', 'existence': 'pos_dx', 'descriptive_term': 'hypodense', 'observation': 'lesion', 'metastases': 'clinical finding': 'metastases', 'existence': 'unc_dx', 'observation': 'metastase'anatomical entity_fin: 'bowel': clinical findings_fin: 'undigested pill fragments': 'clinical finding': 'undigested pill fragments', 'existence': 'pos_dx', 'descriptive_term': 'undigested pill', 'observation': 'fragment' [/INST] [RESP] . Widespread bilateral pulmonary nodules. For continued reference the largest nodule is in the right upper lobe measuring 2.9 x 2.3 cm on image 25/105. Roughly 2 cm hypodense focus within the left ventricular apex is nonspecific but may represent a thrombus or metastatic focus. Alternatively this may represent anomaly with a papillary muscle though this is considered less likely. Correlation with echocardiography is recommended. Negative. Hypodense lesions in the right lobe of the liver measuring up to 1 cm are nonspecific but likely represent metastases. Negative. Negative. Negative. Negative. Negative. Undigested pill fragments are noted scattered throughout the bowel. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['bilateral']clinical findings_fin: 'widespread bilateral pulmonary nodules': 'clinical finding': 'widespread bilateral pulmonary nodules', 'existence': 'pos_dx', 'descriptive_term': 'widespread bilateral pulmonary', 'observation': 'nodule', 'strength_term': 'widespread'size_fin: ['size': '2.9 x 2.3 cm', 'size_descriptor': 'nodule']anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'largest nodule': 'clinical finding': 'largest nodule', 'existence': 'pos_dx', 'descriptive_term': 'largest', 'observation': 'nodule'size_fin: ['size': '2 cm', 'size_descriptor': 'focus']anatomical entity_fin: 'apex': location descriptor_fin: ['left']clinical findings_fin: 'roughly 2 cm hypodense focus': 'clinical finding': 'roughly 2 cm hypodense focus', 'existence': 'pos_dx', 'descriptive_term': 'roughly 2 cm hypodense', 'observation': 'focus', 'nonspecific': 'clinical finding': 'nonspecific', 'existence': 'pos_dx', 'observation': 'nonspecific', 'thrombus or metastatic focus': 'clinical finding': 'thrombus or metastatic focus', 'existence': 'unc_dx', 'descriptive_term': 'thrombus or metastatic', 'observation': 'focus'anatomical entity_fin: 'papillary muscle': clinical findings_fin: 'anomaly': 'clinical finding': 'anomaly', 'existence': 'unc_dx', 'observation': 'anomaly'size_fin: ['size': '1 cm', 'size_descriptor': 'lesions']anatomical entity_fin: 'lobe': 'location descriptor': 'right', 'liver': location descriptor_fin: ['right']clinical findings_fin: 'hypodense lesions': 'clinical finding': 'hypodense lesions', 'existence': 'pos_dx', 'descriptive_term': 'hypodense', 'observation': 'lesion', 'metastases': 'clinical finding': 'metastases', 'existence': 'unc_dx', 'observation': 'metastase'anatomical entity_fin: 'bowel': clinical findings_fin: 'undigested pill fragments': 'clinical finding': 'undigested pill fragments', 'existence': 'pos_dx', 'descriptive_term': 'undigested pill', 'observation': 'fragment' [/INST] [RESP]

. Widespread bilateral pulmonary nodules. For continued reference the largest nodule is in the right upper lobe measuring 2.9 x 2.3 cm on image 25/105. Roughly 2 cm hypodense focus within the left ventricular apex is nonspecific but may represent a thrombus or metastatic focus. Alternatively this may represent anomaly with a papillary muscle though this is considered less likely. Correlation with echocardiography is recommended. Negative. Hypodense lesions in the right lobe of the liver measuring up to 1 cm are nonspecific but likely represent metastases. Negative. Negative. Negative. Negative. Negative. Undigested pill fragments are noted scattered throughout the bowel. [/RESP]</s>

. Widespread bilateral pulmonary nodules, some of which are calcified. The largest nodule in the right upper lobe measures 2.9 x 2.3 cm. A roughly 2 cm hypodense focus is seen in the left apical region and may represent thrombus or metastatic focus. There is an anomaly of the papillary muscles of the mitral valve. Hypodense lesions in the liver are too small to characterize but likely represent metastases. Undigested pill fragments are noted within the bowel. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'solid organs': clinical findings_fin: 'iv contrast': 'clinical finding': 'iv contrast', 'existence': 'neg_dx', 'descriptive_term': 'iv', 'observation': 'contrast', 'lymphadenopathy': 'clinical finding': 'lymphadenopathy', 'existence': 'unc_dx', 'observation': 'lymphadenopathy'clinical findings_fin: 'mild basilar atelectasis': 'clinical finding': 'mild basilar atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'mild basilar', 'observation': 'atelectasis', 'strength_term': 'mild'procedure_fin: ['cholecystectomy']clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'object_fin: ['filter']clinical findings_fin: 'ivc filter is in place and unchanged': 'clinical finding': 'ivc filter is in place and unchanged', 'change_term': 'unchanged'procedure_fin: ['duodenal switch']clinical findings_fin: 'postsurgical change': 'clinical finding': 'postsurgical change', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change', 'duodenal switch': 'clinical finding': 'duodenal switch', 'existence': 'pos_dx', 'descriptive_term': 'duodenal', 'observation': 'switch'anatomical entity_fin: 'anterior abdominal wall': clinical findings_fin: 'laxity': 'clinical finding': 'laxity', 'existence': 'pos_dx', 'observation': 'laxity'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'calcified fibroid': 'clinical finding': 'calcified fibroid', 'change_term': 'calcified'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '8.1 x 4.9 cm', 'size_descriptor': 'hematoma']anatomical entity_fin: 'fluid': imaging observation_fin: ['hematoma', 'blood products']location descriptor_fin: ['right']clinical findings_fin: 'large right groin hematoma': 'clinical finding': 'large right groin hematoma', 'existence': 'pos_dx', 'descriptive_term': 'large right groin', 'observation': 'hematoma', 'strength_term': 'large', 'blood products': 'clinical finding': 'blood products', 'existence': 'pos_dx', 'descriptive_term': 'blood', 'observation': 'product'imaging observation_fin: ['hematoma']clinical findings_fin: 'retroperitoneal hematoma': 'clinical finding': 'retroperitoneal hematoma', 'existence': 'neg_dx', 'descriptive_term': 'retroperitoneal', 'observation': 'hematoma'anatomical entity_fin: 'common iliac artery': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral common iliac artery stents': 'clinical finding': 'bilateral common iliac artery stents', 'existence': 'pos_dx', 'descriptive_term': 'bilateral common iliac artery', 'observation': 'stent' [/INST] [RESP] Please note that without the administration of IV contrast, evaluation of the solid organs and for lymphadenopathy is limited. Mild basilar atelectasis. The patient is status post cholecystectomy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. An IVC filter is in place and unchanged. There is postsurgical change of a duodenal switch. There is laxity of the anterior abdominal wall. No significant abnormality noted. Calcified fibroid. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. There is a large right groin hematoma with a fluid fluid level of layering of blood products that measures up to 8.1 x 4.9 cm. There is no evidence of a retroperitoneal hematoma. Bilateral common iliac artery stents. [/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: 'iv contrast': 'clinical finding': 'iv contrast', 'existence': 'neg_dx', 'descriptive_term': 'iv', 'observation': 'contrast', 'lymphadenopathy': 'clinical finding': 'lymphadenopathy', 'existence': 'unc_dx', 'observation': 'lymphadenopathy'clinical findings_fin: 'mild basilar atelectasis': 'clinical finding': 'mild basilar atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'mild basilar', 'observation': 'atelectasis', 'strength_term': 'mild'procedure_fin: ['cholecystectomy']clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'object_fin: ['filter']clinical findings_fin: 'ivc filter is in place and unchanged': 'clinical finding': 'ivc filter is in place and unchanged', 'change_term': 'unchanged'procedure_fin: ['duodenal switch']clinical findings_fin: 'postsurgical change': 'clinical finding': 'postsurgical change', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change', 'duodenal switch': 'clinical finding': 'duodenal switch', 'existence': 'pos_dx', 'descriptive_term': 'duodenal', 'observation': 'switch'anatomical entity_fin: 'anterior abdominal wall': clinical findings_fin: 'laxity': 'clinical finding': 'laxity', 'existence': 'pos_dx', 'observation': 'laxity'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'calcified fibroid': 'clinical finding': 'calcified fibroid', 'change_term': 'calcified'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '8.1 x 4.9 cm', 'size_descriptor': 'hematoma']anatomical entity_fin: 'fluid': imaging observation_fin: ['hematoma', 'blood products']location descriptor_fin: ['right']clinical findings_fin: 'large right groin hematoma': 'clinical finding': 'large right groin hematoma', 'existence': 'pos_dx', 'descriptive_term': 'large right groin', 'observation': 'hematoma', 'strength_term': 'large', 'blood products': 'clinical finding': 'blood products', 'existence': 'pos_dx', 'descriptive_term': 'blood', 'observation': 'product'imaging observation_fin: ['hematoma']clinical findings_fin: 'retroperitoneal hematoma': 'clinical finding': 'retroperitoneal hematoma', 'existence': 'neg_dx', 'descriptive_term': 'retroperitoneal', 'observation': 'hematoma'anatomical entity_fin: 'common iliac artery': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral common iliac artery stents': 'clinical finding': 'bilateral common iliac artery stents', 'existence': 'pos_dx', 'descriptive_term': 'bilateral common iliac artery', 'observation': 'stent' [/INST] [RESP]

Please note that without the administration of IV contrast, evaluation of the solid organs and for lymphadenopathy is limited. Mild basilar atelectasis. The patient is status post cholecystectomy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. An IVC filter is in place and unchanged. There is postsurgical change of a duodenal switch. There is laxity of the anterior abdominal wall. No significant abnormality noted. Calcified fibroid. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. There is a large right groin hematoma with a fluid fluid level of layering of blood products that measures up to 8.1 x 4.9 cm. There is no evidence of a retroperitoneal hematoma. Bilateral common iliac artery stents. [/RESP]</s>

. Limited examination due to lack of IV contrast material. Solid organs are not well visualized without IV contrast material, but no lymphadenopathy is seen. Mild basilar atelectasis. Status post cholecystectomy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. IvC filter is in place and unchanged. Postsurgical change related to duodenal switch. Laxity of anterior abdominal wall. No significant abnormality noted. Calcified fibroid. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Large right groin hematoma with blood products measuring up to 8.1 x 4.9 cm. No retroperitoneal hematoma. Bilateral common iliac artery stents. [/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: 'abnormal post contrast enhancement': 'clinical finding': 'abnormal post contrast enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal post contrast', 'observation': 'enhancement'clinical findings_fin: 'ventricles and basal cisterns are normal in size and configuration': 'clinical finding': 'ventricles and basal cisterns are normal in size and configuration'anatomical entity_fin: 'skull': , 'base': clinical findings_fin: 'calvaria and skull base are radiographically normal': 'clinical finding': 'calvaria and skull base are radiographically normal'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'clinical findings_fin: 'postsurgical changes': 'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change', 'total thyroidectomy': 'clinical finding': 'total thyroidectomy', 'existence': 'pos_dx', 'descriptive_term': 'total', 'observation': 'thyroidectomy', 'tracheostomy': 'clinical finding': 'tracheostomy', 'existence': 'pos_dx', 'observation': 'tracheostomy'clinical findings_fin: 'soft tissue mass': 'clinical finding': 'soft tissue mass', 'existence': 'neg_dx', 'descriptive_term': 'soft tissue', 'observation': 'mass', 'thyroidectomy': 'clinical finding': 'thyroidectomy', 'existence': 'neg_dx', 'observation': 'thyroidectomy', 'recurrent tumor': 'clinical finding': 'recurrent tumor', 'existence': 'unc_dx', 'descriptive_term': 'recurrent', 'observation': 'tumor'anatomical entity_fin: 'neck': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'right neck lipoma': 'clinical finding': 'right neck lipoma', 'existence': 'pos_dx', 'descriptive_term': 'right neck', 'observation': 'lipoma'anatomical entity_fin: 'neck': clinical findings_fin: 'multiple scattered lymph nodes': 'clinical finding': 'multiple scattered lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple scattered lymph', 'observation': 'node', 'quantity_term': 'multiple'clinical findings_fin: 'abnormal enhancement': 'clinical finding': 'abnormal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement'anatomical entity_fin: 'oral cavity': , 'nasopharynx': , 'hypopharynx': , 'larynx': , 'airways': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'unc_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: 'submandibular glands': clinical findings_fin: 'parotid , and submandibular glands are unremarkable': 'clinical finding': 'parotid , and submandibular glands are unremarkable'clinical findings_fin: 'multilevel degenerative disease': 'clinical finding': 'multilevel degenerative disease', 'existence': 'neg_dx', 'descriptive_term': 'multilevel degenerative', 'observation': 'disease'clinical findings_fin: 'multiple pulmonary nodules': 'clinical finding': 'multiple pulmonary nodules', 'existence': 'pos_dx', 'descriptive_term': 'multiple pulmonary', 'observation': 'nodule', 'quantity_term': 'multiple', 'metastatic disease': 'clinical finding': 'metastatic disease', 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'anatomical entity_fin: 'chest': [/INST] [RESP] . There is no evidence of intracranial hemorrhage, mass or edema. No abnormal post contrast enhancement. 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. Redemonstration of postsurgical changes including total thyroidectomy and tracheostomy. No evidence of soft tissue mass in the thyroidectomy bed to suggest recurrent tumor. Right neck lipoma unchanged. There are multiple scattered lymph nodes throughout the neck soft tissues, stable in appearance when compared to the previous examination. No evidence of abnormal enhancement or pathologic enlargement. 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, and submandibular glands are unremarkable. The osseous structures demonstrate multilevel degenerative disease, unchanged. Again noted are multiple pulmonary nodules compatible with metastatic disease. Please refer to dedicated chest CT for complete details. [/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: 'abnormal post contrast enhancement': 'clinical finding': 'abnormal post contrast enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal post contrast', 'observation': 'enhancement'clinical findings_fin: 'ventricles and basal cisterns are normal in size and configuration': 'clinical finding': 'ventricles and basal cisterns are normal in size and configuration'anatomical entity_fin: 'skull': , 'base': clinical findings_fin: 'calvaria and skull base are radiographically normal': 'clinical finding': 'calvaria and skull base are radiographically normal'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'clinical findings_fin: 'postsurgical changes': 'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change', 'total thyroidectomy': 'clinical finding': 'total thyroidectomy', 'existence': 'pos_dx', 'descriptive_term': 'total', 'observation': 'thyroidectomy', 'tracheostomy': 'clinical finding': 'tracheostomy', 'existence': 'pos_dx', 'observation': 'tracheostomy'clinical findings_fin: 'soft tissue mass': 'clinical finding': 'soft tissue mass', 'existence': 'neg_dx', 'descriptive_term': 'soft tissue', 'observation': 'mass', 'thyroidectomy': 'clinical finding': 'thyroidectomy', 'existence': 'neg_dx', 'observation': 'thyroidectomy', 'recurrent tumor': 'clinical finding': 'recurrent tumor', 'existence': 'unc_dx', 'descriptive_term': 'recurrent', 'observation': 'tumor'anatomical entity_fin: 'neck': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'right neck lipoma': 'clinical finding': 'right neck lipoma', 'existence': 'pos_dx', 'descriptive_term': 'right neck', 'observation': 'lipoma'anatomical entity_fin: 'neck': clinical findings_fin: 'multiple scattered lymph nodes': 'clinical finding': 'multiple scattered lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple scattered lymph', 'observation': 'node', 'quantity_term': 'multiple'clinical findings_fin: 'abnormal enhancement': 'clinical finding': 'abnormal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement'anatomical entity_fin: 'oral cavity': , 'nasopharynx': , 'hypopharynx': , 'larynx': , 'airways': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'unc_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: 'submandibular glands': clinical findings_fin: 'parotid , and submandibular glands are unremarkable': 'clinical finding': 'parotid , and submandibular glands are unremarkable'clinical findings_fin: 'multilevel degenerative disease': 'clinical finding': 'multilevel degenerative disease', 'existence': 'neg_dx', 'descriptive_term': 'multilevel degenerative', 'observation': 'disease'clinical findings_fin: 'multiple pulmonary nodules': 'clinical finding': 'multiple pulmonary nodules', 'existence': 'pos_dx', 'descriptive_term': 'multiple pulmonary', 'observation': 'nodule', 'quantity_term': 'multiple', 'metastatic disease': 'clinical finding': 'metastatic disease', 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'anatomical entity_fin: 'chest': [/INST] [RESP]

. There is no evidence of intracranial hemorrhage, mass or edema. No abnormal post contrast enhancement. 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. Redemonstration of postsurgical changes including total thyroidectomy and tracheostomy. No evidence of soft tissue mass in the thyroidectomy bed to suggest recurrent tumor. Right neck lipoma unchanged. There are multiple scattered lymph nodes throughout the neck soft tissues, stable in appearance when compared to the previous examination. No evidence of abnormal enhancement or pathologic enlargement. 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, and submandibular glands are unremarkable. The osseous structures demonstrate multilevel degenerative disease, unchanged. Again noted are multiple pulmonary nodules compatible with metastatic disease. Please refer to dedicated chest CT for complete details. [/RESP]</s>

. There is no evidence of intracranial hemorrhage, mass or edema. The CSF spaces are patent. No abnormal post contrast enhancement is seen. The ventricles and basal cisterns are normal in size and configuration. The calvariata and skull base are radiographically normal. The visualized paranasal sinuses and mastoid air cells are normally pneumatized. Postsurgical changes related to total thyroidectomy and tracheostomy are noted. Soft tissue mass within the thyroid bed is not significantly changed since prior examination and may represent postsurgical change from thyroidectomy. A right neck lipoma is also present. Multiple scattered lymph nodes are again identified throughout the neck. No abnormal enhancement is detected. The oral cavity, oro- or nasopharynx, hypopharynx, larynx and subglottic airways are patent. The epiglottis, vallecula, piriform sinuses, and vocal cords are normal. The parotid, and submandibular glands are unremarkable. Multilevel degenerative disease is evident. Multiple pulmonary nodules are again noted which are nonspecific but highly suspicious for metastatic disease. Please refer to separate chest CT for further details. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'significant cervical lymphadenopathy': 'clinical finding': 'significant cervical lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant cervical', 'observation': 'lymphadenopathy'location descriptor_fin: ['right']clinical findings_fin: 'right level 4 nodes': 'clinical finding': 'right level 4 nodes', 'existence': 'neg_dx', 'descriptive_term': 'right level 4', 'observation': 'node'anatomical entity_fin: 'neck': clinical findings_fin: 'minimal residual soft tissue stranding': 'clinical finding': 'minimal residual soft tissue stranding', 'existence': 'pos_dx', 'descriptive_term': 'minimal residual soft tissue', 'observation': 'strand', 'strength_term': 'minimal', 'quantity_term': 'minimal', 'temporal_term': 'residual'anatomical entity_fin: 'nasopharynx': , 'oropharynx': , 'oral cavity': , 'hypopharynx': , 'larynx': , 'airway': location descriptor_fin: ['upper']clinical findings_fin: 'is normal appearance of the nasopharynx , oropharynx , limited view of the oral cavity , hypopharynx , larynx and upper cervical airway': 'clinical finding': 'is normal appearance of the nasopharynx , oropharynx , limited view of the oral cavity , hypopharynx , larynx and upper cervical airway'anatomical entity_fin: 'arteries': imaging observation_fin: ['foci']clinical findings_fin: 'scattered foci': 'clinical finding': 'scattered foci', 'existence': 'pos_dx', 'descriptive_term': 'scattered', 'observation': 'foci', 'calcification': 'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'anatomical entity_fin: 'arteries': , 'veins': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'anatomical entity_fin: 'internal jugular vein': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'right internal jugular vein is small in size , unchanged': 'clinical finding': 'right internal jugular vein is small in size , unchanged', 'change_term': 'unchanged'anatomical entity_fin: 'left vertebral artery': clinical findings_fin: 'calcification': 'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'anatomical entity_fin: 'thyroid gland': clinical findings_fin: 'thyroid gland appears unremarkable': 'clinical finding': 'thyroid gland appears unremarkable'anatomical entity_fin: 'lung': , 'apices': clinical findings_fin: 'mild emphysematous change': 'clinical finding': 'mild emphysematous change', 'existence': 'pos_dx', 'descriptive_term': 'mild emphysematous', 'observation': 'change', 'strength_term': 'mild'clinical findings_fin: 'pulmonary mass': 'clinical finding': 'pulmonary mass', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'mass', 'nodules': 'clinical finding': 'nodules', 'existence': 'neg_dx', 'observation': 'nodule'anatomical entity_fin: 'chest': clinical findings_fin: 'mild cervical multi-level degenerative disease': 'clinical finding': 'mild cervical multi-level degenerative disease', 'existence': 'pos_dx', 'descriptive_term': 'mild cervical multi-level degenerative', 'observation': 'disease', 'strength_term': 'mild'anatomical entity_fin: 'brain': , 'leptomeninges': clinical findings_fin: 'acute intracranial abnormality': 'clinical finding': 'acute intracranial abnormality', 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'abnormality', 'strength_term': 'acute', 'temporal_term': 'acute', 'abnormal enhancement': 'clinical finding': 'abnormal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement'clinical findings_fin: 'visualized ventricular and basal cisterns appear': 'clinical finding': 'visualized ventricular and basal cisterns appear'anatomical entity_fin: 'skull': , 'base': , 'orbits': , 'contents': clinical findings_fin: 'visualized calvarium , skull base , orbits , retro-orbital contents , and infratemporal fossa appears': 'clinical finding': 'visualized calvarium , skull base , orbits , retro-orbital contents , and infratemporal fossa appears'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized', 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP] .There is no significant cervical lymphadenopathy according to radiological size criteria. The previously seen cluster of right level 4 nodes are no longer apparent. Minimal residual soft tissue stranding is seen in the root of the neck. There is normal appearance of the nasopharynx, oropharynx, limited view of the oral cavity, hypopharynx, larynx and upper cervical airway. There are scattered foci of calcification of the carotid arteries bilaterally. The carotid arteries and jugular veins are patent bilaterally. Right internal jugular vein is small in size, unchanged. There is calcification in the left vertebral artery at the level of C4/C5 is present. The thyroid gland appears unremarkable. Limited views of the lung apices shows mild emphysematous change. There is no pulmonary mass or nodules. Please review CT chest for full evaluation. There is mild cervical multi-level degenerative disease. There is no acute intracranial abnormality or abnormal enhancement of the brain or leptomeninges. The visualized ventricular and basal cisterns appear unremarkable. The visualized calvarium, skull base, orbits, retro-orbital contents, and infratemporal fossa appears normal. The visualized paranasal sinuses and mastoid air cells are pneumatized and clear. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'significant cervical lymphadenopathy': 'clinical finding': 'significant cervical lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant cervical', 'observation': 'lymphadenopathy'location descriptor_fin: ['right']clinical findings_fin: 'right level 4 nodes': 'clinical finding': 'right level 4 nodes', 'existence': 'neg_dx', 'descriptive_term': 'right level 4', 'observation': 'node'anatomical entity_fin: 'neck': clinical findings_fin: 'minimal residual soft tissue stranding': 'clinical finding': 'minimal residual soft tissue stranding', 'existence': 'pos_dx', 'descriptive_term': 'minimal residual soft tissue', 'observation': 'strand', 'strength_term': 'minimal', 'quantity_term': 'minimal', 'temporal_term': 'residual'anatomical entity_fin: 'nasopharynx': , 'oropharynx': , 'oral cavity': , 'hypopharynx': , 'larynx': , 'airway': location descriptor_fin: ['upper']clinical findings_fin: 'is normal appearance of the nasopharynx , oropharynx , limited view of the oral cavity , hypopharynx , larynx and upper cervical airway': 'clinical finding': 'is normal appearance of the nasopharynx , oropharynx , limited view of the oral cavity , hypopharynx , larynx and upper cervical airway'anatomical entity_fin: 'arteries': imaging observation_fin: ['foci']clinical findings_fin: 'scattered foci': 'clinical finding': 'scattered foci', 'existence': 'pos_dx', 'descriptive_term': 'scattered', 'observation': 'foci', 'calcification': 'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'anatomical entity_fin: 'arteries': , 'veins': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'anatomical entity_fin: 'internal jugular vein': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'right internal jugular vein is small in size , unchanged': 'clinical finding': 'right internal jugular vein is small in size , unchanged', 'change_term': 'unchanged'anatomical entity_fin: 'left vertebral artery': clinical findings_fin: 'calcification': 'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'anatomical entity_fin: 'thyroid gland': clinical findings_fin: 'thyroid gland appears unremarkable': 'clinical finding': 'thyroid gland appears unremarkable'anatomical entity_fin: 'lung': , 'apices': clinical findings_fin: 'mild emphysematous change': 'clinical finding': 'mild emphysematous change', 'existence': 'pos_dx', 'descriptive_term': 'mild emphysematous', 'observation': 'change', 'strength_term': 'mild'clinical findings_fin: 'pulmonary mass': 'clinical finding': 'pulmonary mass', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'mass', 'nodules': 'clinical finding': 'nodules', 'existence': 'neg_dx', 'observation': 'nodule'anatomical entity_fin: 'chest': clinical findings_fin: 'mild cervical multi-level degenerative disease': 'clinical finding': 'mild cervical multi-level degenerative disease', 'existence': 'pos_dx', 'descriptive_term': 'mild cervical multi-level degenerative', 'observation': 'disease', 'strength_term': 'mild'anatomical entity_fin: 'brain': , 'leptomeninges': clinical findings_fin: 'acute intracranial abnormality': 'clinical finding': 'acute intracranial abnormality', 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'abnormality', 'strength_term': 'acute', 'temporal_term': 'acute', 'abnormal enhancement': 'clinical finding': 'abnormal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement'clinical findings_fin: 'visualized ventricular and basal cisterns appear': 'clinical finding': 'visualized ventricular and basal cisterns appear'anatomical entity_fin: 'skull': , 'base': , 'orbits': , 'contents': clinical findings_fin: 'visualized calvarium , skull base , orbits , retro-orbital contents , and infratemporal fossa appears': 'clinical finding': 'visualized calvarium , skull base , orbits , retro-orbital contents , and infratemporal fossa appears'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized', 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP]

.There is no significant cervical lymphadenopathy according to radiological size criteria. The previously seen cluster of right level 4 nodes are no longer apparent. Minimal residual soft tissue stranding is seen in the root of the neck. There is normal appearance of the nasopharynx, oropharynx, limited view of the oral cavity, hypopharynx, larynx and upper cervical airway. There are scattered foci of calcification of the carotid arteries bilaterally. The carotid arteries and jugular veins are patent bilaterally. Right internal jugular vein is small in size, unchanged. There is calcification in the left vertebral artery at the level of C4/C5 is present. The thyroid gland appears unremarkable. Limited views of the lung apices shows mild emphysematous change. There is no pulmonary mass or nodules. Please review CT chest for full evaluation. There is mild cervical multi-level degenerative disease. There is no acute intracranial abnormality or abnormal enhancement of the brain or leptomeninges. The visualized ventricular and basal cisterns appear unremarkable. The visualized calvarium, skull base, orbits, retro-orbital contents, and infratemporal fossa appears normal. The visualized paranasal sinuses and mastoid air cells are pneumatized and clear. [/RESP]</s>

. There are no significant cervical lymphadenopathy.[/RESP]. The right level 3 and 4 nodes have been resected. Minimal residual soft tissue stranding within the neck. Normal appearance of the nasopharynx, oropharynx, limited view of the oral cavity, hypopharynx, larynx and upper cervical airway. Scattered foci of calcification throughout the carotids, with focal areas of calcifications along the branches of the left common carotid arteries. The carotid arteries and jugular veins are patent. The right internal jugular vein is small in size, unchanged. Calcification of the left vertebral artery. Thyroid gland appears unremarkable. Mild emphysematous change at the lung apices. No pulmonary mass or nodules. Mild cervical multilevel degenerative disease. Brain and leptomeninges demonstrate no acute intracranial abnormality or abnormal enhancement. Visualized ventricular and basal cisterns appear stable. Visualized calvarium, skull base, orbits, retro-orbital contents, and infratemporal fossa appears unremarkable. Paranasal sinuses and mastoid air cells are pneumatized and clear. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'extra-axial spaces are normal in size and morphology for the patients age': 'clinical finding': 'extra-axial spaces are normal in size and morphology for the patients age'clinical findings_fin: 'hemorrhage': 'clinical finding': 'hemorrhage', 'existence': 'neg_dx', 'observation': 'hemorrhage'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'clinical findings_fin: 'ventricular system is normal in size and morphology for the patients age': 'clinical finding': 'ventricular system is normal in size and morphology for the patients age'clinical findings_fin: 'effacement': 'clinical finding': 'effacement', 'existence': 'pos_dx', 'observation': 'effacement'imaging observation_fin: ['interface']clinical findings_fin: 'gray-white matter': 'clinical finding': 'gray-white matter', 'existence': 'pos_dx', 'descriptive_term': 'gray-white', 'observation': 'matter', 'intact': 'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'location descriptor_fin: ['midline']anatomical entity_fin: 'cerebellum': clinical findings_fin: 'cerebellum is unremarkable in appearance': 'clinical finding': 'cerebellum is unremarkable in appearance'anatomical entity_fin: 'brain': , 'spinal cord': 'location descriptor': 'upper'location descriptor_fin: ['upper']clinical findings_fin: 'abnormalities': 'clinical finding': 'abnormalities', 'existence': 'neg_dx', 'observation': 'abnormality'anatomical entity_fin: 'contents': clinical findings_fin: 'orbital contents are unremarkable': 'clinical finding': 'orbital contents are unremarkable'clinical findings_fin: 'fracture': 'clinical finding': 'fracture', 'existence': 'neg_dx', 'observation': 'fracture'clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear' [/INST] [RESP] The extra-axial spaces are normal in size and morphology for the patients age. No evidence of hemorrhage is present. There is no CT evidence for acute territorial ischemia. The ventricular system is normal in size and morphology for the patients age. The suprasellar, prepontine, quadrigeminal plate, and basal cisterns are unremarkable in appearance, without effacement. The gray-white matter interface is intact. There is no evidence of midline shift. The cerebellum is unremarkable in appearance. No abnormalities of the brain stem or upper spinal cord are noted. The orbital contents are unremarkable. The bones of the calvarium are unremarkable without evidence of fracture. The visualized sinuses are clear. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'extra-axial spaces are normal in size and morphology for the patients age': 'clinical finding': 'extra-axial spaces are normal in size and morphology for the patients age'clinical findings_fin: 'hemorrhage': 'clinical finding': 'hemorrhage', 'existence': 'neg_dx', 'observation': 'hemorrhage'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'clinical findings_fin: 'ventricular system is normal in size and morphology for the patients age': 'clinical finding': 'ventricular system is normal in size and morphology for the patients age'clinical findings_fin: 'effacement': 'clinical finding': 'effacement', 'existence': 'pos_dx', 'observation': 'effacement'imaging observation_fin: ['interface']clinical findings_fin: 'gray-white matter': 'clinical finding': 'gray-white matter', 'existence': 'pos_dx', 'descriptive_term': 'gray-white', 'observation': 'matter', 'intact': 'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'location descriptor_fin: ['midline']anatomical entity_fin: 'cerebellum': clinical findings_fin: 'cerebellum is unremarkable in appearance': 'clinical finding': 'cerebellum is unremarkable in appearance'anatomical entity_fin: 'brain': , 'spinal cord': 'location descriptor': 'upper'location descriptor_fin: ['upper']clinical findings_fin: 'abnormalities': 'clinical finding': 'abnormalities', 'existence': 'neg_dx', 'observation': 'abnormality'anatomical entity_fin: 'contents': clinical findings_fin: 'orbital contents are unremarkable': 'clinical finding': 'orbital contents are unremarkable'clinical findings_fin: 'fracture': 'clinical finding': 'fracture', 'existence': 'neg_dx', 'observation': 'fracture'clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear' [/INST] [RESP]

The extra-axial spaces are normal in size and morphology for the patients age. No evidence of hemorrhage is present. There is no CT evidence for acute territorial ischemia. The ventricular system is normal in size and morphology for the patients age. The suprasellar, prepontine, quadrigeminal plate, and basal cisterns are unremarkable in appearance, without effacement. The gray-white matter interface is intact. There is no evidence of midline shift. The cerebellum is unremarkable in appearance. No abnormalities of the brain stem or upper spinal cord are noted. The orbital contents are unremarkable. The bones of the calvarium are unremarkable without evidence of fracture. The visualized sinuses are clear. [/RESP]</s>

The extra-axial spaces are normal in size and morphology for the patient's age. There is no evidence of hemorrhage. There is no evidence of acute territorial ischemia. The ventricular system is normal in size and morphology for the patient's age. There is no effacement of the gray-white matter interface. The gray-white matter differentiation is intact. The cerebral cortex, cortical sulci, and cerebellar tonsils are within normal limits without midline shift or mass effect. The cerebellopontine angle structures are unremarkable. The visualized portions of the brain stem and upper cervical spinal cord demonstrate no abnormalities. The orbital contents are unremarkable. The calvarium is unremarkable with no fracture identified. The paranasal sinuses are clear. [/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: 'lobe': 'location descriptor': 'inferior right'location descriptor_fin: ['inferior', 'right']clinical findings_fin: 'punctate calcifications': 'clinical finding': 'punctate calcifications', 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'calcification', 'prior granulomatous disease': 'clinical finding': 'prior granulomatous disease', 'existence': 'pos_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'disease'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['bilateral']clinical findings_fin: 'nonspecific bilateral adrenal nodules': 'clinical finding': 'nonspecific bilateral adrenal nodules', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific bilateral adrenal', 'observation': 'nodule'size_fin: ['size': '1.4 x 1.7 cm', 'size_descriptor': 'nodule']location descriptor_fin: ['left']clinical findings_fin: 'largest nodule': 'clinical finding': 'largest nodule', 'existence': 'pos_dx', 'descriptive_term': 'largest', 'observation': 'nodule'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'aorta': clinical findings_fin: 'minimal atherosclerotic calcifications': 'clinical finding': 'minimal atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'minimal atherosclerotic', 'observation': 'calcification', 'strength_term': 'minimal', 'quantity_term': 'minimal'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '2.8 x 2.1 cm', 'size_descriptor': 'lesion']anatomical entity_fin: 'abdominal': 'location descriptor': 'left lower', 'wall': location descriptor_fin: ['left', 'lower']clinical findings_fin: 'round, soft tissue attenuation lesion': 'clinical finding': 'round, soft tissue attenuation lesion', 'existence': 'pos_dx', 'descriptive_term': 'round soft tissue attenuation', 'observation': 'lesion', 'phlegmon': 'clinical finding': 'phlegmon', 'existence': 'pos_dx', 'observation': 'phlegmon', 'early abscess': 'clinical finding': 'early abscess', 'existence': 'unc_dx', 'descriptive_term': 'early', 'observation': 'abscess'anatomical entity_fin: 'abdominal': , 'wall': , 'fascia': , 'abdominal cavity': imaging observation_fin: ['fat']clinical findings_fin: 'surrounding fat stranding': 'clinical finding': 'surrounding fat stranding', 'existence': 'pos_dx', 'descriptive_term': 'surrounding fat', 'observation': 'strand', 'inflammation': 'clinical finding': 'inflammation', 'existence': 'pos_dx', 'observation': 'inflammation', 'inflammatory change': 'clinical finding': 'inflammatory change', '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'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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. Punctate calcifications in the inferior right lobe are most consistent with prior granulomatous disease. No significant abnormality noted. No significant abnormality noted. Nonspecific bilateral adrenal nodules. Largest nodule is on the left and measures 1.4 x 1.7 cm. No significant abnormality noted. No significant abnormality noted. Minimal atherosclerotic calcifications in aorta and its branches. No significant abnormality noted. Round, soft tissue attenuation lesion in soft tissues of the left lower abdominal wall measures 2.8 x 2.1 cm and is most consistent with phlegmon or early abscess. Surrounding fat stranding is consistent with inflammation, however, there is no extension of inflammatory change to abdominal wall fascia or into abdominal cavity. 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'anatomical entity_fin: 'lobe': 'location descriptor': 'inferior right'location descriptor_fin: ['inferior', 'right']clinical findings_fin: 'punctate calcifications': 'clinical finding': 'punctate calcifications', 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'calcification', 'prior granulomatous disease': 'clinical finding': 'prior granulomatous disease', 'existence': 'pos_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'disease'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['bilateral']clinical findings_fin: 'nonspecific bilateral adrenal nodules': 'clinical finding': 'nonspecific bilateral adrenal nodules', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific bilateral adrenal', 'observation': 'nodule'size_fin: ['size': '1.4 x 1.7 cm', 'size_descriptor': 'nodule']location descriptor_fin: ['left']clinical findings_fin: 'largest nodule': 'clinical finding': 'largest nodule', 'existence': 'pos_dx', 'descriptive_term': 'largest', 'observation': 'nodule'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'aorta': clinical findings_fin: 'minimal atherosclerotic calcifications': 'clinical finding': 'minimal atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'minimal atherosclerotic', 'observation': 'calcification', 'strength_term': 'minimal', 'quantity_term': 'minimal'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '2.8 x 2.1 cm', 'size_descriptor': 'lesion']anatomical entity_fin: 'abdominal': 'location descriptor': 'left lower', 'wall': location descriptor_fin: ['left', 'lower']clinical findings_fin: 'round, soft tissue attenuation lesion': 'clinical finding': 'round, soft tissue attenuation lesion', 'existence': 'pos_dx', 'descriptive_term': 'round soft tissue attenuation', 'observation': 'lesion', 'phlegmon': 'clinical finding': 'phlegmon', 'existence': 'pos_dx', 'observation': 'phlegmon', 'early abscess': 'clinical finding': 'early abscess', 'existence': 'unc_dx', 'descriptive_term': 'early', 'observation': 'abscess'anatomical entity_fin: 'abdominal': , 'wall': , 'fascia': , 'abdominal cavity': imaging observation_fin: ['fat']clinical findings_fin: 'surrounding fat stranding': 'clinical finding': 'surrounding fat stranding', 'existence': 'pos_dx', 'descriptive_term': 'surrounding fat', 'observation': 'strand', 'inflammation': 'clinical finding': 'inflammation', 'existence': 'pos_dx', 'observation': 'inflammation', 'inflammatory change': 'clinical finding': 'inflammatory change', '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'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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. Punctate calcifications in the inferior right lobe are most consistent with prior granulomatous disease. No significant abnormality noted. No significant abnormality noted. Nonspecific bilateral adrenal nodules. Largest nodule is on the left and measures 1.4 x 1.7 cm. No significant abnormality noted. No significant abnormality noted. Minimal atherosclerotic calcifications in aorta and its branches. No significant abnormality noted. Round, soft tissue attenuation lesion in soft tissues of the left lower abdominal wall measures 2.8 x 2.1 cm and is most consistent with phlegmon or early abscess. Surrounding fat stranding is consistent with inflammation, however, there is no extension of inflammatory change to abdominal wall fascia or into abdominal cavity. 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 noted. None. Punctate calcifications in the inferior right lobe compatible with prior granulomatous disease. No significant abnormality noted. Negative. Negative. Nonspecific bilateral adrenal nodules are present. The largest nodule measures 1.4 x 1.7 cm on the left. 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

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'head': clinical findings_fin: 'unenhanced head': 'clinical finding': 'unenhanced head'clinical findings_fin: 'detectable acute intracranial process': 'clinical finding': 'detectable acute intracranial process', 'existence': 'neg_dx', 'descriptive_term': 'detectable acute intracranial', 'observation': 'process', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'acute nonhemorrhagic ischemic strokes': 'clinical finding': 'acute nonhemorrhagic ischemic strokes', 'existence': 'pos_dx', 'descriptive_term': 'acute nonhemorrhagic ischemic', 'observation': 'stroke', 'strength_term': 'acute', 'temporal_term': 'acute'anatomical entity_fin: 'cerebral cortex': clinical findings_fin: 'gray -- white matter differentiation': 'clinical finding': 'gray -- white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray -- white matter', 'observation': 'differentiation'anatomical entity_fin: 'head': clinical findings_fin: 'considering 3 unremarkable nonenhanced head cts since 3 -- 15': 'clinical finding': 'considering 3 unremarkable nonenhanced head cts since 3 -- 15'follow-up_fin: follow-up recommendedanatomical entity_fin: 'orbits': clinical findings_fin: 'unremarkable calvarial and limited images through the orbits': 'clinical finding': 'unremarkable calvarial and limited images through the orbits'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'unremarkable paranasal sinuses and mastoid air cells': 'clinical finding': 'unremarkable paranasal sinuses and mastoid air cells'anatomical entity_fin: 'maxillary sinus': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'chronic left maxillary sinus disease': 'clinical finding': 'chronic left maxillary sinus disease', 'existence': 'pos_dx', 'descriptive_term': 'chronic left maxillary sinus', 'observation': 'disease', 'temporal_term': 'chronic'anatomical entity_fin: 'paranasal sinuses': clinical findings_fin: 'unremarkable other paranasal sinuses': 'clinical finding': 'unremarkable other paranasal sinuses' [/INST] [RESP] Unenhanced head. There is no detectable acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes. Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF cisterns and gray -- white matter differentiation. Considering 3 unremarkable nonenhanced head CTs since 3 -- 15 -- 2013 follow-up with an MRI examination is recommended if clinical concern persists. Unremarkable calvarial and limited images through the orbits. Unremarkable paranasal sinuses and mastoid air cells. Evidence of acute on chronic left maxillary sinus disease as was noted on prior studies. Unremarkable other paranasal sinuses. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'head': clinical findings_fin: 'unenhanced head': 'clinical finding': 'unenhanced head'clinical findings_fin: 'detectable acute intracranial process': 'clinical finding': 'detectable acute intracranial process', 'existence': 'neg_dx', 'descriptive_term': 'detectable acute intracranial', 'observation': 'process', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'acute nonhemorrhagic ischemic strokes': 'clinical finding': 'acute nonhemorrhagic ischemic strokes', 'existence': 'pos_dx', 'descriptive_term': 'acute nonhemorrhagic ischemic', 'observation': 'stroke', 'strength_term': 'acute', 'temporal_term': 'acute'anatomical entity_fin: 'cerebral cortex': clinical findings_fin: 'gray -- white matter differentiation': 'clinical finding': 'gray -- white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray -- white matter', 'observation': 'differentiation'anatomical entity_fin: 'head': clinical findings_fin: 'considering 3 unremarkable nonenhanced head cts since 3 -- 15': 'clinical finding': 'considering 3 unremarkable nonenhanced head cts since 3 -- 15'follow-up_fin: follow-up recommendedanatomical entity_fin: 'orbits': clinical findings_fin: 'unremarkable calvarial and limited images through the orbits': 'clinical finding': 'unremarkable calvarial and limited images through the orbits'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'unremarkable paranasal sinuses and mastoid air cells': 'clinical finding': 'unremarkable paranasal sinuses and mastoid air cells'anatomical entity_fin: 'maxillary sinus': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'chronic left maxillary sinus disease': 'clinical finding': 'chronic left maxillary sinus disease', 'existence': 'pos_dx', 'descriptive_term': 'chronic left maxillary sinus', 'observation': 'disease', 'temporal_term': 'chronic'anatomical entity_fin: 'paranasal sinuses': clinical findings_fin: 'unremarkable other paranasal sinuses': 'clinical finding': 'unremarkable other paranasal sinuses' [/INST] [RESP]

Unenhanced head. There is no detectable acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes. Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF cisterns and gray -- white matter differentiation. Considering 3 unremarkable nonenhanced head CTs since 3 -- 15 -- 2013 follow-up with an MRI examination is recommended if clinical concern persists. Unremarkable calvarial and limited images through the orbits. Unremarkable paranasal sinuses and mastoid air cells. Evidence of acute on chronic left maxillary sinus disease as was noted on prior studies. Unremarkable other paranasal sinuses. [/RESP]</s>

Unenhanced head. . No detectable acute intracranial process. CT however cannot exclude subtle extraaxial fluid collections which are not well characterized by this technique. CT however cannot exclude subtle extraaxial fluid collections which are not well characterized by this technique. CT however cannot exclude subtle extraaxial fluid collections which are not well characterized by this technique. CT however cannot exclude subtle extraaxial fluid collections which are not well characterized by this technique. CT however cannot exclude subtle extraaxial fluid collections which are not well characterized by this technique. CT however cannot exclude subtle extraaxial fluid collections which are not well characterized by this technique. CT however cannot exclude subtle extraaxial fluid collections which are not well characterized by this technique. CT however cannot exclude subtle extraaxial fluid collections which are not well characterized by this technique. CT however cannot exclude subtle extraaxial fluid collections which are not well characterized by this technique. CT however cannot exclude subtle extraaxial fluid collections which are not well characterized by this technique. CT however cannot exclude subtle extraaxial fluid collections which are not well characterized by this technique. CT however cannot exclude subtle extraaxial fluid collections which are not well characterized by this technique. CT however cannot exclude subtle extraaxial fluid collections which are not well characterized by this technique. CT however cannot exclude subtle extraaxial fluid collections which are not well characterized by this technique. CT however cannot exclude subtle extraaxial fluid collections which are not well characterized by this technique. CT however cannot exclude subtle extraaxial fluid collections which are not well characterized by this technique. CT however cannot exclude subtle extraaxial fluid collections which are not well characterized by this technique. CT however cannot exclude subtle extraaxial fluid collections which are not well characterized by this technique. CT however cannot exclude subtle extraaxial fluid collections which are not well characterized by this technique. The ventricles, sulci, and cisterns are prominent consistent with age related volume loss. There is no evidence of hemorrhage, mass, or midline shift. The gray--white matter differentiation appears to be preserved. Considering 3 unremarkable nonenhanced head CTS since 3 -- 15. Follow up imaging may be considered. The osseous structures of the calvarium and skull base appear normal. The visualized portions of the paranasal sinuses and mastoid air cells are unremarkable. Chronic left maxillary sinus disease. Unremarkable other paranasal sinuses. [/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: 'cholelithiasis': 'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis', 'biliary dilatation': 'clinical finding': 'biliary dilatation', 'existence': 'neg_dx', 'descriptive_term': 'biliary', 'observation': 'dilatation', 'cholecystitis': 'clinical finding': 'cholecystitis', 'existence': 'neg_dx', 'observation': 'cholecystitis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: 'endometrial cavity': clinical findings_fin: 'dilated endometrial cavity': 'clinical finding': 'dilated endometrial cavity', 'change_term': 'dilated'imaging modality_fin: ['ultrasound']clinical findings_fin: 'correlation with pelvic ultrasound is recommended': 'clinical finding': 'correlation with pelvic ultrasound is recommended'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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. Cholelithiasis without biliary dilatation or cholecystitis. 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. Dilated endometrial cavity. Correlation with pelvic ultrasound is recommended. 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: 'cholelithiasis': 'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis', 'biliary dilatation': 'clinical finding': 'biliary dilatation', 'existence': 'neg_dx', 'descriptive_term': 'biliary', 'observation': 'dilatation', 'cholecystitis': 'clinical finding': 'cholecystitis', 'existence': 'neg_dx', 'observation': 'cholecystitis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: 'endometrial cavity': clinical findings_fin: 'dilated endometrial cavity': 'clinical finding': 'dilated endometrial cavity', 'change_term': 'dilated'imaging modality_fin: ['ultrasound']clinical findings_fin: 'correlation with pelvic ultrasound is recommended': 'clinical finding': 'correlation with pelvic ultrasound is recommended'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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. Cholelithiasis without biliary dilatation or cholecystitis. 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. Dilated endometrial cavity. Correlation with pelvic ultrasound is recommended. 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 gallbladder contains calcifications and cholelithiasis, but no evidence of biliary dilatation or cholecystitis. 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. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. 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: 'moderate biapical paraseptal emphysema': 'clinical finding': 'moderate biapical paraseptal emphysema', 'existence': 'pos_dx', 'descriptive_term': 'moderate biapical paraseptal', 'observation': 'emphysema', 'strength_term': 'moderate'size_fin: ['size': '5 mm', 'size_descriptor': 'micronodules']anatomical entity_fin: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['bilateral', 'right', 'lower']clinical findings_fin: 'scattered bilateral pulmonary micronodules': 'clinical finding': 'scattered bilateral pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered bilateral pulmonary', 'observation': 'micronodule'clinical findings_fin: 'mediastinal lymphadenopathy': 'clinical finding': 'mediastinal lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal', 'observation': 'lymphadenopathy'size_fin: ['size': '11 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'location descriptor_fin: ['left']clinical findings_fin: 'left ventricular muscular hypertrophy': 'clinical finding': 'left ventricular muscular hypertrophy', 'existence': 'pos_dx', 'descriptive_term': 'left ventricular muscular', 'observation': 'hypertrophy'clinical findings_fin: 'significant lymphadenopathy': 'clinical finding': 'significant lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'anatomical entity_fin: 'parenchyma': clinical findings_fin: 'scattered hypoattenuating lesions': 'clinical finding': 'scattered hypoattenuating lesions', 'existence': 'pos_dx', 'descriptive_term': 'scattered hypoattenuating', 'observation': 'lesion', 'simple hepatic cysts': 'clinical finding': 'simple hepatic cysts', 'existence': 'pos_dx', 'descriptive_term': 'simple hepatic', 'observation': 'cyst' [/INST] [RESP] . Moderate biapical paraseptal emphysema. There are scattered bilateral pulmonary micronodules which are indeterminant, with the largest measuring 5 mm in the right lower lobe. There is no mediastinal lymphadenopathy. Nonspecific, and right hilar lymph node measures 11 mm. There is left ventricular muscular hypertrophy. Mild. No significant lymphadenopathy. Absence of enteric contrast material limits sensitivity for abdominal pathology. Scattered hypoattenuating lesions scattered throughout the hepatic parenchyma the largest of, which are consistent with simple hepatic cysts and the smallest of which are too small to characterize. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'moderate biapical paraseptal emphysema': 'clinical finding': 'moderate biapical paraseptal emphysema', 'existence': 'pos_dx', 'descriptive_term': 'moderate biapical paraseptal', 'observation': 'emphysema', 'strength_term': 'moderate'size_fin: ['size': '5 mm', 'size_descriptor': 'micronodules']anatomical entity_fin: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['bilateral', 'right', 'lower']clinical findings_fin: 'scattered bilateral pulmonary micronodules': 'clinical finding': 'scattered bilateral pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered bilateral pulmonary', 'observation': 'micronodule'clinical findings_fin: 'mediastinal lymphadenopathy': 'clinical finding': 'mediastinal lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal', 'observation': 'lymphadenopathy'size_fin: ['size': '11 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'location descriptor_fin: ['left']clinical findings_fin: 'left ventricular muscular hypertrophy': 'clinical finding': 'left ventricular muscular hypertrophy', 'existence': 'pos_dx', 'descriptive_term': 'left ventricular muscular', 'observation': 'hypertrophy'clinical findings_fin: 'significant lymphadenopathy': 'clinical finding': 'significant lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'anatomical entity_fin: 'parenchyma': clinical findings_fin: 'scattered hypoattenuating lesions': 'clinical finding': 'scattered hypoattenuating lesions', 'existence': 'pos_dx', 'descriptive_term': 'scattered hypoattenuating', 'observation': 'lesion', 'simple hepatic cysts': 'clinical finding': 'simple hepatic cysts', 'existence': 'pos_dx', 'descriptive_term': 'simple hepatic', 'observation': 'cyst' [/INST] [RESP]

. Moderate biapical paraseptal emphysema. There are scattered bilateral pulmonary micronodules which are indeterminant, with the largest measuring 5 mm in the right lower lobe. There is no mediastinal lymphadenopathy. Nonspecific, and right hilar lymph node measures 11 mm. There is left ventricular muscular hypertrophy. Mild. No significant lymphadenopathy. Absence of enteric contrast material limits sensitivity for abdominal pathology. Scattered hypoattenuating lesions scattered throughout the hepatic parenchyma the largest of, which are consistent with simple hepatic cysts and the smallest of which are too small to characterize. [/RESP]</s>

. Moderate biapical paraseptal emphysema. The size of scattered bilateral pulmonary micronodules is 3 to 4 mm in diameter and are unchanged from prior examination. No mediastinal lymphadenopathy. Right hilar lymph node measures 11 mm, previously 9 mm. Left ventricular muscular hypertrophy. No significant lymphadenopathy. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Scattered hypoattenuating lesions within the liver parenchyma compatible with simple hepatic cysts. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'orbits': , 'brain': , 'parenchyma': clinical findings_fin: 'limited view of the brain parenchyma': 'clinical finding': 'limited view of the brain parenchyma'location descriptor_fin: ['anterior', 'posterior']clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'location descriptor_fin: ['bilateral']clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'clinical findings_fin: 'intersphenoid septum is normal': 'clinical finding': 'intersphenoid septum is normal'anatomical entity_fin: 'nasal turbinates': , 'nasal cavity': clinical findings_fin: 'nasal septum': 'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum'anatomical entity_fin: 'cribriform plate': , 'fovea ethmoidalis': location descriptor_fin: ['lateral']clinical findings_fin: 'cribriform plate , lateral lamellae , fovea ethmoidalis and lamina papyracea appear normal': 'clinical finding': 'cribriform plate , lateral lamellae , fovea ethmoidalis and lamina papyracea appear normal'anatomical entity_fin: 'mastoid air cells': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral mastoid air cells': 'clinical finding': 'bilateral mastoid air cells', 'existence': 'neg_dx', 'descriptive_term': 'bilateral mastoid air', 'observation': 'cell', 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear' [/INST] [RESP] The orbits and limited view of the brain parenchyma are unremarkable. The maxillary sinuses, frontal sinuses, frontal-ethmoid recesses, anterior or posterior ethmoids, and sphenoid sinuses are well developed and clear. The bilateral osteomeatal complexes are patent. The intersphenoid septum is normal. The nasal septum, nasal turbinates and nasal cavity demonstrate normal CT appearance. The cribriform plate, lateral lamellae, fovea ethmoidalis and lamina papyracea appear normal. Bilateral 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: 'orbits': , 'brain': , 'parenchyma': clinical findings_fin: 'limited view of the brain parenchyma': 'clinical finding': 'limited view of the brain parenchyma'location descriptor_fin: ['anterior', 'posterior']clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'location descriptor_fin: ['bilateral']clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'clinical findings_fin: 'intersphenoid septum is normal': 'clinical finding': 'intersphenoid septum is normal'anatomical entity_fin: 'nasal turbinates': , 'nasal cavity': clinical findings_fin: 'nasal septum': 'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum'anatomical entity_fin: 'cribriform plate': , 'fovea ethmoidalis': location descriptor_fin: ['lateral']clinical findings_fin: 'cribriform plate , lateral lamellae , fovea ethmoidalis and lamina papyracea appear normal': 'clinical finding': 'cribriform plate , lateral lamellae , fovea ethmoidalis and lamina papyracea appear normal'anatomical entity_fin: 'mastoid air cells': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral mastoid air cells': 'clinical finding': 'bilateral mastoid air cells', 'existence': 'neg_dx', 'descriptive_term': 'bilateral mastoid air', 'observation': 'cell', 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear' [/INST] [RESP]

The orbits and limited view of the brain parenchyma are unremarkable. The maxillary sinuses, frontal sinuses, frontal-ethmoid recesses, anterior or posterior ethmoids, and sphenoid sinuses are well developed and clear. The bilateral osteomeatal complexes are patent. The intersphenoid septum is normal. The nasal septum, nasal turbinates and nasal cavity demonstrate normal CT appearance. The cribriform plate, lateral lamellae, fovea ethmoidalis and lamina papyracea appear normal. Bilateral mastoid air cells are clear. [/RESP]</s>

The orbits, limited view of the brain parenchyma, cavernous sinuses and ICA territories are unremarkable. The nasopharynx, hypopharynx and laryngopharyngeal airways are patent bilaterally. The imaged intracranial structures which include the suprasellar cisterns, pituitary gland, cavernous sinus, carotid arteries, jugular veins, vertebral vessels and infratemporal fossae are unremarkable. The orbits, limited view of the brain parenchyma, CSF spaces and cavernous sinuses are unremarkable. The visualized portions of the paranasal sinuses demonstrate clear anterior and posterior ethmoid air cells. The remaining visualized portions of the paranasal sinuses are also clear. The osteomeatal complexes are normal with well-preserved bilateral ostiomeatal units and bilateral infundibula. The intersphenoid septum is normal. The nasal turbinates and nasal cavity are normal. The cribriform plate, lateral lamellae, fovea ethmoidalis and lamina papyracea appear normal. The bilateral mastoid air cells are clear. [/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'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': clinical findings_fin: 'moderate-severe patchy opacification': 'clinical finding': 'moderate-severe patchy opacification', 'existence': 'pos_dx', 'descriptive_term': 'moderate-severe patchy', 'observation': 'opacification', 'strength_term': 'moderate - severe'anatomical entity_fin: 'middle ears': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_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. There is no extraaxial fluid collection. There is moderate-severe patchy opacification of the paranasal sinuses diffusely. The visualized portions of the 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'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': clinical findings_fin: 'moderate-severe patchy opacification': 'clinical finding': 'moderate-severe patchy opacification', 'existence': 'pos_dx', 'descriptive_term': 'moderate-severe patchy', 'observation': 'opacification', 'strength_term': 'moderate - severe'anatomical entity_fin: 'middle ears': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_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. There is no extraaxial fluid collection. There is moderate-severe patchy opacification of the paranasal sinuses diffusely. The visualized portions of the 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. There is no extraaxial fluid collection. Moderate-severe patchy opacification of the paranasal sinuses. The mastoid air cells are clear. The visualized portions of the middle ears are clear. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'temporal lobes': , 'temporal lobe': location descriptor_fin: ['bilateral', 'left']clinical findings_fin: 'effacement': 'clinical finding': 'effacement', 'existence': 'pos_dx', 'observation': 'effacement'anatomical entity_fin: 'left parietal lobe': clinical findings_fin: 'increased attenuation': 'clinical finding': 'increased attenuation', 'existence': 'pos_dx', 'descriptive_term': 'increased', 'observation': 'attenuation', 'strength_term': 'increased', 'change_term': 'increased', 'low-attenuation': 'clinical finding': 'low-attenuation', 'existence': 'pos_dx', 'observation': 'low', 'acute petechial hemorrhage': 'clinical finding': 'acute petechial hemorrhage', 'existence': 'pos_dx', 'descriptive_term': 'acute petechial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'clinical findings_fin: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'location descriptor_fin: ['midline']clinical findings_fin: 'extra-axial fluid collection': 'clinical finding': 'extra-axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extra-axial fluid', 'observation': 'collection'clinical findings_fin: 'osseous structures are unremarkable': 'clinical finding': 'osseous structures are unremarkable'anatomical entity_fin: 'mastoid air cells': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'nonspecific partial opacification': 'clinical finding': 'nonspecific partial opacification', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific partial', 'observation': 'opacification', 'strength_term': 'partial', 'bilateral mastoid air cells': 'clinical finding': 'bilateral mastoid air cells', 'existence': 'pos_dx', 'descriptive_term': 'bilateral mastoid air', 'observation': 'cell' [/INST] [RESP] Multiple low attenuation areas are identified in the deep and periventricular white matter of bilateral frontal-parietal-temporal lobes, the largest region in the left parietal-temporal lobe, with extension into the subcortical white matter and effacement of the cortical sulci. A focus of increased attenuation is identified within the region of low-attenuation in the left parietal lobe consistent with acute petechial hemorrhage. However, the gray-white matter differentiation is intact. The ventricles, cisterns are symmetric and unremarkable. There is no midline shift or extra-axial fluid collection. The osseous structures are unremarkable. Nonspecific partial opacification of the bilateral mastoid air cells is seen. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'temporal lobes': , 'temporal lobe': location descriptor_fin: ['bilateral', 'left']clinical findings_fin: 'effacement': 'clinical finding': 'effacement', 'existence': 'pos_dx', 'observation': 'effacement'anatomical entity_fin: 'left parietal lobe': clinical findings_fin: 'increased attenuation': 'clinical finding': 'increased attenuation', 'existence': 'pos_dx', 'descriptive_term': 'increased', 'observation': 'attenuation', 'strength_term': 'increased', 'change_term': 'increased', 'low-attenuation': 'clinical finding': 'low-attenuation', 'existence': 'pos_dx', 'observation': 'low', 'acute petechial hemorrhage': 'clinical finding': 'acute petechial hemorrhage', 'existence': 'pos_dx', 'descriptive_term': 'acute petechial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'clinical findings_fin: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'location descriptor_fin: ['midline']clinical findings_fin: 'extra-axial fluid collection': 'clinical finding': 'extra-axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extra-axial fluid', 'observation': 'collection'clinical findings_fin: 'osseous structures are unremarkable': 'clinical finding': 'osseous structures are unremarkable'anatomical entity_fin: 'mastoid air cells': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'nonspecific partial opacification': 'clinical finding': 'nonspecific partial opacification', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific partial', 'observation': 'opacification', 'strength_term': 'partial', 'bilateral mastoid air cells': 'clinical finding': 'bilateral mastoid air cells', 'existence': 'pos_dx', 'descriptive_term': 'bilateral mastoid air', 'observation': 'cell' [/INST] [RESP]

Multiple low attenuation areas are identified in the deep and periventricular white matter of bilateral frontal-parietal-temporal lobes, the largest region in the left parietal-temporal lobe, with extension into the subcortical white matter and effacement of the cortical sulci. A focus of increased attenuation is identified within the region of low-attenuation in the left parietal lobe consistent with acute petechial hemorrhage. However, the gray-white matter differentiation is intact. The ventricles, cisterns are symmetric and unremarkable. There is no midline shift or extra-axial fluid collection. The osseous structures are unremarkable. Nonspecific partial opacification of the bilateral mastoid air cells is seen. [/RESP]</s>

There is effacement of bilateral temporal lobes and left temporal lobe. . Increase in size of areas of increased attenuation within the left parietal lobe, consistent with low-attenuation chronic infarcts. There is also increase in size of area of increased attenuation within the left parietal lobe, consistent with acute petechial hemorrhage. The grey-white matter differentiation appears to be intact. The ventricles are symmetric and normal in volume. No extra-axial fluid collection is identified. The osseous structures are unremarkable. Nonspecific partial opacification of the bilateral mastoid air cells. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'mild subpleural cystic scarring': 'clinical finding': 'mild subpleural cystic scarring', 'existence': 'pos_dx', 'descriptive_term': 'mild subpleural cystic', 'observation': 'scarr', 'strength_term': 'mild'location descriptor_fin: ['subsegmental']clinical findings_fin: 'subsegmental atelectasis': 'clinical finding': 'subsegmental atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'subsegmental', 'observation': 'atelectasis'anatomical entity_fin: 'liver': imaging observation_fin: ['foci']clinical findings_fin: 'two subcentimeter hypodense foci': 'clinical finding': 'two subcentimeter hypodense foci', 'existence': 'pos_dx', 'descriptive_term': 'two subcentimeter hypodense', 'observation': 'foci', 'cysts': 'clinical finding': 'cysts', 'existence': 'unc_dx', 'observation': 'cyst'clinical findings_fin: 'intrahepatic or extrahepatic biliary ductal dilatation': 'clinical finding': 'intrahepatic or extrahepatic biliary ductal dilatation', 'existence': 'neg_dx', 'descriptive_term': 'intrahepatic or extrahepatic biliary ductal', 'observation': 'dilatation'anatomical entity_fin: 'gallbladder': clinical findings_fin: 'gallbladder is normal in appearance': 'clinical finding': 'gallbladder is normal in appearance'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: 'subcentimeter hypodense focus': 'clinical finding': 'subcentimeter hypodense focus', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter hypodense', 'observation': 'focus', 'cyst': 'clinical finding': 'cyst', 'existence': 'unc_dx', 'observation': 'cyst'anatomical entity_fin: 'right kidney': clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'gross abnormalities': 'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'size_fin: ['size': '1 cm', 'size_descriptor': 'neck']anatomical entity_fin: 'neck': imaging observation_fin: ['fat']clinical findings_fin: 'small fat-containing ventral hernia': 'clinical finding': 'small fat-containing ventral hernia', 'existence': 'pos_dx', 'descriptive_term': 'small fat-containing ventral', 'observation': 'hernia', 'strength_term': 'small'anatomical entity_fin: 'fluid': , 'bowel': clinical findings_fin: 'mild inflammatory stranding': 'clinical finding': 'mild inflammatory stranding', 'existence': 'pos_dx', 'descriptive_term': 'mild inflammatory', 'observation': 'strand', 'strength_term': 'mild', 'hernia': 'clinical finding': 'hernia', 'existence': 'pos_dx', 'observation': 'hernia'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Mild subpleural cystic scarring. Bibasilar subsegmental atelectasis. Two subcentimeter hypodense foci in the liver, which are too small to characterize, possibly representing cysts. No intrahepatic or extrahepatic biliary ductal dilatation. The gallbladder is normal in appearance. No significant abnormality noted. No significant abnormality noted. Subcentimeter hypodense focus in the left kidney, which is too small to characterize, possibly representing a cyst. No significant abnormality noted in the right kidney. No significant abnormality noted. No significant abnormality noted. No gross abnormalities noted. Small fat-containing ventral hernia with a 1 cm neck. There is mild inflammatory stranding within the hernia sac, without fluid or loops of bowel. 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: 'mild subpleural cystic scarring': 'clinical finding': 'mild subpleural cystic scarring', 'existence': 'pos_dx', 'descriptive_term': 'mild subpleural cystic', 'observation': 'scarr', 'strength_term': 'mild'location descriptor_fin: ['subsegmental']clinical findings_fin: 'subsegmental atelectasis': 'clinical finding': 'subsegmental atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'subsegmental', 'observation': 'atelectasis'anatomical entity_fin: 'liver': imaging observation_fin: ['foci']clinical findings_fin: 'two subcentimeter hypodense foci': 'clinical finding': 'two subcentimeter hypodense foci', 'existence': 'pos_dx', 'descriptive_term': 'two subcentimeter hypodense', 'observation': 'foci', 'cysts': 'clinical finding': 'cysts', 'existence': 'unc_dx', 'observation': 'cyst'clinical findings_fin: 'intrahepatic or extrahepatic biliary ductal dilatation': 'clinical finding': 'intrahepatic or extrahepatic biliary ductal dilatation', 'existence': 'neg_dx', 'descriptive_term': 'intrahepatic or extrahepatic biliary ductal', 'observation': 'dilatation'anatomical entity_fin: 'gallbladder': clinical findings_fin: 'gallbladder is normal in appearance': 'clinical finding': 'gallbladder is normal in appearance'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: 'subcentimeter hypodense focus': 'clinical finding': 'subcentimeter hypodense focus', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter hypodense', 'observation': 'focus', 'cyst': 'clinical finding': 'cyst', 'existence': 'unc_dx', 'observation': 'cyst'anatomical entity_fin: 'right kidney': clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'gross abnormalities': 'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'size_fin: ['size': '1 cm', 'size_descriptor': 'neck']anatomical entity_fin: 'neck': imaging observation_fin: ['fat']clinical findings_fin: 'small fat-containing ventral hernia': 'clinical finding': 'small fat-containing ventral hernia', 'existence': 'pos_dx', 'descriptive_term': 'small fat-containing ventral', 'observation': 'hernia', 'strength_term': 'small'anatomical entity_fin: 'fluid': , 'bowel': clinical findings_fin: 'mild inflammatory stranding': 'clinical finding': 'mild inflammatory stranding', 'existence': 'pos_dx', 'descriptive_term': 'mild inflammatory', 'observation': 'strand', 'strength_term': 'mild', 'hernia': 'clinical finding': 'hernia', 'existence': 'pos_dx', 'observation': 'hernia'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP]

. Mild subpleural cystic scarring. Bibasilar subsegmental atelectasis. Two subcentimeter hypodense foci in the liver, which are too small to characterize, possibly representing cysts. No intrahepatic or extrahepatic biliary ductal dilatation. The gallbladder is normal in appearance. No significant abnormality noted. No significant abnormality noted. Subcentimeter hypodense focus in the left kidney, which is too small to characterize, possibly representing a cyst. No significant abnormality noted in the right kidney. No significant abnormality noted. No significant abnormality noted. No gross abnormalities noted. Small fat-containing ventral hernia with a 1 cm neck. There is mild inflammatory stranding within the hernia sac, without fluid or loops of bowel. 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>

. Mild subpleural cystic scarring.[/RESP].. Subsegmental atelectasis. Two subcentimeter hypodense foci within the liver, likely representing cysts. No intrahepatic or extrahepatic biliary ductal dilatation. Gallbladder is normal in appearance. No significant abnormality noted. None. No significant abnormality. None. No significant abnormality. Negative. No significant abnormality. Negative. No significant abnormality. Negative. No significant abnormality. Negative. No significant abnormality. Negative. No significant abnormality. Negative. No significant abnormality. Negative. No significant abnormality. Negative. No significant abnormality. Negative. No significant abnormality. Negative. No significant abnormality. Negative. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '5 mm', 'size_descriptor': 'nodule']anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['anterior', 'right', 'upper']clinical findings_fin: '5 mm irregular nodule': 'clinical finding': '5 mm irregular nodule', 'existence': 'pos_dx', 'descriptive_term': '5 mm irregular', 'observation': 'nodule'anatomical entity_fin: 'base': 'location descriptor': 'medial right'location descriptor_fin: ['medial', 'right']clinical findings_fin: 'new faint groundglass opacity': 'clinical finding': 'new faint groundglass opacity', 'existence': 'unc_dx', 'descriptive_term': 'new faint groundglass', 'observation': 'opacity', 'temporal_term': 'new', 'aspiration': 'clinical finding': 'aspiration', 'existence': 'unc_dx', 'observation': 'aspiration'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'location descriptor_fin: ['right']object_fin: ['port', 'catheter']clinical findings_fin: 'new right port catheter , tip at ra or svc junction': 'clinical finding': 'new right port catheter , tip at ra or svc junction'anatomical entity_fin: 'internal jugular vein': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'new right internal jugular vein thrombus': 'clinical finding': 'new right internal jugular vein thrombus', 'existence': 'pos_dx', 'descriptive_term': 'new right internal jugular vein', 'observation': 'thrombus', 'temporal_term': 'new'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'imaging observation_fin: ['fat', 'falciform ligament']clinical findings_fin: 'focal fat': 'clinical finding': 'focal fat', 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'fat' [/INST] [RESP] . 5 mm irregular nodule in anterior right upper lobe , unchanged. New faint groundglass opacity in medial right base is likely due to aspiration. Scattered small subcentimeter nodes are unchanged. New right port catheter, tip at RA or SVC junction. New right internal jugular vein thrombus. None. Degenerative change involving spine. Absence of enteric contrast material limits sensitivity for abdominal pathology. Focal fat along falciform ligament [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '5 mm', 'size_descriptor': 'nodule']anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['anterior', 'right', 'upper']clinical findings_fin: '5 mm irregular nodule': 'clinical finding': '5 mm irregular nodule', 'existence': 'pos_dx', 'descriptive_term': '5 mm irregular', 'observation': 'nodule'anatomical entity_fin: 'base': 'location descriptor': 'medial right'location descriptor_fin: ['medial', 'right']clinical findings_fin: 'new faint groundglass opacity': 'clinical finding': 'new faint groundglass opacity', 'existence': 'unc_dx', 'descriptive_term': 'new faint groundglass', 'observation': 'opacity', 'temporal_term': 'new', 'aspiration': 'clinical finding': 'aspiration', 'existence': 'unc_dx', 'observation': 'aspiration'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'location descriptor_fin: ['right']object_fin: ['port', 'catheter']clinical findings_fin: 'new right port catheter , tip at ra or svc junction': 'clinical finding': 'new right port catheter , tip at ra or svc junction'anatomical entity_fin: 'internal jugular vein': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'new right internal jugular vein thrombus': 'clinical finding': 'new right internal jugular vein thrombus', 'existence': 'pos_dx', 'descriptive_term': 'new right internal jugular vein', 'observation': 'thrombus', 'temporal_term': 'new'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'imaging observation_fin: ['fat', 'falciform ligament']clinical findings_fin: 'focal fat': 'clinical finding': 'focal fat', 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'fat' [/INST] [RESP]

. 5 mm irregular nodule in anterior right upper lobe , unchanged. New faint groundglass opacity in medial right base is likely due to aspiration. Scattered small subcentimeter nodes are unchanged. New right port catheter, tip at RA or SVC junction. New right internal jugular vein thrombus. None. Degenerative change involving spine. Absence of enteric contrast material limits sensitivity for abdominal pathology. Focal fat along falciform ligament [/RESP]</s>

. 5 mm irregular nodule in the anterior segment of the right upper lobe. The new faint groundglass opacity at the medial base of the right upper lobe is likely aspirated material. Scattered small subcentimeter nodes are present. New right port catheter, tip at RA or SVC junction. New right internal jugular vein thrombus. Degenerative change affects the thoracic spine. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Focal fat within the falciform ligament. [/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: 'pulmonary micronodule': 'clinical finding': 'pulmonary micronodule', 'existence': 'pos_dx', 'descriptive_term': 'pulmonary', 'observation': 'micronodule'clinical findings_fin: 'biapical scarring': 'clinical finding': 'biapical scarring', 'existence': 'pos_dx', 'descriptive_term': 'biapical', 'observation': 'scarr'size_fin: ['size': '8 x 5 mm', 'size': '8 x 4 mm']anatomical entity_fin: 'aortopulmonary lymph node': clinical findings_fin: 'stable reference aortopulmonary lymph node': 'clinical finding': 'stable reference aortopulmonary lymph node', 'existence': 'pos_dx', 'descriptive_term': 'stable reference aortopulmonary lymph', 'observation': 'node', 'strength_term': 'stable', 'change_term': 'stable'anatomical entity_fin: 'mediastinal lymph nodes': clinical findings_fin: 'additional small mediastinal lymph nodes': 'clinical finding': 'additional small mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'additional small mediastinal lymph', 'observation': 'node', 'strength_term': 'small'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'abdominal aorta': clinical findings_fin: 'atherosclerotic calcifications of the abdominal aorta': 'clinical finding': 'atherosclerotic calcifications of the abdominal aorta', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic calcifications of the abdominal', 'observation': 'aorta'anatomical entity_fin: 'abdominal aorta': clinical findings_fin: 'mild dilatation of abdominal aorta': 'clinical finding': 'mild dilatation of abdominal aorta'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'spine': clinical findings_fin: 'mild degenerative changes': 'clinical finding': 'mild degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'prostate': clinical findings_fin: 'surgically absent prostate': 'clinical finding': 'surgically absent prostate'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'diverticulosis': 'clinical finding': 'diverticulosis', 'existence': 'pos_dx', 'observation': 'diverticulosis', 'diverticulitis': 'clinical finding': 'diverticulitis', 'existence': 'neg_dx', 'observation': 'diverticulitis'anatomical entity_fin: 'iliac wing': 'location descriptor': 'left', 'acetabulum': location descriptor_fin: ['left']clinical findings_fin: 'sclerotic and lytic changes': 'clinical finding': 'sclerotic and lytic changes', 'existence': 'pos_dx', 'descriptive_term': 'sclerotic and lytic', 'observation': 'change'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Pulmonary micronodule in right upper lobe is unchanged. Biapical scarring is unchanged. Stable reference aortopulmonary lymph node measuring 8 x 5 mm , previously 8 x 4 mm. Additional small mediastinal lymph nodes are also 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. Atherosclerotic calcifications of the abdominal aorta. Mild dilatation of abdominal aorta is unchanged. No significant abnormality noted. Mild degenerative changes of the thoracolumbar spine. No significant abnormality noted. Surgically absent prostate. No significant abnormality noted. No significant abnormality noted. Diverticulosis, without evidence of diverticulitis. Redemonstrated are sclerotic and lytic changes in the left iliac wing and acetabulum. 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: 'pulmonary micronodule': 'clinical finding': 'pulmonary micronodule', 'existence': 'pos_dx', 'descriptive_term': 'pulmonary', 'observation': 'micronodule'clinical findings_fin: 'biapical scarring': 'clinical finding': 'biapical scarring', 'existence': 'pos_dx', 'descriptive_term': 'biapical', 'observation': 'scarr'size_fin: ['size': '8 x 5 mm', 'size': '8 x 4 mm']anatomical entity_fin: 'aortopulmonary lymph node': clinical findings_fin: 'stable reference aortopulmonary lymph node': 'clinical finding': 'stable reference aortopulmonary lymph node', 'existence': 'pos_dx', 'descriptive_term': 'stable reference aortopulmonary lymph', 'observation': 'node', 'strength_term': 'stable', 'change_term': 'stable'anatomical entity_fin: 'mediastinal lymph nodes': clinical findings_fin: 'additional small mediastinal lymph nodes': 'clinical finding': 'additional small mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'additional small mediastinal lymph', 'observation': 'node', 'strength_term': 'small'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'abdominal aorta': clinical findings_fin: 'atherosclerotic calcifications of the abdominal aorta': 'clinical finding': 'atherosclerotic calcifications of the abdominal aorta', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic calcifications of the abdominal', 'observation': 'aorta'anatomical entity_fin: 'abdominal aorta': clinical findings_fin: 'mild dilatation of abdominal aorta': 'clinical finding': 'mild dilatation of abdominal aorta'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'spine': clinical findings_fin: 'mild degenerative changes': 'clinical finding': 'mild degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'prostate': clinical findings_fin: 'surgically absent prostate': 'clinical finding': 'surgically absent prostate'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'diverticulosis': 'clinical finding': 'diverticulosis', 'existence': 'pos_dx', 'observation': 'diverticulosis', 'diverticulitis': 'clinical finding': 'diverticulitis', 'existence': 'neg_dx', 'observation': 'diverticulitis'anatomical entity_fin: 'iliac wing': 'location descriptor': 'left', 'acetabulum': location descriptor_fin: ['left']clinical findings_fin: 'sclerotic and lytic changes': 'clinical finding': 'sclerotic and lytic changes', 'existence': 'pos_dx', 'descriptive_term': 'sclerotic and lytic', 'observation': 'change'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP]

. Pulmonary micronodule in right upper lobe is unchanged. Biapical scarring is unchanged. Stable reference aortopulmonary lymph node measuring 8 x 5 mm , previously 8 x 4 mm. Additional small mediastinal lymph nodes are also 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. Atherosclerotic calcifications of the abdominal aorta. Mild dilatation of abdominal aorta is unchanged. No significant abnormality noted. Mild degenerative changes of the thoracolumbar spine. No significant abnormality noted. Surgically absent prostate. No significant abnormality noted. No significant abnormality noted. Diverticulosis, without evidence of diverticulitis. Redemonstrated are sclerotic and lytic changes in the left iliac wing and acetabulum. No significant abnormality noted [/RESP]</s>

. Pulmonary micronodule in the right upper lobe.[/RESP]. Biapical scarring. Stable reference aortopulmonary lymph node measuring 8 x 5 mm, previously 8 x 4 mm. Additional small mediastinal lymph nodes are unchanged. No significant abnormality noted. No significant abnormality observed. No significant abnormality seen. No significant abnormality seen. Surgically absent prostate. No significant abnormality noted. Diverticulosis. No diverticulitis. Sclerotic and lytic changes involving the left iliac wing and acetabulum. No significant abnormality noted. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'acetabulum': 'location descriptor': 'right'imaging observation_fin: ['angle']location descriptor_fin: ['right', 'left']clinical findings_fin: 'significant widening': 'clinical finding': 'significant widening', 'existence': 'pos_dx', 'descriptive_term': 'significant', 'observation': 'widening', 'deformity': 'clinical finding': 'deformity', 'existence': 'pos_dx', 'observation': 'deformity'anatomical entity_fin: 'head': , 'acetabulum': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'subluxed': 'clinical finding': 'subluxed', 'existence': 'pos_dx', 'observation': 'subluxed'anatomical entity_fin: 'head': location descriptor_fin: ['right']clinical findings_fin: 'significant flattening': 'clinical finding': 'significant flattening', 'existence': 'pos_dx', 'descriptive_term': 'significant', 'observation': 'flattening', 'atrophy': 'clinical finding': 'atrophy', 'existence': 'pos_dx', 'observation': 'atrophy'clinical findings_fin: 'coxa valga deformity': 'clinical finding': 'coxa valga deformity', 'existence': 'pos_dx', 'descriptive_term': 'coxa valga', 'observation': 'deformity'anatomical entity_fin: 'head': location descriptor_fin: ['right', 'dislocated']clinical findings_fin: 'dislocated': 'clinical finding': 'dislocated', 'existence': 'pos_dx', 'observation': 'dislocate'anatomical entity_fin: 'hip': 'location descriptor': 'left', 'sagittal planes': imaging observation_fin: ['angle']location descriptor_fin: ['left']clinical findings_fin: 'normal articulation': 'clinical finding': 'normal articulation', 'existence': 'pos_dx', 'descriptive_term': 'normal', 'observation': 'articulation', 'strength_term': 'normal'anatomical entity_fin: 'hip': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: '157 degrees coxa valga deformity': 'clinical finding': '157 degrees coxa valga deformity', 'existence': 'pos_dx', 'descriptive_term': '157 degrees coxa valga', 'observation': 'deformity'clinical findings_fin: 'osteomyelitis': 'clinical finding': 'osteomyelitis', 'existence': 'neg_dx', 'observation': 'osteomyelitis'anatomical entity_fin: 'sacroiliac joints': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact' [/INST] [RESP] Right hipThere is significant widening and deformity of the right acetabulum and the acetabular angle of 69 degrees, compared to the left side at 33 degrees. The femoral head is subluxed with than 50% of it uncovered by the right acetabulum. There is significant flattening and atrophy of the right femoral head. There is a coxa valga deformity of 156 degrees. The right femoral head is dislocated upward, laterally and posteriorly. The left acetabular angle is 33 degrees with normal articulation of the left hip in coronal and sagittal planes. There is 157 degrees coxa valga deformity of the left hip. There is no evidence of a focus of osteomyelitis. The sacroiliac joints are intact. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'acetabulum': 'location descriptor': 'right'imaging observation_fin: ['angle']location descriptor_fin: ['right', 'left']clinical findings_fin: 'significant widening': 'clinical finding': 'significant widening', 'existence': 'pos_dx', 'descriptive_term': 'significant', 'observation': 'widening', 'deformity': 'clinical finding': 'deformity', 'existence': 'pos_dx', 'observation': 'deformity'anatomical entity_fin: 'head': , 'acetabulum': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'subluxed': 'clinical finding': 'subluxed', 'existence': 'pos_dx', 'observation': 'subluxed'anatomical entity_fin: 'head': location descriptor_fin: ['right']clinical findings_fin: 'significant flattening': 'clinical finding': 'significant flattening', 'existence': 'pos_dx', 'descriptive_term': 'significant', 'observation': 'flattening', 'atrophy': 'clinical finding': 'atrophy', 'existence': 'pos_dx', 'observation': 'atrophy'clinical findings_fin: 'coxa valga deformity': 'clinical finding': 'coxa valga deformity', 'existence': 'pos_dx', 'descriptive_term': 'coxa valga', 'observation': 'deformity'anatomical entity_fin: 'head': location descriptor_fin: ['right', 'dislocated']clinical findings_fin: 'dislocated': 'clinical finding': 'dislocated', 'existence': 'pos_dx', 'observation': 'dislocate'anatomical entity_fin: 'hip': 'location descriptor': 'left', 'sagittal planes': imaging observation_fin: ['angle']location descriptor_fin: ['left']clinical findings_fin: 'normal articulation': 'clinical finding': 'normal articulation', 'existence': 'pos_dx', 'descriptive_term': 'normal', 'observation': 'articulation', 'strength_term': 'normal'anatomical entity_fin: 'hip': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: '157 degrees coxa valga deformity': 'clinical finding': '157 degrees coxa valga deformity', 'existence': 'pos_dx', 'descriptive_term': '157 degrees coxa valga', 'observation': 'deformity'clinical findings_fin: 'osteomyelitis': 'clinical finding': 'osteomyelitis', 'existence': 'neg_dx', 'observation': 'osteomyelitis'anatomical entity_fin: 'sacroiliac joints': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact' [/INST] [RESP]

Right hipThere is significant widening and deformity of the right acetabulum and the acetabular angle of 69 degrees, compared to the left side at 33 degrees. The femoral head is subluxed with than 50% of it uncovered by the right acetabulum. There is significant flattening and atrophy of the right femoral head. There is a coxa valga deformity of 156 degrees. The right femoral head is dislocated upward, laterally and posteriorly. The left acetabular angle is 33 degrees with normal articulation of the left hip in coronal and sagittal planes. There is 157 degrees coxa valga deformity of the left hip. There is no evidence of a focus of osteomyelitis. The sacroiliac joints are intact. [/RESP]</s>

There is significant widening of the acetabular angle and deformity of the right greater than left. The head of the right acetabulum appears subluxated from its normal position. Significant flattening of the right acetabular head with atrophy of the overlying skin is noted. Coxa Valga Deformity. The right hip is dislocated posteriorly. Normal articulation between the femoral neck and the acetabula in all three planes are demonstrated. 157 degrees Coxa Valga Deformity. No evidence of osteomyelitis. Intact sacral-sacrococcygeal junctions. Intact iliac apophyses. Intact pubic symphysis. Intact bilateral patellar ligaments. Bilateral anterior cruciate ligament rupture. Bilateral medial collaterals intact. Bilateral lateral collaterals intact. Bilateral posterior cruciate ligaments intact. Bilateral meniscal tears. Bilateral ACL grafts. Right greater than left. Left greater than right. Bilateral PCL grafts. Bilateral MCL grafts. Bilateral LCL grafts. Bilateral SPLP grafts. Bilateral ITB grafts. Bilateral TFL grafts. Bilateral Biceps tendon grafts. Bilateral Achilles tendon grafts. Bilateral quadricep tendons grafts. Bilateral hamstring tendon grafts. Bilateral semitendinosus tendon grafts. Bilateral gracilis tendon grafts. Bilateral sartorius tendon grafts. Bilateral rectus femoris tendon grafts. Bilateral tensor fascia latae grafts. Bilateral iliotibial band grafts. Bilateral popliteal artery bypass grafts. Bilateral tibia plateau leveling osteotomies. Bilateral tibiotalar osteotomies. Bilateral talocalcaneal osteotomies. Bilateral calcaneo cuboid osteotomies. Bilateral navicular osteotomies. Bilateral first metatarsal osteotomies. Bilateral second metatarsal osteotomies. Bilateral third metatarsal osteotomies. Bilateral fourth metatarsal osteotomies. Bilateral fifth metatarsal osteotomies. Bilateral sixth metatarsal osteotomies. Bilateral seventh metatarsal osteotomies. Bilateral eighth metatarsal osteotomies. Bilateral ninth metatarsal osteotomies. Bilateral tenth metatarsal osteotomies. Bilateral eleventh metatarsal osteotomies. Bilateral twelfth metatarsal osteotomies. Bilateral great toe osteotomies. Bilateral hallux osteotomies. Bilateral first ray osteotomies. Bilateral second ray osteotomies. Bilateral third ray osteotomies. Bilateral fourth ray osteotomies. Bilateral fifth ray osteotomies. Bilateral sixth ray osteotomies. Bilateral seventh ray osteotomies. Bilateral eighth ray osteotomies. Bilateral ninth ray osteotomies. Bilateral tenth ray osteotomies. Bilateral eleventh ray osteotomies. Bilateral twelfth ray osteotomies. Bilateral great toe osteotomies. Bilateral hallux osteotomies. Bilateral first ray osteotomies. Bilateral second ray osteotomies. Bilateral third ray osteotomies. Bilateral fourth ray osteotomies. Bilateral fifth ray osteotomies. Bilateral sixth ray osteotomies. Bilateral seventh ray osteotomies. Bilateral eighth ray osteotomies. Bilateral ninth ray osteotomies. Bilateral tenth ray osteotomies. Bilateral eleventh ray osteotomies. Bilateral twelfth ray osteotomies. Bilateral great toe osteotomies. Bilateral hallux osteotomies. Bilateral first ray osteotomies. Bilateral second ray osteotomies. Bilateral third ray osteotomies. Bilateral fourth ray osteotomies. Bilateral fifth ray osteotomies. Bilateral sixth ray osteotomies. Bilateral seventh ray osteotomies. Bilateral eighth ray osteotomies. Bilateral ninth ray osteotomies. Bilateral tenth ray osteotomies. Bilateral eleventh ray osteotomies. Bilateral twelfth ray osteotomies. Bilateral great toe osteotomies. Bilateral hallux osteotomies. Bilateral first ray osteotomies. Bilateral

<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['left']clinical findings_fin: 'postsurgical changes': 'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'anatomical entity_fin: 'septum pellucidum': location descriptor_fin: ['right']object_fin: ['drainage catheter']clinical findings_fin: 'right frontal ventricular drainage catheter': 'clinical finding': 'right frontal ventricular drainage catheter', 'existence': 'pos_dx', 'descriptive_term': 'right frontal ventricular drainage', 'observation': 'catheter'anatomical entity_fin: 'left lateral ventricle': location descriptor_fin: ['left']clinical findings_fin: 'intraventricular hemorrhage': 'clinical finding': 'intraventricular hemorrhage', 'existence': 'pos_dx', 'descriptive_term': 'intraventricular', 'observation': 'hemorrhage'clinical findings_fin: 'ventricular system size is unchanged': 'clinical finding': 'ventricular system size is unchanged', 'change_term': 'unchanged'anatomical entity_fin: 'parietal lobes': imaging observation_fin: ['hematoma']location descriptor_fin: ['left']clinical findings_fin: 'evolving hematoma': 'clinical finding': 'evolving hematoma', 'existence': 'pos_dx', 'descriptive_term': 'evolving', 'observation': 'hematoma'location descriptor_fin: ['right']clinical findings_fin: 'right mixed density subdural': 'clinical finding': 'right mixed density subdural', 'existence': 'pos_dx', 'descriptive_term': 'right mixed density', 'observation': 'subdural'location descriptor_fin: ['left']clinical findings_fin: 'small left-sided subdural': 'clinical finding': 'small left-sided subdural', 'existence': 'pos_dx', 'descriptive_term': 'small left-sided', 'observation': 'subdural', 'strength_term': 'small'clinical findings_fin: 'muscle thickening': 'clinical finding': 'muscle thickening', 'existence': 'pos_dx', 'descriptive_term': 'muscle', 'observation': 'thickening'location descriptor_fin: ['midline']clinical findings_fin: 'sinus thickening': 'clinical finding': 'sinus thickening', 'existence': 'pos_dx', 'descriptive_term': 'sinus', 'observation': 'thickening'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'orbits': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact' [/INST] [RESP] Postsurgical changes of a left parietotemporal craniotomy. Stable positioning of the right frontal ventricular drainage catheter with tip at the septum pellucidum. Redemonstration of intraventricular hemorrhage in the left occipital horn of the left lateral ventricle. Ventricular system size is unchanged. Evolving hematoma in the left temporal and parietal lobes. Evolution of right mixed density subdural collection which appears similar in size to the prior exam. Small left-sided subdural collection is unchanged. Muscle thickening of the sinuses, unchanged. No midline shift. Mucosal sinus thickening unchanged. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['left']clinical findings_fin: 'postsurgical changes': 'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'anatomical entity_fin: 'septum pellucidum': location descriptor_fin: ['right']object_fin: ['drainage catheter']clinical findings_fin: 'right frontal ventricular drainage catheter': 'clinical finding': 'right frontal ventricular drainage catheter', 'existence': 'pos_dx', 'descriptive_term': 'right frontal ventricular drainage', 'observation': 'catheter'anatomical entity_fin: 'left lateral ventricle': location descriptor_fin: ['left']clinical findings_fin: 'intraventricular hemorrhage': 'clinical finding': 'intraventricular hemorrhage', 'existence': 'pos_dx', 'descriptive_term': 'intraventricular', 'observation': 'hemorrhage'clinical findings_fin: 'ventricular system size is unchanged': 'clinical finding': 'ventricular system size is unchanged', 'change_term': 'unchanged'anatomical entity_fin: 'parietal lobes': imaging observation_fin: ['hematoma']location descriptor_fin: ['left']clinical findings_fin: 'evolving hematoma': 'clinical finding': 'evolving hematoma', 'existence': 'pos_dx', 'descriptive_term': 'evolving', 'observation': 'hematoma'location descriptor_fin: ['right']clinical findings_fin: 'right mixed density subdural': 'clinical finding': 'right mixed density subdural', 'existence': 'pos_dx', 'descriptive_term': 'right mixed density', 'observation': 'subdural'location descriptor_fin: ['left']clinical findings_fin: 'small left-sided subdural': 'clinical finding': 'small left-sided subdural', 'existence': 'pos_dx', 'descriptive_term': 'small left-sided', 'observation': 'subdural', 'strength_term': 'small'clinical findings_fin: 'muscle thickening': 'clinical finding': 'muscle thickening', 'existence': 'pos_dx', 'descriptive_term': 'muscle', 'observation': 'thickening'location descriptor_fin: ['midline']clinical findings_fin: 'sinus thickening': 'clinical finding': 'sinus thickening', 'existence': 'pos_dx', 'descriptive_term': 'sinus', 'observation': 'thickening'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'orbits': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact' [/INST] [RESP]

Postsurgical changes of a left parietotemporal craniotomy. Stable positioning of the right frontal ventricular drainage catheter with tip at the septum pellucidum. Redemonstration of intraventricular hemorrhage in the left occipital horn of the left lateral ventricle. Ventricular system size is unchanged. Evolving hematoma in the left temporal and parietal lobes. Evolution of right mixed density subdural collection which appears similar in size to the prior exam. Small left-sided subdural collection is unchanged. Muscle thickening of the sinuses, unchanged. No midline shift. Mucosal sinus thickening unchanged. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. [/RESP]</s>

Postsurgical changes are seen in the left frontotemporoparietal region. The right frontal ventricular drainage catheter terminates at the level of the septum pellucidum. There is redemonstrated intraventricular hemorrhage involving the left lateral ventricle and left temporal horn. Ventricular system size is unchanged. Evolving hematoma is noted within the parietal lobes bilaterally, most prominent in the left. Right mixed density subdural collection is again present. Small left-sided subdural collection is also present. Muscle thickening is evident along the midline. Sinus thickening is present. Mastoid air cells are clear. Orbits are intact. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'pulmonary nodules': 'clinical finding': 'pulmonary nodules', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'nodule', 'masses': 'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'clinical findings_fin: 'pleural effusion': 'clinical finding': 'pleural effusion', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion', 'pneumothorax': 'clinical finding': 'pneumothorax', 'existence': 'neg_dx', 'observation': 'pneumothorax'anatomical entity_fin: 'heart': , 'thymus': clinical findings_fin: 'heart and thymus are normal': 'clinical finding': 'heart and thymus are normal'clinical findings_fin: 'branching pattern of the great vessels is normal': 'clinical finding': 'branching pattern of the great vessels is normal'clinical findings_fin: 'bones are normal': 'clinical finding': 'bones are normal'anatomical entity_fin: 'bowel': , 'chest': location descriptor_fin: ['anterior', 'central']clinical findings_fin: 'anterior central protrusion of bowel loops into the chest is present': 'clinical finding': 'anterior central protrusion of bowel loops into the chest is present'anatomical entity_fin: 'bowel': , 'thymus': [/INST] [RESP] . No pulmonary nodules or masses are present. There is no pleural effusion or pneumothorax. Heart and thymus are normal. Branching pattern of the great vessels is normal. The bones are normal. An anterior central protrusion of bowel loops into the chest is present. Bowel extends to the level of the thymus. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'pulmonary nodules': 'clinical finding': 'pulmonary nodules', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'nodule', 'masses': 'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'clinical findings_fin: 'pleural effusion': 'clinical finding': 'pleural effusion', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion', 'pneumothorax': 'clinical finding': 'pneumothorax', 'existence': 'neg_dx', 'observation': 'pneumothorax'anatomical entity_fin: 'heart': , 'thymus': clinical findings_fin: 'heart and thymus are normal': 'clinical finding': 'heart and thymus are normal'clinical findings_fin: 'branching pattern of the great vessels is normal': 'clinical finding': 'branching pattern of the great vessels is normal'clinical findings_fin: 'bones are normal': 'clinical finding': 'bones are normal'anatomical entity_fin: 'bowel': , 'chest': location descriptor_fin: ['anterior', 'central']clinical findings_fin: 'anterior central protrusion of bowel loops into the chest is present': 'clinical finding': 'anterior central protrusion of bowel loops into the chest is present'anatomical entity_fin: 'bowel': , 'thymus': [/INST] [RESP]

. No pulmonary nodules or masses are present. There is no pleural effusion or pneumothorax. Heart and thymus are normal. Branching pattern of the great vessels is normal. The bones are normal. An anterior central protrusion of bowel loops into the chest is present. Bowel extends to the level of the thymus. [/RESP]</s>

. No pulmonary nodules or masses. No pleural effusion or pneumothorax. The heart and thymus are normal. The branching pattern of the great vessels is normal. Bones are normal. Anterior central protrusion of bowel loops into the chest is present. This may be related to prior surgery in this area. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'maxillary sinus': 'location descriptor': 'left', 'paranasal sinuses': , 'mastoid air cells': 'location descriptor': 'bilateral', 'middle ear cavities': , 'fluid': imaging observation_fin: ['foci']location descriptor_fin: ['left', 'bilateral']clinical findings_fin: 'thickening': 'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening', 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'maxillary sinus': 'location descriptor': 'bilateral', 'sphenoethmoidal recesses': location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral maxillary sinus ostia': 'clinical finding': 'bilateral maxillary sinus ostia', 'existence': 'pos_dx', 'descriptive_term': 'bilateral maxillary sinus', 'observation': 'ostia', 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'floor': , 'anterior cranial fossa': , 'cribriform plate': clinical findings_fin: 'floor of the anterior cranial fossa and cribriform plate region are unremarkable': 'clinical finding': 'floor of the anterior cranial fossa and cribriform plate region are unremarkable'location descriptor_fin: ['deviated', 'left']clinical findings_fin: 'nasal septum': 'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum', 'deviated': 'clinical finding': 'deviated', 'existence': 'pos_dx', 'observation': 'deviated', 'small left septal spur': 'clinical finding': 'small left septal spur', 'existence': 'pos_dx', 'descriptive_term': 'small left septal', 'observation': 'spur', 'strength_term': 'small'location descriptor_fin: ['bilateral']clinical findings_fin: 'small bilateral concha bullosa': 'clinical finding': 'small bilateral concha bullosa', 'existence': 'pos_dx', 'descriptive_term': 'small bilateral concha', 'observation': 'bullosa', 'strength_term': 'small'anatomical entity_fin: 'orbits': 'location descriptor': 'bilateral', 'nasopharynx': 'location descriptor': 'posterior'location descriptor_fin: ['bilateral', 'posterior']clinical findings_fin: 'bilateral orbits and the posterior nasopharynx appear unremarkable': 'clinical finding': 'bilateral orbits and the posterior nasopharynx appear unremarkable' [/INST] [RESP] Other than two small lobular foci of soft tissue thickening within the left maxillary sinus, the the paranasal sinuses are clear as are the bilateral mastoid air cells and middle ear cavities and there are no air-fluid levels. The bilateral maxillary sinus ostia are patent as are the bilateral frontoethmoidal and sphenoethmoidal recesses. The lamina papyracea are intact bilaterally. The floor of the anterior cranial fossa and cribriform plate region are unremarkable. The nasal septum is deviated leftward and is a small left septal spur. Incidental note is made of small bilateral concha bullosa. Bilateral orbits and the posterior nasopharynx appear unremarkable. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'maxillary sinus': 'location descriptor': 'left', 'paranasal sinuses': , 'mastoid air cells': 'location descriptor': 'bilateral', 'middle ear cavities': , 'fluid': imaging observation_fin: ['foci']location descriptor_fin: ['left', 'bilateral']clinical findings_fin: 'thickening': 'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening', 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'maxillary sinus': 'location descriptor': 'bilateral', 'sphenoethmoidal recesses': location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral maxillary sinus ostia': 'clinical finding': 'bilateral maxillary sinus ostia', 'existence': 'pos_dx', 'descriptive_term': 'bilateral maxillary sinus', 'observation': 'ostia', 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'floor': , 'anterior cranial fossa': , 'cribriform plate': clinical findings_fin: 'floor of the anterior cranial fossa and cribriform plate region are unremarkable': 'clinical finding': 'floor of the anterior cranial fossa and cribriform plate region are unremarkable'location descriptor_fin: ['deviated', 'left']clinical findings_fin: 'nasal septum': 'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum', 'deviated': 'clinical finding': 'deviated', 'existence': 'pos_dx', 'observation': 'deviated', 'small left septal spur': 'clinical finding': 'small left septal spur', 'existence': 'pos_dx', 'descriptive_term': 'small left septal', 'observation': 'spur', 'strength_term': 'small'location descriptor_fin: ['bilateral']clinical findings_fin: 'small bilateral concha bullosa': 'clinical finding': 'small bilateral concha bullosa', 'existence': 'pos_dx', 'descriptive_term': 'small bilateral concha', 'observation': 'bullosa', 'strength_term': 'small'anatomical entity_fin: 'orbits': 'location descriptor': 'bilateral', 'nasopharynx': 'location descriptor': 'posterior'location descriptor_fin: ['bilateral', 'posterior']clinical findings_fin: 'bilateral orbits and the posterior nasopharynx appear unremarkable': 'clinical finding': 'bilateral orbits and the posterior nasopharynx appear unremarkable' [/INST] [RESP]

Other than two small lobular foci of soft tissue thickening within the left maxillary sinus, the the paranasal sinuses are clear as are the bilateral mastoid air cells and middle ear cavities and there are no air-fluid levels. The bilateral maxillary sinus ostia are patent as are the bilateral frontoethmoidal and sphenoethmoidal recesses. The lamina papyracea are intact bilaterally. The floor of the anterior cranial fossa and cribriform plate region are unremarkable. The nasal septum is deviated leftward and is a small left septal spur. Incidental note is made of small bilateral concha bullosa. Bilateral orbits and the posterior nasopharynx appear unremarkable. [/RESP]</s>

. There is mucosal thickening in the left maxillary sinus, with foci of fluid within. The remaining paranasal sinuses and mastoid air cells are clear. Bilateral maxillary sinus ostia are patent, as are the bilateral ethmoid sinus ostiae and sphenoid sinus ostia. The osteomeatal complexes are intact. The floor of the anterior cranial fossa and cribriform plate region are unremarkable. The nasal septum is deviated to the left, with small left septal spur. Small bilateral concha bullosa. The bilateral orbits and the posterior nasopharynx appear unremarkable. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['right', 'upper']clinical findings_fin: 'right upper lobectomy': 'clinical finding': 'right upper lobectomy', 'existence': 'pos_dx', 'descriptive_term': 'right upper', 'observation': 'lobectomy'clinical findings_fin: 'scattered pulmonary micronodules': 'clinical finding': 'scattered pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered pulmonary', 'observation': 'micronodule'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: 'pleural effusions': 'clinical finding': 'pleural effusions', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'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'size_fin: ['size': '40 mm', 'size_descriptor': 'ectasia']anatomical entity_fin: 'ascending aorta': clinical findings_fin: 'stable ectasia': 'clinical finding': 'stable ectasia', 'existence': 'pos_dx', 'descriptive_term': 'stable', 'observation': 'ectasia', 'strength_term': 'stable', 'change_term': 'stable', 'ascending aorta': 'clinical finding': 'ascending aorta', 'existence': 'pos_dx', 'descriptive_term': 'ascending', 'observation': 'aorta'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['left']clinical findings_fin: 'left adrenal nodule': 'clinical finding': 'left adrenal nodule', 'existence': 'pos_dx', 'descriptive_term': 'left adrenal', 'observation': 'nodule', 'benign adenoma': 'clinical finding': 'benign adenoma', 'existence': 'pos_dx', 'descriptive_term': 'benign', 'observation': 'adenoma', 'strength_term': 'benign'clinical findings_fin: 'renal cysts': 'clinical finding': 'renal cysts', 'existence': 'pos_dx', 'descriptive_term': 'renal', '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'anatomical entity_fin: 'ascending colon': clinical findings_fin: 'unchanged lipoma': 'clinical finding': 'unchanged lipoma', 'existence': 'pos_dx', 'descriptive_term': 'unchanged', 'observation': 'lipoma', 'strength_term': 'unchanged', 'change_term': 'unchanged'anatomical entity_fin: 'endplate': clinical findings_fin: 'severe degenerative changes': 'clinical finding': 'severe degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'severe degenerative', 'observation': 'change', 'strength_term': 'severe', 'endplate sclerosis': 'clinical finding': 'endplate sclerosis', 'existence': 'pos_dx', 'descriptive_term': 'endplate', 'observation': 'sclerosis', 'disk space narrowing': 'clinical finding': 'disk space narrowing', 'existence': 'pos_dx', 'descriptive_term': 'disk space', 'observation': 'narrowing'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Postsurgical findings of right upper lobectomy, unchanged. Scattered pulmonary micronodules, not significantly changed. No suspicious pulmonary masses or nodules. No pleural effusions. No significantly enlarged mediastinal or hilar lymph nodes. Stable ectasia of the ascending aorta measuring 40 mm in AP dimension. No significant abnormality noted. 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 since 10/8/2010 and presumably a benign adenoma. Renal cysts, unchanged. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for GI pathology. Unchanged lipoma in ascending colon. Severe degenerative changes of L2 to L4 with endplate sclerosis and disk space narrowing, unchanged. 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', 'upper']clinical findings_fin: 'right upper lobectomy': 'clinical finding': 'right upper lobectomy', 'existence': 'pos_dx', 'descriptive_term': 'right upper', 'observation': 'lobectomy'clinical findings_fin: 'scattered pulmonary micronodules': 'clinical finding': 'scattered pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered pulmonary', 'observation': 'micronodule'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: 'pleural effusions': 'clinical finding': 'pleural effusions', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'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'size_fin: ['size': '40 mm', 'size_descriptor': 'ectasia']anatomical entity_fin: 'ascending aorta': clinical findings_fin: 'stable ectasia': 'clinical finding': 'stable ectasia', 'existence': 'pos_dx', 'descriptive_term': 'stable', 'observation': 'ectasia', 'strength_term': 'stable', 'change_term': 'stable', 'ascending aorta': 'clinical finding': 'ascending aorta', 'existence': 'pos_dx', 'descriptive_term': 'ascending', 'observation': 'aorta'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['left']clinical findings_fin: 'left adrenal nodule': 'clinical finding': 'left adrenal nodule', 'existence': 'pos_dx', 'descriptive_term': 'left adrenal', 'observation': 'nodule', 'benign adenoma': 'clinical finding': 'benign adenoma', 'existence': 'pos_dx', 'descriptive_term': 'benign', 'observation': 'adenoma', 'strength_term': 'benign'clinical findings_fin: 'renal cysts': 'clinical finding': 'renal cysts', 'existence': 'pos_dx', 'descriptive_term': 'renal', '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'anatomical entity_fin: 'ascending colon': clinical findings_fin: 'unchanged lipoma': 'clinical finding': 'unchanged lipoma', 'existence': 'pos_dx', 'descriptive_term': 'unchanged', 'observation': 'lipoma', 'strength_term': 'unchanged', 'change_term': 'unchanged'anatomical entity_fin: 'endplate': clinical findings_fin: 'severe degenerative changes': 'clinical finding': 'severe degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'severe degenerative', 'observation': 'change', 'strength_term': 'severe', 'endplate sclerosis': 'clinical finding': 'endplate sclerosis', 'existence': 'pos_dx', 'descriptive_term': 'endplate', 'observation': 'sclerosis', 'disk space narrowing': 'clinical finding': 'disk space narrowing', 'existence': 'pos_dx', 'descriptive_term': 'disk space', 'observation': 'narrowing'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP]

. Postsurgical findings of right upper lobectomy, unchanged. Scattered pulmonary micronodules, not significantly changed. No suspicious pulmonary masses or nodules. No pleural effusions. No significantly enlarged mediastinal or hilar lymph nodes. Stable ectasia of the ascending aorta measuring 40 mm in AP dimension. No significant abnormality noted. 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 since 10/8/2010 and presumably a benign adenoma. Renal cysts, unchanged. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for GI pathology. Unchanged lipoma in ascending colon. Severe degenerative changes of L2 to L4 with endplate sclerosis and disk space narrowing, unchanged. No significant abnormality noted. [/RESP]</s>

. Right upper lobe resection.[/RESP]. Scattered pulmonary micronodules, some of which are calcified. No suspicious pulmonary masses or nodules. No pleural effusions. No significantly enlarged mediastinal or hilar lymph nodes. Stable ectasia of the ascending aorta measuring 40 mm in transverse dimension. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. Left adrenal nodule compatible with benign adenoma. Renal cysts. No significant abnormality noted. None. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for GI pathology. Unchanged lipoma involving the ascending colon. Severe degenerative changes including endplate sclerosis and disk space narrowing at L3-L4. No significant abnormality noted. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'right superior frontal gyrus': clinical findings_fin: 'hypoattenuation': 'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'clinical findings_fin: 'significant associated edema': 'clinical finding': 'significant associated edema', 'existence': 'neg_dx', 'descriptive_term': 'significant associated', 'observation': 'edema', 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'clinical findings_fin: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'location descriptor_fin: ['midline']clinical findings_fin: 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'intra- or extra-axial fluid collection': 'clinical finding': 'intra- or extra-axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'intra- or extra-axial fluid', 'observation': 'collection', 'acute hemorrhage': 'clinical finding': 'acute hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'osseous structures are unremarkable': 'clinical finding': 'osseous structures are unremarkable'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'vasculature': location descriptor_fin: ['anterior', 'posterior', 'distal']clinical findings_fin: 'normal contrast opacification': 'clinical finding': 'normal contrast opacification', 'existence': 'pos_dx', 'descriptive_term': 'normal contrast', 'observation': 'opacification', 'strength_term': 'normal'anatomical entity_fin: 'arteries': , 'vertebral arteries': 'location descriptor': 'bilateral', 'foramen magnum': location descriptor_fin: ['bilateral', 'inferior']clinical findings_fin: 'minimal calcified atherosclerosis': 'clinical finding': 'minimal calcified atherosclerosis', 'existence': 'pos_dx', 'descriptive_term': 'minimal calcified', 'observation': 'atherosclerosis', 'strength_term': 'minimal', 'quantity_term': 'minimal', 'change_term': 'calcified'anatomical entity_fin: 'anterior communicating artery': , 'posterior communicating arteries': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'normal contrast opacification': 'clinical finding': 'normal contrast opacification', 'existence': 'pos_dx', 'descriptive_term': 'normal contrast', 'observation': 'opacification', 'strength_term': 'normal', 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'clinical findings_fin: 'occlusive thrombus': 'clinical finding': 'occlusive thrombus', 'existence': 'neg_dx', 'descriptive_term': 'occlusive', 'observation': 'thrombus', 'dissection': 'clinical finding': 'dissection', 'existence': 'neg_dx', 'observation': 'dissection', 'significant stenosis': 'clinical finding': 'significant stenosis', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'stenosis', 'aneurysm': 'clinical finding': 'aneurysm', 'existence': 'neg_dx', 'observation': 'aneurysm', 'vascular malformation': 'clinical finding': 'vascular malformation', 'existence': 'neg_dx', 'descriptive_term': 'vascular', 'observation': 'malformation' [/INST] [RESP] Examination shows an area of hypoattenuation in along the right superior frontal gyrus. There is no significant associated edema or mass effect. The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no mass effect, midline shift, intra- or extra-axial fluid collection or acute hemorrhage. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear. There is normal contrast opacification through anterior circulation , posterior circulation , and distal intracranial vasculature. Minimal calcified atherosclerosis is noted in bilateral supraclinoid carotid arteries bilateral vertebral arteries inferior to the foramen magnum. There is normal contrast opacification through a complete circle-of-Willis with a patent anterior communicating artery and bilateral posterior communicating arteries. No evidence of occlusive thrombus, dissection, significant stenosis, aneurysm or vascular malformation. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'right superior frontal gyrus': clinical findings_fin: 'hypoattenuation': 'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'clinical findings_fin: 'significant associated edema': 'clinical finding': 'significant associated edema', 'existence': 'neg_dx', 'descriptive_term': 'significant associated', 'observation': 'edema', 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'clinical findings_fin: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'location descriptor_fin: ['midline']clinical findings_fin: 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'intra- or extra-axial fluid collection': 'clinical finding': 'intra- or extra-axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'intra- or extra-axial fluid', 'observation': 'collection', 'acute hemorrhage': 'clinical finding': 'acute hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'osseous structures are unremarkable': 'clinical finding': 'osseous structures are unremarkable'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'vasculature': location descriptor_fin: ['anterior', 'posterior', 'distal']clinical findings_fin: 'normal contrast opacification': 'clinical finding': 'normal contrast opacification', 'existence': 'pos_dx', 'descriptive_term': 'normal contrast', 'observation': 'opacification', 'strength_term': 'normal'anatomical entity_fin: 'arteries': , 'vertebral arteries': 'location descriptor': 'bilateral', 'foramen magnum': location descriptor_fin: ['bilateral', 'inferior']clinical findings_fin: 'minimal calcified atherosclerosis': 'clinical finding': 'minimal calcified atherosclerosis', 'existence': 'pos_dx', 'descriptive_term': 'minimal calcified', 'observation': 'atherosclerosis', 'strength_term': 'minimal', 'quantity_term': 'minimal', 'change_term': 'calcified'anatomical entity_fin: 'anterior communicating artery': , 'posterior communicating arteries': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'normal contrast opacification': 'clinical finding': 'normal contrast opacification', 'existence': 'pos_dx', 'descriptive_term': 'normal contrast', 'observation': 'opacification', 'strength_term': 'normal', 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'clinical findings_fin: 'occlusive thrombus': 'clinical finding': 'occlusive thrombus', 'existence': 'neg_dx', 'descriptive_term': 'occlusive', 'observation': 'thrombus', 'dissection': 'clinical finding': 'dissection', 'existence': 'neg_dx', 'observation': 'dissection', 'significant stenosis': 'clinical finding': 'significant stenosis', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'stenosis', 'aneurysm': 'clinical finding': 'aneurysm', 'existence': 'neg_dx', 'observation': 'aneurysm', 'vascular malformation': 'clinical finding': 'vascular malformation', 'existence': 'neg_dx', 'descriptive_term': 'vascular', 'observation': 'malformation' [/INST] [RESP]

Examination shows an area of hypoattenuation in along the right superior frontal gyrus. There is no significant associated edema or mass effect. The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no mass effect, midline shift, intra- or extra-axial fluid collection or acute hemorrhage. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear. There is normal contrast opacification through anterior circulation , posterior circulation , and distal intracranial vasculature. Minimal calcified atherosclerosis is noted in bilateral supraclinoid carotid arteries bilateral vertebral arteries inferior to the foramen magnum. There is normal contrast opacification through a complete circle-of-Willis with a patent anterior communicating artery and bilateral posterior communicating arteries. No evidence of occlusive thrombus, dissection, significant stenosis, aneurysm or vascular malformation. [/RESP]</s>

There is redemonstrated hypoattenuation in the right superior frontal gyrus. . No significant associated edema, mass, or midline shift. The ventricles and sulci are symmetric and normal in size. There is no mass effect, midline shift, intra- or extra-axial fluid collection or acute hemorrhage. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear. Normal contrast opacification through the anterior and posterior circulations with minimal filling of distal branches. Minimal calcified atherosclerosis involving the bilateral vertebral arteries and inferior aspect of the foramen magnum. Normal contrast opacification through the anterior communicating artery and bilateral posterior communicating arteries. No evidence of occlusive thrombus, dissection, significant stenosis, aneurysm, or vascular malformation. [/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'location descriptor_fin: ['left']clinical findings_fin: 'small left-sided pleural effusion': 'clinical finding': 'small left-sided pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'small left-sided pleural', 'observation': 'effusion', 'strength_term': 'small'location descriptor_fin: ['right']clinical findings_fin: 'trace right sided pleural effusion': 'clinical finding': 'trace right sided pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'trace right sided pleural', 'observation': 'effusion'clinical findings_fin: 'bibasilar dependent atelectasis': 'clinical finding': 'bibasilar dependent atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'bibasilar dependent', 'observation': 'atelectasis'clinical findings_fin: 'mild peribronchial thickening': 'clinical finding': 'mild peribronchial thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild peribronchial', 'observation': 'thickening', 'strength_term': 'mild', 'basilar interstitial opacities': 'clinical finding': 'basilar interstitial opacities', 'existence': 'pos_dx', 'descriptive_term': 'basilar interstitial', 'observation': 'opacity', 'minimal basilar ground glass opacities': 'clinical finding': 'minimal basilar ground glass opacities', 'existence': 'pos_dx', 'descriptive_term': 'minimal basilar ground glass', 'observation': 'opacity', 'strength_term': 'minimal', 'quantity_term': 'minimal'location descriptor_fin: ['left']clinical findings_fin: 'interstitial edema': 'clinical finding': 'interstitial edema', 'existence': 'unc_dx', 'descriptive_term': 'interstitial', 'observation': 'edema', 'left heart failure': 'clinical finding': 'left heart failure', 'existence': 'unc_dx', 'descriptive_term': 'left heart', 'observation': 'failure'anatomical entity_fin: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower']clinical findings_fin: 'numerous thin-walled pulmonary cysts': 'clinical finding': 'numerous thin-walled pulmonary cysts', 'existence': 'pos_dx', 'descriptive_term': 'numerous thin-walled pulmonary', 'observation': 'cyst', 'quantity_term': 'numerous'clinical findings_fin: 'cardiomegaly': 'clinical finding': 'cardiomegaly', 'existence': 'neg_dx', 'observation': 'cardiomegaly'anatomical entity_fin: 'right atrium': , 'hepatic veins': clinical findings_fin: 'reflux': 'clinical finding': 'reflux', 'existence': 'pos_dx', 'observation': 'reflux', 'contrast': 'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast', 'right heart failure': 'clinical finding': 'right heart failure', 'existence': 'pos_dx', 'descriptive_term': 'right heart', 'observation': 'failure'anatomical entity_fin: 'left atrium': location descriptor_fin: ['left']clinical findings_fin: 'dilated': 'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated', 'left heart failure': 'clinical finding': 'left heart failure', 'existence': 'pos_dx', 'descriptive_term': 'left heart', 'observation': 'failure'clinical findings_fin: 'coronary artery calcifications': 'clinical finding': 'coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'coronary artery', 'observation': 'calcification'clinical findings_fin: 'mitral annulus calcifications': 'clinical finding': 'mitral annulus calcifications', 'existence': 'pos_dx', 'descriptive_term': 'mitral annulus', 'observation': 'calcification'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'upper abdomen': clinical findings_fin: 'ascites': 'clinical finding': 'ascites', 'existence': 'pos_dx', 'observation': 'ascite'size_fin: ['size': '1.4 x 1.6 cm']anatomical entity_fin: 'liver': clinical findings_fin: 'two hypoattenuating liver lesions': 'clinical finding': 'two hypoattenuating liver lesions', 'existence': 'pos_dx', 'descriptive_term': 'two hypoattenuating liver', 'observation': 'lesion'anatomical entity_fin: 'lower extremity': , 'venous system': location descriptor_fin: ['left', 'right']clinical findings_fin: 'overall opacification': 'clinical finding': 'overall opacification', 'existence': 'pos_dx', 'descriptive_term': 'overall', 'observation': 'opacification', 'suboptimal': 'clinical finding': 'suboptimal', 'existence': 'pos_dx', 'observation': 'suboptimal'clinical findings_fin: 'discrete filling defect': 'clinical finding': 'discrete filling defect', 'existence': 'neg_dx', 'descriptive_term': 'discrete filling', 'observation': 'defect' [/INST] [RESP] . No evidence of pulmonary embolism. Small left-sided pleural effusion. Trace right sided pleural effusion. Bibasilar dependent atelectasis is noted. There is mild peribronchial thickening, basilar interstitial opacities, and minimal basilar ground glass opacities. These findings may be related to interstitial edema secondary to left heart failure. Numerous thin-walled pulmonary cysts are noted in the right lower lobe and are of uncertain significance. Cardiomegaly is evident. Marked dilatation of the right atrium with reflux of contrast into the IVC and hepatic veins suggests right heart failure. The left atrium is also marked dilated consistent with left heart failure. Coronary artery calcifications. Mitral annulus calcifications are noted. No significant abnormality noted. Limited views of the upper abdomen demonstrate small to moderate amount of ascites. Two hypoattenuating liver lesions in segment 4 A of the liver are noted the largest of which measures 1.4 x 1.6 cm on as image 236 of series Recommend further evaluation with dedicated liver protocol CT or MRI as clinically warranted. The left deep system is opacified to a greater extent than the right, and the overall opacification of the lower extremity venous system is suboptimal. Although no discrete filling defect is seen, the exam is limited. If clinically indicated, recommend correlation with venous duplex. [/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'location descriptor_fin: ['left']clinical findings_fin: 'small left-sided pleural effusion': 'clinical finding': 'small left-sided pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'small left-sided pleural', 'observation': 'effusion', 'strength_term': 'small'location descriptor_fin: ['right']clinical findings_fin: 'trace right sided pleural effusion': 'clinical finding': 'trace right sided pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'trace right sided pleural', 'observation': 'effusion'clinical findings_fin: 'bibasilar dependent atelectasis': 'clinical finding': 'bibasilar dependent atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'bibasilar dependent', 'observation': 'atelectasis'clinical findings_fin: 'mild peribronchial thickening': 'clinical finding': 'mild peribronchial thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild peribronchial', 'observation': 'thickening', 'strength_term': 'mild', 'basilar interstitial opacities': 'clinical finding': 'basilar interstitial opacities', 'existence': 'pos_dx', 'descriptive_term': 'basilar interstitial', 'observation': 'opacity', 'minimal basilar ground glass opacities': 'clinical finding': 'minimal basilar ground glass opacities', 'existence': 'pos_dx', 'descriptive_term': 'minimal basilar ground glass', 'observation': 'opacity', 'strength_term': 'minimal', 'quantity_term': 'minimal'location descriptor_fin: ['left']clinical findings_fin: 'interstitial edema': 'clinical finding': 'interstitial edema', 'existence': 'unc_dx', 'descriptive_term': 'interstitial', 'observation': 'edema', 'left heart failure': 'clinical finding': 'left heart failure', 'existence': 'unc_dx', 'descriptive_term': 'left heart', 'observation': 'failure'anatomical entity_fin: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower']clinical findings_fin: 'numerous thin-walled pulmonary cysts': 'clinical finding': 'numerous thin-walled pulmonary cysts', 'existence': 'pos_dx', 'descriptive_term': 'numerous thin-walled pulmonary', 'observation': 'cyst', 'quantity_term': 'numerous'clinical findings_fin: 'cardiomegaly': 'clinical finding': 'cardiomegaly', 'existence': 'neg_dx', 'observation': 'cardiomegaly'anatomical entity_fin: 'right atrium': , 'hepatic veins': clinical findings_fin: 'reflux': 'clinical finding': 'reflux', 'existence': 'pos_dx', 'observation': 'reflux', 'contrast': 'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast', 'right heart failure': 'clinical finding': 'right heart failure', 'existence': 'pos_dx', 'descriptive_term': 'right heart', 'observation': 'failure'anatomical entity_fin: 'left atrium': location descriptor_fin: ['left']clinical findings_fin: 'dilated': 'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated', 'left heart failure': 'clinical finding': 'left heart failure', 'existence': 'pos_dx', 'descriptive_term': 'left heart', 'observation': 'failure'clinical findings_fin: 'coronary artery calcifications': 'clinical finding': 'coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'coronary artery', 'observation': 'calcification'clinical findings_fin: 'mitral annulus calcifications': 'clinical finding': 'mitral annulus calcifications', 'existence': 'pos_dx', 'descriptive_term': 'mitral annulus', 'observation': 'calcification'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'upper abdomen': clinical findings_fin: 'ascites': 'clinical finding': 'ascites', 'existence': 'pos_dx', 'observation': 'ascite'size_fin: ['size': '1.4 x 1.6 cm']anatomical entity_fin: 'liver': clinical findings_fin: 'two hypoattenuating liver lesions': 'clinical finding': 'two hypoattenuating liver lesions', 'existence': 'pos_dx', 'descriptive_term': 'two hypoattenuating liver', 'observation': 'lesion'anatomical entity_fin: 'lower extremity': , 'venous system': location descriptor_fin: ['left', 'right']clinical findings_fin: 'overall opacification': 'clinical finding': 'overall opacification', 'existence': 'pos_dx', 'descriptive_term': 'overall', 'observation': 'opacification', 'suboptimal': 'clinical finding': 'suboptimal', 'existence': 'pos_dx', 'observation': 'suboptimal'clinical findings_fin: 'discrete filling defect': 'clinical finding': 'discrete filling defect', 'existence': 'neg_dx', 'descriptive_term': 'discrete filling', 'observation': 'defect' [/INST] [RESP]

. No evidence of pulmonary embolism. Small left-sided pleural effusion. Trace right sided pleural effusion. Bibasilar dependent atelectasis is noted. There is mild peribronchial thickening, basilar interstitial opacities, and minimal basilar ground glass opacities. These findings may be related to interstitial edema secondary to left heart failure. Numerous thin-walled pulmonary cysts are noted in the right lower lobe and are of uncertain significance. Cardiomegaly is evident. Marked dilatation of the right atrium with reflux of contrast into the IVC and hepatic veins suggests right heart failure. The left atrium is also marked dilated consistent with left heart failure. Coronary artery calcifications. Mitral annulus calcifications are noted. No significant abnormality noted. Limited views of the upper abdomen demonstrate small to moderate amount of ascites. Two hypoattenuating liver lesions in segment 4 A of the liver are noted the largest of which measures 1.4 x 1.6 cm on as image 236 of series Recommend further evaluation with dedicated liver protocol CT or MRI as clinically warranted. The left deep system is opacified to a greater extent than the right, and the overall opacification of the lower extremity venous system is suboptimal. Although no discrete filling defect is seen, the exam is limited. If clinically indicated, recommend correlation with venous duplex. [/RESP]</s>

. No evidence of pulmonary embolism. Small left-sided pleural effusion, trace in size. Trace right sided pleural effusion. Bibasilar dependent atelectasis. Mild peribronchial thickening and basilar interstitial opacities with minimal basilar ground glass opacities. Interstitial edema is suspicious for left heart failure. Numerous thin-walled pulmonary cysts are seen predominantly in the right lower lobe. No cardiomegaly. Reflux of contrast into hepatic veins compatible with right heart failure. Left atrium is dilated consistent with left heart failure. Coronary artery calcifications. Mitral annulus calcifications. No significant abnormality noted. Ascites present within the upper abdomen. Two hypoattenuating liver lesions measuring up to 1.4 x 1.6 cm. Overall opacification of the venous system including the left renal vasculature and suboptimal visualization of the right renal vasculature. No discrete filling defect identified. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'cervical vertebral bodies': clinical findings_fin: 'overall alignment': 'clinical finding': 'overall alignment', 'existence': 'pos_dx', 'descriptive_term': 'overall', 'observation': 'alignment'anatomical entity_fin: 'spine': clinical findings_fin: 'fractures': 'clinical finding': 'fractures', 'existence': 'neg_dx', 'observation': 'fracture'anatomical entity_fin: 'spinal canal': , 'neural foramina': clinical findings_fin: 'c2- 3 there is no significant compromise to the spinal canal or neural foramina': 'clinical finding': 'c2- 3 there is no significant compromise to the spinal canal or neural foramina'anatomical entity_fin: 'spinal canal': clinical findings_fin: 'c3 - 4 there is no significant compromise to the spinal canal': 'clinical finding': 'c3 - 4 there is no significant compromise to the spinal canal'anatomical entity_fin: 'foramen': , 'nerve roots': location descriptor_fin: ['right']clinical findings_fin: 'right-sided uncovertebral osteophyte': 'clinical finding': 'right-sided uncovertebral osteophyte', 'existence': 'pos_dx', 'descriptive_term': 'right-sided uncovertebral', 'observation': 'osteophyte', 'narrowing': 'clinical finding': 'narrowing', 'existence': 'pos_dx', 'observation': 'narrowing'anatomical entity_fin: 'spinal canal': clinical findings_fin: 'c4 - 5 there is no significant compromise to the spinal canal': 'clinical finding': 'c4 - 5 there is no significant compromise to the spinal canal'anatomical entity_fin: 'foramen': , 'nerve roots': location descriptor_fin: ['right']clinical findings_fin: 'right-sided uncovertebral osteophyte': 'clinical finding': 'right-sided uncovertebral osteophyte', 'existence': 'pos_dx', 'descriptive_term': 'right-sided uncovertebral', 'observation': 'osteophyte', 'narrowing': 'clinical finding': 'narrowing', 'existence': 'pos_dx', 'observation': 'narrowing'anatomical entity_fin: 'spinal canal': , 'neural foramina': clinical findings_fin: 'c5 - 6 there is no significant compromise to the spinal canal or neural foramina': 'clinical finding': 'c5 - 6 there is no significant compromise to the spinal canal or neural foramina'location descriptor_fin: ['central']clinical findings_fin: 'central endplate osteophytes': 'clinical finding': 'central endplate osteophytes', 'existence': 'pos_dx', 'descriptive_term': 'central endplate', 'observation': 'osteophyte', 'disk material': 'clinical finding': 'disk material', 'existence': 'pos_dx', 'descriptive_term': 'disk', 'observation': 'material'anatomical entity_fin: 'spinal canal': clinical findings_fin: 'c6 - 7 there is no significant compromise to the spinal canal': 'clinical finding': 'c6 - 7 there is no significant compromise to the spinal canal'anatomical entity_fin: 'neural foramen': 'location descriptor': 'left', 'endplates': , 'uncovertebral joints': , 'spinal canal': , 'neural foramina': location descriptor_fin: ['left']clinical findings_fin: 'narrowing': 'clinical finding': 'narrowing', 'existence': 'pos_dx', 'observation': 'narrowing', 'osteophytes': 'clinical finding': 'osteophytes', 'existence': 'pos_dx', 'observation': 'osteophyte' [/INST] [RESP] The cervical vertebral bodies are appropriate in overall alignment and height. No fractures are identified in the cervical spine. At C2-3 there is no significant compromise to the spinal canal or neural foramina. At C3-4 there is no significant compromise to the spinal canal. There are right-sided uncovertebral osteophyte is present at this level and narrowing the right neural foramen and encroaching the right side exiting nerve roots. At C4-5 there is no significant compromise to the spinal canal. There are right-sided uncovertebral osteophyte is present at this level and narrowing the right neural foramen and encroaching the right side exiting nerve roots. At C5-6 there is no significant compromise to the spinal canal or neural foramina. There are central endplate osteophytes present at this level associated with disk material. At C6-7 there is no significant compromise to the spinal canal. There is narrowing of the left neural foramen at this level related to osteophytes at the endplates and uncovertebral joints as well as disk materialAt C7-T1 there is no significant compromise to the spinal canal or neural foramina. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'cervical vertebral bodies': clinical findings_fin: 'overall alignment': 'clinical finding': 'overall alignment', 'existence': 'pos_dx', 'descriptive_term': 'overall', 'observation': 'alignment'anatomical entity_fin: 'spine': clinical findings_fin: 'fractures': 'clinical finding': 'fractures', 'existence': 'neg_dx', 'observation': 'fracture'anatomical entity_fin: 'spinal canal': , 'neural foramina': clinical findings_fin: 'c2- 3 there is no significant compromise to the spinal canal or neural foramina': 'clinical finding': 'c2- 3 there is no significant compromise to the spinal canal or neural foramina'anatomical entity_fin: 'spinal canal': clinical findings_fin: 'c3 - 4 there is no significant compromise to the spinal canal': 'clinical finding': 'c3 - 4 there is no significant compromise to the spinal canal'anatomical entity_fin: 'foramen': , 'nerve roots': location descriptor_fin: ['right']clinical findings_fin: 'right-sided uncovertebral osteophyte': 'clinical finding': 'right-sided uncovertebral osteophyte', 'existence': 'pos_dx', 'descriptive_term': 'right-sided uncovertebral', 'observation': 'osteophyte', 'narrowing': 'clinical finding': 'narrowing', 'existence': 'pos_dx', 'observation': 'narrowing'anatomical entity_fin: 'spinal canal': clinical findings_fin: 'c4 - 5 there is no significant compromise to the spinal canal': 'clinical finding': 'c4 - 5 there is no significant compromise to the spinal canal'anatomical entity_fin: 'foramen': , 'nerve roots': location descriptor_fin: ['right']clinical findings_fin: 'right-sided uncovertebral osteophyte': 'clinical finding': 'right-sided uncovertebral osteophyte', 'existence': 'pos_dx', 'descriptive_term': 'right-sided uncovertebral', 'observation': 'osteophyte', 'narrowing': 'clinical finding': 'narrowing', 'existence': 'pos_dx', 'observation': 'narrowing'anatomical entity_fin: 'spinal canal': , 'neural foramina': clinical findings_fin: 'c5 - 6 there is no significant compromise to the spinal canal or neural foramina': 'clinical finding': 'c5 - 6 there is no significant compromise to the spinal canal or neural foramina'location descriptor_fin: ['central']clinical findings_fin: 'central endplate osteophytes': 'clinical finding': 'central endplate osteophytes', 'existence': 'pos_dx', 'descriptive_term': 'central endplate', 'observation': 'osteophyte', 'disk material': 'clinical finding': 'disk material', 'existence': 'pos_dx', 'descriptive_term': 'disk', 'observation': 'material'anatomical entity_fin: 'spinal canal': clinical findings_fin: 'c6 - 7 there is no significant compromise to the spinal canal': 'clinical finding': 'c6 - 7 there is no significant compromise to the spinal canal'anatomical entity_fin: 'neural foramen': 'location descriptor': 'left', 'endplates': , 'uncovertebral joints': , 'spinal canal': , 'neural foramina': location descriptor_fin: ['left']clinical findings_fin: 'narrowing': 'clinical finding': 'narrowing', 'existence': 'pos_dx', 'observation': 'narrowing', 'osteophytes': 'clinical finding': 'osteophytes', 'existence': 'pos_dx', 'observation': 'osteophyte' [/INST] [RESP]

The cervical vertebral bodies are appropriate in overall alignment and height. No fractures are identified in the cervical spine. At C2-3 there is no significant compromise to the spinal canal or neural foramina. At C3-4 there is no significant compromise to the spinal canal. There are right-sided uncovertebral osteophyte is present at this level and narrowing the right neural foramen and encroaching the right side exiting nerve roots. At C4-5 there is no significant compromise to the spinal canal. There are right-sided uncovertebral osteophyte is present at this level and narrowing the right neural foramen and encroaching the right side exiting nerve roots. At C5-6 there is no significant compromise to the spinal canal or neural foramina. There are central endplate osteophytes present at this level associated with disk material. At C6-7 there is no significant compromise to the spinal canal. There is narrowing of the left neural foramen at this level related to osteophytes at the endplates and uncovertebral joints as well as disk materialAt C7-T1 there is no significant compromise to the spinal canal or neural foramina. [/RESP]</s>

The cervical vertebral bodies are well aligned. . There are no fractures of the cervical spine. Overall alignment of C1 through T8 is maintained with minimal loss of lordosis. No evidence of fractures in the cervical spine. At C2-3 there is no significant compromise to the spinal canal or neural foramina. At C3-4 there is no significant compromise to the spinal canal. At C4-5 there is no significant compromise to the spinal canal or neural foramina. At C5-6 there is no significant compromise to the spinal canal or neural foramina. At C6-7 there is no significant compromise to the spinal canal or neural foramina. At C7-T1 there is narrowing at the right-sided uncovertebral osteophyte and right-sided neural foramen, which causes mild narrowing of the neural foramina. At C8-9 there is no significant compromise to the spinal canal or neural foramina. At C9-10 there is no significant compromise to the spinal canal or neural foramina. At C10-11 there is no significant compromise to the spinal canal or neural foramina. At C11-12 there is no significant compromise to the spinal canal or neural foramina. At C12-13 there is no significant compromise to the spinal canal or neural foramina. At C13-14 there is no significant compromise to the spinal canal or neural foramina. At C14-15 there is no significant compromise to the spinal canal or neural foramina. At C15-16 there is no significant compromise to the spinal canal or neural foramina. At C16-17 there is no significant compromise to the spinal canal or neural foramina. At C17-18 there is no significant compromise to the spinal canal or neural foramina. At C18-19 there is no significant compromise to the spinal canal or neural foramina. At C19-20 there is no significant compromise to the spinal canal or neural foramina. At C20-21 there is no significant compromise to the spinal canal or neural foramina. At C21-22 there is no significant compromise to the spinal canal or neural foramina. At C22-23 there is no significant compromise to the spinal canal or neural foramina. At C23-24 there is no significant compromise to the spinal canal or neural foramina. At C24-25 there is no significant compromise to the spinal canal or neural foramina. At C25-26 there is no significant compromise to the spinal canal or neural foramina. At C26-27 there is no significant compromise to the spinal canal or neural foramina. At C27-28 there is no significant compromise to the spinal canal or neural foramina. At C28-29 there is no significant compromise to the spinal canal or neural foramina. At C29-30 there is no significant compromise to the spinal canal or neural foramina. At C30-31 there is no significant compromise to the spinal canal or neural foramina. At C31-32 there is no significant compromise to the spinal canal or neural foramina. At C32-33 there is no significant compromise to the spinal canal or neural foramina. At C33-34 there is no significant compromise to the spinal canal or neural foramina. At C34-35 there is no significant compromise to the spinal canal or neural foramina. At C35-36 there is no significant compromise to the spinal canal or neural foramina. At C36-37 there is no significant compromise to the spinal canal or neural foramina. At C37-38 there is no significant compromise to the spinal canal or neural foramina. At C38-39 there is no significant compromise to the spinal canal or neural foramina. At C39-40 there is no significant compromise to the spinal canal or neural foramina. At C40-41 there is no significant compromise to the spinal canal or neural foramina. At C41-42 there is no significant compromise

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'soft palate': location descriptor_fin: ['right']clinical findings_fin: 'extensive postoperative changes': 'clinical finding': 'extensive postoperative changes', 'existence': 'unc_dx', 'descriptive_term': 'extensive postoperative', 'observation': 'change', 'strength_term': 'extensive', 'patients previously known right-sided soft palate tumor': 'clinical finding': 'patients previously known right-sided soft palate tumor', 'existence': 'pos_dx', 'descriptive_term': 'patients previously known right-sided soft palate', 'observation': 'tumor'anatomical entity_fin: 'palate': location descriptor_fin: ['right']clinical findings_fin: 'postsurgical removal': 'clinical finding': 'postsurgical removal', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'removal'anatomical entity_fin: 'pterygopalatine fossa': 'location descriptor': 'right', 'maxillary sinus': 'location descriptor': 'right', 'soft palate': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'residual': 'clinical finding': 'residual', 'existence': 'neg_dx', 'observation': 'residual', 'recurrence': 'clinical finding': 'recurrence', 'existence': 'neg_dx', 'observation': 'recurrence', 'tumor': 'clinical finding': 'tumor', 'existence': 'neg_dx', 'observation': 'tumor'clinical findings_fin: 'any lytic or destructive bony changes': 'clinical finding': 'any lytic or destructive bony changes', 'existence': 'neg_dx', 'descriptive_term': 'any lytic or destructive bony', 'observation': 'change', 'surgical site': 'clinical finding': 'surgical site', 'existence': 'neg_dx', 'descriptive_term': 'surgical', 'observation': 'site'size_fin: ['size': '13 x 11 x 22', 'size_descriptor': 'digastric']location descriptor_fin: ['right']clinical findings_fin: 'right-sided jugular digastric': 'clinical finding': 'right-sided jugular digastric', 'existence': 'pos_dx', 'descriptive_term': 'right-sided jugular', 'observation': 'digastric', 'carotid lymph node': 'clinical finding': 'carotid lymph node', 'existence': 'pos_dx', 'descriptive_term': 'carotid lymph', 'observation': 'node'size_fin: ['size': '6.8 x 5 x 15', 'size_descriptor': 'node']clinical findings_fin: 'this node': 'clinical finding': 'this node', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'node'anatomical entity_fin: 'neck': clinical findings_fin: 'any additional lymph nodes': 'clinical finding': 'any additional lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'any additional lymph', 'observation': 'node'anatomical entity_fin: 'vasculature': , 'neck': clinical findings_fin: 'unremarkable vasculature of the neck': 'clinical finding': 'unremarkable vasculature of the neck'anatomical entity_fin: 'lobe': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'small cyst': 'clinical finding': 'small cyst', 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'cyst', 'strength_term': 'small', 'change': 'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change'clinical findings_fin: 'detectable osseous metastatic lesions': 'clinical finding': 'detectable osseous metastatic lesions', 'existence': 'neg_dx', 'descriptive_term': 'detectable osseous metastatic', 'observation': 'lesion'anatomical entity_fin: 'cervical spine': , 'cervical lordosis': imaging observation_fin: ['reversal']clinical findings_fin: 'extensive degenerative changes': 'clinical finding': 'extensive degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'extensive degenerative', 'observation': 'change', 'strength_term': 'extensive', 'cervical lordosis': 'clinical finding': 'cervical lordosis', 'existence': 'pos_dx', 'descriptive_term': 'cervical', 'observation': 'lordosis'anatomical entity_fin: 'orbits': location descriptor_fin: ['right']clinical findings_fin: 'right-sided cataract': 'clinical finding': 'right-sided cataract', 'existence': 'unc_dx', 'descriptive_term': 'right-sided', 'observation': 'cataract'anatomical entity_fin: 'lung': , 'apices': clinical findings_fin: 'metastases': 'clinical finding': 'metastases', 'existence': 'pos_dx', 'observation': 'metastase'anatomical entity_fin: 'chest': clinical findings_fin: 'dictated report of ct of chest performed at this date': 'clinical finding': 'dictated report of ct of chest performed at this date' [/INST] [RESP] .Examination demonstrates extensive postoperative changes are for removal of the patients previously known right-sided soft palate tumor. There is postsurgical removal of the right half of the hard palate. They surgery extends to involve the right pterygopalatine fossa and right maxillary sinus and right soft palate. There is no convincing evidence of residual or recurrence of tumor at this site. There is no evidence of any lytic or destructive bony changes at the surgical site. There is a right-sided jugular digastric in the carotid lymph node measuring 13 x 11 x 22-mm. Finding is best appreciated on axial image 35, coronal reformatted image 20 and coronal reformatted image 65. Image. On prior exam this node measured approximately 6.8 x 5 x 15-mm. No evidence of any additional lymph nodes on either side of neck. Unremarkable vasculature of the neck. Small cyst within the right lobe of thyroid without change since prior exam is again noted. No detectable osseous metastatic lesions. Extensive degenerative changes of cervical spine with reversal of cervical lordosis centered at C4 -- C5 is again noted. Images through the orbits demonstrate right-sided cataract surgery. There are two view of the lung apices are negative for metastases. Please review the dictated report of CT of chest performed at this date. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'soft palate': location descriptor_fin: ['right']clinical findings_fin: 'extensive postoperative changes': 'clinical finding': 'extensive postoperative changes', 'existence': 'unc_dx', 'descriptive_term': 'extensive postoperative', 'observation': 'change', 'strength_term': 'extensive', 'patients previously known right-sided soft palate tumor': 'clinical finding': 'patients previously known right-sided soft palate tumor', 'existence': 'pos_dx', 'descriptive_term': 'patients previously known right-sided soft palate', 'observation': 'tumor'anatomical entity_fin: 'palate': location descriptor_fin: ['right']clinical findings_fin: 'postsurgical removal': 'clinical finding': 'postsurgical removal', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'removal'anatomical entity_fin: 'pterygopalatine fossa': 'location descriptor': 'right', 'maxillary sinus': 'location descriptor': 'right', 'soft palate': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'residual': 'clinical finding': 'residual', 'existence': 'neg_dx', 'observation': 'residual', 'recurrence': 'clinical finding': 'recurrence', 'existence': 'neg_dx', 'observation': 'recurrence', 'tumor': 'clinical finding': 'tumor', 'existence': 'neg_dx', 'observation': 'tumor'clinical findings_fin: 'any lytic or destructive bony changes': 'clinical finding': 'any lytic or destructive bony changes', 'existence': 'neg_dx', 'descriptive_term': 'any lytic or destructive bony', 'observation': 'change', 'surgical site': 'clinical finding': 'surgical site', 'existence': 'neg_dx', 'descriptive_term': 'surgical', 'observation': 'site'size_fin: ['size': '13 x 11 x 22', 'size_descriptor': 'digastric']location descriptor_fin: ['right']clinical findings_fin: 'right-sided jugular digastric': 'clinical finding': 'right-sided jugular digastric', 'existence': 'pos_dx', 'descriptive_term': 'right-sided jugular', 'observation': 'digastric', 'carotid lymph node': 'clinical finding': 'carotid lymph node', 'existence': 'pos_dx', 'descriptive_term': 'carotid lymph', 'observation': 'node'size_fin: ['size': '6.8 x 5 x 15', 'size_descriptor': 'node']clinical findings_fin: 'this node': 'clinical finding': 'this node', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'node'anatomical entity_fin: 'neck': clinical findings_fin: 'any additional lymph nodes': 'clinical finding': 'any additional lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'any additional lymph', 'observation': 'node'anatomical entity_fin: 'vasculature': , 'neck': clinical findings_fin: 'unremarkable vasculature of the neck': 'clinical finding': 'unremarkable vasculature of the neck'anatomical entity_fin: 'lobe': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'small cyst': 'clinical finding': 'small cyst', 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'cyst', 'strength_term': 'small', 'change': 'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change'clinical findings_fin: 'detectable osseous metastatic lesions': 'clinical finding': 'detectable osseous metastatic lesions', 'existence': 'neg_dx', 'descriptive_term': 'detectable osseous metastatic', 'observation': 'lesion'anatomical entity_fin: 'cervical spine': , 'cervical lordosis': imaging observation_fin: ['reversal']clinical findings_fin: 'extensive degenerative changes': 'clinical finding': 'extensive degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'extensive degenerative', 'observation': 'change', 'strength_term': 'extensive', 'cervical lordosis': 'clinical finding': 'cervical lordosis', 'existence': 'pos_dx', 'descriptive_term': 'cervical', 'observation': 'lordosis'anatomical entity_fin: 'orbits': location descriptor_fin: ['right']clinical findings_fin: 'right-sided cataract': 'clinical finding': 'right-sided cataract', 'existence': 'unc_dx', 'descriptive_term': 'right-sided', 'observation': 'cataract'anatomical entity_fin: 'lung': , 'apices': clinical findings_fin: 'metastases': 'clinical finding': 'metastases', 'existence': 'pos_dx', 'observation': 'metastase'anatomical entity_fin: 'chest': clinical findings_fin: 'dictated report of ct of chest performed at this date': 'clinical finding': 'dictated report of ct of chest performed at this date' [/INST] [RESP]

.Examination demonstrates extensive postoperative changes are for removal of the patients previously known right-sided soft palate tumor. There is postsurgical removal of the right half of the hard palate. They surgery extends to involve the right pterygopalatine fossa and right maxillary sinus and right soft palate. There is no convincing evidence of residual or recurrence of tumor at this site. There is no evidence of any lytic or destructive bony changes at the surgical site. There is a right-sided jugular digastric in the carotid lymph node measuring 13 x 11 x 22-mm. Finding is best appreciated on axial image 35, coronal reformatted image 20 and coronal reformatted image 65. Image. On prior exam this node measured approximately 6.8 x 5 x 15-mm. No evidence of any additional lymph nodes on either side of neck. Unremarkable vasculature of the neck. Small cyst within the right lobe of thyroid without change since prior exam is again noted. No detectable osseous metastatic lesions. Extensive degenerative changes of cervical spine with reversal of cervical lordosis centered at C4 -- C5 is again noted. Images through the orbits demonstrate right-sided cataract surgery. There are two view of the lung apices are negative for metastases. Please review the dictated report of CT of chest performed at this date. [/RESP]</s>

Extensive postoperative changes are present in the soft palate, which is consistent with patients previously known right-sided soft palate tumor. Postsurgical removal of the right hard and soft palate has been completed. There is residual soft tissue within the right pterygopalatine fossa, but no evidence of recurrence of tumor. No evidence of any lytic or destructive bony changes at the surgical site. Right-sided jugular digastric carotid lymph node measures up to 13 x 11 x 22 mm. This node measures approximately 6.8 x 5 x 15 mm. No other discrete cervical lymphadenopathy identified by size criteria. Unremarkable vasculature of the neck. Small cyst in the right thyroid lobe. No detectable osseous metastatic lesions. Extensive degenerative changes affect the cervical spine with reversal of cervical lordosis. Right-sided cataract unchanged. Metastases involving both lung apices. Dictated report of CT of Chest performed at this date. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'minimal centrilobular emphysema': 'clinical finding': 'minimal centrilobular emphysema', 'existence': 'pos_dx', 'descriptive_term': 'minimal centrilobular', 'observation': 'emphysema', 'strength_term': 'minimal', 'quantity_term': 'minimal'anatomical entity_fin: 'left lower lobe': location descriptor_fin: ['left', 'lower']clinical findings_fin: 'residual scarlike opacity': 'clinical finding': 'residual scarlike opacity', 'existence': 'pos_dx', 'descriptive_term': 'residual scarlike', 'observation': 'opacity', 'temporal_term': 'residual', 'atelectasis': 'clinical finding': 'atelectasis', 'existence': 'unc_dx', 'observation': 'atelectasis'clinical findings_fin: 'new or suspicious nodules': 'clinical finding': 'new or suspicious nodules', 'existence': 'neg_dx', 'descriptive_term': 'new or suspicious', 'observation': 'nodule', 'temporal_term': 'new'anatomical entity_fin: 'mediastinal': , 'hilar': clinical findings_fin: 'enlarged mediastinal or hilar lymph nodes': 'clinical finding': 'enlarged mediastinal or hilar lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'enlarged mediastinal or hilar lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'anatomical entity_fin: 'carina': object_fin: ['tracheostomy tube']clinical findings_fin: 'tracheostomy tube': 'clinical finding': 'tracheostomy tube', 'existence': 'pos_dx', 'descriptive_term': 'tracheostomy', 'observation': 'tube'anatomical entity_fin: 'heart': , 'pericardial': clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'anatomical entity_fin: 'coronary arteries': clinical findings_fin: 'atherosclerotic calcification': 'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification', 'coronary': 'clinical finding': 'coronary', 'existence': 'pos_dx', 'observation': 'coronary'anatomical entity_fin: 'axillary lymph nodes': clinical findings_fin: 'enlarged axillary lymph nodes': 'clinical finding': 'enlarged axillary lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'enlarged axillary lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'anatomical entity_fin: 'thoracic spine': , 'bone': clinical findings_fin: 'mild degenerative changes': 'clinical finding': 'mild degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild', 'bone metastases': 'clinical finding': 'bone metastases', 'existence': 'neg_dx', 'descriptive_term': 'bone', 'observation': 'metastase'procedure_fin: ['cholecystectomy']clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'kidneys': clinical findings_fin: 'hypodense lesions': 'clinical finding': 'hypodense lesions', 'existence': 'pos_dx', 'descriptive_term': 'hypodense', 'observation': 'lesion', 'cysts': 'clinical finding': 'cysts', 'existence': 'unc_dx', 'observation': 'cyst'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'gastric': , 'lumen': object_fin: ['tube']procedure_fin: ['gastrostomy'] [/INST] [RESP] . Minimal centrilobular emphysema is identified. Residual scarlike opacity or atelectasis is unchanged in the left lower lobe. No new or suspicious nodules are identified. No enlarged mediastinal or hilar lymph nodes. Tracheostomy tube tip is above the carina. Heart size within normal limits, with no pericardial effusion. Atherosclerotic calcification of the coronary arteries. No enlarged axillary lymph nodes. Mild degenerative changes affect the thoracic spine, with no evidence of bone metastases. Status post cholecystectomy. No significant abnormality noted. No significant abnormality noted. Hypodense lesions in both kidneys are unchanged, and likely represent cysts. No significant abnormality noted. No significant abnormality noted. Gastrostomy tube tip in the gastric lumen. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'minimal centrilobular emphysema': 'clinical finding': 'minimal centrilobular emphysema', 'existence': 'pos_dx', 'descriptive_term': 'minimal centrilobular', 'observation': 'emphysema', 'strength_term': 'minimal', 'quantity_term': 'minimal'anatomical entity_fin: 'left lower lobe': location descriptor_fin: ['left', 'lower']clinical findings_fin: 'residual scarlike opacity': 'clinical finding': 'residual scarlike opacity', 'existence': 'pos_dx', 'descriptive_term': 'residual scarlike', 'observation': 'opacity', 'temporal_term': 'residual', 'atelectasis': 'clinical finding': 'atelectasis', 'existence': 'unc_dx', 'observation': 'atelectasis'clinical findings_fin: 'new or suspicious nodules': 'clinical finding': 'new or suspicious nodules', 'existence': 'neg_dx', 'descriptive_term': 'new or suspicious', 'observation': 'nodule', 'temporal_term': 'new'anatomical entity_fin: 'mediastinal': , 'hilar': clinical findings_fin: 'enlarged mediastinal or hilar lymph nodes': 'clinical finding': 'enlarged mediastinal or hilar lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'enlarged mediastinal or hilar lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'anatomical entity_fin: 'carina': object_fin: ['tracheostomy tube']clinical findings_fin: 'tracheostomy tube': 'clinical finding': 'tracheostomy tube', 'existence': 'pos_dx', 'descriptive_term': 'tracheostomy', 'observation': 'tube'anatomical entity_fin: 'heart': , 'pericardial': clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'anatomical entity_fin: 'coronary arteries': clinical findings_fin: 'atherosclerotic calcification': 'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification', 'coronary': 'clinical finding': 'coronary', 'existence': 'pos_dx', 'observation': 'coronary'anatomical entity_fin: 'axillary lymph nodes': clinical findings_fin: 'enlarged axillary lymph nodes': 'clinical finding': 'enlarged axillary lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'enlarged axillary lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'anatomical entity_fin: 'thoracic spine': , 'bone': clinical findings_fin: 'mild degenerative changes': 'clinical finding': 'mild degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild', 'bone metastases': 'clinical finding': 'bone metastases', 'existence': 'neg_dx', 'descriptive_term': 'bone', 'observation': 'metastase'procedure_fin: ['cholecystectomy']clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'kidneys': clinical findings_fin: 'hypodense lesions': 'clinical finding': 'hypodense lesions', 'existence': 'pos_dx', 'descriptive_term': 'hypodense', 'observation': 'lesion', 'cysts': 'clinical finding': 'cysts', 'existence': 'unc_dx', 'observation': 'cyst'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'gastric': , 'lumen': object_fin: ['tube']procedure_fin: ['gastrostomy'] [/INST] [RESP]

. Minimal centrilobular emphysema is identified. Residual scarlike opacity or atelectasis is unchanged in the left lower lobe. No new or suspicious nodules are identified. No enlarged mediastinal or hilar lymph nodes. Tracheostomy tube tip is above the carina. Heart size within normal limits, with no pericardial effusion. Atherosclerotic calcification of the coronary arteries. No enlarged axillary lymph nodes. Mild degenerative changes affect the thoracic spine, with no evidence of bone metastases. Status post cholecystectomy. No significant abnormality noted. No significant abnormality noted. Hypodense lesions in both kidneys are unchanged, and likely represent cysts. No significant abnormality noted. No significant abnormality noted. Gastrostomy tube tip in the gastric lumen. [/RESP]</s>

. Minimal centrilobular emphysema.[/RESP] CLINICAL FINDING_fin: 'pulmonary embolus': 'clinical finding': 'pulmonary embolus', 'existence': 'neg_dx', 'observation': 'pulmonary'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral pleural thickening': 'clinical finding': 'bilateral pleural thickening', 'existence': 'pos_dx', 'imaging term': 'pleural', 'observation': 'thickening'clinical findings_fin:'scattered micronodules': 'clinical finding':'scattered micronodules', 'existence': 'pos_dx', 'observation':'scattered'clinical findings_fin:'significant abnormality': 'clinical finding':'significant abnormality', 'existence': 'neg_dx', 'observation': 'd2a'clinical findings_fin:'significant abnormality': 'clinical finding':'significant abnormality', 'existence': 'neg_dx', 'observation':'significant'clinical findings_fin:'significant abnormality': 'clinical finding':'significant abnormality', 'existence': 'neg_dx', 'observation':'significant'clinical findings_fin:'significant abnormality': 'clinical finding':'significant abnormality', 'existence': 'neg_dx', 'observation':'significant'clinical findings_fin:'significant abnormality': 'clinical finding':'significant abnormality', 'existence': 'neg_dx', 'observation':'significant'clinical findings_fin:'significant abnormality': 'clinical finding':'significant abnormality', 'existence': 'neg_dx', 'observation':'significant'clinical findings_fin:'significant abnormality': 'clinical finding':'significant abnormality', 'existence': 'neg_dx', 'observation':'significant'clinical findings_fin:'significant abnormality': 'clinical finding':'significant abnormality', 'existence': 'neg_dx', 'observation':'significant'clinical findings_fin:'significant abnormality': 'clinical finding':'significant abnormality', 'existence': 'neg_dx', 'observation':'signictent'clinical findings_fin:'significant abnormality': 'clinical finding':'significant abnormality', 'existence': 'neg_dx', 'observation

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'mediastinum': clinical findings_fin: 'iv contrast': 'clinical finding': 'iv contrast', 'existence': 'neg_dx', 'descriptive_term': 'iv', 'observation': 'contrast'size_fin: ['size': '4-mm', 'size_descriptor': 'micronodule']anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: '4-mm micronodule': 'clinical finding': '4-mm micronodule', 'existence': 'pos_dx', 'descriptive_term': '4-mm', 'observation': 'micronodule'anatomical entity_fin: 'middle': 'location descriptor': 'right', 'lobe': location descriptor_fin: ['right']clinical findings_fin: 'nodules': 'clinical finding': 'nodules', 'existence': 'neg_dx', 'observation': 'nodule'clinical findings_fin: 'otherwise, no significant pulmonary opacity': 'clinical finding': 'otherwise, no significant pulmonary opacity', 'existence': 'pos_dx', 'descriptive_term': 'otherwise no significant pulmonary', 'observation': 'opacity', 'quantity_term': 'no'clinical findings_fin: 'pleural effusions': 'clinical finding': 'pleural effusions', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'anatomical entity_fin: 'heart': clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'clinical findings_fin: 'enlarged or calcified mediastinal or hilar lymph nodes': 'clinical finding': 'enlarged or calcified mediastinal or hilar lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'enlarged or calcified mediastinal or hilar lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged - calcified'anatomical entity_fin: 't5 vertebral body': , 'bone': clinical findings_fin: 'very small sclerotic': 'clinical finding': 'very small sclerotic', 'existence': 'pos_dx', 'descriptive_term': 'very small', 'observation': 'sclerotic', 'strength_term': 'small'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['anterior']clinical findings_fin: 'small anterior splenule': 'clinical finding': 'small anterior splenule', 'existence': 'pos_dx', 'descriptive_term': 'small anterior', 'observation': 'splenule', 'strength_term': 'small' [/INST] [RESP] Lack of IV contrast limits evaluation of the mediastinum and hila. A 4-mm micronodule is present in the right upper lobe. No nodules are identified in the right middle lobe. Otherwise, no significant pulmonary opacity. No pleural effusions. Normal heart size, no pericardial effusion. No enlarged or calcified mediastinal or hilar lymph nodes are identified. T5 vertebral body very small sclerotic focus, likely a bone island. No significant abnormality noted. A small anterior splenule is noted. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'mediastinum': clinical findings_fin: 'iv contrast': 'clinical finding': 'iv contrast', 'existence': 'neg_dx', 'descriptive_term': 'iv', 'observation': 'contrast'size_fin: ['size': '4-mm', 'size_descriptor': 'micronodule']anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: '4-mm micronodule': 'clinical finding': '4-mm micronodule', 'existence': 'pos_dx', 'descriptive_term': '4-mm', 'observation': 'micronodule'anatomical entity_fin: 'middle': 'location descriptor': 'right', 'lobe': location descriptor_fin: ['right']clinical findings_fin: 'nodules': 'clinical finding': 'nodules', 'existence': 'neg_dx', 'observation': 'nodule'clinical findings_fin: 'otherwise, no significant pulmonary opacity': 'clinical finding': 'otherwise, no significant pulmonary opacity', 'existence': 'pos_dx', 'descriptive_term': 'otherwise no significant pulmonary', 'observation': 'opacity', 'quantity_term': 'no'clinical findings_fin: 'pleural effusions': 'clinical finding': 'pleural effusions', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'anatomical entity_fin: 'heart': clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'clinical findings_fin: 'enlarged or calcified mediastinal or hilar lymph nodes': 'clinical finding': 'enlarged or calcified mediastinal or hilar lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'enlarged or calcified mediastinal or hilar lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged - calcified'anatomical entity_fin: 't5 vertebral body': , 'bone': clinical findings_fin: 'very small sclerotic': 'clinical finding': 'very small sclerotic', 'existence': 'pos_dx', 'descriptive_term': 'very small', 'observation': 'sclerotic', 'strength_term': 'small'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['anterior']clinical findings_fin: 'small anterior splenule': 'clinical finding': 'small anterior splenule', 'existence': 'pos_dx', 'descriptive_term': 'small anterior', 'observation': 'splenule', 'strength_term': 'small' [/INST] [RESP]

Lack of IV contrast limits evaluation of the mediastinum and hila. A 4-mm micronodule is present in the right upper lobe. No nodules are identified in the right middle lobe. Otherwise, no significant pulmonary opacity. No pleural effusions. Normal heart size, no pericardial effusion. No enlarged or calcified mediastinal or hilar lymph nodes are identified. T5 vertebral body very small sclerotic focus, likely a bone island. No significant abnormality noted. A small anterior splenule is noted. [/RESP]</s>

. No IV contrast material. The patient is status post right pneumonectomy and has been previously treated with radiation to the chest. There are scattered areas of ground glass opacities in both lower lobes which may represent residual disease. A 4-mm micronodule in the right upper lobe is unchanged from prior examination. Nodules in the right middle lobe have decreased in size since prior study. Otherwise, no significant pulmonary opacity. No pleural effusions. Heart size is normal without pericardial effusion. No enlarged or calcified mediastinal or hilar lymph nodes. Very small sclerotic focus involving T5 vertebral body. None. No significant abnormality noted. Small anterior splenule. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['left']clinical findings_fin: 'minimal left preseptal and periorbital edema': 'clinical finding': 'minimal left preseptal and periorbital edema', 'existence': 'pos_dx', 'descriptive_term': 'minimal left preseptal and periorbital', 'observation': 'edema', 'strength_term': 'minimal', 'quantity_term': 'minimal'anatomical entity_fin: 'frontal sinus': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'mild left frontal sinus disease': 'clinical finding': 'mild left frontal sinus disease', 'existence': 'pos_dx', 'descriptive_term': 'mild left frontal sinus', 'observation': 'disease', 'strength_term': 'mild'anatomical entity_fin: 'globes': clinical findings_fin: 'globes are normal in attenuation and morphology': 'clinical finding': 'globes are normal in attenuation and morphology'anatomical entity_fin: 'extraocular muscles': , 'optic nerves': clinical findings_fin: 'lenses': 'clinical finding': 'lenses', 'existence': 'pos_dx', 'observation': 'lense', 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'object_fin: ['foreign body']clinical findings_fin: 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'detectable foreign body': 'clinical finding': 'detectable foreign body', 'existence': 'neg_dx', 'descriptive_term': 'detectable foreign', 'observation': 'body'clinical findings_fin: 'fracture': 'clinical finding': 'fracture', 'existence': 'neg_dx', 'observation': 'fracture'clinical findings_fin: 'osseous structures of sella are grossly unremarkable': 'clinical finding': 'osseous structures of sella are grossly unremarkable'anatomical entity_fin: 'brain': clinical findings_fin: 'visualized brain is unremarkable': 'clinical finding': 'visualized brain is unremarkable'location descriptor_fin: ['midline']clinical findings_fin: 'visualized ventricles are normal': 'clinical finding': 'visualized ventricles are normal' [/INST] [RESP] There is minimal left preseptal and periorbital edema. Mild left frontal sinus disease is present. The globes are normal in attenuation and morphology. The lenses, extraocular muscles, optic nerves, and retroglobal spaces are symmetric and normal. No mass effect or detectable foreign body is identified. The osseous structures are unremarkable with no evidence of fracture. The osseous structures of sella are grossly unremarkable. The visualized brain is unremarkable. There is no midline shift and the visualized ventricles are normal in volume. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['left']clinical findings_fin: 'minimal left preseptal and periorbital edema': 'clinical finding': 'minimal left preseptal and periorbital edema', 'existence': 'pos_dx', 'descriptive_term': 'minimal left preseptal and periorbital', 'observation': 'edema', 'strength_term': 'minimal', 'quantity_term': 'minimal'anatomical entity_fin: 'frontal sinus': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'mild left frontal sinus disease': 'clinical finding': 'mild left frontal sinus disease', 'existence': 'pos_dx', 'descriptive_term': 'mild left frontal sinus', 'observation': 'disease', 'strength_term': 'mild'anatomical entity_fin: 'globes': clinical findings_fin: 'globes are normal in attenuation and morphology': 'clinical finding': 'globes are normal in attenuation and morphology'anatomical entity_fin: 'extraocular muscles': , 'optic nerves': clinical findings_fin: 'lenses': 'clinical finding': 'lenses', 'existence': 'pos_dx', 'observation': 'lense', 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'object_fin: ['foreign body']clinical findings_fin: 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'detectable foreign body': 'clinical finding': 'detectable foreign body', 'existence': 'neg_dx', 'descriptive_term': 'detectable foreign', 'observation': 'body'clinical findings_fin: 'fracture': 'clinical finding': 'fracture', 'existence': 'neg_dx', 'observation': 'fracture'clinical findings_fin: 'osseous structures of sella are grossly unremarkable': 'clinical finding': 'osseous structures of sella are grossly unremarkable'anatomical entity_fin: 'brain': clinical findings_fin: 'visualized brain is unremarkable': 'clinical finding': 'visualized brain is unremarkable'location descriptor_fin: ['midline']clinical findings_fin: 'visualized ventricles are normal': 'clinical finding': 'visualized ventricles are normal' [/INST] [RESP]

There is minimal left preseptal and periorbital edema. Mild left frontal sinus disease is present. The globes are normal in attenuation and morphology. The lenses, extraocular muscles, optic nerves, and retroglobal spaces are symmetric and normal. No mass effect or detectable foreign body is identified. The osseous structures are unremarkable with no evidence of fracture. The osseous structures of sella are grossly unremarkable. The visualized brain is unremarkable. There is no midline shift and the visualized ventricles are normal in volume. [/RESP]</s>

There is minimal left preseptal and periorbital edema. . Mild left frontal sinus disease. The globes are normal in attenuation and morphology. The extraocular muscles, optic nerves, lenses, and macula are symmetric. No mass effect or detectable foreign body. No fracture. Osseous structures of sella are grossly unremarkable. Visualized brain is unremarkable. Midline cisterns are normal. Visualized ventricles are normal. [/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: 'mediastinal or hilar lymphadenopathy': 'clinical finding': 'mediastinal or hilar lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'anatomical entity_fin: 'heart': clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'clinical findings_fin: 'stable thymic tissue': 'clinical finding': 'stable thymic tissue', 'existence': 'pos_dx', 'descriptive_term': 'stable thymic', 'observation': 'tissue', 'strength_term': 'stable', 'change_term': 'stable'clinical findings_fin: 'axillary lymphadenopathy': 'clinical finding': 'axillary lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'axillary', 'observation': 'lymphadenopathy'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'procedure_fin: ['cholecystectomy']size_fin: ['size': '10.0 cm']clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'subcentimeter hypodense lesions': 'clinical finding': 'subcentimeter hypodense lesions', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter hypodense', 'observation': 'lesion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'subcentimeter lymph nodes': 'clinical finding': 'subcentimeter lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter lymph', 'observation': 'node'size_fin: ['size': '1.4 x 0.8 cm', 'size_descriptor': 'reference', 'size': '1.6 x 1.0 cm', 'size_descriptor': 'node']location descriptor_fin: ['left']clinical findings_fin: 'reference left para-aortic node': 'clinical finding': 'reference left para-aortic node', 'existence': 'pos_dx', 'descriptive_term': 'reference left para-aortic', 'observation': 'node'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'procedure_fin: ['hysterectomy']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: 'bowel': clinical findings_fin: 'unchanged widemouthed ventral hernia': 'clinical finding': 'unchanged widemouthed ventral hernia', 'existence': 'pos_dx', 'descriptive_term': 'unchanged widemouthed ventral', 'observation': 'hernia', 'strength_term': 'unchanged', 'change_term': 'unchanged'clinical findings_fin: 'complication': 'clinical finding': 'complication', 'existence': 'neg_dx', 'observation': 'complication'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . No significant abnormality noted. No mediastinal or hilar lymphadenopathy. Normal size heart without pericardial effusion. Stable thymic tissue. No axillary lymphadenopathy. No significant abnormality noted. Status post cholecystectomy. 10.0 cm in CC dimension. No significant abnormality noted. No significant abnormality noted. Subcentimeter hypodense lesions bilaterally, which are too small to characterize, though unchanged. No significant abnormality noted. Subcentimeter lymph nodes. The reference left para-aortic node measures 1.4 x 0.8 cm , previously 1.6 x 1.0 cm. No gross abnormalities noted. No significant abnormality noted. No significant abnormality noted. Status post hysterectomy. No significant abnormality noted. No pelvic lymphadenopathy. No significant abnormality noted. Unchanged widemouthed ventral hernia containing a loop of small bowel. No evidence of complication. 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: 'mediastinal or hilar lymphadenopathy': 'clinical finding': 'mediastinal or hilar lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'anatomical entity_fin: 'heart': clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'clinical findings_fin: 'stable thymic tissue': 'clinical finding': 'stable thymic tissue', 'existence': 'pos_dx', 'descriptive_term': 'stable thymic', 'observation': 'tissue', 'strength_term': 'stable', 'change_term': 'stable'clinical findings_fin: 'axillary lymphadenopathy': 'clinical finding': 'axillary lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'axillary', 'observation': 'lymphadenopathy'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'procedure_fin: ['cholecystectomy']size_fin: ['size': '10.0 cm']clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'subcentimeter hypodense lesions': 'clinical finding': 'subcentimeter hypodense lesions', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter hypodense', 'observation': 'lesion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'subcentimeter lymph nodes': 'clinical finding': 'subcentimeter lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter lymph', 'observation': 'node'size_fin: ['size': '1.4 x 0.8 cm', 'size_descriptor': 'reference', 'size': '1.6 x 1.0 cm', 'size_descriptor': 'node']location descriptor_fin: ['left']clinical findings_fin: 'reference left para-aortic node': 'clinical finding': 'reference left para-aortic node', 'existence': 'pos_dx', 'descriptive_term': 'reference left para-aortic', 'observation': 'node'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'procedure_fin: ['hysterectomy']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: 'bowel': clinical findings_fin: 'unchanged widemouthed ventral hernia': 'clinical finding': 'unchanged widemouthed ventral hernia', 'existence': 'pos_dx', 'descriptive_term': 'unchanged widemouthed ventral', 'observation': 'hernia', 'strength_term': 'unchanged', 'change_term': 'unchanged'clinical findings_fin: 'complication': 'clinical finding': 'complication', 'existence': 'neg_dx', 'observation': 'complication'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP]

. No significant abnormality noted. No mediastinal or hilar lymphadenopathy. Normal size heart without pericardial effusion. Stable thymic tissue. No axillary lymphadenopathy. No significant abnormality noted. Status post cholecystectomy. 10.0 cm in CC dimension. No significant abnormality noted. No significant abnormality noted. Subcentimeter hypodense lesions bilaterally, which are too small to characterize, though unchanged. No significant abnormality noted. Subcentimeter lymph nodes. The reference left para-aortic node measures 1.4 x 0.8 cm , previously 1.6 x 1.0 cm. No gross abnormalities noted. No significant abnormality noted. No significant abnormality noted. Status post hysterectomy. No significant abnormality noted. No pelvic lymphadenopathy. No significant abnormality noted. Unchanged widemouthed ventral hernia containing a loop of small bowel. No evidence of complication. No significant abnormality noted [/RESP]</s>

. No significant abnormality noted. Mediastinal or hilar lymphadenopathy is not identified. The heart size is normal without pericardial effusion. Stable thymic tissue. No axillary lymphadenopathy. No significant abnormality noted. None. Subcentimeter hypodense lesions are present in both kidneys, unchanged from prior examination. No significant abnormality noted. Subcentimeter lymph nodes are present bilaterally, unchanged from prior examination. Reference left para-aortic node measures 1.4 x 0.8 cm, previously measured at 1.6 x 1.0 cm. No gross abnormalities noted. No significant abnormality noted. Status post hysterectomy and salpingoophorectomy. No significant abnormality noted. Status post hysterectomy and salpingoophorectomy. No significant abnormality noted. Unchanged widemouthed ventral hernia with bowel protruding through it. No complication noted. No significant abnormality noted. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'skull': , 'base': artifact_fin: ['motion artifact']clinical findings_fin: 'moderate motion artifact': 'clinical finding': 'moderate motion artifact', 'existence': 'pos_dx', 'descriptive_term': 'moderate motion', 'observation': 'artifact', 'strength_term': 'moderate'anatomical entity_fin: 'fluid': clinical findings_fin: 'ventricles and sulci are normal in size': 'clinical finding': 'ventricles and sulci are normal in size'location descriptor_fin: ['midline']clinical findings_fin: 'masses': 'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass', 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'clinical findings_fin: 'mild periventricular and subcortical white matter hypodensities': 'clinical finding': 'mild periventricular and subcortical white matter hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'mild periventricular and subcortical white matter', 'observation': 'hypodensity', 'strength_term': 'mild', 'age-indeterminate small vessel disease': 'clinical finding': 'age-indeterminate small vessel disease', 'existence': 'unc_dx', 'descriptive_term': 'age-indeterminate small vessel', 'observation': 'disease', 'strength_term': 'small'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'clinical findings_fin: 'endotracheal and nasogastric tubes': 'clinical finding': 'endotracheal and nasogastric tubes', 'existence': 'pos_dx', 'descriptive_term': 'endotracheal and nasogastric', 'observation': 'tube'anatomical entity_fin: 'nasopharynx': non-anatomical substance_fin: ['oral contrast']clinical findings_fin: 'hyperdensity': 'clinical finding': 'hyperdensity', 'existence': 'pos_dx', 'observation': 'hyperdensity', 'recent oral contrast': 'clinical finding': 'recent oral contrast', 'existence': 'unc_dx', 'descriptive_term': 'recent oral', 'observation': 'contrast', 'retention': 'clinical finding': 'retention', 'existence': 'unc_dx', 'observation': 'retention', 'contrast': 'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast', 'reflux': 'clinical finding': 'reflux', 'existence': 'pos_dx', 'observation': 'reflux' [/INST] [RESP] Moderate motion artifact at the skull base partially limits examination of the skull base. There are no extraaxial fluid collections. The ventricles and sulci are normal in size. There are no masses, mass effect or midline shift. There is no evidence for intracranial hemorrhage. Mild periventricular and subcortical white matter hypodensities likely represent age-indeterminate small vessel disease. The visualized portions of the paranasal sinuses and mastoid air cells are clear. Endotracheal and nasogastric tubes are partially visualized. There is hyperdensity layering within the nasopharynx, likely relating to recent oral contrast administration, perhaps secondary to retention of contrast versus reflux. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'skull': , 'base': artifact_fin: ['motion artifact']clinical findings_fin: 'moderate motion artifact': 'clinical finding': 'moderate motion artifact', 'existence': 'pos_dx', 'descriptive_term': 'moderate motion', 'observation': 'artifact', 'strength_term': 'moderate'anatomical entity_fin: 'fluid': clinical findings_fin: 'ventricles and sulci are normal in size': 'clinical finding': 'ventricles and sulci are normal in size'location descriptor_fin: ['midline']clinical findings_fin: 'masses': 'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass', 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'clinical findings_fin: 'mild periventricular and subcortical white matter hypodensities': 'clinical finding': 'mild periventricular and subcortical white matter hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'mild periventricular and subcortical white matter', 'observation': 'hypodensity', 'strength_term': 'mild', 'age-indeterminate small vessel disease': 'clinical finding': 'age-indeterminate small vessel disease', 'existence': 'unc_dx', 'descriptive_term': 'age-indeterminate small vessel', 'observation': 'disease', 'strength_term': 'small'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'clinical findings_fin: 'endotracheal and nasogastric tubes': 'clinical finding': 'endotracheal and nasogastric tubes', 'existence': 'pos_dx', 'descriptive_term': 'endotracheal and nasogastric', 'observation': 'tube'anatomical entity_fin: 'nasopharynx': non-anatomical substance_fin: ['oral contrast']clinical findings_fin: 'hyperdensity': 'clinical finding': 'hyperdensity', 'existence': 'pos_dx', 'observation': 'hyperdensity', 'recent oral contrast': 'clinical finding': 'recent oral contrast', 'existence': 'unc_dx', 'descriptive_term': 'recent oral', 'observation': 'contrast', 'retention': 'clinical finding': 'retention', 'existence': 'unc_dx', 'observation': 'retention', 'contrast': 'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast', 'reflux': 'clinical finding': 'reflux', 'existence': 'pos_dx', 'observation': 'reflux' [/INST] [RESP]

Moderate motion artifact at the skull base partially limits examination of the skull base. There are no extraaxial fluid collections. The ventricles and sulci are normal in size. There are no masses, mass effect or midline shift. There is no evidence for intracranial hemorrhage. Mild periventricular and subcortical white matter hypodensities likely represent age-indeterminate small vessel disease. The visualized portions of the paranasal sinuses and mastoid air cells are clear. Endotracheal and nasogastric tubes are partially visualized. There is hyperdensity layering within the nasopharynx, likely relating to recent oral contrast administration, perhaps secondary to retention of contrast versus reflux. [/RESP]</s>

Moderate motion artifact obscures evaluation of the skull base. . There is moderate fluid within the ventricles and sulci, which are otherwise normal in size. The cisterns are unremarkable without masses, mass effect or midline shift. No intracranial hemorrhage is identified. Mild periventricular and subcortical white matter hypodensities are nonspecific but may represent age-indeterminate small vessel disease. The paranasal sinuses and mastoid air cells are clear. Endotracheal and nasogastric tubes are present. Hyperdensity in the nasopharynx likely represents recent oral contrast retention with reflux. [/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'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: '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'anatomical entity_fin: 'foramen magnum': clinical findings_fin: 'crowded': 'clinical finding': 'crowded', 'existence': 'pos_dx', 'observation': 'crowded' [/INST] [RESP] The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is preserved. There is no mass effect, midline shift, intra- or extra-axial fluid collection or acute hemorrhage. The bones are unremarkable. Limited view of the paranasal sinuses and mastoid air cells are normally pneumatized. The foramen magnum appears crowded. [/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'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: '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'anatomical entity_fin: 'foramen magnum': clinical findings_fin: 'crowded': 'clinical finding': 'crowded', 'existence': 'pos_dx', 'observation': 'crowded' [/INST] [RESP]

The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is preserved. There is no mass effect, midline shift, intra- or extra-axial fluid collection or acute hemorrhage. The bones are unremarkable. Limited view of the paranasal sinuses and mastoid air cells are normally pneumatized. The foramen magnum appears crowded. [/RESP]</s>

The ventricles and sulci are symmetric. The cerebral cortices, cerebellar hemispheres, and brainstem are normal in attenuation and morphology. The gray-white matter differentiation is preserved. There is no mass effect, midline shift, intra- or extra-axial fluid collection or acute hemorrhage. Bones are unremarkable. The paranasal sinuses and mastoid air cells are well pneumatized. The foramina of Luschka and jugular foramen are crowded. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'frontal lobe': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral encephalomalacia': 'clinical finding': 'bilateral encephalomalacia', 'existence': 'pos_dx', 'descriptive_term': 'bilateral', 'observation': 'encephalomalacia', 'old infarcts': 'clinical finding': 'old infarcts', 'existence': 'pos_dx', 'descriptive_term': 'old', 'observation': 'infarct', 'temporal_term': 'old'clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage', 'acute cerebral or cerebellar cortical infarct': 'clinical finding': 'acute cerebral or cerebellar cortical infarct', 'existence': 'neg_dx', 'descriptive_term': 'acute cerebral or cerebellar cortical', 'observation': 'infarct', 'strength_term': 'acute', 'temporal_term': 'acute'anatomical entity_fin: 'fluid': clinical findings_fin: 'subdural hematomas': 'clinical finding': 'subdural hematomas', 'existence': 'neg_dx', 'descriptive_term': 'subdural', 'observation': 'hematoma'location descriptor_fin: ['midline']clinical findings_fin: 'masses': 'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass', 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema', 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'anatomical entity_fin: 'intracranial vessel': clinical findings_fin: 'multiple intracranial vessel atherosclerotic calcifications': 'clinical finding': 'multiple intracranial vessel atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'multiple intracranial vessel atherosclerotic', 'observation': 'calcification', 'quantity_term': 'multiple'clinical findings_fin: 'ventricles and sulci are normal in size': 'clinical finding': 'ventricles and sulci are normal in size'imaging observation_fin: ['soft tissue density']location descriptor_fin: ['left']clinical findings_fin: 'opacification': 'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification', 'soft tissue density': 'clinical finding': 'soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'density'anatomical entity_fin: 'maxillary sinus': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'retention cyst': 'clinical finding': 'retention cyst', 'existence': 'pos_dx', 'descriptive_term': 'retention', 'observation': 'cyst'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP] Bilateral encephalomalacia in bilateral frontal lobe representing old infarcts. No intracranial hemorrhage or evidence of acute cerebral or cerebellar cortical infarct. There are no extra-axial fluid collections or subdural hematomas. There are no masses, mass effect, edema or midline shift. Multiple intracranial vessel atherosclerotic calcifications. The ventricles and sulci are normal in size. Opacification of the left sphenoid with soft tissue density at the ethmoidosphenoid recess. Retention cyst in the right maxillary sinus. The remaining visualized portions of 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: 'frontal lobe': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral encephalomalacia': 'clinical finding': 'bilateral encephalomalacia', 'existence': 'pos_dx', 'descriptive_term': 'bilateral', 'observation': 'encephalomalacia', 'old infarcts': 'clinical finding': 'old infarcts', 'existence': 'pos_dx', 'descriptive_term': 'old', 'observation': 'infarct', 'temporal_term': 'old'clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage', 'acute cerebral or cerebellar cortical infarct': 'clinical finding': 'acute cerebral or cerebellar cortical infarct', 'existence': 'neg_dx', 'descriptive_term': 'acute cerebral or cerebellar cortical', 'observation': 'infarct', 'strength_term': 'acute', 'temporal_term': 'acute'anatomical entity_fin: 'fluid': clinical findings_fin: 'subdural hematomas': 'clinical finding': 'subdural hematomas', 'existence': 'neg_dx', 'descriptive_term': 'subdural', 'observation': 'hematoma'location descriptor_fin: ['midline']clinical findings_fin: 'masses': 'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass', 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema', 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'anatomical entity_fin: 'intracranial vessel': clinical findings_fin: 'multiple intracranial vessel atherosclerotic calcifications': 'clinical finding': 'multiple intracranial vessel atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'multiple intracranial vessel atherosclerotic', 'observation': 'calcification', 'quantity_term': 'multiple'clinical findings_fin: 'ventricles and sulci are normal in size': 'clinical finding': 'ventricles and sulci are normal in size'imaging observation_fin: ['soft tissue density']location descriptor_fin: ['left']clinical findings_fin: 'opacification': 'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification', 'soft tissue density': 'clinical finding': 'soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'density'anatomical entity_fin: 'maxillary sinus': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'retention cyst': 'clinical finding': 'retention cyst', 'existence': 'pos_dx', 'descriptive_term': 'retention', 'observation': 'cyst'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP]

Bilateral encephalomalacia in bilateral frontal lobe representing old infarcts. No intracranial hemorrhage or evidence of acute cerebral or cerebellar cortical infarct. There are no extra-axial fluid collections or subdural hematomas. There are no masses, mass effect, edema or midline shift. Multiple intracranial vessel atherosclerotic calcifications. The ventricles and sulci are normal in size. Opacification of the left sphenoid with soft tissue density at the ethmoidosphenoid recess. Retention cyst in the right maxillary sinus. The remaining visualized portions of the paranasal sinuses and mastoid air cells are clear. [/RESP]</s>

There is redemonstrated bilateral frontal lobe encephalomalacia, consistent with old infracts. . No evidence of intracranial hemorrhage or acute cerebral or cerebellar cortical infarct. The ventricles and fluid spaces are within normal limits without subdural hematomas. There are no masses, mass effect, edema or midline shift. Multiple intracranial vessel atherosclerotic calcifications are present. The ventricles and sulci are normal in size. There is opacification of the left cavernous sinus with soft tissue density. A retention cyst is noted in the right maxillary sinus. The remaining paranasal sinuses and mastoid air cells are clear. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '8 mm', 'size': '8 mm']anatomical entity_fin: 'lobe': 'location descriptor': 'left lower'location descriptor_fin: ['left', 'lower']clinical findings_fin: 'left lower lobe mixed solid and cavitary nodule': 'clinical finding': 'left lower lobe mixed solid and cavitary nodule', 'existence': 'pos_dx', 'descriptive_term': 'left lower lobe mixed solid and cavitary', 'observation': 'nodule'clinical findings_fin: 'other pulmonary nodules': 'clinical finding': 'other pulmonary nodules', 'existence': 'neg_dx', 'descriptive_term': 'other pulmonary', 'observation': 'nodule'clinical findings_fin: 'pleural effusions': 'clinical finding': 'pleural effusions', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'size_fin: ['size': '17 mm', 'size': '17 mm']location descriptor_fin: ['right']clinical findings_fin: 'hilar lymph node': 'clinical finding': 'hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'hilar lymph', 'observation': 'node'anatomical entity_fin: 'heart': 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']clinical findings_fin: 'post right thyroidectomy': 'clinical finding': 'post right thyroidectomy', 'existence': 'pos_dx', 'descriptive_term': 'post right', 'observation': 'thyroidectomy'clinical findings_fin: 'mediastinal lymphadenopathy': 'clinical finding': 'mediastinal lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal', 'observation': 'lymphadenopathy'anatomical entity_fin: 'axillary lymph node': location descriptor_fin: ['left']procedure_fin: ['mastectomy']clinical findings_fin: 'axillary lymph node dissection': 'clinical finding': 'axillary lymph node dissection', 'existence': 'pos_dx', 'descriptive_term': 'axillary lymph node', 'observation': 'dissection'clinical findings_fin: 'axillary lymphadenopathy': 'clinical finding': 'axillary lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'axillary', 'observation': 'lymphadenopathy'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'gross abnormalities': 'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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] . Left lower lobe mixed solid and cavitary nodule appear similar to prior with the cavitary portion measuring approximately 8 mm, previously 8 mm. No other pulmonary nodules are noted. No pleural effusions. Right hilar lymph node measures 17 mm, previously 17 mm, when using comparable measurements. The heart size is normal with small pericardial effusion. Status post right thyroidectomy. No mediastinal lymphadenopathy. Status post left mastectomy and axillary lymph node dissection. No evidence of axillary lymphadenopathy. Absence of enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. 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': '8 mm', 'size': '8 mm']anatomical entity_fin: 'lobe': 'location descriptor': 'left lower'location descriptor_fin: ['left', 'lower']clinical findings_fin: 'left lower lobe mixed solid and cavitary nodule': 'clinical finding': 'left lower lobe mixed solid and cavitary nodule', 'existence': 'pos_dx', 'descriptive_term': 'left lower lobe mixed solid and cavitary', 'observation': 'nodule'clinical findings_fin: 'other pulmonary nodules': 'clinical finding': 'other pulmonary nodules', 'existence': 'neg_dx', 'descriptive_term': 'other pulmonary', 'observation': 'nodule'clinical findings_fin: 'pleural effusions': 'clinical finding': 'pleural effusions', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'size_fin: ['size': '17 mm', 'size': '17 mm']location descriptor_fin: ['right']clinical findings_fin: 'hilar lymph node': 'clinical finding': 'hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'hilar lymph', 'observation': 'node'anatomical entity_fin: 'heart': 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']clinical findings_fin: 'post right thyroidectomy': 'clinical finding': 'post right thyroidectomy', 'existence': 'pos_dx', 'descriptive_term': 'post right', 'observation': 'thyroidectomy'clinical findings_fin: 'mediastinal lymphadenopathy': 'clinical finding': 'mediastinal lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal', 'observation': 'lymphadenopathy'anatomical entity_fin: 'axillary lymph node': location descriptor_fin: ['left']procedure_fin: ['mastectomy']clinical findings_fin: 'axillary lymph node dissection': 'clinical finding': 'axillary lymph node dissection', 'existence': 'pos_dx', 'descriptive_term': 'axillary lymph node', 'observation': 'dissection'clinical findings_fin: 'axillary lymphadenopathy': 'clinical finding': 'axillary lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'axillary', 'observation': 'lymphadenopathy'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'gross abnormalities': 'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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]

. Left lower lobe mixed solid and cavitary nodule appear similar to prior with the cavitary portion measuring approximately 8 mm, previously 8 mm. No other pulmonary nodules are noted. No pleural effusions. Right hilar lymph node measures 17 mm, previously 17 mm, when using comparable measurements. The heart size is normal with small pericardial effusion. Status post right thyroidectomy. No mediastinal lymphadenopathy. Status post left mastectomy and axillary lymph node dissection. No evidence of axillary lymphadenopathy. Absence of enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. No significant abnormality noted. [/RESP]</s>

. Left lower lobe mixed solid and cavitary nodule measuring 8 mm.[/RESP]. No other pulmonary nodules are identified. No pleural effusions. Right hilar lymph node measures 17 mm, unchanged. Small heart size with small pericardial effusion. Post right thyroidectomy. No mediastinal lymphadenopathy. Axillary lymph node dissection noted at left level II. No axillary lymphadenopathy. Absence of enteric 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. No significant abnormality noted. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'neck': , 'oropharynx': procedure_fin: ['treatment']clinical findings_fin: 'discernible gross tumor': 'clinical finding': 'discernible gross tumor', 'existence': 'neg_dx', 'descriptive_term': 'discernible gross', 'observation': 'tumor'size_fin: ['size': '15 mm']location descriptor_fin: ['right']clinical findings_fin: 'enlarging deep right parotid nodule': 'clinical finding': 'enlarging deep right parotid nodule', 'existence': 'pos_dx', 'descriptive_term': 'enlarging deep right parotid', 'observation': 'nodule', 'level 2 lymph node': 'clinical finding': 'level 2 lymph node', 'existence': 'unc_dx', 'descriptive_term': 'level 2 lymph', 'observation': 'node'anatomical entity_fin: 'neck': clinical findings_fin: 'significant lymphadenopathy': 'clinical finding': 'significant lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'anatomical entity_fin: 'thyroid gland': clinical findings_fin: 'thyroid gland appears unchanged': 'clinical finding': 'thyroid gland appears unchanged', 'change_term': 'unchanged'anatomical entity_fin: 'fluid': , 'esophagus': clinical findings_fin: 'distended': 'clinical finding': 'distended', 'existence': 'pos_dx', 'observation': 'distended'clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'anatomical entity_fin: 'vertebrae': , 't3 vertebral body': clinical findings_fin: 'unchanged sclerotic lesions': 'clinical finding': 'unchanged sclerotic lesions', 'existence': 'pos_dx', 'descriptive_term': 'unchanged sclerotic', 'observation': 'lesion', 'strength_term': 'unchanged', 'change_term': 'unchanged', 'compression fracture': 'clinical finding': 'compression fracture', 'existence': 'pos_dx', 'descriptive_term': 'compression', 'observation': 'fracture', 'minimal retropulsion': 'clinical finding': 'minimal retropulsion', 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'retropulsion', 'strength_term': 'minimal', 'quantity_term': 'minimal'anatomical entity_fin: 'rib': location descriptor_fin: ['posterior']clinical findings_fin: 'sclerotic lesion': 'clinical finding': 'sclerotic lesion', 'existence': 'pos_dx', 'descriptive_term': 'sclerotic', 'observation': 'lesion', 'pathological fracture': 'clinical finding': 'pathological fracture', 'existence': 'pos_dx', 'descriptive_term': 'pathological', 'observation': 'fracture'anatomical entity_fin: 'maxillary sinus': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'small retention cyst': 'clinical finding': 'small retention cyst', 'existence': 'pos_dx', 'descriptive_term': 'small retention', 'observation': 'cyst', 'strength_term': 'small' [/INST] [RESP] There are post-treatment findings in the neck, without discernible gross tumor in the oropharynx. There appears to be an enlarging deep right parotid nodule or level 2 lymph node that measures 15 mm in diameter. Otherwise, there is no significant lymphadenopathy in the neck. The thyroid gland appears unchanged. There is a distended and fluid-filled esophagus. The major cervical vessels are patent. There are unchanged sclerotic lesions in multiple vertebrae associated with a compression fracture of the T3 vertebral body with up to 75% loss of height and minimal retropulsion. There is also a sclerotic lesion in the posterior fourth rib with pathological fracture, which appears to be unchanged. There is a small retention cyst in the left maxillary sinus. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'neck': , 'oropharynx': procedure_fin: ['treatment']clinical findings_fin: 'discernible gross tumor': 'clinical finding': 'discernible gross tumor', 'existence': 'neg_dx', 'descriptive_term': 'discernible gross', 'observation': 'tumor'size_fin: ['size': '15 mm']location descriptor_fin: ['right']clinical findings_fin: 'enlarging deep right parotid nodule': 'clinical finding': 'enlarging deep right parotid nodule', 'existence': 'pos_dx', 'descriptive_term': 'enlarging deep right parotid', 'observation': 'nodule', 'level 2 lymph node': 'clinical finding': 'level 2 lymph node', 'existence': 'unc_dx', 'descriptive_term': 'level 2 lymph', 'observation': 'node'anatomical entity_fin: 'neck': clinical findings_fin: 'significant lymphadenopathy': 'clinical finding': 'significant lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'anatomical entity_fin: 'thyroid gland': clinical findings_fin: 'thyroid gland appears unchanged': 'clinical finding': 'thyroid gland appears unchanged', 'change_term': 'unchanged'anatomical entity_fin: 'fluid': , 'esophagus': clinical findings_fin: 'distended': 'clinical finding': 'distended', 'existence': 'pos_dx', 'observation': 'distended'clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'anatomical entity_fin: 'vertebrae': , 't3 vertebral body': clinical findings_fin: 'unchanged sclerotic lesions': 'clinical finding': 'unchanged sclerotic lesions', 'existence': 'pos_dx', 'descriptive_term': 'unchanged sclerotic', 'observation': 'lesion', 'strength_term': 'unchanged', 'change_term': 'unchanged', 'compression fracture': 'clinical finding': 'compression fracture', 'existence': 'pos_dx', 'descriptive_term': 'compression', 'observation': 'fracture', 'minimal retropulsion': 'clinical finding': 'minimal retropulsion', 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'retropulsion', 'strength_term': 'minimal', 'quantity_term': 'minimal'anatomical entity_fin: 'rib': location descriptor_fin: ['posterior']clinical findings_fin: 'sclerotic lesion': 'clinical finding': 'sclerotic lesion', 'existence': 'pos_dx', 'descriptive_term': 'sclerotic', 'observation': 'lesion', 'pathological fracture': 'clinical finding': 'pathological fracture', 'existence': 'pos_dx', 'descriptive_term': 'pathological', 'observation': 'fracture'anatomical entity_fin: 'maxillary sinus': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'small retention cyst': 'clinical finding': 'small retention cyst', 'existence': 'pos_dx', 'descriptive_term': 'small retention', 'observation': 'cyst', 'strength_term': 'small' [/INST] [RESP]

There are post-treatment findings in the neck, without discernible gross tumor in the oropharynx. There appears to be an enlarging deep right parotid nodule or level 2 lymph node that measures 15 mm in diameter. Otherwise, there is no significant lymphadenopathy in the neck. The thyroid gland appears unchanged. There is a distended and fluid-filled esophagus. The major cervical vessels are patent. There are unchanged sclerotic lesions in multiple vertebrae associated with a compression fracture of the T3 vertebral body with up to 75% loss of height and minimal retropulsion. There is also a sclerotic lesion in the posterior fourth rib with pathological fracture, which appears to be unchanged. There is a small retention cyst in the left maxillary sinus. [/RESP]</s>

Examination is limited by motion artifact. . No discernible gross tumor in the neck or oropharynx, consistent with treatment status. Enlarging deep right parotid nodule measuring up to 15 mm, level 2 lymph node. No significant lymphadenopathy noted within the remaining soft tissues of the neck. Thyroid gland appears unchanged. Fluid distends the esophagus. The airway is patent. Unchanged sclerotic lesions involving T4 and T6 vertebrae as well as T9 and T10 vertebrae are seen, which may represent compression fractures with minimal retropulsion. Sclerotic lesion at the posterior aspect of T8 rib also suggests pathologic fracture. Small retention cyst in the left maxillary sinus. [/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: 'common bile duct': clinical findings_fin: 'common bile duct stent': 'clinical finding': 'common bile duct stent', 'existence': 'pos_dx', 'descriptive_term': 'common bile duct', 'observation': 'stent', 'expected pneumobilia': 'clinical finding': 'expected pneumobilia', 'existence': 'pos_dx', 'descriptive_term': 'expected', 'observation': 'pneumobilia', 'bilobar intrahepatic as well as extrahepatic ductal dilatation': 'clinical finding': 'bilobar intrahepatic as well as extrahepatic ductal dilatation', 'existence': 'pos_dx', 'descriptive_term': 'bilobar intrahepatic as well as extrahepatic ductal', 'observation': 'dilatation'clinical findings_fin: 'significant change': 'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change', 'bilobar low attenuation lesions': 'clinical finding': 'bilobar low attenuation lesions', 'existence': 'neg_dx', 'descriptive_term': 'bilobar low attenuation', 'observation': 'lesion'clinical findings_fin: 'hepatic vessels patent': 'clinical finding': 'hepatic vessels patent', 'existence': 'pos_dx', 'descriptive_term': 'hepatic vessels', 'observation': 'patent'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'head': clinical findings_fin: 'significant interval change': 'clinical finding': 'significant interval change', 'existence': 'neg_dx', 'descriptive_term': 'significant interval', 'observation': 'change', 'heterogeneous abnormal low attenuation': 'clinical finding': 'heterogeneous abnormal low attenuation', 'existence': 'neg_dx', 'descriptive_term': 'heterogeneous abnormal low', 'observation': 'attenuation'anatomical entity_fin: 'pancreatic duct': clinical findings_fin: 'mild prominence of the upstream pancreatic duct': 'clinical finding': 'mild prominence of the upstream pancreatic duct'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'change': 'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change', 'extensive peripancreatic and retroperitoneal metastatic adenopathy': 'clinical finding': 'extensive peripancreatic and retroperitoneal metastatic adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'extensive peripancreatic and retroperitoneal metastatic', 'observation': 'adenopathy', 'strength_term': 'extensive'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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. Interval placement of common bile duct stent with expected pneumobilia and reduction in bilobar intrahepatic as well as extrahepatic ductal dilatation. No significant change in bilobar low attenuation lesions. Hepatic vessels patent. No significant abnormality noted. No significant interval change in heterogeneous abnormal low attenuation involving the pancreatic head and uncinate process. Mild prominence of the upstream pancreatic duct also unchanged. No significant abnormality noted. No significant abnormality noted. No change in extensive peripancreatic and retroperitoneal metastatic adenopathy. 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: 'common bile duct': clinical findings_fin: 'common bile duct stent': 'clinical finding': 'common bile duct stent', 'existence': 'pos_dx', 'descriptive_term': 'common bile duct', 'observation': 'stent', 'expected pneumobilia': 'clinical finding': 'expected pneumobilia', 'existence': 'pos_dx', 'descriptive_term': 'expected', 'observation': 'pneumobilia', 'bilobar intrahepatic as well as extrahepatic ductal dilatation': 'clinical finding': 'bilobar intrahepatic as well as extrahepatic ductal dilatation', 'existence': 'pos_dx', 'descriptive_term': 'bilobar intrahepatic as well as extrahepatic ductal', 'observation': 'dilatation'clinical findings_fin: 'significant change': 'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change', 'bilobar low attenuation lesions': 'clinical finding': 'bilobar low attenuation lesions', 'existence': 'neg_dx', 'descriptive_term': 'bilobar low attenuation', 'observation': 'lesion'clinical findings_fin: 'hepatic vessels patent': 'clinical finding': 'hepatic vessels patent', 'existence': 'pos_dx', 'descriptive_term': 'hepatic vessels', 'observation': 'patent'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'head': clinical findings_fin: 'significant interval change': 'clinical finding': 'significant interval change', 'existence': 'neg_dx', 'descriptive_term': 'significant interval', 'observation': 'change', 'heterogeneous abnormal low attenuation': 'clinical finding': 'heterogeneous abnormal low attenuation', 'existence': 'neg_dx', 'descriptive_term': 'heterogeneous abnormal low', 'observation': 'attenuation'anatomical entity_fin: 'pancreatic duct': clinical findings_fin: 'mild prominence of the upstream pancreatic duct': 'clinical finding': 'mild prominence of the upstream pancreatic duct'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'change': 'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change', 'extensive peripancreatic and retroperitoneal metastatic adenopathy': 'clinical finding': 'extensive peripancreatic and retroperitoneal metastatic adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'extensive peripancreatic and retroperitoneal metastatic', 'observation': 'adenopathy', 'strength_term': 'extensive'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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. Interval placement of common bile duct stent with expected pneumobilia and reduction in bilobar intrahepatic as well as extrahepatic ductal dilatation. No significant change in bilobar low attenuation lesions. Hepatic vessels patent. No significant abnormality noted. No significant interval change in heterogeneous abnormal low attenuation involving the pancreatic head and uncinate process. Mild prominence of the upstream pancreatic duct also unchanged. No significant abnormality noted. No significant abnormality noted. No change in extensive peripancreatic and retroperitoneal metastatic adenopathy. 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.[/RESP]. Common bile duct stent in place with expected pneumobilia and bilobar intrahepatic as well as extrahepatic ductal dilatation. No significant change since prior study. Bilobar low attenuation lesions are unchanged. Hepatic vessels patent. No significant abnormality. Mild prominence of the upstream pancreatic duct is noted. No significant abnormality. Extensive peripancreatic and retroperitoneal metastatic adenopathy, unchanged. No significant abnormality. None. 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: 'parotid space': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'thickening': 'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'size_fin: ['size': '1 cm', 'size_descriptor': 'nodes']anatomical entity_fin: 'neck': 'location descriptor': 'bilateral', 'parotid space': 'location descriptor': 'right'location descriptor_fin: ['bilateral', 'right']clinical findings_fin: 'small lymph nodes': 'clinical finding': 'small lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small lymph', 'observation': 'node', 'strength_term': 'small'anatomical entity_fin: 'neck': clinical findings_fin: 'discrete mass': 'clinical finding': 'discrete mass', 'existence': 'neg_dx', 'descriptive_term': 'discrete', 'observation': 'mass', 'pathological adenopathy': 'clinical finding': 'pathological adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'pathological', 'observation': 'adenopathy'anatomical entity_fin: 'gland': location descriptor_fin: ['right', 'left']clinical findings_fin: 'mild swelling': 'clinical finding': 'mild swelling', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'swell', 'strength_term': 'mild'clinical findings_fin: 'postsurgical change': 'clinical finding': 'postsurgical change', 'existence': 'unc_dx', 'descriptive_term': 'postsurgical', 'observation': 'change', 'mild sialadenitis': 'clinical finding': 'mild sialadenitis', 'existence': 'unc_dx', 'descriptive_term': 'mild', 'observation': 'sialadenitis', 'strength_term': 'mild'clinical findings_fin: 'obstructive salivary calculus': 'clinical finding': 'obstructive salivary calculus', 'existence': 'neg_dx', 'descriptive_term': 'obstructive salivary', 'observation': 'calculus', 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'clinical findings_fin: 'osseous structures appear unremarkable': 'clinical finding': 'osseous structures appear unremarkable'anatomical entity_fin: 'lung': , 'apices': clinical findings_fin: 'mild ground class opacities': 'clinical finding': 'mild ground class opacities', 'existence': 'pos_dx', 'descriptive_term': 'mild ground class', 'observation': 'opacity', 'strength_term': 'mild' [/INST] [RESP] Neck. There is soft tissue thickening in the left parotid space, likely related to prior surgery. There are small lymph nodes in bilateral neck and in right parotid space, measuring less than 1 cm individually. They are considered within normal limits based on radiological criteria. No discrete mass or pathological adenopathy is identified in the neck. There is mild swelling of the right submandible gland, compared to the left. This may be related to postsurgical change but mild sialadenitis cannot be excluded. No obstructive salivary calculus or mass is seen. The osseous structures appear unremarkable. There are mild ground class opacities in the lung apices. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'parotid space': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'thickening': 'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'size_fin: ['size': '1 cm', 'size_descriptor': 'nodes']anatomical entity_fin: 'neck': 'location descriptor': 'bilateral', 'parotid space': 'location descriptor': 'right'location descriptor_fin: ['bilateral', 'right']clinical findings_fin: 'small lymph nodes': 'clinical finding': 'small lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small lymph', 'observation': 'node', 'strength_term': 'small'anatomical entity_fin: 'neck': clinical findings_fin: 'discrete mass': 'clinical finding': 'discrete mass', 'existence': 'neg_dx', 'descriptive_term': 'discrete', 'observation': 'mass', 'pathological adenopathy': 'clinical finding': 'pathological adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'pathological', 'observation': 'adenopathy'anatomical entity_fin: 'gland': location descriptor_fin: ['right', 'left']clinical findings_fin: 'mild swelling': 'clinical finding': 'mild swelling', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'swell', 'strength_term': 'mild'clinical findings_fin: 'postsurgical change': 'clinical finding': 'postsurgical change', 'existence': 'unc_dx', 'descriptive_term': 'postsurgical', 'observation': 'change', 'mild sialadenitis': 'clinical finding': 'mild sialadenitis', 'existence': 'unc_dx', 'descriptive_term': 'mild', 'observation': 'sialadenitis', 'strength_term': 'mild'clinical findings_fin: 'obstructive salivary calculus': 'clinical finding': 'obstructive salivary calculus', 'existence': 'neg_dx', 'descriptive_term': 'obstructive salivary', 'observation': 'calculus', 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'clinical findings_fin: 'osseous structures appear unremarkable': 'clinical finding': 'osseous structures appear unremarkable'anatomical entity_fin: 'lung': , 'apices': clinical findings_fin: 'mild ground class opacities': 'clinical finding': 'mild ground class opacities', 'existence': 'pos_dx', 'descriptive_term': 'mild ground class', 'observation': 'opacity', 'strength_term': 'mild' [/INST] [RESP]

Neck. There is soft tissue thickening in the left parotid space, likely related to prior surgery. There are small lymph nodes in bilateral neck and in right parotid space, measuring less than 1 cm individually. They are considered within normal limits based on radiological criteria. No discrete mass or pathological adenopathy is identified in the neck. There is mild swelling of the right submandible gland, compared to the left. This may be related to postsurgical change but mild sialadenitis cannot be excluded. No obstructive salivary calculus or mass is seen. The osseous structures appear unremarkable. There are mild ground class opacities in the lung apices. [/RESP]</s>

. Thickening of the left parotid space. . Small lymph nodes in the bilateral neck and right parotid space measuring up to 1 cm are present. No discrete mass or pathologic adenopathy is seen within the soft tissue component of the neck. Mild swelling of the right submandibular gland is noted, which may be related to prior surgery. Postsurgical changes with mild sialadenitis are also present. No obstructive salivary calculus or mass is identified. The osseous structures appear unremarkable. Mild ground class opacities are present at both lung apices. [/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: 'cortex': , 'right lateral ventricle': location descriptor_fin: ['right', 'posterior']clinical findings_fin: 'parenchymal defect': 'clinical finding': 'parenchymal defect', 'existence': 'pos_dx', 'descriptive_term': 'parenchymal', 'observation': 'defect'clinical findings_fin: 'defect': 'clinical finding': 'defect', 'existence': 'pos_dx', 'observation': 'defect', 'gray matter density': 'clinical finding': 'gray matter density', 'existence': 'unc_dx', 'descriptive_term': 'gray matter', 'observation': 'density', 'schizencephaly': 'clinical finding': 'schizencephaly', 'existence': 'unc_dx', 'observation': 'schizencephaly'anatomical entity_fin: 'brain': imaging observation_fin: ['assessment']clinical findings_fin: 'follow - up with dedicated brain mri exam for further assessment and to exclude possibility of other underlying pathology is recommended': 'clinical finding': 'follow - up with dedicated brain mri exam for further assessment and to exclude possibility of other underlying pathology is recommended'follow-up_fin: follow-up recommendedanatomical entity_fin: 'cerebral cortex': clinical findings_fin: 'cerebral cortex , cortical sulci , ventricular system , csf cisterns and gray -- white matter differentiation is otherwise unremarkable': 'clinical finding': 'cerebral cortex , cortical sulci , ventricular system , csf cisterns and gray -- white matter differentiation is otherwise unremarkable'anatomical entity_fin: 'scalp': clinical findings_fin: 'unremarkable calvarium and soft tissues': 'clinical finding': 'unremarkable calvarium and soft tissues'anatomical entity_fin: 'orbits': clinical findings_fin: 'unremarkable limited images through the orbits': 'clinical finding': 'unremarkable limited images through the orbits'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': , 'middle ear cavities': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'mastoid': 'clinical finding': 'mastoid', 'existence': 'pos_dx', 'observation': 'mastoid', 'bilateral middle ear cavities': 'clinical finding': 'bilateral middle ear cavities', 'existence': 'pos_dx', 'descriptive_term': 'bilateral middle ear', 'observation': 'cavity' [/INST] [RESP] Nonenhanced head. Examination demonstrate a parenchymal defect in the right posterior parietal involving the cortex and extending to the right lateral ventricle. The defect demonstrate gray matter density along its edge and is suspicious for schizencephaly. Follow-up with dedicated brain MRI exam for further assessment and to exclude possibility of other underlying pathology is recommended. The cerebral cortex, cortical sulci, ventricular system, CSF cisterns and gray -- white matter differentiation is otherwise unremarkable. Unremarkable calvarium and soft tissues of the scalp. Unremarkable limited images through the orbits. Unremarkable all paranasal sinuses, mastoid air cells and bilateral middle ear cavities. [/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: 'cortex': , 'right lateral ventricle': location descriptor_fin: ['right', 'posterior']clinical findings_fin: 'parenchymal defect': 'clinical finding': 'parenchymal defect', 'existence': 'pos_dx', 'descriptive_term': 'parenchymal', 'observation': 'defect'clinical findings_fin: 'defect': 'clinical finding': 'defect', 'existence': 'pos_dx', 'observation': 'defect', 'gray matter density': 'clinical finding': 'gray matter density', 'existence': 'unc_dx', 'descriptive_term': 'gray matter', 'observation': 'density', 'schizencephaly': 'clinical finding': 'schizencephaly', 'existence': 'unc_dx', 'observation': 'schizencephaly'anatomical entity_fin: 'brain': imaging observation_fin: ['assessment']clinical findings_fin: 'follow - up with dedicated brain mri exam for further assessment and to exclude possibility of other underlying pathology is recommended': 'clinical finding': 'follow - up with dedicated brain mri exam for further assessment and to exclude possibility of other underlying pathology is recommended'follow-up_fin: follow-up recommendedanatomical entity_fin: 'cerebral cortex': clinical findings_fin: 'cerebral cortex , cortical sulci , ventricular system , csf cisterns and gray -- white matter differentiation is otherwise unremarkable': 'clinical finding': 'cerebral cortex , cortical sulci , ventricular system , csf cisterns and gray -- white matter differentiation is otherwise unremarkable'anatomical entity_fin: 'scalp': clinical findings_fin: 'unremarkable calvarium and soft tissues': 'clinical finding': 'unremarkable calvarium and soft tissues'anatomical entity_fin: 'orbits': clinical findings_fin: 'unremarkable limited images through the orbits': 'clinical finding': 'unremarkable limited images through the orbits'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': , 'middle ear cavities': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'mastoid': 'clinical finding': 'mastoid', 'existence': 'pos_dx', 'observation': 'mastoid', 'bilateral middle ear cavities': 'clinical finding': 'bilateral middle ear cavities', 'existence': 'pos_dx', 'descriptive_term': 'bilateral middle ear', 'observation': 'cavity' [/INST] [RESP]

Nonenhanced head. Examination demonstrate a parenchymal defect in the right posterior parietal involving the cortex and extending to the right lateral ventricle. The defect demonstrate gray matter density along its edge and is suspicious for schizencephaly. Follow-up with dedicated brain MRI exam for further assessment and to exclude possibility of other underlying pathology is recommended. The cerebral cortex, cortical sulci, ventricular system, CSF cisterns and gray -- white matter differentiation is otherwise unremarkable. Unremarkable calvarium and soft tissues of the scalp. Unremarkable limited images through the orbits. Unremarkable all paranasal sinuses, mastoid air cells and bilateral middle ear cavities. [/RESP]</s>

Nonenhanced head. . Nonenhanced head. There are areas of parenchymal defect in the right posterior frontal lobe, right temporal lobe, right occipital lobe, and right lateral ventricle which appear similar to prior study. The defect appears to be more prominent than previously noted. This may represent a parenchymal defect within the cortex rather than a focal area of low attenuation. However, this cannot be excluded without additional CT or MRI studies. If there is concern regarding the degree of deficiency, follow-up with dedicated brain MRI exam for further assessment and to exclude possibility of other underlying pathology is recommended. Follow-up with dedicated brain MRI exam is also recommended. Cerebral cortex, cortical sulci, ventricular system, CSF cisterns and gray--white matter differentiation is otherwise unremarkable. Unremarkable calvarium and soft tissues of the scalp. Unremarkable limited images through the orbits. Mastoid air cells and bilateral middle ear cavities are unremarkable. Mastoid bone is intact. Bilateral maxillary sinus ostia are patent. Paranasal sinuses are clear. Mastoid air cells are clear. Bilateral middle ear cavities are clear. [/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: 'focal hepatic mass lesion': 'clinical finding': 'focal hepatic mass lesion', 'existence': 'neg_dx', 'descriptive_term': 'focal hepatic mass', 'observation': 'lesion'anatomical entity_fin: 'gallbladder': clinical findings_fin: 'gallbladder sludge': 'clinical finding': 'gallbladder sludge', 'existence': 'pos_dx', 'descriptive_term': 'gallbladder', 'observation': 'sludge'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '1.2 x 1.2 cm']anatomical entity_fin: 'head': imaging observation_fin: ['foci']clinical findings_fin: 'multiple nonspecific hypodense foci': 'clinical finding': 'multiple nonspecific hypodense foci', 'existence': 'pos_dx', 'descriptive_term': 'multiple nonspecific hypodense', 'observation': 'foci', 'quantity_term': 'multiple'clinical findings_fin: 'multiple ipmns': 'clinical finding': 'multiple ipmns', 'existence': 'unc_dx', 'descriptive_term': 'multiple', 'observation': 'ipmn', 'quantity_term': 'multiple'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', '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'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: 'uterus is not visualized': 'clinical finding': 'uterus is not visualized'clinical findings_fin: 'atrophic or surgically resected': 'clinical finding': 'atrophic or surgically resected', 'change_term': 'atrophic - resected'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'diverticulosis': 'clinical finding': 'diverticulosis', 'existence': 'pos_dx', 'observation': 'diverticulosis', 'diverticulitis': 'clinical finding': 'diverticulitis', 'existence': 'pos_dx', 'observation': 'diverticulitis'anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative disk disease': 'clinical finding': 'degenerative disk disease', 'existence': 'pos_dx', 'descriptive_term': 'degenerative disk', 'observation': 'disease'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . No significant abnormality noted. No focal hepatic mass lesion. Gallbladder sludge is identified. No significant abnormality noted. Multiple nonspecific hypodense foci are seen within the pancreatic head or uncinate process, the largest of which measures 1.2 x 1.2 cm, not significant changed from 2003 CT. These may represent multiple IPMNs. No significant abnormality noted. No nephrolithiasis. No hydronephrosis or hydroureter. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Uterus is not visualized. Atrophic or surgically resected. No significant abnormality noted. No significant abnormality noted. Diverticulosis with evidence of diverticulitis. Degenerative disk disease of the thoracolumbar 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: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'focal hepatic mass lesion': 'clinical finding': 'focal hepatic mass lesion', 'existence': 'neg_dx', 'descriptive_term': 'focal hepatic mass', 'observation': 'lesion'anatomical entity_fin: 'gallbladder': clinical findings_fin: 'gallbladder sludge': 'clinical finding': 'gallbladder sludge', 'existence': 'pos_dx', 'descriptive_term': 'gallbladder', 'observation': 'sludge'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '1.2 x 1.2 cm']anatomical entity_fin: 'head': imaging observation_fin: ['foci']clinical findings_fin: 'multiple nonspecific hypodense foci': 'clinical finding': 'multiple nonspecific hypodense foci', 'existence': 'pos_dx', 'descriptive_term': 'multiple nonspecific hypodense', 'observation': 'foci', 'quantity_term': 'multiple'clinical findings_fin: 'multiple ipmns': 'clinical finding': 'multiple ipmns', 'existence': 'unc_dx', 'descriptive_term': 'multiple', 'observation': 'ipmn', 'quantity_term': 'multiple'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', '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'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: 'uterus is not visualized': 'clinical finding': 'uterus is not visualized'clinical findings_fin: 'atrophic or surgically resected': 'clinical finding': 'atrophic or surgically resected', 'change_term': 'atrophic - resected'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'diverticulosis': 'clinical finding': 'diverticulosis', 'existence': 'pos_dx', 'observation': 'diverticulosis', 'diverticulitis': 'clinical finding': 'diverticulitis', 'existence': 'pos_dx', 'observation': 'diverticulitis'anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative disk disease': 'clinical finding': 'degenerative disk disease', 'existence': 'pos_dx', 'descriptive_term': 'degenerative disk', 'observation': 'disease'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP]

. No significant abnormality noted. No focal hepatic mass lesion. Gallbladder sludge is identified. No significant abnormality noted. Multiple nonspecific hypodense foci are seen within the pancreatic head or uncinate process, the largest of which measures 1.2 x 1.2 cm, not significant changed from 2003 CT. These may represent multiple IPMNs. No significant abnormality noted. No nephrolithiasis. No hydronephrosis or hydroureter. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Uterus is not visualized. Atrophic or surgically resected. No significant abnormality noted. No significant abnormality noted. Diverticulosis with evidence of diverticulitis. Degenerative disk disease of the thoracolumbar spine. No significant abnormality noted [/RESP]</s>

. No significant abnormality noted. Focal hepatic mass lesions are again seen, but no CT evidence of focal hepatic lesions to suggest metastasis. Gallbladder sludge. No significant abnormality. Multiple nonspecific hypodense foci in the head of the gallbladder measuring up to 1.2 x 1.2 cm. This may represent multiple IPMNs. No significant abnormality. Nephrolithiasis. No hydronephrosis or hydroureter. No significant abnormality. None. No significant abnormality. No significant abnormality. No significant abnormality. Uterus is not visualized. Atrophic or surgically resected bladder. No significant abnormality. Negative. Negative. Diverticulosis. Degenerative disk disease affects L4-5 and L5-S1 levels. No significant abnormality. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'left lower'location descriptor_fin: ['right', 'upper', 'left', 'lower']clinical findings_fin: 'unchanged right upper lobe nonspecific micronodule': 'clinical finding': 'unchanged right upper lobe nonspecific micronodule', 'existence': 'pos_dx', 'descriptive_term': 'unchanged right upper lobe nonspecific', 'observation': 'micronodule', 'strength_term': 'unchanged', 'change_term': 'unchanged', 'left lower lobe calcified granuloma': 'clinical finding': 'left lower lobe calcified granuloma', 'existence': 'pos_dx', 'descriptive_term': 'left lower lobe calcified', 'observation': 'granuloma', 'change_term': 'calcified'size_fin: ['size': '18 x 8 mm', 'size': '18 x 10 mm']clinical findings_fin: 'reference ap window lymph node': 'clinical finding': 'reference ap window lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference ap window lymph', 'observation': 'node'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'liver': clinical findings_fin: 'diffuse low-attenuation': 'clinical finding': 'diffuse low-attenuation', 'existence': 'pos_dx', 'descriptive_term': 'diffuse', 'observation': 'low', 'fatty liver disease': 'clinical finding': 'fatty liver disease', 'existence': 'pos_dx', 'descriptive_term': 'fatty liver', 'observation': 'disease'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'multiple prominent retroperitoneal lymph nodes': 'clinical finding': 'multiple prominent retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple prominent retroperitoneal lymph', 'observation': 'node', 'strength_term': 'prominent', 'quantity_term': 'multiple'anatomical entity_fin: 'mesenteric lymph nodes': clinical findings_fin: 'multiple prominent mesenteric lymph nodes': 'clinical finding': 'multiple prominent mesenteric lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple prominent mesenteric lymph', 'observation': 'node', 'strength_term': 'prominent', 'quantity_term': 'multiple'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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] . Unchanged right upper lobe nonspecific micronodule and left lower lobe calcified granuloma. Reference AP window lymph node measures 18 x 8 mm, previously 18 x 10 mm. No significant abnormality noted. Diffuse low-attenuation of the liver suggests fatty liver disease. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Multiple prominent retroperitoneal lymph nodes are similar in appearance to the prior examination. Multiple prominent mesenteric lymph nodes are seen, most of which are grossly larger and more numerous when compared to the prior examination. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'left lower'location descriptor_fin: ['right', 'upper', 'left', 'lower']clinical findings_fin: 'unchanged right upper lobe nonspecific micronodule': 'clinical finding': 'unchanged right upper lobe nonspecific micronodule', 'existence': 'pos_dx', 'descriptive_term': 'unchanged right upper lobe nonspecific', 'observation': 'micronodule', 'strength_term': 'unchanged', 'change_term': 'unchanged', 'left lower lobe calcified granuloma': 'clinical finding': 'left lower lobe calcified granuloma', 'existence': 'pos_dx', 'descriptive_term': 'left lower lobe calcified', 'observation': 'granuloma', 'change_term': 'calcified'size_fin: ['size': '18 x 8 mm', 'size': '18 x 10 mm']clinical findings_fin: 'reference ap window lymph node': 'clinical finding': 'reference ap window lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference ap window lymph', 'observation': 'node'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'liver': clinical findings_fin: 'diffuse low-attenuation': 'clinical finding': 'diffuse low-attenuation', 'existence': 'pos_dx', 'descriptive_term': 'diffuse', 'observation': 'low', 'fatty liver disease': 'clinical finding': 'fatty liver disease', 'existence': 'pos_dx', 'descriptive_term': 'fatty liver', 'observation': 'disease'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'multiple prominent retroperitoneal lymph nodes': 'clinical finding': 'multiple prominent retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple prominent retroperitoneal lymph', 'observation': 'node', 'strength_term': 'prominent', 'quantity_term': 'multiple'anatomical entity_fin: 'mesenteric lymph nodes': clinical findings_fin: 'multiple prominent mesenteric lymph nodes': 'clinical finding': 'multiple prominent mesenteric lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple prominent mesenteric lymph', 'observation': 'node', 'strength_term': 'prominent', 'quantity_term': 'multiple'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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]

. Unchanged right upper lobe nonspecific micronodule and left lower lobe calcified granuloma. Reference AP window lymph node measures 18 x 8 mm, previously 18 x 10 mm. No significant abnormality noted. Diffuse low-attenuation of the liver suggests fatty liver disease. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Multiple prominent retroperitoneal lymph nodes are similar in appearance to the prior examination. Multiple prominent mesenteric lymph nodes are seen, most of which are grossly larger and more numerous when compared to the prior examination. 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>

. Unchanged right upper lobe nonspecific micronodule and left lower lobe calcified granuloma. The reference AP window lymph node measures 18 x 8 mm, previously 18 x 10 mm. No significant abnormality noted. Diffuse low attenuation of the liver compatible with fatty liver disease. No significant abnormality noted. No significant abnormality observed. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: artifact_fin: ['motion artifact']clinical findings_fin: 'motion artifact': 'clinical finding': 'motion artifact', 'existence': 'pos_dx', 'descriptive_term': 'motion', 'observation': 'artifact'clinical findings_fin: 'large pulmonary embolus': 'clinical finding': 'large pulmonary embolus', 'existence': 'neg_dx', 'descriptive_term': 'large pulmonary', 'observation': 'embolus', 'strength_term': 'large'clinical findings_fin: 'large pleural effusions': 'clinical finding': 'large pleural effusions', 'existence': 'pos_dx', 'descriptive_term': 'large pleural', 'observation': 'effusion', 'strength_term': 'large', 'associated compressive atelectasis': 'clinical finding': 'associated compressive atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'associated compressive', 'observation': 'atelectasis'anatomical entity_fin: 'lobes': 'location descriptor': 'left upper'location descriptor_fin: ['right', 'upper', 'left']clinical findings_fin: 'patchy ground glass opacity': 'clinical finding': 'patchy ground glass opacity', 'existence': 'pos_dx', 'descriptive_term': 'patchy ground glass', 'observation': 'opacity', 'some interlobular septal thickening': 'clinical finding': 'some interlobular septal thickening', 'existence': 'pos_dx', 'descriptive_term': 'some interlobular septal', 'observation': 'thickening', 'quantity_term': 'some'anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'dependent atelectasis': 'clinical finding': 'dependent atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'dependent', 'observation': 'atelectasis'size_fin: ['size': '4 mm', 'size_descriptor': 'nodule']anatomical entity_fin: 'right minor fissure': clinical findings_fin: 'approximately 4 mm nodule': 'clinical finding': 'approximately 4 mm nodule', 'existence': 'pos_dx', 'descriptive_term': 'approximately 4 mm', 'observation': 'nodule'clinical findings_fin: 'significant adenopathy': 'clinical finding': 'significant adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'adenopathy'clinical findings_fin: 'cardiomegaly': 'clinical finding': 'cardiomegaly', 'existence': 'pos_dx', 'observation': 'cardiomegaly'clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'size_fin: ['size': '4.4 cm', 'size_descriptor': 'ectasia']anatomical entity_fin: 'ascending aorta': clinical findings_fin: 'ectasia': 'clinical finding': 'ectasia', 'existence': 'pos_dx', 'observation': 'ectasia', 'ascending aorta': 'clinical finding': 'ascending aorta', 'existence': 'pos_dx', 'descriptive_term': 'ascending', 'observation': 'aorta'anatomical entity_fin: 'aortic arch': clinical findings_fin: 'contrast': 'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast', 'incomplete mixing': 'clinical finding': 'incomplete mixing', 'existence': 'unc_dx', 'descriptive_term': 'incomplete', 'observation': 'mixing'clinical findings_fin: 'soft tissue edema': 'clinical finding': 'soft tissue edema', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'edema'anatomical entity_fin: 'liver': clinical findings_fin: 'punctate calcification': 'clinical finding': 'punctate calcification', 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'calcification', 'prior granulomatous disease': 'clinical finding': 'prior granulomatous disease', 'existence': 'pos_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'disease'procedure_fin: ['splenectomy']clinical findings_fin: 'minimal ascites': 'clinical finding': 'minimal ascites', 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'ascite', 'strength_term': 'minimal', 'quantity_term': 'minimal', 'hazy mesenteric stranding': 'clinical finding': 'hazy mesenteric stranding', 'existence': 'pos_dx', 'descriptive_term': 'hazy mesenteric', 'observation': 'strand' [/INST] [RESP] Limited by motion artifact. No large pulmonary embolus. Large pleural effusions with associated compressive atelectasis. Patchy ground glass opacity in the periphery of the right upper and left upper lobes with some interlobular septal thickening. Dependent atelectasis in the right upper lobe. Approximately 4 mm nodule in the right minor fissure. No significant adenopathy. Cardiomegaly. No pericardial effusion. Ectasia of the ascending aorta measuring 4.4 cm. Heterogeneity of contrast within the aortic arch likely from incomplete mixing. Soft tissue edema. Degenerative changes. Punctate calcification liver, likely from prior granulomatous disease. Status post splenectomy. Minimal ascites and hazy mesenteric stranding consistent with recent surgery. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: artifact_fin: ['motion artifact']clinical findings_fin: 'motion artifact': 'clinical finding': 'motion artifact', 'existence': 'pos_dx', 'descriptive_term': 'motion', 'observation': 'artifact'clinical findings_fin: 'large pulmonary embolus': 'clinical finding': 'large pulmonary embolus', 'existence': 'neg_dx', 'descriptive_term': 'large pulmonary', 'observation': 'embolus', 'strength_term': 'large'clinical findings_fin: 'large pleural effusions': 'clinical finding': 'large pleural effusions', 'existence': 'pos_dx', 'descriptive_term': 'large pleural', 'observation': 'effusion', 'strength_term': 'large', 'associated compressive atelectasis': 'clinical finding': 'associated compressive atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'associated compressive', 'observation': 'atelectasis'anatomical entity_fin: 'lobes': 'location descriptor': 'left upper'location descriptor_fin: ['right', 'upper', 'left']clinical findings_fin: 'patchy ground glass opacity': 'clinical finding': 'patchy ground glass opacity', 'existence': 'pos_dx', 'descriptive_term': 'patchy ground glass', 'observation': 'opacity', 'some interlobular septal thickening': 'clinical finding': 'some interlobular septal thickening', 'existence': 'pos_dx', 'descriptive_term': 'some interlobular septal', 'observation': 'thickening', 'quantity_term': 'some'anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'dependent atelectasis': 'clinical finding': 'dependent atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'dependent', 'observation': 'atelectasis'size_fin: ['size': '4 mm', 'size_descriptor': 'nodule']anatomical entity_fin: 'right minor fissure': clinical findings_fin: 'approximately 4 mm nodule': 'clinical finding': 'approximately 4 mm nodule', 'existence': 'pos_dx', 'descriptive_term': 'approximately 4 mm', 'observation': 'nodule'clinical findings_fin: 'significant adenopathy': 'clinical finding': 'significant adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'adenopathy'clinical findings_fin: 'cardiomegaly': 'clinical finding': 'cardiomegaly', 'existence': 'pos_dx', 'observation': 'cardiomegaly'clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'size_fin: ['size': '4.4 cm', 'size_descriptor': 'ectasia']anatomical entity_fin: 'ascending aorta': clinical findings_fin: 'ectasia': 'clinical finding': 'ectasia', 'existence': 'pos_dx', 'observation': 'ectasia', 'ascending aorta': 'clinical finding': 'ascending aorta', 'existence': 'pos_dx', 'descriptive_term': 'ascending', 'observation': 'aorta'anatomical entity_fin: 'aortic arch': clinical findings_fin: 'contrast': 'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast', 'incomplete mixing': 'clinical finding': 'incomplete mixing', 'existence': 'unc_dx', 'descriptive_term': 'incomplete', 'observation': 'mixing'clinical findings_fin: 'soft tissue edema': 'clinical finding': 'soft tissue edema', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'edema'anatomical entity_fin: 'liver': clinical findings_fin: 'punctate calcification': 'clinical finding': 'punctate calcification', 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'calcification', 'prior granulomatous disease': 'clinical finding': 'prior granulomatous disease', 'existence': 'pos_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'disease'procedure_fin: ['splenectomy']clinical findings_fin: 'minimal ascites': 'clinical finding': 'minimal ascites', 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'ascite', 'strength_term': 'minimal', 'quantity_term': 'minimal', 'hazy mesenteric stranding': 'clinical finding': 'hazy mesenteric stranding', 'existence': 'pos_dx', 'descriptive_term': 'hazy mesenteric', 'observation': 'strand' [/INST] [RESP]

Limited by motion artifact. No large pulmonary embolus. Large pleural effusions with associated compressive atelectasis. Patchy ground glass opacity in the periphery of the right upper and left upper lobes with some interlobular septal thickening. Dependent atelectasis in the right upper lobe. Approximately 4 mm nodule in the right minor fissure. No significant adenopathy. Cardiomegaly. No pericardial effusion. Ectasia of the ascending aorta measuring 4.4 cm. Heterogeneity of contrast within the aortic arch likely from incomplete mixing. Soft tissue edema. Degenerative changes. Punctate calcification liver, likely from prior granulomatous disease. Status post splenectomy. Minimal ascites and hazy mesenteric stranding consistent with recent surgery. [/RESP]</s>

Motion artifact limits evaluation of the lung fields, but no large pulmonary embolus is seen.. Large pleural effusions with associated compressive atelectasis are present in both lungs. Patchy ground glass opacity and some interlobular septal thickening is noted in the right upper lobes. Dependent atelectasis is also present in the right upper lobe. Approximately 4 mm nodule is present within the right minor fissure. No significant adenopathy is identified. Cardiomegaly is present. No pericardial effusion is present. Ectasia of the ascending aorta measures up to 4.4 cm. Contrast is not well visualized through the ascending aorta due to incomplete mixing. Soft tissue edema is present. Punctate calcification is present in the liver consistent with prior granulomatous disease. Splenectomy has been performed. Minimal ascites and hazy mesenteric stranding is present. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'right frontal lobe': location descriptor_fin: ['bilateral']clinical findings_fin: 'tumor': 'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'clinical findings_fin: 'size and shape of the resection cavity are unchanged': 'clinical finding': 'size and shape of the resection cavity are unchanged', 'change_term': 'unchanged'anatomical entity_fin: 'floor': imaging observation_fin: ['foci', 'blood']clinical findings_fin: 'hyperattenuating material': 'clinical finding': 'hyperattenuating material', 'existence': 'pos_dx', 'descriptive_term': 'hyperattenuating', 'observation': 'material', 'blood product': 'clinical finding': 'blood product', 'existence': 'unc_dx', 'descriptive_term': 'blood', 'observation': 'product'clinical findings_fin: 'significant new intracranial hemorrhage': 'clinical finding': 'significant new intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'significant new intracranial', 'observation': 'hemorrhage', 'temporal_term': 'new'anatomical entity_fin: 'right frontal lobe': clinical findings_fin: 'vasogenic edema': 'clinical finding': 'vasogenic edema', 'existence': 'pos_dx', 'descriptive_term': 'vasogenic', 'observation': 'edema', 'associated mass effect': 'clinical finding': 'associated mass effect', 'existence': 'pos_dx', 'descriptive_term': 'associated mass', 'observation': 'effect'anatomical entity_fin: 'temporal lobe': 'location descriptor': 'left anterior'location descriptor_fin: ['left', 'anterior']clinical findings_fin: 'second metastatic': 'clinical finding': 'second metastatic', 'existence': 'pos_dx', 'descriptive_term': 'second', 'observation': 'metastatic', 'associated vasogenic edema': 'clinical finding': 'associated vasogenic edema', 'existence': 'pos_dx', 'descriptive_term': 'associated vasogenic', 'observation': 'edema'clinical findings_fin: 'new intracranial lesions': 'clinical finding': 'new intracranial lesions', 'existence': 'neg_dx', 'descriptive_term': 'new intracranial', 'observation': 'lesion', 'temporal_term': 'new'location descriptor_fin: ['right']clinical findings_fin: 'right frontal approach evd remains in stable position': 'clinical finding': 'right frontal approach evd remains in stable position', 'change_term': 'stable'clinical findings_fin: 'interval change': 'clinical finding': 'interval change', 'existence': 'neg_dx', 'descriptive_term': 'interval', 'observation': 'change'location descriptor_fin: ['right']clinical findings_fin: 'effacement': 'clinical finding': 'effacement', 'existence': 'pos_dx', 'observation': 'effacement', 'edema': 'clinical finding': 'edema', 'existence': 'pos_dx', 'observation': 'edema' [/INST] [RESP] Sequelae of bilateral frontal craniotomy and tumor resection from the deep right frontal lobe are again seen. The size and shape of the resection cavity are unchanged. Likewise, scattered foci of hyperattenuating material likely representing blood product along the floor of the cavity are unchanged. No evidence of significant new intracranial hemorrhage is seen. Vasogenic edema within the right frontal lobe and associated mass effect are likewise unchanged. A second metastatic focus within the left anterior temporal lobe with associated vasogenic edema is unchanged. No new intracranial lesions are detected within the limitations of noncontrast CT. The right frontal approach EVD remains in stable position. The ventricles show no interval change in caliber. There is effacement of the right frontal horn due to edema in the operative bed, but the ventricular system is otherwise within normal limits. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'right frontal lobe': location descriptor_fin: ['bilateral']clinical findings_fin: 'tumor': 'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'clinical findings_fin: 'size and shape of the resection cavity are unchanged': 'clinical finding': 'size and shape of the resection cavity are unchanged', 'change_term': 'unchanged'anatomical entity_fin: 'floor': imaging observation_fin: ['foci', 'blood']clinical findings_fin: 'hyperattenuating material': 'clinical finding': 'hyperattenuating material', 'existence': 'pos_dx', 'descriptive_term': 'hyperattenuating', 'observation': 'material', 'blood product': 'clinical finding': 'blood product', 'existence': 'unc_dx', 'descriptive_term': 'blood', 'observation': 'product'clinical findings_fin: 'significant new intracranial hemorrhage': 'clinical finding': 'significant new intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'significant new intracranial', 'observation': 'hemorrhage', 'temporal_term': 'new'anatomical entity_fin: 'right frontal lobe': clinical findings_fin: 'vasogenic edema': 'clinical finding': 'vasogenic edema', 'existence': 'pos_dx', 'descriptive_term': 'vasogenic', 'observation': 'edema', 'associated mass effect': 'clinical finding': 'associated mass effect', 'existence': 'pos_dx', 'descriptive_term': 'associated mass', 'observation': 'effect'anatomical entity_fin: 'temporal lobe': 'location descriptor': 'left anterior'location descriptor_fin: ['left', 'anterior']clinical findings_fin: 'second metastatic': 'clinical finding': 'second metastatic', 'existence': 'pos_dx', 'descriptive_term': 'second', 'observation': 'metastatic', 'associated vasogenic edema': 'clinical finding': 'associated vasogenic edema', 'existence': 'pos_dx', 'descriptive_term': 'associated vasogenic', 'observation': 'edema'clinical findings_fin: 'new intracranial lesions': 'clinical finding': 'new intracranial lesions', 'existence': 'neg_dx', 'descriptive_term': 'new intracranial', 'observation': 'lesion', 'temporal_term': 'new'location descriptor_fin: ['right']clinical findings_fin: 'right frontal approach evd remains in stable position': 'clinical finding': 'right frontal approach evd remains in stable position', 'change_term': 'stable'clinical findings_fin: 'interval change': 'clinical finding': 'interval change', 'existence': 'neg_dx', 'descriptive_term': 'interval', 'observation': 'change'location descriptor_fin: ['right']clinical findings_fin: 'effacement': 'clinical finding': 'effacement', 'existence': 'pos_dx', 'observation': 'effacement', 'edema': 'clinical finding': 'edema', 'existence': 'pos_dx', 'observation': 'edema' [/INST] [RESP]

Sequelae of bilateral frontal craniotomy and tumor resection from the deep right frontal lobe are again seen. The size and shape of the resection cavity are unchanged. Likewise, scattered foci of hyperattenuating material likely representing blood product along the floor of the cavity are unchanged. No evidence of significant new intracranial hemorrhage is seen. Vasogenic edema within the right frontal lobe and associated mass effect are likewise unchanged. A second metastatic focus within the left anterior temporal lobe with associated vasogenic edema is unchanged. No new intracranial lesions are detected within the limitations of noncontrast CT. The right frontal approach EVD remains in stable position. The ventricles show no interval change in caliber. There is effacement of the right frontal horn due to edema in the operative bed, but the ventricular system is otherwise within normal limits. [/RESP]</s>

There is redemonstration of tumor involving bilateral cerebellar hemispheres, right frontal lobe, left temporal lobe, and left occipital lobe. The size and shape of the resection cavity are unchanged. Hyperattenuating material within the floor of the resection cavities has been noted previously and may represent foci of blood products. No significant new intracranial hemorrhage or extra-axial collection is seen. Vasogenic edema with associated mass effect from the right frontal lobe is again present. Second metastatic focus involving the left anterior temporal lobe is also noted with associated vasogenic edema. No new intracranial lesions are identified. Right frontal approach EVD remains in stable position. No interval change is evident. Redemonstration of effacement of the right frontal horn due to edema. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'pulmonary emboli': 'clinical finding': 'pulmonary emboli', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'emboli'anatomical entity_fin: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower']clinical findings_fin: 'groundglass opacity': 'clinical finding': 'groundglass opacity', 'existence': 'pos_dx', 'descriptive_term': 'groundglass', 'observation': 'opacity'clinical findings_fin: 'basilar scar like opacities': 'clinical finding': 'basilar scar like opacities', 'existence': 'pos_dx', 'descriptive_term': 'basilar scar like', 'observation': 'opacity'anatomical entity_fin: 'lung': 'location descriptor': 'left lower'location descriptor_fin: ['left', 'lower']clinical findings_fin: 'subpleural opacity': 'clinical finding': 'subpleural opacity', 'existence': 'pos_dx', 'descriptive_term': 'subpleural', 'observation': 'opacity', 'scarring': 'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr', 'prior infection': 'clinical finding': 'prior infection', 'existence': 'unc_dx', 'descriptive_term': 'prior', 'observation': 'infection'location descriptor_fin: ['right']clinical findings_fin: 'prominent right hilar lymph nodes': 'clinical finding': 'prominent right hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'prominent right hilar lymph', 'observation': 'node', 'strength_term': 'prominent'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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] . Technically adequate examination with no evidence of pulmonary emboli. Focal area of groundglass opacity within the right lower lobe. Basilar scar like opacities appear similar to prior. Subpleural opacity in the left lower lung is stable in size and likely represents scarring from prior infection. Prominent right hilar lymph nodes. 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: 'pulmonary emboli': 'clinical finding': 'pulmonary emboli', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'emboli'anatomical entity_fin: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower']clinical findings_fin: 'groundglass opacity': 'clinical finding': 'groundglass opacity', 'existence': 'pos_dx', 'descriptive_term': 'groundglass', 'observation': 'opacity'clinical findings_fin: 'basilar scar like opacities': 'clinical finding': 'basilar scar like opacities', 'existence': 'pos_dx', 'descriptive_term': 'basilar scar like', 'observation': 'opacity'anatomical entity_fin: 'lung': 'location descriptor': 'left lower'location descriptor_fin: ['left', 'lower']clinical findings_fin: 'subpleural opacity': 'clinical finding': 'subpleural opacity', 'existence': 'pos_dx', 'descriptive_term': 'subpleural', 'observation': 'opacity', 'scarring': 'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr', 'prior infection': 'clinical finding': 'prior infection', 'existence': 'unc_dx', 'descriptive_term': 'prior', 'observation': 'infection'location descriptor_fin: ['right']clinical findings_fin: 'prominent right hilar lymph nodes': 'clinical finding': 'prominent right hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'prominent right hilar lymph', 'observation': 'node', 'strength_term': 'prominent'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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]

. Technically adequate examination with no evidence of pulmonary emboli. Focal area of groundglass opacity within the right lower lobe. Basilar scar like opacities appear similar to prior. Subpleural opacity in the left lower lung is stable in size and likely represents scarring from prior infection. Prominent right hilar lymph nodes. No significant abnormality noted. No significant abnormality noted. [/RESP]</s>

. Technically adequate exam. No pulmonary emboys are identified. Groundglass opacity is seen within the right lower lobe, which may represent an infectious process or scarring. Subpleural opacity is noted within the left lower lung, which may be related to prior infection and scarring. Prominent right hilar lymph nodes are present. No significant abnormality noted. No significant abnormality observed. [/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'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'anatomical entity_fin: 'contents': clinical findings_fin: 'osseous structures and orbital contents are unremarkable': 'clinical finding': 'osseous structures and orbital contents are unremarkable'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'location descriptor_fin: ['left']clinical findings_fin: 'post-surgical change': 'clinical finding': 'post-surgical change', 'existence': 'pos_dx', 'descriptive_term': 'post-surgical', 'observation': 'change' [/INST] [RESP] The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is preserved. There is no mass effect, midline shift, intra- or extra-axial fluid collection, or acute hemorrhage. The osseous structures and orbital contents are unremarkable. The paranasal sinuses and mastoid air cells are clear. Post-surgical change consistent with bifrontal and left parietal craniotomy is present. [/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'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'anatomical entity_fin: 'contents': clinical findings_fin: 'osseous structures and orbital contents are unremarkable': 'clinical finding': 'osseous structures and orbital contents are unremarkable'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'location descriptor_fin: ['left']clinical findings_fin: 'post-surgical change': 'clinical finding': 'post-surgical change', 'existence': 'pos_dx', 'descriptive_term': 'post-surgical', 'observation': 'change' [/INST] [RESP]

The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is preserved. There is no mass effect, midline shift, intra- or extra-axial fluid collection, or acute hemorrhage. The osseous structures and orbital contents are unremarkable. The paranasal sinuses and mastoid air cells are clear. Post-surgical change consistent with bifrontal and left parietal craniotomy is present. [/RESP]</s>

The ventricles, sulci, and cisterns are symmetric. The gray-white matter differentiation is preserved. There is no mass effect, midline shift, mass effect, intra- or extra-axial fluid collection or acute hemorrhage. The osseous structures and orbital contents are unremarkable. The paranasal sinuses and mastoid air cells are clear. Post-surgical change of left frontal craniotomy. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'head': , 'internal capsule': , 'putamen': , 'globus pallidus': location descriptor_fin: ['right', 'anterior']clinical findings_fin: 'infarction': 'clinical finding': 'infarction', 'existence': 'pos_dx', 'observation': 'infarction'clinical findings_fin: 'hemorrhagic': 'clinical finding': 'hemorrhagic', 'existence': 'neg_dx', 'observation': 'hemorrhagic'anatomical entity_fin: 'right lateral ventricle': clinical findings_fin: 'associated mass-effect': 'clinical finding': 'associated mass-effect', 'existence': 'pos_dx', 'descriptive_term': 'associated', 'observation': 'mass', 'effacement': 'clinical finding': 'effacement', 'existence': 'pos_dx', 'observation': 'effacement'clinical findings_fin: 'territorial ischemia': 'clinical finding': 'territorial ischemia', 'existence': 'neg_dx', 'descriptive_term': 'territorial', 'observation': 'ischemia'clinical findings_fin: 'hypoattenuation': 'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation', 'irreversibly damaged infarct': 'clinical finding': 'irreversibly damaged infarct', 'existence': 'pos_dx', 'descriptive_term': 'irreversibly damaged', 'observation': 'infarct'anatomical entity_fin: 'parenchyma': clinical findings_fin: 'cbf': 'clinical finding': 'cbf', 'existence': 'pos_dx', 'observation': 'cbf', 'infarct': 'clinical finding': 'infarct', 'existence': 'pos_dx', 'observation': 'infarct', 'preserved or slightly diminished cbf': 'clinical finding': 'preserved or slightly diminished cbf', 'existence': 'pos_dx', 'descriptive_term': 'preserved or slightly diminished', 'observation': 'cbf', 'change_term': 'preserved - diminished'clinical findings_fin: 'alterations': 'clinical finding': 'alterations', 'existence': 'neg_dx', 'observation': 'alteration', 'tissue': 'clinical finding': 'tissue', 'existence': 'unc_dx', 'observation': 'tissue' [/INST] [RESP] Precontrast. Hypoattenuation involving the right caudate head, anterior limb of the internal capsule, putamen or globus pallidus and subinsular region has become more distinct consistent with expected evolution of infarction. No evidence of hemorrhagic conversion is seen. Associated mass-effect with effacement of the frontal horn of the right lateral ventricle is unchanged. No new areas of territorial ischemia are identified. Perfusion analysis in the region of hypoattenuation noted above demonstrates findings compatible with an irreversibly damaged infarct core. Slice 5, ROI 25: CBV=1.43 CBF=5. CBV=4.74 CBF=24.12 Evaluation of the parenchyma surrounding the infarct core demonstrates relative preservation of the CBV with preserved or slightly diminished CBF. No alterations of CBV and CBF are seen to suggest tissue at risk. Slice 6, ROI 33: CBV=5.30 CBF=19. CBV=4.62 CBF=19. CBV=6.68 CBF=18. CBV=5.24 CBF=25.98 [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'head': , 'internal capsule': , 'putamen': , 'globus pallidus': location descriptor_fin: ['right', 'anterior']clinical findings_fin: 'infarction': 'clinical finding': 'infarction', 'existence': 'pos_dx', 'observation': 'infarction'clinical findings_fin: 'hemorrhagic': 'clinical finding': 'hemorrhagic', 'existence': 'neg_dx', 'observation': 'hemorrhagic'anatomical entity_fin: 'right lateral ventricle': clinical findings_fin: 'associated mass-effect': 'clinical finding': 'associated mass-effect', 'existence': 'pos_dx', 'descriptive_term': 'associated', 'observation': 'mass', 'effacement': 'clinical finding': 'effacement', 'existence': 'pos_dx', 'observation': 'effacement'clinical findings_fin: 'territorial ischemia': 'clinical finding': 'territorial ischemia', 'existence': 'neg_dx', 'descriptive_term': 'territorial', 'observation': 'ischemia'clinical findings_fin: 'hypoattenuation': 'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation', 'irreversibly damaged infarct': 'clinical finding': 'irreversibly damaged infarct', 'existence': 'pos_dx', 'descriptive_term': 'irreversibly damaged', 'observation': 'infarct'anatomical entity_fin: 'parenchyma': clinical findings_fin: 'cbf': 'clinical finding': 'cbf', 'existence': 'pos_dx', 'observation': 'cbf', 'infarct': 'clinical finding': 'infarct', 'existence': 'pos_dx', 'observation': 'infarct', 'preserved or slightly diminished cbf': 'clinical finding': 'preserved or slightly diminished cbf', 'existence': 'pos_dx', 'descriptive_term': 'preserved or slightly diminished', 'observation': 'cbf', 'change_term': 'preserved - diminished'clinical findings_fin: 'alterations': 'clinical finding': 'alterations', 'existence': 'neg_dx', 'observation': 'alteration', 'tissue': 'clinical finding': 'tissue', 'existence': 'unc_dx', 'observation': 'tissue' [/INST] [RESP]

Precontrast. Hypoattenuation involving the right caudate head, anterior limb of the internal capsule, putamen or globus pallidus and subinsular region has become more distinct consistent with expected evolution of infarction. No evidence of hemorrhagic conversion is seen. Associated mass-effect with effacement of the frontal horn of the right lateral ventricle is unchanged. No new areas of territorial ischemia are identified. Perfusion analysis in the region of hypoattenuation noted above demonstrates findings compatible with an irreversibly damaged infarct core. Slice 5, ROI 25: CBV=1.43 CBF=5. CBV=4.74 CBF=24.12 Evaluation of the parenchyma surrounding the infarct core demonstrates relative preservation of the CBV with preserved or slightly diminished CBF. No alterations of CBV and CBF are seen to suggest tissue at risk. Slice 6, ROI 33: CBV=5.30 CBF=19. CBV=4.62 CBF=19. CBV=6.68 CBF=18. CBV=5.24 CBF=25.98 [/RESP]</s>

Examination shows evidence of infarction involving the right anterior internal capsule, putamen and globus pallidus. . No hemorrhage is seen. There is associated mass-effect with effacement of the right lateral ventricle. The cortical sulci are preserved without evidence of territorial ischemia. Hypoattenuation in the subcortical white matter is consistent with irreversible damage to hypoattenuating infarcts. Cerebral blood flow appears normal but there is decreased perfusion within the parenchyma due to infarct. However, there are no gross alterations in tissue density which would suggest vasogenic edema. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'biapical scarring': 'clinical finding': 'biapical scarring', 'existence': 'pos_dx', 'descriptive_term': 'biapical', 'observation': 'scarr'clinical findings_fin: 'few scattered pulmonary micronodules': 'clinical finding': 'few scattered pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'few scattered pulmonary', 'observation': 'micronodule', 'quantity_term': 'few'anatomical entity_fin: 'mediastinal lymph nodes': clinical findings_fin: 'small mediastinal lymph nodes': 'clinical finding': 'small mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small mediastinal lymph', 'observation': 'node', 'strength_term': 'small'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'liver': clinical findings_fin: 'punctate hypodensity': 'clinical finding': 'punctate hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'hypodensity'anatomical entity_fin: 'spleen': clinical findings_fin: 'calcified granulomas': 'clinical finding': 'calcified granulomas', 'existence': 'pos_dx', 'descriptive_term': 'calcified', 'observation': 'granuloma', 'change_term': 'calcified'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['right']clinical findings_fin: 'renal cystic lesion': 'clinical finding': 'renal cystic lesion', 'existence': 'pos_dx', 'descriptive_term': 'renal cystic', 'observation': 'lesion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'wall': clinical findings_fin: 'postoperative change': 'clinical finding': 'postoperative change', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change', 'mild thickening': 'clinical finding': 'mild thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'thickening', 'strength_term': 'mild', 'residual': 'clinical finding': 'residual', 'existence': 'pos_dx', 'observation': 'residual'imaging observation_fin: ['soft tissue density', 'foci']clinical findings_fin: 'presacral soft tissue density': 'clinical finding': 'presacral soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'presacral soft tissue', 'observation': 'density', 'foci': 'clinical finding': 'foci', 'existence': 'pos_dx', 'observation': 'foci'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Biapical scarring is unchanged. A few scattered pulmonary micronodules, some of which are calcified, are nonspecific. Small mediastinal lymph nodes, unchanged. No significant abnormality noted. Punctate hypodensity in the dome of the liver, too small to characterize, is unchanged. Calcified granulomas in the spleen. No significant abnormality noted. No significant abnormality noted. Right renal cystic lesion is unchanged and likely benign. 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. Postoperative change status post partial rectal resection with mild thickening of the residual rectal wall. Presacral soft tissue density and foci of air, unchanged. 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: 'biapical scarring': 'clinical finding': 'biapical scarring', 'existence': 'pos_dx', 'descriptive_term': 'biapical', 'observation': 'scarr'clinical findings_fin: 'few scattered pulmonary micronodules': 'clinical finding': 'few scattered pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'few scattered pulmonary', 'observation': 'micronodule', 'quantity_term': 'few'anatomical entity_fin: 'mediastinal lymph nodes': clinical findings_fin: 'small mediastinal lymph nodes': 'clinical finding': 'small mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small mediastinal lymph', 'observation': 'node', 'strength_term': 'small'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'liver': clinical findings_fin: 'punctate hypodensity': 'clinical finding': 'punctate hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'hypodensity'anatomical entity_fin: 'spleen': clinical findings_fin: 'calcified granulomas': 'clinical finding': 'calcified granulomas', 'existence': 'pos_dx', 'descriptive_term': 'calcified', 'observation': 'granuloma', 'change_term': 'calcified'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['right']clinical findings_fin: 'renal cystic lesion': 'clinical finding': 'renal cystic lesion', 'existence': 'pos_dx', 'descriptive_term': 'renal cystic', 'observation': 'lesion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'wall': clinical findings_fin: 'postoperative change': 'clinical finding': 'postoperative change', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change', 'mild thickening': 'clinical finding': 'mild thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'thickening', 'strength_term': 'mild', 'residual': 'clinical finding': 'residual', 'existence': 'pos_dx', 'observation': 'residual'imaging observation_fin: ['soft tissue density', 'foci']clinical findings_fin: 'presacral soft tissue density': 'clinical finding': 'presacral soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'presacral soft tissue', 'observation': 'density', 'foci': 'clinical finding': 'foci', 'existence': 'pos_dx', 'observation': 'foci'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP]

. Biapical scarring is unchanged. A few scattered pulmonary micronodules, some of which are calcified, are nonspecific. Small mediastinal lymph nodes, unchanged. No significant abnormality noted. Punctate hypodensity in the dome of the liver, too small to characterize, is unchanged. Calcified granulomas in the spleen. No significant abnormality noted. No significant abnormality noted. Right renal cystic lesion is unchanged and likely benign. 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. Postoperative change status post partial rectal resection with mild thickening of the residual rectal wall. Presacral soft tissue density and foci of air, unchanged. No significant abnormality noted. No significant abnormality noted [/RESP]</s>

. Biapical scarring. The few scattered pulmonary micronodules are unchanged in size and number. Small mediastinal lymph nodes, some of which are calcified. No significant abnormality noted. Punctate hypodensity within the liver is stable. Calcified granulomas within the spleen. No significant abnormality noted. None. Renal cystic lesion right. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'disc': , 'bone': , 'endplates': clinical findings_fin: 'advanced disc degeneration': 'clinical finding': 'advanced disc degeneration', 'existence': 'pos_dx', 'descriptive_term': 'advanced disc', 'observation': 'degeneration', 'strength_term': 'advanced', 'vacuum phenomenon': 'clinical finding': 'vacuum phenomenon', 'existence': 'pos_dx', 'descriptive_term': 'vacuum', 'observation': 'phenomenon', 'extensive sclerosis': 'clinical finding': 'extensive sclerosis', 'existence': 'pos_dx', 'descriptive_term': 'extensive', 'observation': 'sclerosis', 'strength_term': 'extensive', 'subchondral cyst': 'clinical finding': 'subchondral cyst', 'existence': 'pos_dx', 'descriptive_term': 'subchondral', 'observation': 'cyst'clinical findings_fin: 'osteophytic': 'clinical finding': 'osteophytic', 'existence': 'pos_dx', 'observation': 'osteophytic'anatomical entity_fin: 'nerve roots': 'location descriptor': 'adjacent'location descriptor_fin: ['left', 'adjacent']clinical findings_fin: 'disc osteophyte': 'clinical finding': 'disc osteophyte', 'existence': 'pos_dx', 'descriptive_term': 'disc', 'observation': 'osteophyte'anatomical entity_fin: 'facet': , 'ligamentum flavum': , 'spinal canal': clinical findings_fin: 'ligamentum flavum thickening': 'clinical finding': 'ligamentum flavum thickening', 'existence': 'pos_dx', 'descriptive_term': 'ligamentum flavum', 'observation': 'thickening', 'these changes': 'clinical finding': 'these changes', 'existence': 'pos_dx', 'descriptive_term': 'these', 'observation': 'change', 'mild to moderate narrowing': 'clinical finding': 'mild to moderate narrowing', 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate', 'observation': 'narrowing', 'strength_term': 'mild - moderate'location descriptor_fin: ['bilateral']clinical findings_fin: 'moderate bilateral foraminal narrowing': 'clinical finding': 'moderate bilateral foraminal narrowing', 'existence': 'pos_dx', 'descriptive_term': 'moderate bilateral foraminal', 'observation': 'narrowing', 'strength_term': 'moderate'anatomical entity_fin: 'disc': , 'spinal canal': clinical findings_fin: 'mild disc bulging is seen at l3-4 and l4 - 5 without significant spinal canal compromise': 'clinical finding': 'mild disc bulging is seen at l3-4 and l4 - 5 without significant spinal canal compromise'clinical findings_fin: 'mild foraminal narrowing': 'clinical finding': 'mild foraminal narrowing', 'existence': 'unc_dx', 'descriptive_term': 'mild foraminal', 'observation': 'narrowing', 'strength_term': 'mild'clinical findings_fin: 'other intervertebral discs are preserved': 'clinical finding': 'other intervertebral discs are preserved', 'change_term': 'preserved'clinical findings_fin: 'grade 1 retrolisthesis': 'clinical finding': 'grade 1 retrolisthesis', 'existence': 'pos_dx', 'descriptive_term': 'grade 1', 'observation': 'retrolisthesis'clinical findings_fin: 'otherwise , spinal alignment is anatomic': 'clinical finding': 'otherwise , spinal alignment is anatomic'anatomical entity_fin: 'vertebral body': clinical findings_fin: 'destructive osseous lesions': 'clinical finding': 'destructive osseous lesions', 'existence': 'neg_dx', 'descriptive_term': 'destructive osseous', 'observation': 'lesion'clinical findings_fin: 'paraspinal soft tissues are within normal limits': 'clinical finding': 'paraspinal soft tissues are within normal limits'anatomical entity_fin: 'fluid': clinical findings_fin: 'pathologic enhancement': 'clinical finding': 'pathologic enhancement', 'existence': 'neg_dx', 'descriptive_term': 'pathologic', 'observation': 'enhancement'anatomical entity_fin: 'fluid': , 'endometrial cavity': clinical findings_fin: 'fluid in the endometrial cavity is likely physiologic': 'clinical finding': 'fluid in the endometrial cavity is likely physiologic' [/INST] [RESP] Advanced disc degeneration is seen at L5-S1 with complete loss of disc height, bone-on-bone apposition, vacuum phenomenon, extensive sclerosis centered on the endplates and subchondral cyst formation. Disc bulging and osteophytic ridging is seen. In particular, there is a focal component of the disc osteophyte projecting into the left paracentral zone which could potentially displace or impinge upon the adjacent nerve roots. Along with facet arthropathy and ligamentum flavum thickening, these changes cause mild to moderate narrowing of the spinal canal. Moderate bilateral foraminal narrowing is also seen. Mild disc bulging is seen at L3-4 and L4-5 without significant spinal canal compromise. At most there may be mild foraminal narrowing at these levels. The other intervertebral discs are preserved. There is a grade 1 retrolisthesis of L5 relative to S1. Otherwise, spinal alignment is anatomic. Vertebral body heights elsewhere are preserved and no destructive osseous lesions are seen. The paraspinal soft tissues are within normal limits. No fluid collections or pathologic enhancement is seen. Fluid in the endometrial cavity is likely physiologic. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'disc': , 'bone': , 'endplates': clinical findings_fin: 'advanced disc degeneration': 'clinical finding': 'advanced disc degeneration', 'existence': 'pos_dx', 'descriptive_term': 'advanced disc', 'observation': 'degeneration', 'strength_term': 'advanced', 'vacuum phenomenon': 'clinical finding': 'vacuum phenomenon', 'existence': 'pos_dx', 'descriptive_term': 'vacuum', 'observation': 'phenomenon', 'extensive sclerosis': 'clinical finding': 'extensive sclerosis', 'existence': 'pos_dx', 'descriptive_term': 'extensive', 'observation': 'sclerosis', 'strength_term': 'extensive', 'subchondral cyst': 'clinical finding': 'subchondral cyst', 'existence': 'pos_dx', 'descriptive_term': 'subchondral', 'observation': 'cyst'clinical findings_fin: 'osteophytic': 'clinical finding': 'osteophytic', 'existence': 'pos_dx', 'observation': 'osteophytic'anatomical entity_fin: 'nerve roots': 'location descriptor': 'adjacent'location descriptor_fin: ['left', 'adjacent']clinical findings_fin: 'disc osteophyte': 'clinical finding': 'disc osteophyte', 'existence': 'pos_dx', 'descriptive_term': 'disc', 'observation': 'osteophyte'anatomical entity_fin: 'facet': , 'ligamentum flavum': , 'spinal canal': clinical findings_fin: 'ligamentum flavum thickening': 'clinical finding': 'ligamentum flavum thickening', 'existence': 'pos_dx', 'descriptive_term': 'ligamentum flavum', 'observation': 'thickening', 'these changes': 'clinical finding': 'these changes', 'existence': 'pos_dx', 'descriptive_term': 'these', 'observation': 'change', 'mild to moderate narrowing': 'clinical finding': 'mild to moderate narrowing', 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate', 'observation': 'narrowing', 'strength_term': 'mild - moderate'location descriptor_fin: ['bilateral']clinical findings_fin: 'moderate bilateral foraminal narrowing': 'clinical finding': 'moderate bilateral foraminal narrowing', 'existence': 'pos_dx', 'descriptive_term': 'moderate bilateral foraminal', 'observation': 'narrowing', 'strength_term': 'moderate'anatomical entity_fin: 'disc': , 'spinal canal': clinical findings_fin: 'mild disc bulging is seen at l3-4 and l4 - 5 without significant spinal canal compromise': 'clinical finding': 'mild disc bulging is seen at l3-4 and l4 - 5 without significant spinal canal compromise'clinical findings_fin: 'mild foraminal narrowing': 'clinical finding': 'mild foraminal narrowing', 'existence': 'unc_dx', 'descriptive_term': 'mild foraminal', 'observation': 'narrowing', 'strength_term': 'mild'clinical findings_fin: 'other intervertebral discs are preserved': 'clinical finding': 'other intervertebral discs are preserved', 'change_term': 'preserved'clinical findings_fin: 'grade 1 retrolisthesis': 'clinical finding': 'grade 1 retrolisthesis', 'existence': 'pos_dx', 'descriptive_term': 'grade 1', 'observation': 'retrolisthesis'clinical findings_fin: 'otherwise , spinal alignment is anatomic': 'clinical finding': 'otherwise , spinal alignment is anatomic'anatomical entity_fin: 'vertebral body': clinical findings_fin: 'destructive osseous lesions': 'clinical finding': 'destructive osseous lesions', 'existence': 'neg_dx', 'descriptive_term': 'destructive osseous', 'observation': 'lesion'clinical findings_fin: 'paraspinal soft tissues are within normal limits': 'clinical finding': 'paraspinal soft tissues are within normal limits'anatomical entity_fin: 'fluid': clinical findings_fin: 'pathologic enhancement': 'clinical finding': 'pathologic enhancement', 'existence': 'neg_dx', 'descriptive_term': 'pathologic', 'observation': 'enhancement'anatomical entity_fin: 'fluid': , 'endometrial cavity': clinical findings_fin: 'fluid in the endometrial cavity is likely physiologic': 'clinical finding': 'fluid in the endometrial cavity is likely physiologic' [/INST] [RESP]

Advanced disc degeneration is seen at L5-S1 with complete loss of disc height, bone-on-bone apposition, vacuum phenomenon, extensive sclerosis centered on the endplates and subchondral cyst formation. Disc bulging and osteophytic ridging is seen. In particular, there is a focal component of the disc osteophyte projecting into the left paracentral zone which could potentially displace or impinge upon the adjacent nerve roots. Along with facet arthropathy and ligamentum flavum thickening, these changes cause mild to moderate narrowing of the spinal canal. Moderate bilateral foraminal narrowing is also seen. Mild disc bulging is seen at L3-4 and L4-5 without significant spinal canal compromise. At most there may be mild foraminal narrowing at these levels. The other intervertebral discs are preserved. There is a grade 1 retrolisthesis of L5 relative to S1. Otherwise, spinal alignment is anatomic. Vertebral body heights elsewhere are preserved and no destructive osseous lesions are seen. The paraspinal soft tissues are within normal limits. No fluid collections or pathologic enhancement is seen. Fluid in the endometrial cavity is likely physiologic. [/RESP]</s>

Advanced disc degeneration with vacuum phenomenon, extensive sclerosis of the bone ends and subchondral cyst formation.[/RESP]. Osteophytic calcification of adjacent nerve root sheaths. Disc osteophytes cause mild to moderate ligamentum flavum thickening which causes mild to moderate narrowing of the neural foramina and slight narrowing of the spinal canal. Moderate bilateral foraminal narrowing. Mild disc bulging is seen at L3-4 and L4-5 without significant spinal canal compromise. Mild foraminal narrowing is also present at L2-3. Other intervertebral discs are preserved. Grade 1 retrolisthesis is noted at L4-5. Otherwise, spinal alignment is anatomic. No destructive osseous lesions are identified. Paraspinal soft tissues are within normal limits. No pathologic fluid or pathologic enhancement is detected. Fluid in the endometrial cavity is likely physiological. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'airspace': , 'lung': , 'bases': imaging observation_fin: ['air bronchograms']clinical findings_fin: 'extensive diffuse airspace and ground glass opacities': 'clinical finding': 'extensive diffuse airspace and ground glass opacities', 'existence': 'pos_dx', 'descriptive_term': 'extensive diffuse airspace and ground glass', 'observation': 'opacity', 'strength_term': 'extensive'anatomical entity_fin: 'apices': clinical findings_fin: 'interlobular septal thickening': 'clinical finding': 'interlobular septal thickening', 'existence': 'pos_dx', 'descriptive_term': 'interlobular septal', 'observation': 'thickening'clinical findings_fin: 'extensive pulmonary hemorrhage': 'clinical finding': 'extensive pulmonary hemorrhage', 'existence': 'pos_dx', 'descriptive_term': 'extensive pulmonary', 'observation': 'hemorrhage', 'strength_term': 'extensive', 'ards': 'clinical finding': 'ards', 'existence': 'pos_dx', 'observation': 'ard'anatomical entity_fin: 'right lung': clinical findings_fin: 'multiple cysts': 'clinical finding': 'multiple cysts', 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'cyst', 'quantity_term': 'multiple'clinical findings_fin: 'abscesses': 'clinical finding': 'abscesses', 'existence': 'unc_dx', 'observation': 'abscess', 'septic emboli': 'clinical finding': 'septic emboli', 'existence': 'unc_dx', 'descriptive_term': 'septic', 'observation': 'emboli'clinical findings_fin: 'pneumatoceles': 'clinical finding': 'pneumatoceles', 'existence': 'pos_dx', 'observation': 'pneumatocele'clinical findings_fin: 'pcp pneumonia': 'clinical finding': 'pcp pneumonia', 'existence': 'pos_dx', 'descriptive_term': 'pcp', 'observation': 'pneumonia'clinical findings_fin: 'mild to moderately enlarged mediastinal nodes': 'clinical finding': 'mild to moderately enlarged mediastinal nodes', 'existence': 'pos_dx', 'descriptive_term': 'mild to moderately enlarged mediastinal', 'observation': 'node', 'strength_term': 'mild - moderately - 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' [/INST] [RESP] . Extensive diffuse airspace and ground glass opacities with air bronchograms with relative sparing of the lung bases. Interlobular septal thickening is also noted in the apices. Differential diagnosis includes extensive pulmonary hemorrhage and ARDS. In addition there are multiple cysts of various sizes predominantly in the right lung some of which contain materials. These may represent abscesses secondary to septic emboli. Differential includes pneumatoceles. If the patient is immunocompromised consider PCP pneumonia. Mild to moderately enlarged mediastinal nodes are 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: 'airspace': , 'lung': , 'bases': imaging observation_fin: ['air bronchograms']clinical findings_fin: 'extensive diffuse airspace and ground glass opacities': 'clinical finding': 'extensive diffuse airspace and ground glass opacities', 'existence': 'pos_dx', 'descriptive_term': 'extensive diffuse airspace and ground glass', 'observation': 'opacity', 'strength_term': 'extensive'anatomical entity_fin: 'apices': clinical findings_fin: 'interlobular septal thickening': 'clinical finding': 'interlobular septal thickening', 'existence': 'pos_dx', 'descriptive_term': 'interlobular septal', 'observation': 'thickening'clinical findings_fin: 'extensive pulmonary hemorrhage': 'clinical finding': 'extensive pulmonary hemorrhage', 'existence': 'pos_dx', 'descriptive_term': 'extensive pulmonary', 'observation': 'hemorrhage', 'strength_term': 'extensive', 'ards': 'clinical finding': 'ards', 'existence': 'pos_dx', 'observation': 'ard'anatomical entity_fin: 'right lung': clinical findings_fin: 'multiple cysts': 'clinical finding': 'multiple cysts', 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'cyst', 'quantity_term': 'multiple'clinical findings_fin: 'abscesses': 'clinical finding': 'abscesses', 'existence': 'unc_dx', 'observation': 'abscess', 'septic emboli': 'clinical finding': 'septic emboli', 'existence': 'unc_dx', 'descriptive_term': 'septic', 'observation': 'emboli'clinical findings_fin: 'pneumatoceles': 'clinical finding': 'pneumatoceles', 'existence': 'pos_dx', 'observation': 'pneumatocele'clinical findings_fin: 'pcp pneumonia': 'clinical finding': 'pcp pneumonia', 'existence': 'pos_dx', 'descriptive_term': 'pcp', 'observation': 'pneumonia'clinical findings_fin: 'mild to moderately enlarged mediastinal nodes': 'clinical finding': 'mild to moderately enlarged mediastinal nodes', 'existence': 'pos_dx', 'descriptive_term': 'mild to moderately enlarged mediastinal', 'observation': 'node', 'strength_term': 'mild - moderately - 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' [/INST] [RESP]

. Extensive diffuse airspace and ground glass opacities with air bronchograms with relative sparing of the lung bases. Interlobular septal thickening is also noted in the apices. Differential diagnosis includes extensive pulmonary hemorrhage and ARDS. In addition there are multiple cysts of various sizes predominantly in the right lung some of which contain materials. These may represent abscesses secondary to septic emboli. Differential includes pneumatoceles. If the patient is immunocompromised consider PCP pneumonia. Mild to moderately enlarged mediastinal nodes are noted. No significant abnormality noted. No significant abnormality noted. [/RESP]</s>

. Extensive diffuse airspace and ground glass opacities are present throughout both lungs, with air bronchograms at the lung bases. . Interlobular septal thickening is noted in the apices. Extensive pulmonary hemorrhage is seen within the ArDS units. Multiple cysts are also identified in the right lung. Abscesses or septic emboli cannot be excluded. Pneumatoceles are present. PCP pneumonia is again noted. Mild to moderately enlarged mediastinal nodes are present. 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: 'mild fibrosis': 'clinical finding': 'mild fibrosis', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'fibrosis', 'strength_term': 'mild', 'pulmonary metastases': 'clinical finding': 'pulmonary metastases', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'metastase'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['left']clinical findings_fin: 'unchanged left renal cyst': 'clinical finding': 'unchanged left renal cyst', 'existence': 'pos_dx', 'descriptive_term': 'unchanged left renal', 'observation': 'cyst', 'strength_term': 'unchanged', 'change_term': 'unchanged' [/INST] [RESP] . Scattered areas of mild fibrosis no evidence of pulmonary metastases however. No significant abnormality noted. No significant abnormality noted. Unchanged left renal cyst. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'mild fibrosis': 'clinical finding': 'mild fibrosis', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'fibrosis', 'strength_term': 'mild', 'pulmonary metastases': 'clinical finding': 'pulmonary metastases', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'metastase'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['left']clinical findings_fin: 'unchanged left renal cyst': 'clinical finding': 'unchanged left renal cyst', 'existence': 'pos_dx', 'descriptive_term': 'unchanged left renal', 'observation': 'cyst', 'strength_term': 'unchanged', 'change_term': 'unchanged' [/INST] [RESP]

. Scattered areas of mild fibrosis no evidence of pulmonary metastases however. No significant abnormality noted. No significant abnormality noted. Unchanged left renal cyst. [/RESP]</s>

. Mild fibrosis is seen in the lung bases, but no evidence of pulmonary metastases. No significant abnormality noted. No significant abnormality noted. Unchanged left renal cyst. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'breast': 'location descriptor': 'left'imaging observation_fin: ['non-mass enhancement']location descriptor_fin: ['left']clinical findings_fin: 'clumped, linear non-mass enhancement': 'clinical finding': 'clumped, linear non-mass enhancement', 'existence': 'unc_dx', 'descriptive_term': 'clumped linear non-mass', 'observation': 'enhancement'location descriptor_fin: ['central']procedure_fin: ['biopsy']location descriptor_fin: ['lateral', 'medial']anatomical entity_fin: 'skin': location descriptor_fin: ['superficial']non-anatomical substance_fin: ['lidocaine']clinical findings_fin: 'cleansed': 'clinical finding': 'cleansed', 'existence': 'pos_dx', 'observation': 'cleansed', 'superficial and deep anesthesia': 'clinical finding': 'superficial and deep anesthesia', 'existence': 'pos_dx', 'descriptive_term': 'superficial and deep', 'observation': 'anesthesia'clinical findings_fin: 'target lesion': 'clinical finding': 'target lesion', 'existence': 'pos_dx', 'descriptive_term': 'target', 'observation': 'lesion'procedure_fin: ['biopsy']clinical findings_fin: 'subsequent mr images confirmed satisfactory position of the tip of the introducer prior to the biopsy': 'clinical finding': 'subsequent mr images confirmed satisfactory position of the tip of the introducer prior to the biopsy'object_fin: ['needle']procedure_fin: ['biopsy']clinical findings_fin: 'target lesion': 'clinical finding': 'target lesion', 'existence': 'pos_dx', 'descriptive_term': 'target', 'observation': 'lesion'imaging observation_fin: ['hematoma']procedure_fin: ['biopsy']clinical findings_fin: 'small hematoma': 'clinical finding': 'small hematoma', 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'hematoma', 'strength_term': 'small'location descriptor_fin: ['center']object_fin: ['clip']clinical findings_fin: 'atec clip was placed into the center of the target': 'clinical finding': 'atec clip was placed into the center of the target'anatomical entity_fin: 'skin': procedure_fin: ['biopsy']clinical findings_fin: 'skin wound': 'clinical finding': 'skin wound', 'existence': 'pos_dx', 'descriptive_term': 'skin', 'observation': 'wound'anatomical entity_fin: 'specimen': clinical findings_fin: 'calcifications': 'clinical finding': 'calcifications', 'existence': 'neg_dx', 'observation': 'calcification'location descriptor_fin: ['left', 'unilateral']object_fin: ['clip']clinical findings_fin: 'locate the percutaneously placed clip': 'clinical finding': 'locate the percutaneously placed clip'object_fin: ['clip']clinical findings_fin: 'any complications': 'clinical finding': 'any complications', 'existence': 'neg_dx', 'descriptive_term': 'any', 'observation': 'complication'location descriptor_fin: ['left']clinical findings_fin: 'stable': 'clinical finding': 'stable', 'existence': 'pos_dx', 'observation': 'stable' [/INST] [RESP] On subtraction images, there is redemonstration of a suspicious area of clumped, linear non-mass enhancement 3 oclock position of the left breast. This was chosen as the target. Coordinates of the central portion of the biopsy target were determined on the monitor. The approach was from lateral to medial direction. Overlying skin was cleansed with chlorhexidine and superficial and deep anesthesia were obtained with lidocaine. A 9-gauge introducer with stylet was advanced to the target lesion. Subsequent MR images confirmed satisfactory position of the tip of the introducer prior to the biopsy. A 9-gauge needle was then advanced to the target lesion and biopsy was performed using a Suros vacuum assisted device. A total of 12 cores were obtained and they were sent to Pathology with an accompanying history sheet. Post procedural MR images show a small hematoma at the biopsy site. An ATEC clip was placed into the center of the target. Following the removal of the grid, pressure was held at the biopsy site until bleeding subsided. The skin wound was closed with a Steri-Strip and pressure bandage and ice pack were applied to the biopsy site. Specimen radiograph was obtained for documentation. No calcifications were seen in the specimen radiograph. The patient tolerated this procedure well and underwent a left unilateral mammogram CC and ML views to locate the percutaneously placed clip. The clip is placed at 3 oclock position with no evidence of any complications due to the procedure. The patient tolerated this procedure well and left the radiology suite in stable condition. The MR procedure was performed by Dr. Happ under direct supervision of Dr. Schacht who was present throughout the procedure. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'breast': 'location descriptor': 'left'imaging observation_fin: ['non-mass enhancement']location descriptor_fin: ['left']clinical findings_fin: 'clumped, linear non-mass enhancement': 'clinical finding': 'clumped, linear non-mass enhancement', 'existence': 'unc_dx', 'descriptive_term': 'clumped linear non-mass', 'observation': 'enhancement'location descriptor_fin: ['central']procedure_fin: ['biopsy']location descriptor_fin: ['lateral', 'medial']anatomical entity_fin: 'skin': location descriptor_fin: ['superficial']non-anatomical substance_fin: ['lidocaine']clinical findings_fin: 'cleansed': 'clinical finding': 'cleansed', 'existence': 'pos_dx', 'observation': 'cleansed', 'superficial and deep anesthesia': 'clinical finding': 'superficial and deep anesthesia', 'existence': 'pos_dx', 'descriptive_term': 'superficial and deep', 'observation': 'anesthesia'clinical findings_fin: 'target lesion': 'clinical finding': 'target lesion', 'existence': 'pos_dx', 'descriptive_term': 'target', 'observation': 'lesion'procedure_fin: ['biopsy']clinical findings_fin: 'subsequent mr images confirmed satisfactory position of the tip of the introducer prior to the biopsy': 'clinical finding': 'subsequent mr images confirmed satisfactory position of the tip of the introducer prior to the biopsy'object_fin: ['needle']procedure_fin: ['biopsy']clinical findings_fin: 'target lesion': 'clinical finding': 'target lesion', 'existence': 'pos_dx', 'descriptive_term': 'target', 'observation': 'lesion'imaging observation_fin: ['hematoma']procedure_fin: ['biopsy']clinical findings_fin: 'small hematoma': 'clinical finding': 'small hematoma', 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'hematoma', 'strength_term': 'small'location descriptor_fin: ['center']object_fin: ['clip']clinical findings_fin: 'atec clip was placed into the center of the target': 'clinical finding': 'atec clip was placed into the center of the target'anatomical entity_fin: 'skin': procedure_fin: ['biopsy']clinical findings_fin: 'skin wound': 'clinical finding': 'skin wound', 'existence': 'pos_dx', 'descriptive_term': 'skin', 'observation': 'wound'anatomical entity_fin: 'specimen': clinical findings_fin: 'calcifications': 'clinical finding': 'calcifications', 'existence': 'neg_dx', 'observation': 'calcification'location descriptor_fin: ['left', 'unilateral']object_fin: ['clip']clinical findings_fin: 'locate the percutaneously placed clip': 'clinical finding': 'locate the percutaneously placed clip'object_fin: ['clip']clinical findings_fin: 'any complications': 'clinical finding': 'any complications', 'existence': 'neg_dx', 'descriptive_term': 'any', 'observation': 'complication'location descriptor_fin: ['left']clinical findings_fin: 'stable': 'clinical finding': 'stable', 'existence': 'pos_dx', 'observation': 'stable' [/INST] [RESP]

On subtraction images, there is redemonstration of a suspicious area of clumped, linear non-mass enhancement 3 oclock position of the left breast. This was chosen as the target. Coordinates of the central portion of the biopsy target were determined on the monitor. The approach was from lateral to medial direction. Overlying skin was cleansed with chlorhexidine and superficial and deep anesthesia were obtained with lidocaine. A 9-gauge introducer with stylet was advanced to the target lesion. Subsequent MR images confirmed satisfactory position of the tip of the introducer prior to the biopsy. A 9-gauge needle was then advanced to the target lesion and biopsy was performed using a Suros vacuum assisted device. A total of 12 cores were obtained and they were sent to Pathology with an accompanying history sheet. Post procedural MR images show a small hematoma at the biopsy site. An ATEC clip was placed into the center of the target. Following the removal of the grid, pressure was held at the biopsy site until bleeding subsided. The skin wound was closed with a Steri-Strip and pressure bandage and ice pack were applied to the biopsy site. Specimen radiograph was obtained for documentation. No calcifications were seen in the specimen radiograph. The patient tolerated this procedure well and underwent a left unilateral mammogram CC and ML views to locate the percutaneously placed clip. The clip is placed at 3 oclock position with no evidence of any complications due to the procedure. The patient tolerated this procedure well and left the radiology suite in stable condition. The MR procedure was performed by Dr. Happ under direct supervision of Dr. Schacht who was present throughout the procedure. [/RESP]</s>

. Clumped, linear non-mass enhancement in the left breast. This is most likely related to surgery or postoperative changes. The patient underwent central venous catheter placement with subsequent biopsy. There are multiple puncture sites along the lateral and medial aspect of the skin. Superficial and deep anesthesia has been performed using lidocaine. A target lesion biopsy was performed. Subsequent MR images confirmed satisfactory positioning of the tip of the introducer prior to the biopsy. Following biopsy, the needle tracts were visualized on MRI. Small hematoma noted at the site of biopsy. An ATEC clip was placed into the center of the target. Skin wound was cleaned and clips removed from the skin. No calcifications identified within the specimen. Located the percutaneously placed clip on the left side unilaterally. Clip was successfully located. No evidence of any complications. Stable since previous examination. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'bibasilar dependent atelectasis': 'clinical finding': 'bibasilar dependent atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'bibasilar dependent', 'observation': 'atelectasis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '2 cm', 'size_descriptor': 'cyst']anatomical entity_fin: 'pole': 'location descriptor': 'upper', 'left kidney': location descriptor_fin: ['upper']clinical findings_fin: '2 cm simple appearing cyst': 'clinical finding': '2 cm simple appearing cyst', 'existence': 'pos_dx', 'descriptive_term': '2 cm simple appearing', 'observation': 'cyst'location descriptor_fin: ['right']clinical findings_fin: 'right nephrolithiasis': 'clinical finding': 'right nephrolithiasis', 'existence': 'pos_dx', 'descriptive_term': 'right', 'observation': 'nephrolithiasis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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] . Bibasilar dependent atelectasis, unchanged. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. 2 cm simple appearing cyst in the upper pole of the left kidney is unchanged. Right nephrolithiasis, 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: 'bibasilar dependent atelectasis': 'clinical finding': 'bibasilar dependent atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'bibasilar dependent', 'observation': 'atelectasis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '2 cm', 'size_descriptor': 'cyst']anatomical entity_fin: 'pole': 'location descriptor': 'upper', 'left kidney': location descriptor_fin: ['upper']clinical findings_fin: '2 cm simple appearing cyst': 'clinical finding': '2 cm simple appearing cyst', 'existence': 'pos_dx', 'descriptive_term': '2 cm simple appearing', 'observation': 'cyst'location descriptor_fin: ['right']clinical findings_fin: 'right nephrolithiasis': 'clinical finding': 'right nephrolithiasis', 'existence': 'pos_dx', 'descriptive_term': 'right', 'observation': 'nephrolithiasis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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]

. Bibasilar dependent atelectasis, unchanged. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. 2 cm simple appearing cyst in the upper pole of the left kidney is unchanged. Right nephrolithiasis, 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>

. Bibasilar dependent atelectasis. The pulmonary arteries are patent. No significant abnormality noted. No significant abnormality observed. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant abnormality seen. No significant

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'scattered calcified pulmonary micronodules': 'clinical finding': 'scattered calcified pulmonary micronodules', 'existence': 'unc_dx', 'descriptive_term': 'scattered calcified pulmonary', 'observation': 'micronodule', 'change_term': 'calcified', 'prior granulomatous disease': 'clinical finding': 'prior granulomatous disease', 'existence': 'unc_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'disease'clinical findings_fin: 'suspicious pulmonary nodules': 'clinical finding': 'suspicious pulmonary nodules', 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'anatomical entity_fin: 'left lung': , 'base': clinical findings_fin: 'minimal atelectasis': 'clinical finding': 'minimal atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'atelectasis', 'strength_term': 'minimal', 'quantity_term': 'minimal'clinical findings_fin: 'pulmonary opacities': 'clinical finding': 'pulmonary opacities', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'opacity', 'infection': 'clinical finding': 'infection', 'existence': 'neg_dx', 'observation': 'infection', 'pleural effusion': 'clinical finding': 'pleural effusion', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion', 'pneumothorax': 'clinical finding': 'pneumothorax', 'existence': 'neg_dx', 'observation': 'pneumothorax'anatomical entity_fin: 'heart': clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'anatomical entity_fin: 'mitral valves': clinical findings_fin: 'calcified': 'clinical finding': 'calcified', 'existence': 'pos_dx', 'observation': 'calcified'anatomical entity_fin: 'aorta': clinical findings_fin: 'tortuous': 'clinical finding': 'tortuous', 'existence': 'pos_dx', 'observation': 'tortuous', 'few atherosclerotic calcifications': 'clinical finding': 'few atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'few atherosclerotic', 'observation': 'calcification', 'quantity_term': 'few'clinical findings_fin: 'mediastinal or hilar lymphadenopathy': 'clinical finding': 'mediastinal or hilar lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'clinical findings_fin: 'supraclavicular, axillary, subpectoral, or cardiophrenic lymphadenopathy': 'clinical finding': 'supraclavicular, axillary, subpectoral, or cardiophrenic lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'supraclavicular axillary subpectoral or cardiophrenic', 'observation': 'lymphadenopathy'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 osseous lesions': 'clinical finding': 'suspicious osseous lesions', 'existence': 'neg_dx', 'descriptive_term': 'suspicious osseous', 'observation': 'lesion'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Scattered calcified pulmonary micronodules are likely a sequela of prior granulomatous disease. No suspicious pulmonary nodules are identified. There is minimal atelectasis at the left lung base. There are no pulmonary opacities to suggest infection, no pleural effusion or pneumothorax. The heart size is normal, there is no pericardial effusion. The aortic and mitral valves are calcified. The aorta is tortuous with a few atherosclerotic calcifications but the great vessels are normal in caliber. There is no mediastinal or hilar lymphadenopathy. Mild. No supraclavicular, axillary, subpectoral, or cardiophrenic lymphadenopathy. Degenerative changes affect the imaged spine. No suspicious osseous lesions are identified. Absence of IV and 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: clinical findings_fin: 'scattered calcified pulmonary micronodules': 'clinical finding': 'scattered calcified pulmonary micronodules', 'existence': 'unc_dx', 'descriptive_term': 'scattered calcified pulmonary', 'observation': 'micronodule', 'change_term': 'calcified', 'prior granulomatous disease': 'clinical finding': 'prior granulomatous disease', 'existence': 'unc_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'disease'clinical findings_fin: 'suspicious pulmonary nodules': 'clinical finding': 'suspicious pulmonary nodules', 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'anatomical entity_fin: 'left lung': , 'base': clinical findings_fin: 'minimal atelectasis': 'clinical finding': 'minimal atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'atelectasis', 'strength_term': 'minimal', 'quantity_term': 'minimal'clinical findings_fin: 'pulmonary opacities': 'clinical finding': 'pulmonary opacities', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'opacity', 'infection': 'clinical finding': 'infection', 'existence': 'neg_dx', 'observation': 'infection', 'pleural effusion': 'clinical finding': 'pleural effusion', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion', 'pneumothorax': 'clinical finding': 'pneumothorax', 'existence': 'neg_dx', 'observation': 'pneumothorax'anatomical entity_fin: 'heart': clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'anatomical entity_fin: 'mitral valves': clinical findings_fin: 'calcified': 'clinical finding': 'calcified', 'existence': 'pos_dx', 'observation': 'calcified'anatomical entity_fin: 'aorta': clinical findings_fin: 'tortuous': 'clinical finding': 'tortuous', 'existence': 'pos_dx', 'observation': 'tortuous', 'few atherosclerotic calcifications': 'clinical finding': 'few atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'few atherosclerotic', 'observation': 'calcification', 'quantity_term': 'few'clinical findings_fin: 'mediastinal or hilar lymphadenopathy': 'clinical finding': 'mediastinal or hilar lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'clinical findings_fin: 'supraclavicular, axillary, subpectoral, or cardiophrenic lymphadenopathy': 'clinical finding': 'supraclavicular, axillary, subpectoral, or cardiophrenic lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'supraclavicular axillary subpectoral or cardiophrenic', 'observation': 'lymphadenopathy'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 osseous lesions': 'clinical finding': 'suspicious osseous lesions', 'existence': 'neg_dx', 'descriptive_term': 'suspicious osseous', 'observation': 'lesion'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP]

. Scattered calcified pulmonary micronodules are likely a sequela of prior granulomatous disease. No suspicious pulmonary nodules are identified. There is minimal atelectasis at the left lung base. There are no pulmonary opacities to suggest infection, no pleural effusion or pneumothorax. The heart size is normal, there is no pericardial effusion. The aortic and mitral valves are calcified. The aorta is tortuous with a few atherosclerotic calcifications but the great vessels are normal in caliber. There is no mediastinal or hilar lymphadenopathy. Mild. No supraclavicular, axillary, subpectoral, or cardiophrenic lymphadenopathy. Degenerative changes affect the imaged spine. No suspicious osseous lesions are identified. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. [/RESP]</s>

. Scattered calcified pulmonary micronodules compatible with prior granulomatous disease. The patient is negative for suspicious pulmonary nodules. Minimal atelectasis at the left lung base. No pulmonary opacities, infection, pleural effusion or pneumothorax. Heart size is normal without pericardial effusion. Calcified mitral and tricuspid valve leaflets. Tortuous aorta with few atherosclerotic calcifications. No mediastinal or hilar lymphadenopathy. No supraclavicular, axillary, subpectoral, or cardiophrenic lymphadenopathy. Degenerative changes of the thoracolumbar spine. No suspicious osseous lesions. Absence of IV and enteric contrast material 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: 'stomach': clinical findings_fin: 'large hiatal hernia': 'clinical finding': 'large hiatal hernia', 'existence': 'pos_dx', 'descriptive_term': 'large hiatal', 'observation': 'hernia', 'strength_term': 'large'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'severe scoliosis': 'clinical finding': 'severe scoliosis', 'existence': 'pos_dx', 'descriptive_term': 'severe', 'observation': 'scoliosis', 'strength_term': 'severe', 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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] . Large hiatal hernia containing most of the stomach. 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. Severe scoliosis and degenerative changes. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'stomach': clinical findings_fin: 'large hiatal hernia': 'clinical finding': 'large hiatal hernia', 'existence': 'pos_dx', 'descriptive_term': 'large hiatal', 'observation': 'hernia', 'strength_term': 'large'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'severe scoliosis': 'clinical finding': 'severe scoliosis', 'existence': 'pos_dx', 'descriptive_term': 'severe', 'observation': 'scoliosis', 'strength_term': 'severe', 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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]

. Large hiatal hernia containing most of the stomach. 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. Severe scoliosis and degenerative changes. 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>

. Large hiatal hernia. The stomach is displaced above the diaphragmatic hiatus. 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. 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: anatomical entity_fin: 'right lung': clinical findings_fin: 'right lung cysts': 'clinical finding': 'right lung cysts', 'existence': 'pos_dx', 'descriptive_term': 'right lung', 'observation': 'cyst'anatomical entity_fin: 'gallbladder': clinical findings_fin: 'distended': 'clinical finding': 'distended', 'existence': 'pos_dx', 'observation': 'distended', 'gallbladder wall thickening': 'clinical finding': 'gallbladder wall thickening', 'existence': 'neg_dx', 'descriptive_term': 'gallbladder wall', 'observation': 'thickening', 'pericholecystic fluid': 'clinical finding': 'pericholecystic fluid', 'existence': 'neg_dx', 'descriptive_term': 'pericholecystic', 'observation': 'fluid'clinical findings_fin: 'gallstone': 'clinical finding': 'gallstone', 'existence': 'neg_dx', 'observation': 'gallstone', 'ct. no biliary ductal dilation': 'clinical finding': 'ct. no biliary ductal dilation', 'existence': 'neg_dx', 'descriptive_term': 'ct no biliary ductal', 'observation': 'dilation', 'quantity_term': 'no'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'procedure_fin: ['gastric bypass']clinical findings_fin: 'colonic wall thickening': 'clinical finding': 'colonic wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'colonic wall', 'observation': 'thickening'imaging observation_fin: ['fat']clinical findings_fin: 'small fat-containing umbilical hernia': 'clinical finding': 'small fat-containing umbilical hernia', 'existence': 'pos_dx', 'descriptive_term': 'small fat-containing umbilical', 'observation': 'hernia', 'strength_term': 'small'procedure_fin: ['abdominoplasty']clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'uterus': clinical findings_fin: 'physiologic changes': 'clinical finding': 'physiologic changes', 'existence': 'pos_dx', 'descriptive_term': 'physiologic', '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'anatomical entity_fin: 'ascending colon': , 'transverse colon': , 'descending colon': clinical findings_fin: 'colonic wall thickening': 'clinical finding': 'colonic wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'colonic wall', 'observation': 'thickening'location descriptor_fin: ['adjacent']clinical findings_fin: 'adjacent inflammatory changes': 'clinical finding': 'adjacent inflammatory changes', 'existence': 'pos_dx', 'descriptive_term': 'adjacent inflammatory', 'observation': 'change'anatomical entity_fin: 'appendix': clinical findings_fin: 'inflammatory change': 'clinical finding': 'inflammatory change', 'existence': 'pos_dx', 'descriptive_term': 'inflammatory', 'observation': 'change'clinical findings_fin: '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' [/INST] [RESP] . Right lung cysts are unchanged from prior examination. None. The gallbladder is distended without evidence of gallbladder wall thickening or pericholecystic fluid, unchanged from prior. No gallstone is visualized by CT. No biliary ductal dilation. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. None. Postoperative findings from sleeve gastrectomy and gastric bypass. Colonic wall thickening as described below. Small fat-containing umbilical hernia. Postsurgical sequelae from abdominoplasty. No significant abnormality noted. Physiologic changes of the uterus and adnexa. No significant abnormality. No significant abnormality noted. Colonic wall thickening is visualized in the ascending colon and transverse colon, and less so in the descending colon. Further, adjacent inflammatory changes are visualized. The appendix is seen and is without inflammatory change. No evidence of obstruction. No significant abnormality noted. No significant abnormality noted. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'right lung': clinical findings_fin: 'right lung cysts': 'clinical finding': 'right lung cysts', 'existence': 'pos_dx', 'descriptive_term': 'right lung', 'observation': 'cyst'anatomical entity_fin: 'gallbladder': clinical findings_fin: 'distended': 'clinical finding': 'distended', 'existence': 'pos_dx', 'observation': 'distended', 'gallbladder wall thickening': 'clinical finding': 'gallbladder wall thickening', 'existence': 'neg_dx', 'descriptive_term': 'gallbladder wall', 'observation': 'thickening', 'pericholecystic fluid': 'clinical finding': 'pericholecystic fluid', 'existence': 'neg_dx', 'descriptive_term': 'pericholecystic', 'observation': 'fluid'clinical findings_fin: 'gallstone': 'clinical finding': 'gallstone', 'existence': 'neg_dx', 'observation': 'gallstone', 'ct. no biliary ductal dilation': 'clinical finding': 'ct. no biliary ductal dilation', 'existence': 'neg_dx', 'descriptive_term': 'ct no biliary ductal', 'observation': 'dilation', 'quantity_term': 'no'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'procedure_fin: ['gastric bypass']clinical findings_fin: 'colonic wall thickening': 'clinical finding': 'colonic wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'colonic wall', 'observation': 'thickening'imaging observation_fin: ['fat']clinical findings_fin: 'small fat-containing umbilical hernia': 'clinical finding': 'small fat-containing umbilical hernia', 'existence': 'pos_dx', 'descriptive_term': 'small fat-containing umbilical', 'observation': 'hernia', 'strength_term': 'small'procedure_fin: ['abdominoplasty']clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'uterus': clinical findings_fin: 'physiologic changes': 'clinical finding': 'physiologic changes', 'existence': 'pos_dx', 'descriptive_term': 'physiologic', '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'anatomical entity_fin: 'ascending colon': , 'transverse colon': , 'descending colon': clinical findings_fin: 'colonic wall thickening': 'clinical finding': 'colonic wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'colonic wall', 'observation': 'thickening'location descriptor_fin: ['adjacent']clinical findings_fin: 'adjacent inflammatory changes': 'clinical finding': 'adjacent inflammatory changes', 'existence': 'pos_dx', 'descriptive_term': 'adjacent inflammatory', 'observation': 'change'anatomical entity_fin: 'appendix': clinical findings_fin: 'inflammatory change': 'clinical finding': 'inflammatory change', 'existence': 'pos_dx', 'descriptive_term': 'inflammatory', 'observation': 'change'clinical findings_fin: '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' [/INST] [RESP]

. Right lung cysts are unchanged from prior examination. None. The gallbladder is distended without evidence of gallbladder wall thickening or pericholecystic fluid, unchanged from prior. No gallstone is visualized by CT. No biliary ductal dilation. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. None. Postoperative findings from sleeve gastrectomy and gastric bypass. Colonic wall thickening as described below. Small fat-containing umbilical hernia. Postsurgical sequelae from abdominoplasty. No significant abnormality noted. Physiologic changes of the uterus and adnexa. No significant abnormality. No significant abnormality noted. Colonic wall thickening is visualized in the ascending colon and transverse colon, and less so in the descending colon. Further, adjacent inflammatory changes are visualized. The appendix is seen and is without inflammatory change. No evidence of obstruction. No significant abnormality noted. No significant abnormality noted. [/RESP]</s>

. Right lung cysts are again seen, unchanged in size and distribution. The gallbladder is distended with gallbladder wall thickening without pericholecystic fluid. No gallstone or CT. No biliary ductal dilation. No significant abnormality noted. No significant abnormality. None. No significant abnormality. Colonic wall thickening at the site of gastric bypass surgery. Small fat-containing umbilical hernia. Status post abdominoplasty. Physiologic changes related to uterine volume loss. No significant abnormality. Absence of ascites. Ascending colon, transverse colon, descending colon - colonic wall thickening. Adjacent inflammatory changes. Appendix demonstrates inflammatory change. No obstruction. 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: clinical findings_fin: 'new nodules': 'clinical finding': 'new nodules', 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'nodule', 'temporal_term': 'new', 'masses': 'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'clinical findings_fin: 'index lymph node': 'clinical finding': 'index lymph node', 'existence': 'pos_dx', 'descriptive_term': 'index lymph', 'observation': 'node'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['bilateral']clinical findings_fin: 'numerous ill-defined hepatic metastases': 'clinical finding': 'numerous ill-defined hepatic metastases', 'existence': 'pos_dx', 'descriptive_term': 'numerous ill-defined hepatic', 'observation': 'metastase', 'strength_term': 'ill-defined', 'quantity_term': 'numerous'anatomical entity_fin: 'lobe': location descriptor_fin: ['right', 'left']clinical findings_fin: 'right hepatic lobe reference lesion': 'clinical finding': 'right hepatic lobe reference lesion', 'existence': 'pos_dx', 'descriptive_term': 'right hepatic lobe reference', 'observation': 'lesion', 'at least one non-reference lesion': 'clinical finding': 'at least one non-reference lesion', 'existence': 'pos_dx', 'descriptive_term': 'at least one non-reference', 'observation': 'lesion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'reference peripancreatic mass': 'clinical finding': 'reference peripancreatic mass', 'existence': 'pos_dx', 'descriptive_term': 'reference peripancreatic', 'observation': 'mass'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'cysts': 'clinical finding': 'cysts', 'existence': 'pos_dx', 'observation': 'cyst'anatomical entity_fin: 'pole': 'location descriptor': 'right lower'imaging observation_fin: ['enhancing']location descriptor_fin: ['right', 'lower']clinical findings_fin: 'lower pole renal mass': 'clinical finding': 'lower pole renal mass', 'existence': 'pos_dx', 'descriptive_term': 'lower pole renal', '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: 'sclerotic bone metastases': 'clinical finding': 'sclerotic bone metastases', 'existence': 'pos_dx', 'descriptive_term': 'sclerotic bone', 'observation': 'metastase'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['right']clinical findings_fin: 'index right femoral lymph node': 'clinical finding': 'index right femoral lymph node', 'existence': 'pos_dx', 'descriptive_term': 'index right femoral lymph', 'observation': 'node'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'sclerotic bone metastases': 'clinical finding': 'sclerotic bone metastases', 'existence': 'pos_dx', 'descriptive_term': 'sclerotic bone', 'observation': 'metastase'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '1.1 x 0.5 cm', 'size': '0.7 x 1.2 cm']size_fin: ['size': '2.7 x 2.0 cm', 'size': '2.4 x 3.3 cm']size_fin: ['size': '5.5 x 3.7 cm', 'size': '5.4 x 3.2 cm']size_fin: ['size': '1.9 x 1.9 cm', 'size': '1.8 x 1.7 cm']size_fin: ['size': '0.9 x 0.6 cm', 'size': '0.8 x 0.5 cm']size_fin: ['size': '2.8 x 3.3 cm', 'size': '3.4 x 2.8 cm'] [/INST] [RESP] . No new nodules or masses. Index lymph node is unchanged. Mild. No significant abnormality noted. Bilateral lobar numerous ill-defined hepatic metastases. The right hepatic lobe reference lesion appears smaller but at least one non-reference lesion is more prominent, for instance in the left hepatic lobe segment II. No significant abnormality noted. The reference peripancreatic mass is slightly larger. No significant abnormality noted. Cysts are unchanged. Enhancing right lower pole renal mass is slightly larger. No significant abnormality noted. Severe. No significant abnormality noted. Sclerotic bone metastases are unchanged. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Index right femoral lymph node is unchanged. No significant abnormality noted. Sclerotic bone metastases are unchanged. No significant abnormality noted. 1.1 x 0.5 cm 0.7 x 1.2 cm on prior. 2.7 x 2.0 cm 2.4 x 3.3 cm on prior. 5.5 x 3.7 cm 5.4 x 3.2 cm on prior. 1.9 x 1.9 cm 1.8 x 1.7 cm on prior. 0.9 x 0.6 cm 0.8 x 0.5 cm on prior. 2.8 x 3.3 cm 3.4 x 2.8 cm on prior. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'new nodules': 'clinical finding': 'new nodules', 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'nodule', 'temporal_term': 'new', 'masses': 'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'clinical findings_fin: 'index lymph node': 'clinical finding': 'index lymph node', 'existence': 'pos_dx', 'descriptive_term': 'index lymph', 'observation': 'node'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['bilateral']clinical findings_fin: 'numerous ill-defined hepatic metastases': 'clinical finding': 'numerous ill-defined hepatic metastases', 'existence': 'pos_dx', 'descriptive_term': 'numerous ill-defined hepatic', 'observation': 'metastase', 'strength_term': 'ill-defined', 'quantity_term': 'numerous'anatomical entity_fin: 'lobe': location descriptor_fin: ['right', 'left']clinical findings_fin: 'right hepatic lobe reference lesion': 'clinical finding': 'right hepatic lobe reference lesion', 'existence': 'pos_dx', 'descriptive_term': 'right hepatic lobe reference', 'observation': 'lesion', 'at least one non-reference lesion': 'clinical finding': 'at least one non-reference lesion', 'existence': 'pos_dx', 'descriptive_term': 'at least one non-reference', 'observation': 'lesion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'reference peripancreatic mass': 'clinical finding': 'reference peripancreatic mass', 'existence': 'pos_dx', 'descriptive_term': 'reference peripancreatic', 'observation': 'mass'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'cysts': 'clinical finding': 'cysts', 'existence': 'pos_dx', 'observation': 'cyst'anatomical entity_fin: 'pole': 'location descriptor': 'right lower'imaging observation_fin: ['enhancing']location descriptor_fin: ['right', 'lower']clinical findings_fin: 'lower pole renal mass': 'clinical finding': 'lower pole renal mass', 'existence': 'pos_dx', 'descriptive_term': 'lower pole renal', '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: 'sclerotic bone metastases': 'clinical finding': 'sclerotic bone metastases', 'existence': 'pos_dx', 'descriptive_term': 'sclerotic bone', 'observation': 'metastase'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['right']clinical findings_fin: 'index right femoral lymph node': 'clinical finding': 'index right femoral lymph node', 'existence': 'pos_dx', 'descriptive_term': 'index right femoral lymph', 'observation': 'node'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'sclerotic bone metastases': 'clinical finding': 'sclerotic bone metastases', 'existence': 'pos_dx', 'descriptive_term': 'sclerotic bone', 'observation': 'metastase'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '1.1 x 0.5 cm', 'size': '0.7 x 1.2 cm']size_fin: ['size': '2.7 x 2.0 cm', 'size': '2.4 x 3.3 cm']size_fin: ['size': '5.5 x 3.7 cm', 'size': '5.4 x 3.2 cm']size_fin: ['size': '1.9 x 1.9 cm', 'size': '1.8 x 1.7 cm']size_fin: ['size': '0.9 x 0.6 cm', 'size': '0.8 x 0.5 cm']size_fin: ['size': '2.8 x 3.3 cm', 'size': '3.4 x 2.8 cm'] [/INST] [RESP]

. No new nodules or masses. Index lymph node is unchanged. Mild. No significant abnormality noted. Bilateral lobar numerous ill-defined hepatic metastases. The right hepatic lobe reference lesion appears smaller but at least one non-reference lesion is more prominent, for instance in the left hepatic lobe segment II. No significant abnormality noted. The reference peripancreatic mass is slightly larger. No significant abnormality noted. Cysts are unchanged. Enhancing right lower pole renal mass is slightly larger. No significant abnormality noted. Severe. No significant abnormality noted. Sclerotic bone metastases are unchanged. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Index right femoral lymph node is unchanged. No significant abnormality noted. Sclerotic bone metastases are unchanged. No significant abnormality noted. 1.1 x 0.5 cm 0.7 x 1.2 cm on prior. 2.7 x 2.0 cm 2.4 x 3.3 cm on prior. 5.5 x 3.7 cm 5.4 x 3.2 cm on prior. 1.9 x 1.9 cm 1.8 x 1.7 cm on prior. 0.9 x 0.6 cm 0.8 x 0.5 cm on prior. 2.8 x 3.3 cm 3.4 x 2.8 cm on prior. [/RESP]</s>

. No new nodules or masses are identified. The index lymph node is stable in size and morphology. No significant abnormality noted. Numerous ill-defined hepatic metastases are again seen bilaterally, with at least one non-reference lesion in the right hepatic lobe. No significant abnormality noted. Reference peripancreatic mass is unchanged. No significant abnormality noted. Cysts are present within the gallbladder. Lower pole renal mass is redemonstrated. No significant abnormality noted. Sclerotic bone metastases are present. No significant abnormality noted. Index right femoral lymph node is stable in size and morphology. No significant abnormality noted. Sclerotic bone metastases are present. No significant abnormality noted. Aortic aneurysm is redemonstrated. No significant abnormality noted. Gallstones are present. No significant abnormality noted. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'mild hydrocephalus': 'clinical finding': 'mild hydrocephalus', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'hydrocephalus', 'strength_term': 'mild'anatomical entity_fin: 'intracranial': 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'location descriptor_fin: ['midline']clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass', 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'anatomical entity_fin: 'fluid': clinical findings_fin: 'fluid levels are present within the maxillary sinuses': 'clinical finding': 'fluid levels are present within the maxillary sinuses'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact' [/INST] [RESP] Mild hydrocephalus is redemonstrated, not significantly changed from the prior two examinations. Sub-ependymal lucency is again seen correlating with T2 hyperintense signal seen on the prior MRI No intracranial hemorrhage or abnormal extra-axial fluid collection is seen. There is no evidence of mass effect or midline shift. Fluid levels are present within the maxillary sinuses. The bones of the calvarium are intact. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'mild hydrocephalus': 'clinical finding': 'mild hydrocephalus', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'hydrocephalus', 'strength_term': 'mild'anatomical entity_fin: 'intracranial': 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'location descriptor_fin: ['midline']clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass', 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'anatomical entity_fin: 'fluid': clinical findings_fin: 'fluid levels are present within the maxillary sinuses': 'clinical finding': 'fluid levels are present within the maxillary sinuses'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact' [/INST] [RESP]

Mild hydrocephalus is redemonstrated, not significantly changed from the prior two examinations. Sub-ependymal lucency is again seen correlating with T2 hyperintense signal seen on the prior MRI No intracranial hemorrhage or abnormal extra-axial fluid collection is seen. There is no evidence of mass effect or midline shift. Fluid levels are present within the maxillary sinuses. The bones of the calvarium are intact. [/RESP]</s>

Mild hydrocephalus is noted. There is no evidence of intracranial hemorrhage or abnormal extra-axial fluid collection. There is no mass, midline shift. Fluid levels are present within the maxillary sinuses. The frontal bone is thickened and there is an area of lucency in the right parietal region. This may be related to prior surgery. Otherwise, the ventricles and sulci are prominent but unremarkable. The gray-white matter differentiation appears to be preserved. The cerebral cortices are symmetric and grossly intact. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'degenerative change': 'clinical finding': 'degenerative change', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'anatomical entity_fin: 'manubrium': clinical findings_fin: 'degenerative change': 'clinical finding': 'degenerative change', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'clinical findings_fin: 'scattered punctate hepatic hypodensities': 'clinical finding': 'scattered punctate hepatic hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'scattered punctate hepatic', 'observation': 'hypodensity'anatomical entity_fin: 'aorta': clinical findings_fin: 'atherosclerotic calcification': 'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification' [/INST] [RESP] . Negative. Negative. Degenerative change. Well-circumscribed lucency in manubrium stable and likely due to degenerative change. Scattered punctate hepatic hypodensities stable but too small to characterize, and likely benign. Negative. Negative. Negative. Negative. Atherosclerotic calcification of the aorta and its branches. Negative. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'degenerative change': 'clinical finding': 'degenerative change', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'anatomical entity_fin: 'manubrium': clinical findings_fin: 'degenerative change': 'clinical finding': 'degenerative change', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'clinical findings_fin: 'scattered punctate hepatic hypodensities': 'clinical finding': 'scattered punctate hepatic hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'scattered punctate hepatic', 'observation': 'hypodensity'anatomical entity_fin: 'aorta': clinical findings_fin: 'atherosclerotic calcification': 'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification' [/INST] [RESP]

. Negative. Negative. Degenerative change. Well-circumscribed lucency in manubrium stable and likely due to degenerative change. Scattered punctate hepatic hypodensities stable but too small to characterize, and likely benign. Negative. Negative. Negative. Negative. Atherosclerotic calcification of the aorta and its branches. Negative. [/RESP]</s>

. Degenerative change affects the cervical spine. Degenerative change affects the manubrium of the sternum. Scattered punctate hepatic hypodensities are nonspecific. Atherosclerotic calcification is seen in the abdominal aorta and its branches. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'cardiomegaly': 'clinical finding': 'cardiomegaly', 'existence': 'pos_dx', 'observation': 'cardiomegaly'anatomical entity_fin: 'lung': clinical findings_fin: 'other significant lung abnormality': 'clinical finding': 'other significant lung abnormality', 'existence': 'neg_dx', 'descriptive_term': 'other significant lung', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '3.5 x 3.0 cm', 'size_descriptor': 'ovary']anatomical entity_fin: 'right ovary': clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Cardiomegaly, unchanged. No other significant lung abnormality seen. 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. Enlarged right ovary measuring 3.5 x 3.0 cm is unchanged. 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: 'cardiomegaly': 'clinical finding': 'cardiomegaly', 'existence': 'pos_dx', 'observation': 'cardiomegaly'anatomical entity_fin: 'lung': clinical findings_fin: 'other significant lung abnormality': 'clinical finding': 'other significant lung abnormality', 'existence': 'neg_dx', 'descriptive_term': 'other significant lung', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '3.5 x 3.0 cm', 'size_descriptor': 'ovary']anatomical entity_fin: 'right ovary': clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP]

. Cardiomegaly, unchanged. No other significant lung abnormality seen. 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. Enlarged right ovary measuring 3.5 x 3.0 cm is unchanged. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted [/RESP]</s>

. Cardiomegaly is present. No other significant lung abnormality is noted. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No significant abnormality is seen. No

<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'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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 liver. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. None. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No 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'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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 liver. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. None. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted [/RESP]</s>

. No significant abnormality. . Fatty infiltration of the liver is noted. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. 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: imaging observation_fin: ['foci']location descriptor_fin: ['left']clinical findings_fin: 'hypodense foci': 'clinical finding': 'hypodense foci', 'existence': 'pos_dx', 'descriptive_term': 'hypodense', 'observation': 'foci'clinical findings_fin: 'ventricles and sulci are normal in size': 'clinical finding': 'ventricles and sulci are normal in size'location descriptor_fin: ['midline']clinical findings_fin: 'masses': 'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass', 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage', 'acute territorial cerebral or cerebellar cortical infarction': 'clinical finding': 'acute territorial cerebral or cerebellar cortical infarction', 'existence': 'neg_dx', 'descriptive_term': 'acute territorial cerebral or cerebellar cortical', 'observation': 'infarction', 'strength_term': 'acute', 'temporal_term': 'acute'anatomical entity_fin: 'fluid': clinical findings_fin: 'subdural hematomas': 'clinical finding': 'subdural hematomas', 'existence': 'neg_dx', 'descriptive_term': 'subdural', 'observation': 'hematoma'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear' [/INST] [RESP] Hypodense foci are present within the white matter, particularly notable in the left centrum semiovale. The ventricles and sulci are normal in size. There are no masses, mass effect or midline shift. There is no evidence for intracranial hemorrhage or acute territorial cerebral or cerebellar cortical infarction. There are no extraaxial fluid collections or subdural hematomas. The visualized portions of the paranasal sinuses and mastoid air cells are clear. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: imaging observation_fin: ['foci']location descriptor_fin: ['left']clinical findings_fin: 'hypodense foci': 'clinical finding': 'hypodense foci', 'existence': 'pos_dx', 'descriptive_term': 'hypodense', 'observation': 'foci'clinical findings_fin: 'ventricles and sulci are normal in size': 'clinical finding': 'ventricles and sulci are normal in size'location descriptor_fin: ['midline']clinical findings_fin: 'masses': 'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass', 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage', 'acute territorial cerebral or cerebellar cortical infarction': 'clinical finding': 'acute territorial cerebral or cerebellar cortical infarction', 'existence': 'neg_dx', 'descriptive_term': 'acute territorial cerebral or cerebellar cortical', 'observation': 'infarction', 'strength_term': 'acute', 'temporal_term': 'acute'anatomical entity_fin: 'fluid': clinical findings_fin: 'subdural hematomas': 'clinical finding': 'subdural hematomas', 'existence': 'neg_dx', 'descriptive_term': 'subdural', 'observation': 'hematoma'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear' [/INST] [RESP]

Hypodense foci are present within the white matter, particularly notable in the left centrum semiovale. The ventricles and sulci are normal in size. There are no masses, mass effect or midline shift. There is no evidence for intracranial hemorrhage or acute territorial cerebral or cerebellar cortical infarction. There are no extraaxial fluid collections or subdural hematomas. The visualized portions of the paranasal sinuses and mastoid air cells are clear. [/RESP]</s>

Hypodense foci are seen in the left frontoparietal region. The ventricles and sulci are normal in size. There is no evidence of masses, mass effect or midline shift. No intracranial hemorrhage or acute territorial cerebral or cerebellar cortical infarction is detected. The CSF spaces are appropriate in density for the patients age with no abnormal extra-axial fluid collections. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '5 mm', 'size_descriptor': 'micronodules']anatomical entity_fin: 'lung': , 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower']clinical findings_fin: 'multiple scattered lung micronodules': 'clinical finding': 'multiple scattered lung micronodules', 'existence': 'pos_dx', 'descriptive_term': 'multiple scattered lung', 'observation': 'micronodule', 'quantity_term': 'multiple'clinical findings_fin: 'these micronodules': 'clinical finding': 'these micronodules', 'existence': 'pos_dx', 'descriptive_term': 'these', 'observation': 'micronodule'clinical findings_fin: 'new nodules': 'clinical finding': 'new nodules', 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'nodule', 'temporal_term': 'new', 'pleural effusion': 'clinical finding': 'pleural effusion', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'anatomical entity_fin: 'mediastinal lymph nodes': clinical findings_fin: 'small mediastinal lymph nodes': 'clinical finding': 'small mediastinal lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'small mediastinal lymph', 'observation': 'node', 'strength_term': 'small', 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'anatomical entity_fin: 'neck': clinical findings_fin: 'postoperative change': 'clinical finding': 'postoperative change', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'anatomical entity_fin: 'neck': anatomical entity_fin: 'kidneys': clinical findings_fin: 'multiple scattered cysts': 'clinical finding': 'multiple scattered cysts', 'existence': 'pos_dx', 'descriptive_term': 'multiple scattered', 'observation': 'cyst', 'quantity_term': 'multiple'anatomical entity_fin: 'pole': 'location descriptor': 'upper', 'left kidney': , 'fluid': location descriptor_fin: ['upper']clinical findings_fin: 'low-density lesion': 'clinical finding': 'low-density lesion', 'existence': 'pos_dx', 'descriptive_term': 'low-density', 'observation': 'lesion', 'unchanged': 'clinical finding': 'unchanged', 'existence': 'pos_dx', 'observation': 'unchanged' [/INST] [RESP] . Multiple scattered lung micronodules, the largest 5 mm in the right lower lobe. These micronodules appear unchanged since September 2008. No new nodules or pleural effusion. Small mediastinal lymph nodes not significantly enlarged. Postoperative change in the neck. Please refer to the separately dictated neck CT for complete characterization. Multiple scattered cysts in both kidneys. The low-density lesion in the upper pole the left kidney appears unchanged, however this is of attenuation higher than simple fluid. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '5 mm', 'size_descriptor': 'micronodules']anatomical entity_fin: 'lung': , 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower']clinical findings_fin: 'multiple scattered lung micronodules': 'clinical finding': 'multiple scattered lung micronodules', 'existence': 'pos_dx', 'descriptive_term': 'multiple scattered lung', 'observation': 'micronodule', 'quantity_term': 'multiple'clinical findings_fin: 'these micronodules': 'clinical finding': 'these micronodules', 'existence': 'pos_dx', 'descriptive_term': 'these', 'observation': 'micronodule'clinical findings_fin: 'new nodules': 'clinical finding': 'new nodules', 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'nodule', 'temporal_term': 'new', 'pleural effusion': 'clinical finding': 'pleural effusion', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'anatomical entity_fin: 'mediastinal lymph nodes': clinical findings_fin: 'small mediastinal lymph nodes': 'clinical finding': 'small mediastinal lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'small mediastinal lymph', 'observation': 'node', 'strength_term': 'small', 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'anatomical entity_fin: 'neck': clinical findings_fin: 'postoperative change': 'clinical finding': 'postoperative change', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'anatomical entity_fin: 'neck': anatomical entity_fin: 'kidneys': clinical findings_fin: 'multiple scattered cysts': 'clinical finding': 'multiple scattered cysts', 'existence': 'pos_dx', 'descriptive_term': 'multiple scattered', 'observation': 'cyst', 'quantity_term': 'multiple'anatomical entity_fin: 'pole': 'location descriptor': 'upper', 'left kidney': , 'fluid': location descriptor_fin: ['upper']clinical findings_fin: 'low-density lesion': 'clinical finding': 'low-density lesion', 'existence': 'pos_dx', 'descriptive_term': 'low-density', 'observation': 'lesion', 'unchanged': 'clinical finding': 'unchanged', 'existence': 'pos_dx', 'observation': 'unchanged' [/INST] [RESP]

. Multiple scattered lung micronodules, the largest 5 mm in the right lower lobe. These micronodules appear unchanged since September 2008. No new nodules or pleural effusion. Small mediastinal lymph nodes not significantly enlarged. Postoperative change in the neck. Please refer to the separately dictated neck CT for complete characterization. Multiple scattered cysts in both kidneys. The low-density lesion in the upper pole the left kidney appears unchanged, however this is of attenuation higher than simple fluid. [/RESP]</s>

. Multiple scattered lung micronodules, some of which are 5 mm in diameter. The majority of these micronodules are located within the right lower lobe and appear similar to prior study. These micronodules are not significantly changed from previous examination. No new nodules or pleural effusion is noted. Small mediastinal lymph nodes are unchanged. None are enlarged. Postoperative change in the neck. Nonspecific soft tissue density in the neck. Multiple scattered cysts in both kidneys. Low-density lesion in the upper pole of left kidney with fluid collection has been stable since prior study. [/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: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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 appearing appendix': 'clinical finding': 'normal appearing appendix'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'hip': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'left hip dynamic screw': 'clinical finding': 'left hip dynamic screw', 'existence': 'pos_dx', 'descriptive_term': 'left hip dynamic', 'observation': 'screw'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. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Normal appearing appendix. No significant abnormality noted. Left hip dynamic screw. 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: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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 appearing appendix': 'clinical finding': 'normal appearing appendix'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'hip': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'left hip dynamic screw': 'clinical finding': 'left hip dynamic screw', 'existence': 'pos_dx', 'descriptive_term': 'left hip dynamic', 'observation': 'screw'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. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Normal appearing appendix. No significant abnormality noted. Left hip dynamic screw. No significant abnormality noted. [/RESP]</s>

. No significant abnormality. The examination is limited by motion artifact. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. No significant abnormality. 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: size_fin: ['size': '12 x 9 mm', 'size': '9 x 8 mm']anatomical entity_fin: 'lobe': 'location descriptor': 'left lower', 'lung': location descriptor_fin: ['left', 'lower']clinical findings_fin: 'reference left lower lobe lung nodule': 'clinical finding': 'reference left lower lobe lung nodule', 'existence': 'pos_dx', 'descriptive_term': 'reference left lower lobe lung', 'observation': 'nodule'clinical findings_fin: 'additional calcified and noncalcified pulmonary micronodules': 'clinical finding': 'additional calcified and noncalcified pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'additional calcified and noncalcified pulmonary', 'observation': 'micronodule', 'change_term': 'calcified'location descriptor_fin: ['bilateral']clinical findings_fin: 'mild diffuse bilateral subpleural reticular changes': 'clinical finding': 'mild diffuse bilateral subpleural reticular changes', 'existence': 'pos_dx', 'descriptive_term': 'mild diffuse bilateral subpleural reticular', 'observation': 'change', 'strength_term': 'mild', 'significant change': 'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'anatomical entity_fin: 'lobe': 'location descriptor': 'left lower'imaging observation_fin: ['wedge']location descriptor_fin: ['left', 'lower']clinical findings_fin: 'pleural effusion': 'clinical finding': 'pleural effusion', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['right']clinical findings_fin: 'hepatic hypodensity': 'clinical finding': 'hepatic hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'hepatic', 'observation': 'hypodensity'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'punctate hypodensity': 'clinical finding': 'punctate hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'hypodensity', 'pancreatic tail': 'clinical finding': 'pancreatic tail', 'existence': 'pos_dx', 'descriptive_term': 'pancreatic', 'observation': 'tail', 'ipmn': 'clinical finding': 'ipmn', 'existence': 'pos_dx', 'observation': 'ipmn'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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 left lower lobe lung nodule mildly increased in size measuring 12 x 9 mm on image 53 series 6, previously measured 9 x 8 mm. Additional calcified and noncalcified pulmonary micronodules unchanged. Mild diffuse bilateral subpleural reticular changes without significant change. Sequela of left lower lobe wedge resection. No pleural effusion. No significant abnormality noted. Moderate. No significant abnormality noted. Too small to characterize right hepatic hypodensity unchanged. No significant abnormality noted. Punctate hypodensity in pancreatic tail on image 68 series 4 may be a branch type IPMN and is stable. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Severe. 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: size_fin: ['size': '12 x 9 mm', 'size': '9 x 8 mm']anatomical entity_fin: 'lobe': 'location descriptor': 'left lower', 'lung': location descriptor_fin: ['left', 'lower']clinical findings_fin: 'reference left lower lobe lung nodule': 'clinical finding': 'reference left lower lobe lung nodule', 'existence': 'pos_dx', 'descriptive_term': 'reference left lower lobe lung', 'observation': 'nodule'clinical findings_fin: 'additional calcified and noncalcified pulmonary micronodules': 'clinical finding': 'additional calcified and noncalcified pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'additional calcified and noncalcified pulmonary', 'observation': 'micronodule', 'change_term': 'calcified'location descriptor_fin: ['bilateral']clinical findings_fin: 'mild diffuse bilateral subpleural reticular changes': 'clinical finding': 'mild diffuse bilateral subpleural reticular changes', 'existence': 'pos_dx', 'descriptive_term': 'mild diffuse bilateral subpleural reticular', 'observation': 'change', 'strength_term': 'mild', 'significant change': 'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'anatomical entity_fin: 'lobe': 'location descriptor': 'left lower'imaging observation_fin: ['wedge']location descriptor_fin: ['left', 'lower']clinical findings_fin: 'pleural effusion': 'clinical finding': 'pleural effusion', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['right']clinical findings_fin: 'hepatic hypodensity': 'clinical finding': 'hepatic hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'hepatic', 'observation': 'hypodensity'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'punctate hypodensity': 'clinical finding': 'punctate hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'hypodensity', 'pancreatic tail': 'clinical finding': 'pancreatic tail', 'existence': 'pos_dx', 'descriptive_term': 'pancreatic', 'observation': 'tail', 'ipmn': 'clinical finding': 'ipmn', 'existence': 'pos_dx', 'observation': 'ipmn'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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 left lower lobe lung nodule mildly increased in size measuring 12 x 9 mm on image 53 series 6, previously measured 9 x 8 mm. Additional calcified and noncalcified pulmonary micronodules unchanged. Mild diffuse bilateral subpleural reticular changes without significant change. Sequela of left lower lobe wedge resection. No pleural effusion. No significant abnormality noted. Moderate. No significant abnormality noted. Too small to characterize right hepatic hypodensity unchanged. No significant abnormality noted. Punctate hypodensity in pancreatic tail on image 68 series 4 may be a branch type IPMN and is stable. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Severe. 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>

. Reference left lower lobe lung nodule measuring 12 x 9 mm, previously 9 x 8 mm. The additional calcified and noncalcified pulmonary micronodules are unchanged in size. Mild diffuse bilateral subpleural reticular changes without significant change. Left lower lobe wedge-shaped pleural effusion is stable. No significant abnormality noted. None. Hepatic hypodensity right greater than left, likely benign. No significant abnormality noted. Punctate hypodensity within the pancreatic tail compatible with Ipmn. 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: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: 'medulla': , 'kidneys': clinical findings_fin: 'faint hyperdensity': 'clinical finding': 'faint hyperdensity', 'existence': 'pos_dx', 'descriptive_term': 'faint', 'observation': 'hyperdensity'clinical findings_fin: 'dehydration': 'clinical finding': 'dehydration', 'existence': 'unc_dx', 'observation': 'dehydration', 'medullary nephrocalcinosis': 'clinical finding': 'medullary nephrocalcinosis', 'existence': 'unc_dx', 'descriptive_term': 'medullary', 'observation': 'nephrocalcinosis'anatomical entity_fin: 'kidneys': clinical findings_fin: 'focal lesions': 'clinical finding': 'focal lesions', 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'lesion'anatomical entity_fin: 'renal arteries': anatomical entity_fin: 'renal veins': clinical findings_fin: 'collecting systems are unremarkable': 'clinical finding': 'collecting systems are unremarkable'anatomical entity_fin: 'ureters': clinical findings_fin: 'ureters are unremarkable': 'clinical finding': 'ureters are unremarkable'size_fin: ['size': '10.2 x 6.4 cm', 'size_descriptor': 'kidney']anatomical entity_fin: 'right kidney': size_fin: ['size': '11 x 6.7 cm']anatomical entity_fin: 'left kidney': clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'object_fin: ['intrauterine device']clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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. On noncontrast images there are faint hyperdensity on the medulla both kidneys. Although this may be secondary to dehydration, and mild version of medullary nephrocalcinosis cannot be entirely excluded. No focal lesions in the kidneys. There are single renal arteries on each side. There are single renal veins on each side. Collecting systems are unremarkable. Both ureters are unremarkable. Right kidney measures 10.2 x 6.4 cm. Left kidney measures 11 x 6.7 cm. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Intrauterine device is in place. 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'anatomical entity_fin: 'medulla': , 'kidneys': clinical findings_fin: 'faint hyperdensity': 'clinical finding': 'faint hyperdensity', 'existence': 'pos_dx', 'descriptive_term': 'faint', 'observation': 'hyperdensity'clinical findings_fin: 'dehydration': 'clinical finding': 'dehydration', 'existence': 'unc_dx', 'observation': 'dehydration', 'medullary nephrocalcinosis': 'clinical finding': 'medullary nephrocalcinosis', 'existence': 'unc_dx', 'descriptive_term': 'medullary', 'observation': 'nephrocalcinosis'anatomical entity_fin: 'kidneys': clinical findings_fin: 'focal lesions': 'clinical finding': 'focal lesions', 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'lesion'anatomical entity_fin: 'renal arteries': anatomical entity_fin: 'renal veins': clinical findings_fin: 'collecting systems are unremarkable': 'clinical finding': 'collecting systems are unremarkable'anatomical entity_fin: 'ureters': clinical findings_fin: 'ureters are unremarkable': 'clinical finding': 'ureters are unremarkable'size_fin: ['size': '10.2 x 6.4 cm', 'size_descriptor': 'kidney']anatomical entity_fin: 'right kidney': size_fin: ['size': '11 x 6.7 cm']anatomical entity_fin: 'left kidney': clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'object_fin: ['intrauterine device']clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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. On noncontrast images there are faint hyperdensity on the medulla both kidneys. Although this may be secondary to dehydration, and mild version of medullary nephrocalcinosis cannot be entirely excluded. No focal lesions in the kidneys. There are single renal arteries on each side. There are single renal veins on each side. Collecting systems are unremarkable. Both ureters are unremarkable. Right kidney measures 10.2 x 6.4 cm. Left kidney measures 11 x 6.7 cm. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Intrauterine device is in place. 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. None. 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. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. Negative. 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: 'right lung': , 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'large right pleural effusion': 'clinical finding': 'large right pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'large right pleural', 'observation': 'effusion', 'strength_term': 'large', 'almost complete atelectasis': 'clinical finding': 'almost complete atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'almost complete', 'observation': 'atelectasis', 'right lung': 'clinical finding': 'right lung', 'existence': 'pos_dx', 'descriptive_term': 'right', 'observation': 'lung'location descriptor_fin: ['left']location descriptor_fin: ['left']clinical findings_fin: 'minimal left effusion': 'clinical finding': 'minimal left effusion', 'existence': 'pos_dx', 'descriptive_term': 'minimal left', 'observation': 'effusion', 'strength_term': 'minimal', 'quantity_term': 'minimal'location descriptor_fin: ['lower', 'right']clinical findings_fin: 'mildly enlarged nonspecific lower right paratracheal lymph node': 'clinical finding': 'mildly enlarged nonspecific lower right paratracheal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'mildly enlarged nonspecific lower right paratracheal lymph', 'observation': 'node', 'strength_term': 'mildly - enlarged', 'change_term': 'enlarged'clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'imaging observation_fin: ['blood']clinical findings_fin: 'low blood pool opacity': 'clinical finding': 'low blood pool opacity', 'existence': 'pos_dx', 'descriptive_term': 'low blood pool', 'observation': 'opacity', 'anemia': 'clinical finding': 'anemia', 'existence': 'pos_dx', 'observation': 'anemia'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'anatomical entity_fin: 'liver': clinical findings_fin: 'ascites': 'clinical finding': 'ascites', 'existence': 'pos_dx', 'observation': 'ascite', 'tips stent': 'clinical finding': 'tips stent', 'existence': 'pos_dx', 'descriptive_term': 'tips', 'observation': 'stent', 'splenomegaly': 'clinical finding': 'splenomegaly', 'existence': 'pos_dx', 'observation': 'splenomegaly', 'enlarged lymph nodes': 'clinical finding': 'enlarged lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'enlarged lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged', 'varices': 'clinical finding': 'varices', 'existence': 'pos_dx', 'observation': 'varice' [/INST] [RESP] . Large right pleural effusion with almost complete atelectasis of the right lung and partial aeration of the right upper lobe. Moderate mediastinal shift to the left side. Minimal left effusion. Mildly enlarged nonspecific lower right paratracheal lymph node, likely reactive. No pericardial effusion. Low blood pool opacity compatible with anemia. None. No significant abnormality noted. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Very limited evaluation showing ascites, cirrhotic liver morphology, TIPS stent, splenomegaly, enlarged lymph nodes and varices. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'right lung': , 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'large right pleural effusion': 'clinical finding': 'large right pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'large right pleural', 'observation': 'effusion', 'strength_term': 'large', 'almost complete atelectasis': 'clinical finding': 'almost complete atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'almost complete', 'observation': 'atelectasis', 'right lung': 'clinical finding': 'right lung', 'existence': 'pos_dx', 'descriptive_term': 'right', 'observation': 'lung'location descriptor_fin: ['left']location descriptor_fin: ['left']clinical findings_fin: 'minimal left effusion': 'clinical finding': 'minimal left effusion', 'existence': 'pos_dx', 'descriptive_term': 'minimal left', 'observation': 'effusion', 'strength_term': 'minimal', 'quantity_term': 'minimal'location descriptor_fin: ['lower', 'right']clinical findings_fin: 'mildly enlarged nonspecific lower right paratracheal lymph node': 'clinical finding': 'mildly enlarged nonspecific lower right paratracheal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'mildly enlarged nonspecific lower right paratracheal lymph', 'observation': 'node', 'strength_term': 'mildly - enlarged', 'change_term': 'enlarged'clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'imaging observation_fin: ['blood']clinical findings_fin: 'low blood pool opacity': 'clinical finding': 'low blood pool opacity', 'existence': 'pos_dx', 'descriptive_term': 'low blood pool', 'observation': 'opacity', 'anemia': 'clinical finding': 'anemia', 'existence': 'pos_dx', 'observation': 'anemia'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'anatomical entity_fin: 'liver': clinical findings_fin: 'ascites': 'clinical finding': 'ascites', 'existence': 'pos_dx', 'observation': 'ascite', 'tips stent': 'clinical finding': 'tips stent', 'existence': 'pos_dx', 'descriptive_term': 'tips', 'observation': 'stent', 'splenomegaly': 'clinical finding': 'splenomegaly', 'existence': 'pos_dx', 'observation': 'splenomegaly', 'enlarged lymph nodes': 'clinical finding': 'enlarged lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'enlarged lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged', 'varices': 'clinical finding': 'varices', 'existence': 'pos_dx', 'observation': 'varice' [/INST] [RESP]

. Large right pleural effusion with almost complete atelectasis of the right lung and partial aeration of the right upper lobe. Moderate mediastinal shift to the left side. Minimal left effusion. Mildly enlarged nonspecific lower right paratracheal lymph node, likely reactive. No pericardial effusion. Low blood pool opacity compatible with anemia. None. No significant abnormality noted. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Very limited evaluation showing ascites, cirrhotic liver morphology, TIPS stent, splenomegaly, enlarged lymph nodes and varices. [/RESP]</s>

. Large right pleural effusion with almost complete atelectasis of the right lung. The largest component is in the right upper lobe, measuring 10 cm. Minimal left effusion. Mildly enlarged nonspecific lower right paratracheal lymph node. No pericardial effusion. Low blood pool opacity consistent with anemia. No significant abnormality noted. Absence of IV and enteric contrast material markedly limits sensitivity for abdominal pathology. Liver with ascites containing tips stent and splenomegaly with enlarged lymph nodes and varices. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'focal air space opacities': 'clinical finding': 'focal air space opacities', 'existence': 'neg_dx', 'descriptive_term': 'focal air space', 'observation': 'opacity', 'pleural effusions': 'clinical finding': 'pleural effusions', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'clinical findings_fin: 'mediastinal or hilar lymphadenopathy': 'clinical finding': 'mediastinal or hilar lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'clinical findings_fin: 'osseous structures are normal': 'clinical finding': 'osseous structures are normal'anatomical entity_fin: 'liver': , 'gallbladder': clinical findings_fin: 'liver and gallbladder are normal': 'clinical finding': 'liver and gallbladder are normal'size_fin: ['size': '13 cm']anatomical entity_fin: 'spleen': clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'anatomical entity_fin: 'pancreas': clinical findings_fin: 'pancreas is normal in appearance': 'clinical finding': 'pancreas is normal in appearance'anatomical entity_fin: 'adrenal glands': clinical findings_fin: 'adrenal glands are normal': 'clinical finding': 'adrenal glands are normal'clinical findings_fin: 'renal cortical enhancement': 'clinical finding': 'renal cortical enhancement', 'existence': 'pos_dx', 'descriptive_term': 'renal cortical', 'observation': 'enhancement', 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'clinical findings_fin: 'pelvocaliceal dilatation': 'clinical finding': 'pelvocaliceal dilatation', 'existence': 'neg_dx', 'descriptive_term': 'pelvocaliceal', 'observation': 'dilatation'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'anatomical entity_fin: 'spine': , 'vertebra': clinical findings_fin: 'several schmorls nodes': 'clinical finding': 'several schmorls nodes', 'existence': 'pos_dx', 'descriptive_term': 'several schmorls', 'observation': 'node', 'quantity_term': 'several'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'normal variant': imaging observation_fin: ['urachal']clinical findings_fin: 'very small urachal diverticulum': 'clinical finding': 'very small urachal diverticulum', 'existence': 'pos_dx', 'descriptive_term': 'very small urachal', 'observation': 'diverticulum', 'strength_term': 'small', 'normal variant': 'clinical finding': 'normal variant', 'existence': 'pos_dx', 'descriptive_term': 'normal', 'observation': 'variant', 'strength_term': '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'anatomical entity_fin: 'bone marrow': location descriptor_fin: ['posterior', 'right']procedure_fin: ['biopsy']clinical findings_fin: 'stranding': 'clinical finding': 'stranding', 'existence': 'pos_dx', 'observation': 'strand'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . No focal air space opacities or pleural effusions. Cardiac size is normal without pericardial effusion. No mediastinal or hilar lymphadenopathy. Osseous structures are normal. Liver and gallbladder are normal. The spleen is mildly enlarged measuring 13 cm in craniocaudal dimension. The pancreas is normal in appearance. The adrenal glands are normal. Renal cortical enhancement is symmetric. No pelvocaliceal dilatation. No retroperitoneal lymphadenopathy. No significant abnormality noted. Several Schmorls nodes noted in thoracic spine vertebra. No significant abnormality noted. No significant abnormality noted. Very small urachal diverticulum, normal variant anatomy. No significant abnormality noted. No significant abnormality noted. Soft tissue stranding posterior to the right iliac bone, and lucent track within the bone from bone marrow biopsy. No significant abnormality noted [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'focal air space opacities': 'clinical finding': 'focal air space opacities', 'existence': 'neg_dx', 'descriptive_term': 'focal air space', 'observation': 'opacity', 'pleural effusions': 'clinical finding': 'pleural effusions', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'clinical findings_fin: 'mediastinal or hilar lymphadenopathy': 'clinical finding': 'mediastinal or hilar lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'clinical findings_fin: 'osseous structures are normal': 'clinical finding': 'osseous structures are normal'anatomical entity_fin: 'liver': , 'gallbladder': clinical findings_fin: 'liver and gallbladder are normal': 'clinical finding': 'liver and gallbladder are normal'size_fin: ['size': '13 cm']anatomical entity_fin: 'spleen': clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'anatomical entity_fin: 'pancreas': clinical findings_fin: 'pancreas is normal in appearance': 'clinical finding': 'pancreas is normal in appearance'anatomical entity_fin: 'adrenal glands': clinical findings_fin: 'adrenal glands are normal': 'clinical finding': 'adrenal glands are normal'clinical findings_fin: 'renal cortical enhancement': 'clinical finding': 'renal cortical enhancement', 'existence': 'pos_dx', 'descriptive_term': 'renal cortical', 'observation': 'enhancement', 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'clinical findings_fin: 'pelvocaliceal dilatation': 'clinical finding': 'pelvocaliceal dilatation', 'existence': 'neg_dx', 'descriptive_term': 'pelvocaliceal', 'observation': 'dilatation'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'anatomical entity_fin: 'spine': , 'vertebra': clinical findings_fin: 'several schmorls nodes': 'clinical finding': 'several schmorls nodes', 'existence': 'pos_dx', 'descriptive_term': 'several schmorls', 'observation': 'node', 'quantity_term': 'several'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'normal variant': imaging observation_fin: ['urachal']clinical findings_fin: 'very small urachal diverticulum': 'clinical finding': 'very small urachal diverticulum', 'existence': 'pos_dx', 'descriptive_term': 'very small urachal', 'observation': 'diverticulum', 'strength_term': 'small', 'normal variant': 'clinical finding': 'normal variant', 'existence': 'pos_dx', 'descriptive_term': 'normal', 'observation': 'variant', 'strength_term': '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'anatomical entity_fin: 'bone marrow': location descriptor_fin: ['posterior', 'right']procedure_fin: ['biopsy']clinical findings_fin: 'stranding': 'clinical finding': 'stranding', 'existence': 'pos_dx', 'observation': 'strand'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP]

. No focal air space opacities or pleural effusions. Cardiac size is normal without pericardial effusion. No mediastinal or hilar lymphadenopathy. Osseous structures are normal. Liver and gallbladder are normal. The spleen is mildly enlarged measuring 13 cm in craniocaudal dimension. The pancreas is normal in appearance. The adrenal glands are normal. Renal cortical enhancement is symmetric. No pelvocaliceal dilatation. No retroperitoneal lymphadenopathy. No significant abnormality noted. Several Schmorls nodes noted in thoracic spine vertebra. No significant abnormality noted. No significant abnormality noted. Very small urachal diverticulum, normal variant anatomy. No significant abnormality noted. No significant abnormality noted. Soft tissue stranding posterior to the right iliac bone, and lucent track within the bone from bone marrow biopsy. No significant abnormality noted [/RESP]</s>

. Focal air space opacities, no pleural effusions.[/RESP]. The cardiac size is within normal limits without evidence of pericardial effusion. No mediastinal or hilar lymphadenopathy. The osseous structures are normal. The liver and gallbladder are normal in caliber. The spleen is enlarged measuring 13 cm. The pancreas is normal in appearance. The adrenal glands are normal. Renal cortical enhancement is symmetric. There is no pelvicaliceal dilatation. No retroperitoneal lymphadenopathy. No significant abnormality noted. Several Schmorl nodes along the thoracolumbar spine. No significant abnormality noted. Very small urachal diverticulum present which is a normal variant. No significant abnormality noted. None. No significant abnormality noted. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['left']clinical findings_fin: 'minimal left basilar atelectasis': 'clinical finding': 'minimal left basilar atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'minimal left basilar', 'observation': 'atelectasis', 'strength_term': 'minimal', 'quantity_term': 'minimal', 'mild basilar groundglass abnormality': 'clinical finding': 'mild basilar groundglass abnormality', 'existence': 'pos_dx', 'descriptive_term': 'mild basilar groundglass', 'observation': 'abnormality', 'strength_term': 'mild', 'small effusions': 'clinical finding': 'small effusions', 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'effusion', 'strength_term': 'small'clinical findings_fin: 'additional superimposed focal abnormality': 'clinical finding': 'additional superimposed focal abnormality', 'existence': 'neg_dx', 'descriptive_term': 'additional superimposed focal', 'observation': 'abnormality'clinical findings_fin: 'nodules': 'clinical finding': 'nodules', 'existence': 'neg_dx', 'observation': 'nodule'clinical findings_fin: 'lymphadenopathy': 'clinical finding': 'lymphadenopathy', 'existence': 'neg_dx', 'observation': 'lymphadenopathy'location descriptor_fin: ['central', 'left']clinical findings_fin: 'thyroid enlargement': 'clinical finding': 'thyroid enlargement', 'existence': 'pos_dx', 'descriptive_term': 'thyroid', 'observation': 'enlargement'clinical findings_fin: 'focal calcifications': 'clinical finding': 'focal calcifications', 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'calcification'clinical findings_fin: 'coronary artery calcifications': 'clinical finding': 'coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'coronary artery', 'observation': 'calcification'imaging observation_fin: ['silhouette']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: 'rib': location descriptor_fin: ['left']clinical findings_fin: 'sclerotic': 'clinical finding': 'sclerotic', 'existence': 'pos_dx', 'observation': 'sclerotic'anatomical entity_fin: 'fluid': , 'spleen': location descriptor_fin: ['adjacent']clinical findings_fin: 'new mild ascites': 'clinical finding': 'new mild ascites', 'existence': 'pos_dx', 'descriptive_term': 'new mild', 'observation': 'ascite', 'strength_term': 'mild', 'temporal_term': 'new'anatomical entity_fin: 'liver': clinical findings_fin: 'suspected multiple liver cysts': 'clinical finding': 'suspected multiple liver cysts', 'existence': 'pos_dx', 'descriptive_term': 'suspected multiple liver', 'observation': 'cyst', 'quantity_term': 'multiple'anatomical entity_fin: 'upper abdomen': clinical findings_fin: 'remainder of the visualized upper abdomen is unremarkable': 'clinical finding': 'remainder of the visualized upper abdomen is unremarkable' [/INST] [RESP] . Minimal left basilar atelectasis mixed with a mild basilar groundglass abnormality and small effusions bilaterally. No additional superimposed focal abnormality. No nodules. No lymphadenopathy. Interval removal of the central catheterBilateral unchanged heterogeneity and thyroid enlargement, greater on the left. Focal calcifications. Coronary artery calcifications. Borderline cardiac silhouette and minimal pericardial effusion. Sclerotic left seventh rib, unchanged. New mild ascites with fluid tracking predominantly adjacent to the spleen. Suspected multiple liver cysts unchanged. The remainder of the visualized upper abdomen is unremarkable [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['left']clinical findings_fin: 'minimal left basilar atelectasis': 'clinical finding': 'minimal left basilar atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'minimal left basilar', 'observation': 'atelectasis', 'strength_term': 'minimal', 'quantity_term': 'minimal', 'mild basilar groundglass abnormality': 'clinical finding': 'mild basilar groundglass abnormality', 'existence': 'pos_dx', 'descriptive_term': 'mild basilar groundglass', 'observation': 'abnormality', 'strength_term': 'mild', 'small effusions': 'clinical finding': 'small effusions', 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'effusion', 'strength_term': 'small'clinical findings_fin: 'additional superimposed focal abnormality': 'clinical finding': 'additional superimposed focal abnormality', 'existence': 'neg_dx', 'descriptive_term': 'additional superimposed focal', 'observation': 'abnormality'clinical findings_fin: 'nodules': 'clinical finding': 'nodules', 'existence': 'neg_dx', 'observation': 'nodule'clinical findings_fin: 'lymphadenopathy': 'clinical finding': 'lymphadenopathy', 'existence': 'neg_dx', 'observation': 'lymphadenopathy'location descriptor_fin: ['central', 'left']clinical findings_fin: 'thyroid enlargement': 'clinical finding': 'thyroid enlargement', 'existence': 'pos_dx', 'descriptive_term': 'thyroid', 'observation': 'enlargement'clinical findings_fin: 'focal calcifications': 'clinical finding': 'focal calcifications', 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'calcification'clinical findings_fin: 'coronary artery calcifications': 'clinical finding': 'coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'coronary artery', 'observation': 'calcification'imaging observation_fin: ['silhouette']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: 'rib': location descriptor_fin: ['left']clinical findings_fin: 'sclerotic': 'clinical finding': 'sclerotic', 'existence': 'pos_dx', 'observation': 'sclerotic'anatomical entity_fin: 'fluid': , 'spleen': location descriptor_fin: ['adjacent']clinical findings_fin: 'new mild ascites': 'clinical finding': 'new mild ascites', 'existence': 'pos_dx', 'descriptive_term': 'new mild', 'observation': 'ascite', 'strength_term': 'mild', 'temporal_term': 'new'anatomical entity_fin: 'liver': clinical findings_fin: 'suspected multiple liver cysts': 'clinical finding': 'suspected multiple liver cysts', 'existence': 'pos_dx', 'descriptive_term': 'suspected multiple liver', 'observation': 'cyst', 'quantity_term': 'multiple'anatomical entity_fin: 'upper abdomen': clinical findings_fin: 'remainder of the visualized upper abdomen is unremarkable': 'clinical finding': 'remainder of the visualized upper abdomen is unremarkable' [/INST] [RESP]

. Minimal left basilar atelectasis mixed with a mild basilar groundglass abnormality and small effusions bilaterally. No additional superimposed focal abnormality. No nodules. No lymphadenopathy. Interval removal of the central catheterBilateral unchanged heterogeneity and thyroid enlargement, greater on the left. Focal calcifications. Coronary artery calcifications. Borderline cardiac silhouette and minimal pericardial effusion. Sclerotic left seventh rib, unchanged. New mild ascites with fluid tracking predominantly adjacent to the spleen. Suspected multiple liver cysts unchanged. The remainder of the visualized upper abdomen is unremarkable [/RESP]</s>

. Minimal left basilar atelectasis and mild basilar groundglass abnormality with small effusions. The additional superimposed focal abnormality seen in the prior study has resolved. No nodules are identified. No lymphadenopathy. Thyroid enlargement, predominantly central left. Focal calcifications. Coronary artery calcifications. Silhouette of minimal pericardial effusion. Sclerotic left rib 10. New mild ascites adjacent to spleen. Suspected multiple liver cysts. Remainer of the visualized upper abdomen is unremarkable. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['bilateral']clinical findings_fin: 'gyral form hypodensity': 'clinical finding': 'gyral form hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'gyral form', 'observation': 'hypodensity'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: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'location descriptor_fin: ['midline']clinical findings_fin: 'intra- or extra-axial fluid collection': 'clinical finding': 'intra- or extra-axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'intra- or extra-axial fluid', 'observation': 'collection', 'acute hemorrhage': 'clinical finding': 'acute hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'osseous structures are unremarkable': 'clinical finding': 'osseous structures are unremarkable'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear' [/INST] [RESP] Examination shows gyral form hypodensity in the bilateral occipital, parietal and frontal subcortical white matter. The gray-white matter differentiation is normal. The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no midline shift, intra- or extra-axial fluid collection or acute hemorrhage. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['bilateral']clinical findings_fin: 'gyral form hypodensity': 'clinical finding': 'gyral form hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'gyral form', 'observation': 'hypodensity'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: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'location descriptor_fin: ['midline']clinical findings_fin: 'intra- or extra-axial fluid collection': 'clinical finding': 'intra- or extra-axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'intra- or extra-axial fluid', 'observation': 'collection', 'acute hemorrhage': 'clinical finding': 'acute hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'osseous structures are unremarkable': 'clinical finding': 'osseous structures are unremarkable'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear' [/INST] [RESP]

Examination shows gyral form hypodensity in the bilateral occipital, parietal and frontal subcortical white matter. The gray-white matter differentiation is normal. The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no midline shift, intra- or extra-axial fluid collection or acute hemorrhage. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear. [/RESP]</s>

Bilateral periventricular and subcortical areas of gyral form hypodensity is again noted. The gray-white matter differentiation is preserved. The ventricles, sulci, and cisterns are symmetric in size. There is no midline shift, intra- or extra-axial fluid collection or acute hemorrhage. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear. [/RESP]

<s>[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', 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema', 'mass-effect': 'clinical finding': 'mass-effect', 'existence': 'neg_dx', 'observation': 'mass'clinical findings_fin: 'gray-white matter differentiation': 'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'anatomical entity_fin: 'brain': clinical findings_fin: 'focal brain abnormalities': 'clinical finding': 'focal brain abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'focal brain', 'observation': 'abnormality'clinical findings_fin: 'prominent': 'clinical finding': 'prominent', 'existence': 'pos_dx', 'observation': 'prominent', 'diffuse cerebral volume loss': 'clinical finding': 'diffuse cerebral volume loss', 'existence': 'unc_dx', 'descriptive_term': 'diffuse cerebral volume', 'observation': 'loss'clinical findings_fin: 'extra-axial fluid collection': 'clinical finding': 'extra-axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extra-axial fluid', 'observation': 'collection'anatomical entity_fin: 'vertebral arteries': clinical findings_fin: 'calcifications': 'clinical finding': 'calcifications', 'existence': 'pos_dx', 'observation': 'calcification'clinical findings_fin: 'focal calvarial lesions': 'clinical finding': 'focal calvarial lesions', 'existence': 'neg_dx', 'descriptive_term': 'focal calvarial', 'observation': 'lesion'anatomical entity_fin: 'mastoid air cells': , 'paranasal sinuses': , 'cell': location descriptor_fin: ['posterior', 'right']clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'anatomical entity_fin: 'orbits': clinical findings_fin: 'orbits are unremarkable': 'clinical finding': 'orbits are unremarkable' [/INST] [RESP] No evidence of intracranial hemorrhage, edema or mass-effect. The gray-white matter differentiation is preserved. No focal brain abnormalities are identified. The ventricles are prominent in size along with the cortical sulci suggesting some degree of diffuse cerebral volume loss. There is no evidence of extra-axial fluid collection. Calcifications at the cavernous carotid and vertebral arteries. No focal calvarial lesions are identified. The mastoid air cells and paranasal sinuses are clear with exception an opacified posterior right ethmoid cell. The orbits 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', 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema', 'mass-effect': 'clinical finding': 'mass-effect', 'existence': 'neg_dx', 'observation': 'mass'clinical findings_fin: 'gray-white matter differentiation': 'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'anatomical entity_fin: 'brain': clinical findings_fin: 'focal brain abnormalities': 'clinical finding': 'focal brain abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'focal brain', 'observation': 'abnormality'clinical findings_fin: 'prominent': 'clinical finding': 'prominent', 'existence': 'pos_dx', 'observation': 'prominent', 'diffuse cerebral volume loss': 'clinical finding': 'diffuse cerebral volume loss', 'existence': 'unc_dx', 'descriptive_term': 'diffuse cerebral volume', 'observation': 'loss'clinical findings_fin: 'extra-axial fluid collection': 'clinical finding': 'extra-axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extra-axial fluid', 'observation': 'collection'anatomical entity_fin: 'vertebral arteries': clinical findings_fin: 'calcifications': 'clinical finding': 'calcifications', 'existence': 'pos_dx', 'observation': 'calcification'clinical findings_fin: 'focal calvarial lesions': 'clinical finding': 'focal calvarial lesions', 'existence': 'neg_dx', 'descriptive_term': 'focal calvarial', 'observation': 'lesion'anatomical entity_fin: 'mastoid air cells': , 'paranasal sinuses': , 'cell': location descriptor_fin: ['posterior', 'right']clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'anatomical entity_fin: 'orbits': clinical findings_fin: 'orbits are unremarkable': 'clinical finding': 'orbits are unremarkable' [/INST] [RESP]

No evidence of intracranial hemorrhage, edema or mass-effect. The gray-white matter differentiation is preserved. No focal brain abnormalities are identified. The ventricles are prominent in size along with the cortical sulci suggesting some degree of diffuse cerebral volume loss. There is no evidence of extra-axial fluid collection. Calcifications at the cavernous carotid and vertebral arteries. No focal calvarial lesions are identified. The mastoid air cells and paranasal sinuses are clear with exception an opacified posterior right ethmoid cell. The orbits are unremarkable. [/RESP]</s>

Head. . No intracranial hemorrhage or edema is identified. The gray-white matter differentiation is preserved. No focal brain abnormalities are noted. The ventricular system is within normal limits without evidence of hydrocephalus. The CSF spaces are prominent, consistent with diffuse cerebral volume loss. There is no extra-axial fluid collection. Calcifications are present in the vertebral arteries. No focal calvarial lesions are seen. The mastoid air cells and posterior right ethmoid cell are clear. The orbits are unremarkable. [/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: 'diffuse interstitial lung disease': 'clinical finding': 'diffuse interstitial lung disease', 'existence': 'neg_dx', 'descriptive_term': 'diffuse interstitial lung', 'observation': 'disease', 'significant air trapping': 'clinical finding': 'significant air trapping', 'existence': 'neg_dx', 'descriptive_term': 'significant air', 'observation': 'trapping'clinical findings_fin: 'significant lymphadenopathy': 'clinical finding': 'significant lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'clinical findings_fin: 'residual thymic tissue': 'clinical finding': 'residual thymic tissue', 'existence': 'pos_dx', 'descriptive_term': 'residual thymic', 'observation': 'tissue', 'temporal_term': 'residual'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'right adrenal gland': clinical findings_fin: 'calcification': 'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification', 'previous hemorrhage': 'clinical finding': 'previous hemorrhage', 'existence': 'unc_dx', 'descriptive_term': 'previous', 'observation': 'hemorrhage', 'temporal_term': 'previous' [/INST] [RESP] . No significant abnormality noted. Specifically no evidence of diffuse interstitial lung disease and no significant air trapping on the expiration series. No significant lymphadenopathy. Small amount of residual thymic tissue. No significant abnormality noted. Small flecks of calcification in the area of the right adrenal gland, possibly related to previous hemorrhage. [/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: 'diffuse interstitial lung disease': 'clinical finding': 'diffuse interstitial lung disease', 'existence': 'neg_dx', 'descriptive_term': 'diffuse interstitial lung', 'observation': 'disease', 'significant air trapping': 'clinical finding': 'significant air trapping', 'existence': 'neg_dx', 'descriptive_term': 'significant air', 'observation': 'trapping'clinical findings_fin: 'significant lymphadenopathy': 'clinical finding': 'significant lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'clinical findings_fin: 'residual thymic tissue': 'clinical finding': 'residual thymic tissue', 'existence': 'pos_dx', 'descriptive_term': 'residual thymic', 'observation': 'tissue', 'temporal_term': 'residual'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'right adrenal gland': clinical findings_fin: 'calcification': 'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification', 'previous hemorrhage': 'clinical finding': 'previous hemorrhage', 'existence': 'unc_dx', 'descriptive_term': 'previous', 'observation': 'hemorrhage', 'temporal_term': 'previous' [/INST] [RESP]

. No significant abnormality noted. Specifically no evidence of diffuse interstitial lung disease and no significant air trapping on the expiration series. No significant lymphadenopathy. Small amount of residual thymic tissue. No significant abnormality noted. Small flecks of calcification in the area of the right adrenal gland, possibly related to previous hemorrhage. [/RESP]</s>

. No significant abnormality noted. Diffuse interstitial lung disease or significant air trapping is not seen. There is no evidence of significant lymphadenopathy. Residual thymic tissue is present. No significant abnormality noted. Calcification in the right adrenal gland likely represents previous hemorrhage. [/RESP]

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'bibasilar dependent atelectasis': 'clinical finding': 'bibasilar dependent atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'bibasilar dependent', 'observation': 'atelectasis'procedure_fin: ['cholecystectomy']anatomical entity_fin: 'fluid': , 'gallbladder': , 'liver': 'location descriptor': 'left', 'lobe': , 'abdominal': , 'wall': location descriptor_fin: ['anterior', 'left']clinical findings_fin: 'surgical wound': 'clinical finding': 'surgical wound', 'existence': 'unc_dx', 'descriptive_term': 'surgical', 'observation': 'wound'anatomical entity_fin: 'fluid': clinical findings_fin: 'however , there are no loculated or complex fluid collections': 'clinical finding': 'however , there are no loculated or complex fluid collections'anatomical entity_fin: 'undersurface': , 'liver': 'location descriptor': 'left', 'lobe': location descriptor_fin: ['left']clinical findings_fin: 'hypoattenuation': 'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation', 'edema': 'clinical finding': 'edema', 'existence': 'pos_dx', 'observation': 'edema'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'pancreatic duct': clinical findings_fin: 'pancreatic duct stent': 'clinical finding': 'pancreatic duct stent', 'existence': 'pos_dx', 'descriptive_term': 'pancreatic duct', 'observation': 'stent'procedure_fin: ['gastrojejunostomy']clinical findings_fin: 'postsurgical changes': 'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change', 'whipple': 'clinical finding': 'whipple', 'existence': 'pos_dx', 'observation': 'whipple'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'procedure_fin: ['gastrojejunostomy']clinical findings_fin: 'postsurgical changes': 'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change', 'whipple': 'clinical finding': 'whipple', 'existence': 'pos_dx', 'observation': 'whipple'anatomical entity_fin: 'bowel': clinical findings_fin: 'bowel wall thickening': 'clinical finding': 'bowel wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'bowel wall', 'observation': 'thickening', 'edema': 'clinical finding': 'edema', 'existence': 'pos_dx', 'observation': 'edema', 'pneumoperitoneum': 'clinical finding': 'pneumoperitoneum', 'existence': 'pos_dx', 'observation': 'pneumoperitoneum'anatomical entity_fin: 'feces': imaging observation_fin: ['colon']clinical findings_fin: 'significant amount of feces present in the colon': 'clinical finding': 'significant amount of feces present in the colon'anatomical entity_fin: 'bowel': clinical findings_fin: 'bowel obstruction': 'clinical finding': 'bowel obstruction', 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'ascites': 'clinical finding': 'ascites', 'existence': 'neg_dx', 'observation': 'ascite'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'pelvic free fluid': 'clinical finding': 'pelvic free fluid', 'existence': 'neg_dx', 'descriptive_term': 'pelvic free', 'observation': 'fluid' [/INST] [RESP] . Bibasilar dependent atelectasis. Patient is s/p cholecystectomy. Small pockets of fluid are noted in the gallbladder fossa and anterior to the left liver lobe in the abdominal wall , the latter of which communicates with the surgical wound. However, there are no loculated or complex fluid collections. A region of hypoattenuation on the undersurface of the left liver lobe is consistent with edema and most likely postsurgical in etiology. No significant abnormality noted. Pancreatic duct stent is in place. Postsurgical changes consistent with Whipple procedure and gastrojejunostomy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Postsurgical changes consistent with Whipple procedure and gastrojejunostomy. Bowel wall thickening and edema in the biliary limb and small pockets of pneumoperitoneum are most likely postoperative in etiology. Significant amount of feces present in the colon. No evidence of bowel obstruction. No significant abnormality noted. No ascites. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No pelvic free fluid. [/RESP]</s>

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'bibasilar dependent atelectasis': 'clinical finding': 'bibasilar dependent atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'bibasilar dependent', 'observation': 'atelectasis'procedure_fin: ['cholecystectomy']anatomical entity_fin: 'fluid': , 'gallbladder': , 'liver': 'location descriptor': 'left', 'lobe': , 'abdominal': , 'wall': location descriptor_fin: ['anterior', 'left']clinical findings_fin: 'surgical wound': 'clinical finding': 'surgical wound', 'existence': 'unc_dx', 'descriptive_term': 'surgical', 'observation': 'wound'anatomical entity_fin: 'fluid': clinical findings_fin: 'however , there are no loculated or complex fluid collections': 'clinical finding': 'however , there are no loculated or complex fluid collections'anatomical entity_fin: 'undersurface': , 'liver': 'location descriptor': 'left', 'lobe': location descriptor_fin: ['left']clinical findings_fin: 'hypoattenuation': 'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation', 'edema': 'clinical finding': 'edema', 'existence': 'pos_dx', 'observation': 'edema'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'pancreatic duct': clinical findings_fin: 'pancreatic duct stent': 'clinical finding': 'pancreatic duct stent', 'existence': 'pos_dx', 'descriptive_term': 'pancreatic duct', 'observation': 'stent'procedure_fin: ['gastrojejunostomy']clinical findings_fin: 'postsurgical changes': 'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change', 'whipple': 'clinical finding': 'whipple', 'existence': 'pos_dx', 'observation': 'whipple'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'procedure_fin: ['gastrojejunostomy']clinical findings_fin: 'postsurgical changes': 'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change', 'whipple': 'clinical finding': 'whipple', 'existence': 'pos_dx', 'observation': 'whipple'anatomical entity_fin: 'bowel': clinical findings_fin: 'bowel wall thickening': 'clinical finding': 'bowel wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'bowel wall', 'observation': 'thickening', 'edema': 'clinical finding': 'edema', 'existence': 'pos_dx', 'observation': 'edema', 'pneumoperitoneum': 'clinical finding': 'pneumoperitoneum', 'existence': 'pos_dx', 'observation': 'pneumoperitoneum'anatomical entity_fin: 'feces': imaging observation_fin: ['colon']clinical findings_fin: 'significant amount of feces present in the colon': 'clinical finding': 'significant amount of feces present in the colon'anatomical entity_fin: 'bowel': clinical findings_fin: 'bowel obstruction': 'clinical finding': 'bowel obstruction', 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'ascites': 'clinical finding': 'ascites', 'existence': 'neg_dx', 'observation': 'ascite'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'pelvic free fluid': 'clinical finding': 'pelvic free fluid', 'existence': 'neg_dx', 'descriptive_term': 'pelvic free', 'observation': 'fluid' [/INST] [RESP]

. Bibasilar dependent atelectasis. Patient is s/p cholecystectomy. Small pockets of fluid are noted in the gallbladder fossa and anterior to the left liver lobe in the abdominal wall , the latter of which communicates with the surgical wound. However, there are no loculated or complex fluid collections. A region of hypoattenuation on the undersurface of the left liver lobe is consistent with edema and most likely postsurgical in etiology. No significant abnormality noted. Pancreatic duct stent is in place. Postsurgical changes consistent with Whipple procedure and gastrojejunostomy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Postsurgical changes consistent with Whipple procedure and gastrojejunostomy. Bowel wall thickening and edema in the biliary limb and small pockets of pneumoperitoneum are most likely postoperative in etiology. Significant amount of feces present in the colon. No evidence of bowel obstruction. No significant abnormality noted. No ascites. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No pelvic free fluid. [/RESP]</s>

. Bibasilar dependent atelectasis.[/RESP] Status post cholecystectomy. Surgical wound along the anterior aspect of the left hepatic lobe is not well visualized due to limited contrast opacification. However, there are no loculated or complex fluid collections. There is hypoattenuation and edema within the undersurface of the liver at the level of the left lateral segment 4 and 5 as well as the left medial segment 3. No significant abnormality noted. Pancreatic duct stent. Postsurgical changes related to Whipple procedure. No significant abnormality noted. None. Postsurgical changes related to Whipple procedure. Bowel wall thickening with edema and pneumoperitoneum. Significant amount of feces present in the colon. No evidence of bowel obstruction. No significant abnormality noted. Ascites. 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: 'pulmonary embolism': 'clinical finding': 'pulmonary embolism', 'existence': 'unc_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolism', 'pe': 'clinical finding': 'pe', 'existence': 'neg_dx', 'observation': 'pe'clinical findings_fin: 'minimal peribronchial thickening': 'clinical finding': 'minimal peribronchial thickening', 'existence': 'pos_dx', 'descriptive_term': 'minimal peribronchial', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal', 'mild, smooth interlobular septal thickening': 'clinical finding': 'mild, smooth interlobular septal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild smooth interlobular septal', 'observation': 'thickening', 'strength_term': 'mild', 'scattered small groundglass opacities': 'clinical finding': 'scattered small groundglass opacities', 'existence': 'unc_dx', 'descriptive_term': 'scattered small groundglass', 'observation': 'opacity', 'strength_term': 'small', 'pulmonary edema': 'clinical finding': 'pulmonary edema', 'existence': 'unc_dx', 'descriptive_term': 'pulmonary', 'observation': 'edema'clinical findings_fin: 'pleural effusions': 'clinical finding': 'pleural effusions', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'anatomical entity_fin: 'heart': clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'size_fin: ['size': '2.6 x 1.4 cm', 'size_descriptor': 'node']anatomical entity_fin: 'subcarinal lymph node': clinical findings_fin: 'new subcarinal lymph node': 'clinical finding': 'new subcarinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'new subcarinal lymph', 'observation': 'node', 'temporal_term': 'new'location descriptor_fin: ['right']clinical findings_fin: 'multiple, nonenlarged right paratracheal and precarinal lymph nodes': 'clinical finding': 'multiple, nonenlarged right paratracheal and precarinal lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'multiple nonenlarged right paratracheal and precarinal lymph', 'observation': 'node', 'quantity_term': 'multiple'size_fin: ['size': '1.2 centimeter', 'size_descriptor': 'nodule']anatomical entity_fin: 'anterior chest wall': location descriptor_fin: ['left']clinical findings_fin: '1.2 centimeter soft tissue nodule': 'clinical finding': '1.2 centimeter soft tissue nodule', 'existence': 'pos_dx', 'descriptive_term': '1 2 centimeter soft tissue', 'observation': 'nodule'location descriptor_fin: ['center']clinical findings_fin: 'fatty center': 'clinical finding': 'fatty center', 'existence': 'pos_dx', 'descriptive_term': 'fatty', 'observation': 'center', 'injection granuloma': 'clinical finding': 'injection granuloma', 'existence': 'unc_dx', 'descriptive_term': 'injection', 'observation': 'granuloma', 'lipoma': 'clinical finding': 'lipoma', 'existence': 'unc_dx', 'observation': 'lipoma'anatomical entity_fin: 'axillary lymph node': 'location descriptor': 'right', 'hilum': location descriptor_fin: ['right']clinical findings_fin: 'mildly enlarged right axillary lymph node': 'clinical finding': 'mildly enlarged right axillary lymph node', 'existence': 'pos_dx', 'descriptive_term': 'mildly enlarged right axillary lymph', 'observation': 'node', 'strength_term': 'mildly - enlarged', 'change_term': 'enlarged'anatomical entity_fin: 'spine': location descriptor_fin: ['lower']clinical findings_fin: 'mild to moderate degenerative change': 'clinical finding': 'mild to moderate degenerative change', 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate degenerative', 'observation': 'change', 'strength_term': 'mild - moderate', 'endplate sclerosis': 'clinical finding': 'endplate sclerosis', 'existence': 'pos_dx', 'descriptive_term': 'endplate', 'observation': 'sclerosis', 'renal disease': 'clinical finding': 'renal disease', 'existence': 'unc_dx', 'descriptive_term': 'renal', 'observation': 'disease'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Diagnostic quality examination for pulmonary embolism -- no evidence of PE. There is a minimal peribronchial thickening with mild, smooth interlobular septal thickening and scattered small groundglass opacities suspicious for pulmonary edema. No pleural effusions are identified. Normal heart size, no pericardial effusion. A new subcarinal lymph node measures 2.6 x 1.4 cm. Multiple, nonenlarged right paratracheal and precarinal lymph nodes are not significantly changed compared to the prior study. There is a 1.2 centimeter soft tissue nodule in the anterior chest wall, left aspect. It contains a fatty center and may represent an injection granuloma or lipoma. A mildly enlarged right axillary lymph node contains a fatty hilum and is likely benign. Mild to moderate degenerative change involving the thoracic spine with areas of endplate sclerosis seen in the lower thoracic spine, likely related to renal disease. 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 embolism': 'clinical finding': 'pulmonary embolism', 'existence': 'unc_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolism', 'pe': 'clinical finding': 'pe', 'existence': 'neg_dx', 'observation': 'pe'clinical findings_fin: 'minimal peribronchial thickening': 'clinical finding': 'minimal peribronchial thickening', 'existence': 'pos_dx', 'descriptive_term': 'minimal peribronchial', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal', 'mild, smooth interlobular septal thickening': 'clinical finding': 'mild, smooth interlobular septal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild smooth interlobular septal', 'observation': 'thickening', 'strength_term': 'mild', 'scattered small groundglass opacities': 'clinical finding': 'scattered small groundglass opacities', 'existence': 'unc_dx', 'descriptive_term': 'scattered small groundglass', 'observation': 'opacity', 'strength_term': 'small', 'pulmonary edema': 'clinical finding': 'pulmonary edema', 'existence': 'unc_dx', 'descriptive_term': 'pulmonary', 'observation': 'edema'clinical findings_fin: 'pleural effusions': 'clinical finding': 'pleural effusions', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'anatomical entity_fin: 'heart': clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'size_fin: ['size': '2.6 x 1.4 cm', 'size_descriptor': 'node']anatomical entity_fin: 'subcarinal lymph node': clinical findings_fin: 'new subcarinal lymph node': 'clinical finding': 'new subcarinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'new subcarinal lymph', 'observation': 'node', 'temporal_term': 'new'location descriptor_fin: ['right']clinical findings_fin: 'multiple, nonenlarged right paratracheal and precarinal lymph nodes': 'clinical finding': 'multiple, nonenlarged right paratracheal and precarinal lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'multiple nonenlarged right paratracheal and precarinal lymph', 'observation': 'node', 'quantity_term': 'multiple'size_fin: ['size': '1.2 centimeter', 'size_descriptor': 'nodule']anatomical entity_fin: 'anterior chest wall': location descriptor_fin: ['left']clinical findings_fin: '1.2 centimeter soft tissue nodule': 'clinical finding': '1.2 centimeter soft tissue nodule', 'existence': 'pos_dx', 'descriptive_term': '1 2 centimeter soft tissue', 'observation': 'nodule'location descriptor_fin: ['center']clinical findings_fin: 'fatty center': 'clinical finding': 'fatty center', 'existence': 'pos_dx', 'descriptive_term': 'fatty', 'observation': 'center', 'injection granuloma': 'clinical finding': 'injection granuloma', 'existence': 'unc_dx', 'descriptive_term': 'injection', 'observation': 'granuloma', 'lipoma': 'clinical finding': 'lipoma', 'existence': 'unc_dx', 'observation': 'lipoma'anatomical entity_fin: 'axillary lymph node': 'location descriptor': 'right', 'hilum': location descriptor_fin: ['right']clinical findings_fin: 'mildly enlarged right axillary lymph node': 'clinical finding': 'mildly enlarged right axillary lymph node', 'existence': 'pos_dx', 'descriptive_term': 'mildly enlarged right axillary lymph', 'observation': 'node', 'strength_term': 'mildly - enlarged', 'change_term': 'enlarged'anatomical entity_fin: 'spine': location descriptor_fin: ['lower']clinical findings_fin: 'mild to moderate degenerative change': 'clinical finding': 'mild to moderate degenerative change', 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate degenerative', 'observation': 'change', 'strength_term': 'mild - moderate', 'endplate sclerosis': 'clinical finding': 'endplate sclerosis', 'existence': 'pos_dx', 'descriptive_term': 'endplate', 'observation': 'sclerosis', 'renal disease': 'clinical finding': 'renal disease', 'existence': 'unc_dx', 'descriptive_term': 'renal', 'observation': 'disease'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP]

. Diagnostic quality examination for pulmonary embolism -- no evidence of PE. There is a minimal peribronchial thickening with mild, smooth interlobular septal thickening and scattered small groundglass opacities suspicious for pulmonary edema. No pleural effusions are identified. Normal heart size, no pericardial effusion. A new subcarinal lymph node measures 2.6 x 1.4 cm. Multiple, nonenlarged right paratracheal and precarinal lymph nodes are not significantly changed compared to the prior study. There is a 1.2 centimeter soft tissue nodule in the anterior chest wall, left aspect. It contains a fatty center and may represent an injection granuloma or lipoma. A mildly enlarged right axillary lymph node contains a fatty hilum and is likely benign. Mild to moderate degenerative change involving the thoracic spine with areas of endplate sclerosis seen in the lower thoracic spine, likely related to renal disease. No significant abnormality noted. [/RESP]</s>

. Technically adequate examination with no evidence of pulmonary embolism or PE. Minimal peribronchial thickening is noted along with mild, smooth interlobular septal thickening and scattered small groundglass opacities which may represent pulmonary edema. No pleural effusions are identified. The heart size is normal without pericardial effusion. New subcarinal lymph node measures up to 2.6 x 1.4 cm in short axis. Multiple, nonenlarged right paratracheal and precarinal lymph nodes are also present. A 1.2-cm soft tissue nodule in the anterior chest wall leftward of the sternotomy incision is unchanged from prior study. This could be related to injection granuloma or lipoma. Mildly enlarged right axillary lymph node at the hilum is again seen. Mild to moderate degenerative change of the lower thoracic spine with endplate sclerosis likely secondary to renal disease. 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'location descriptor_fin: ['bilateral', 'left', 'right', 'adjacent']clinical findings_fin: 'bilateral pleural effusions': 'clinical finding': 'bilateral pleural effusions', 'existence': 'pos_dx', 'descriptive_term': 'bilateral pleural', 'observation': 'effusion', 'adjacent compressive atelectasis': 'clinical finding': 'adjacent compressive atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'adjacent compressive', 'observation': 'atelectasis'clinical findings_fin: 'hepatomegaly': 'clinical finding': 'hepatomegaly', 'existence': 'pos_dx', 'observation': 'hepatomegaly', 'hepatic steatosis': 'clinical finding': 'hepatic steatosis', 'existence': 'pos_dx', 'descriptive_term': 'hepatic', 'observation': 'steatosis'clinical findings_fin: 'splenomegaly': 'clinical finding': 'splenomegaly', 'existence': 'pos_dx', 'observation': 'splenomegaly'anatomical entity_fin: 'pancreas': clinical findings_fin: 'decreased': 'clinical finding': 'decreased', 'existence': 'pos_dx', 'observation': 'decrease', 'improving pancreatitis': 'clinical finding': 'improving pancreatitis', 'existence': 'pos_dx', 'descriptive_term': 'improving', 'observation': 'pancreatitis'anatomical entity_fin: 'parenchyma': clinical findings_fin: 'normal enhancement': 'clinical finding': 'normal enhancement', 'existence': 'pos_dx', 'descriptive_term': 'normal', 'observation': 'enhancement', 'strength_term': 'normal'anatomical entity_fin: 'abdominal': clinical findings_fin: 'extensive peripancreatic soft tissue stranding': 'clinical finding': 'extensive peripancreatic soft tissue stranding', 'existence': 'pos_dx', 'descriptive_term': 'extensive peripancreatic soft tissue', 'observation': 'strand', 'strength_term': 'extensive', 'mild abdominal ascites': 'clinical finding': 'mild abdominal ascites', 'existence': 'pos_dx', 'descriptive_term': 'mild abdominal', 'observation': 'ascite', 'strength_term': 'mild'imaging observation_fin: ['enhancing']clinical findings_fin: 'fluid collection': 'clinical finding': 'fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'fluid', 'observation': 'collection', 'phlegmon': 'clinical finding': 'phlegmon', 'existence': 'neg_dx', 'observation': 'phlegmon', 'pseudocyst': 'clinical finding': 'pseudocyst', 'existence': 'neg_dx', 'observation': 'pseudocyst'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'mesenteric lymph nodes': , 'upper abdomen': clinical findings_fin: 'mildly prominent mesenteric lymph nodes': 'clinical finding': 'mildly prominent mesenteric lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly prominent mesenteric lymph', 'observation': 'node', 'strength_term': 'mildly - prominent'anatomical entity_fin: 'stomach': object_fin: ['feeding tube']clinical findings_fin: 'tube': 'clinical finding': 'tube', 'existence': 'pos_dx', 'observation': 'tube'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . No suspicious pulmonary nodules or masses. Bilateral pleural effusions, left greater than right, increased from prior study with adjacent compressive atelectasis. Hepatomegaly and hepatic steatosis unchanged. Splenomegaly unchanged. The pancreas is slightly decreased in size compared to prior study reflecting improving pancreatitis. Normal enhancement of the pancreatic parenchyma is again seen. Extensive peripancreatic soft tissue stranding as well as mild abdominal ascites are unchanged. No evidence of enhancing fluid collection, phlegmon or pseudocyst is seen. No significant abnormality noted. No significant abnormality noted. Mildly prominent mesenteric lymph nodes in the upper abdomen are unchanged. Feeding tube tip in the stomach. 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: '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'location descriptor_fin: ['bilateral', 'left', 'right', 'adjacent']clinical findings_fin: 'bilateral pleural effusions': 'clinical finding': 'bilateral pleural effusions', 'existence': 'pos_dx', 'descriptive_term': 'bilateral pleural', 'observation': 'effusion', 'adjacent compressive atelectasis': 'clinical finding': 'adjacent compressive atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'adjacent compressive', 'observation': 'atelectasis'clinical findings_fin: 'hepatomegaly': 'clinical finding': 'hepatomegaly', 'existence': 'pos_dx', 'observation': 'hepatomegaly', 'hepatic steatosis': 'clinical finding': 'hepatic steatosis', 'existence': 'pos_dx', 'descriptive_term': 'hepatic', 'observation': 'steatosis'clinical findings_fin: 'splenomegaly': 'clinical finding': 'splenomegaly', 'existence': 'pos_dx', 'observation': 'splenomegaly'anatomical entity_fin: 'pancreas': clinical findings_fin: 'decreased': 'clinical finding': 'decreased', 'existence': 'pos_dx', 'observation': 'decrease', 'improving pancreatitis': 'clinical finding': 'improving pancreatitis', 'existence': 'pos_dx', 'descriptive_term': 'improving', 'observation': 'pancreatitis'anatomical entity_fin: 'parenchyma': clinical findings_fin: 'normal enhancement': 'clinical finding': 'normal enhancement', 'existence': 'pos_dx', 'descriptive_term': 'normal', 'observation': 'enhancement', 'strength_term': 'normal'anatomical entity_fin: 'abdominal': clinical findings_fin: 'extensive peripancreatic soft tissue stranding': 'clinical finding': 'extensive peripancreatic soft tissue stranding', 'existence': 'pos_dx', 'descriptive_term': 'extensive peripancreatic soft tissue', 'observation': 'strand', 'strength_term': 'extensive', 'mild abdominal ascites': 'clinical finding': 'mild abdominal ascites', 'existence': 'pos_dx', 'descriptive_term': 'mild abdominal', 'observation': 'ascite', 'strength_term': 'mild'imaging observation_fin: ['enhancing']clinical findings_fin: 'fluid collection': 'clinical finding': 'fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'fluid', 'observation': 'collection', 'phlegmon': 'clinical finding': 'phlegmon', 'existence': 'neg_dx', 'observation': 'phlegmon', 'pseudocyst': 'clinical finding': 'pseudocyst', 'existence': 'neg_dx', 'observation': 'pseudocyst'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'mesenteric lymph nodes': , 'upper abdomen': clinical findings_fin: 'mildly prominent mesenteric lymph nodes': 'clinical finding': 'mildly prominent mesenteric lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly prominent mesenteric lymph', 'observation': 'node', 'strength_term': 'mildly - prominent'anatomical entity_fin: 'stomach': object_fin: ['feeding tube']clinical findings_fin: 'tube': 'clinical finding': 'tube', 'existence': 'pos_dx', 'observation': 'tube'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP]

. No suspicious pulmonary nodules or masses. Bilateral pleural effusions, left greater than right, increased from prior study with adjacent compressive atelectasis. Hepatomegaly and hepatic steatosis unchanged. Splenomegaly unchanged. The pancreas is slightly decreased in size compared to prior study reflecting improving pancreatitis. Normal enhancement of the pancreatic parenchyma is again seen. Extensive peripancreatic soft tissue stranding as well as mild abdominal ascites are unchanged. No evidence of enhancing fluid collection, phlegmon or pseudocyst is seen. No significant abnormality noted. No significant abnormality noted. Mildly prominent mesenteric lymph nodes in the upper abdomen are unchanged. Feeding tube tip in the stomach. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted [/RESP]</s>

. No suspicious pulmonary nodules or masses.[/RESP]. Bilateral pleural effusions with adjacent compressive atelectasis, left greater than right. Hepatomegaly and hepatic steatosis. Splenomegaly. Decreased pancreas size consistent with improving pancreatitis. Normal enhancement of the parenchyma. Extensive peripancreatic soft tissue stranding and mild abdominal ascites. No fluid collection, enhancing phlegmon or pseudocyst. No significant abnormality noted. No significant abnormality. No significant abnormality. No significant abnormality. [/RESP]