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<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'head': clinical findings_fin: 'nonenhanced head': 'clinical finding': 'nonenhanced head'location descriptor_fin: ['left']clinical findings_fin: 'expected postoperative changes': 'clinical finding': 'expected postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'expected postoperative', 'observation': 'change'anatomical entity_fin: 'left temporal lobe': clinical findings_fin: 'vasogenic edema': 'clinical finding': 'vasogenic edema', 'existence': 'pos_dx', 'descriptive_term': 'vasogenic', 'observation': 'edema'location descriptor_fin: ['left']anatomical entity_fin: 'perimesencephalic cistern': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'minimal increased density': 'clinical finding': 'minimal increased density', 'existence': 'pos_dx', 'descriptive_term': 'minimal increased', 'observation': 'density', 'strength_term': 'minimal - increased', 'quantity_term': 'minimal', 'change_term': 'increased', 'hemorrhage': 'clinical finding': 'hemorrhage', 'existence': 'unc_dx', 'observation': 'hemorrhage'clinical findings_fin: 'finding was present on prior exam however there is suggestion': 'clinical finding': 'finding was present on prior exam however there is suggestion'location descriptor_fin: ['midline']clinical findings_fin: 'any significant mass': 'clinical finding': 'any significant mass', 'existence': 'neg_dx', 'descriptive_term': 'any significant', 'observation': 'mass', 'hydrocephalus': 'clinical finding': 'hydrocephalus', 'existence': 'neg_dx', 'observation': 'hydrocephalus'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'paranasal sinuses and mastoid air cells are unremarkable': 'clinical finding': 'paranasal sinuses and mastoid air cells are unremarkable' [/INST] [RESP] Nonenhanced head. Expected postoperative changes of left temporal craniotomy demonstrates subtle interval improvement. Significant interval decrease in the vasogenic edema in the left temporal lobe since prior study. There is resultant better visualization of left temporal horn. There is minimal increased density in the left perimesencephalic cistern which is suspected for small amount of hemorrhage. This finding was present on prior exam however there is suggestion of interval increase. There is no evidence of any significant mass effect, midline shift or hydrocephalus. Paranasal sinuses and mastoid air cells are unremarkable. [/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: 'previously noted right upper lobe nodule': 'clinical finding': 'previously noted right upper lobe nodule', 'existence': 'neg_dx', 'descriptive_term': 'previously noted right upper lobe', 'observation': 'nodule'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral basilar subpleural consolidation': 'clinical finding': 'bilateral basilar subpleural consolidation', 'existence': 'unc_dx', 'descriptive_term': 'bilateral basilar subpleural', 'observation': 'consolidation', 'atelectasis': 'clinical finding': 'atelectasis', 'existence': 'unc_dx', 'observation': 'atelectasis', 'nodularity': 'clinical finding': 'nodularity', 'existence': 'neg_dx', 'observation': 'nodularity'clinical findings_fin: 'new pulmonary nodules': 'clinical finding': 'new pulmonary nodules', 'existence': 'neg_dx', 'descriptive_term': 'new pulmonary', 'observation': 'nodule', 'temporal_term': 'new'clinical findings_fin: 'pleural effusions': 'clinical finding': 'pleural effusions', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'anatomical entity_fin: 'chest': 'location descriptor': 'right'location descriptor_fin: ['right']object_fin: ['port']clinical findings_fin: 'right chest port-a-cath': 'clinical finding': 'right chest port-a-cath', 'existence': 'pos_dx', 'descriptive_term': 'right chest', 'observation': 'port-a-'clinical findings_fin: 'hilar or mediastinal lymphadenopathy': 'clinical finding': 'hilar or mediastinal lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'hilar or mediastinal', 'observation': 'lymphadenopathy'anatomical entity_fin: 'pulmonary artery': clinical findings_fin: 'enlarged pulmonary': 'clinical finding': 'enlarged pulmonary', 'existence': 'pos_dx', 'descriptive_term': 'enlarged', 'observation': 'pulmonary', 'strength_term': 'enlarged', 'change_term': 'enlarged', 'pulmonary arterial hypertension': 'clinical finding': 'pulmonary arterial hypertension', 'existence': 'pos_dx', 'descriptive_term': 'pulmonary arterial', 'observation': 'hypertension'clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'anatomical entity_fin: 'chest': location descriptor_fin: ['right']procedure_fin: ['mastectomy']anatomical entity_fin: 'axillary lymph node': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'stable enlarged right axillary lymph node': 'clinical finding': 'stable enlarged right axillary lymph node', 'existence': 'pos_dx', 'descriptive_term': 'stable enlarged right axillary lymph', 'observation': 'node', 'strength_term': 'stable - enlarged', 'change_term': 'stable - enlarged'anatomical entity_fin: 'thoracic spine': , 'vertebrae': clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change', 'stable partial collapse': 'clinical finding': 'stable partial collapse', 'existence': 'pos_dx', 'descriptive_term': 'stable partial', 'observation': 'collapse', 'strength_term': 'stable - partial', 'change_term': 'stable'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'numerous hypoattenuating hepatic lesions': 'clinical finding': 'numerous hypoattenuating hepatic lesions', 'existence': 'pos_dx', 'descriptive_term': 'numerous hypoattenuating hepatic', 'observation': 'lesion', 'quantity_term': 'numerous', 'iv contrast': 'clinical finding': 'iv contrast', 'existence': 'neg_dx', 'descriptive_term': 'iv', 'observation': 'contrast', 'metastatic disease': 'clinical finding': 'metastatic disease', 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'disease' [/INST] [RESP] . Previously noted right upper lobe nodule has resolved. Bilateral basilar subpleural consolidation or atelectasis and nodularity is improved from the prior exam. No new pulmonary nodules identified. No pleural effusions. Right chest Port-A-Cath with its tip in the SVC. No hilar or mediastinal lymphadenopathy. Enlarged pulmonary artery compatible with pulmonary arterial hypertension. Cardiac size is normal without evidence of a pericardial effusion. Moderate. Chest post right mastectomy. Stable enlarged right axillary lymph node. Degenerative changes in the thoracic spine with stable partial collapse of the T12 vertebrae. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Numerous hypoattenuating hepatic lesions incompletely evaluated on this exam without IV contrast and compatible with metastatic disease. [/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'anatomical entity_fin: 'wall': , 'liver': , 'hilum': imaging observation_fin: ['fat']clinical findings_fin: 'inflamed': 'clinical finding': 'inflamed', 'existence': 'pos_dx', 'observation': 'inflamed', 'fat stranding': 'clinical finding': 'fat stranding', 'existence': 'pos_dx', 'descriptive_term': 'fat', 'observation': 'strand'size_fin: ['size': '11-mm', 'size_descriptor': 'tear']anatomical entity_fin: 'appendix': , 'wrist': clinical findings_fin: 'more than 11-mm tear': 'clinical finding': 'more than 11-mm tear', 'existence': 'pos_dx', 'descriptive_term': 'more than 11-mm', 'observation': 'tear', 'quantity_term': 'more', 'periappendiceal abscess': 'clinical finding': 'periappendiceal abscess', 'existence': 'neg_dx', 'descriptive_term': 'periappendiceal', 'observation': 'abscess'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'fluid': , 'pelvis': clinical findings_fin: 'small amount of fluid in the pelvis': 'clinical finding': 'small amount of fluid in the pelvis' [/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. The appendiceal wall is inflamed surrounded by fat stranding that extends up to almost the liver hilum. The appendix diameter at the tip is in more than 11-mm tear in the wrist no evidence of ruptured appendix with periappendiceal abscess formation as yet. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Small amount of fluid in the pelvis. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'orbits': clinical findings_fin: 'orbits are unremarkable': 'clinical finding': 'orbits are unremarkable'clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'brain': clinical findings_fin: 'nonspecific periventricular white matter hypoattenuation': 'clinical finding': 'nonspecific periventricular white matter hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific periventricular white matter', 'observation': 'hypoattenuation', 'brain volume loss': 'clinical finding': 'brain volume loss', 'existence': 'pos_dx', 'descriptive_term': 'brain volume', 'observation': 'loss'anatomical entity_fin: 'sphenoid sinus': location descriptor_fin: ['left']clinical findings_fin: 'minimal opacification': 'clinical finding': 'minimal opacification', 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'opacification', 'strength_term': 'minimal', 'quantity_term': 'minimal'clinical findings_fin: 'frontal sinuses': 'clinical finding': 'frontal sinuses', 'existence': 'neg_dx', 'descriptive_term': 'frontal', 'observation': 'sinus'anatomical entity_fin: 'sphenoid sinus': 'location descriptor': 'right'location descriptor_fin: ['anterior', 'posterior', 'right']clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact', 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'clinical findings_fin: 'intersphenoid septum is normal': 'clinical finding': 'intersphenoid septum is normal'anatomical entity_fin: 'nasal turbinates': clinical findings_fin: 'nasal septum': 'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum'anatomical entity_fin: 'cribriform plate': , 'fovea ethmoidalis': clinical findings_fin: 'cribriform plate , fovea ethmoidalis and lamina papyraceae appear normal': 'clinical finding': 'cribriform plate , fovea ethmoidalis and lamina papyraceae appear normal'clinical findings_fin: 'osseous structures are unremarkable': 'clinical finding': 'osseous structures are unremarkable' [/INST] [RESP] The orbits are unremarkable. The mastoids are clear. Limited view of the intracranial structure shows nonspecific periventricular white matter hypoattenuation and brain volume loss. There is minimal opacification in the left chamber of the sphenoid sinus. The frontal sinuses have not developed. The anterior or posterior ethmoids, right sphenoid sinus, and maxillary sinuses are well developed and clear. The osteomeatal complexes are normal with intact uncinate processes and patent infundibuli. The intersphenoid septum is normal. The nasal turbinates and nasal septum are normal. The cribriform plate, fovea ethmoidalis and lamina papyraceae appear normal. The osseous structures are unremarkable. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'right lung': clinical findings_fin: 'severe fibrosis': 'clinical finding': 'severe fibrosis', 'existence': 'pos_dx', 'descriptive_term': 'severe', 'observation': 'fibrosis', 'strength_term': 'severe', 'inter- and intralobular reticular opacities': 'clinical finding': 'inter- and intralobular reticular opacities', 'existence': 'pos_dx', 'descriptive_term': 'inter- and intralobular reticular', 'observation': 'opacity', 'honeycombing': 'clinical finding': 'honeycombing', 'existence': 'pos_dx', 'observation': 'honeycombing', 'calcification': 'clinical finding': 'calcification', 'existence': 'unc_dx', 'observation': 'calcification', 'ossification': 'clinical finding': 'ossification', 'existence': 'unc_dx', 'observation': 'ossification', 'traction bronchiectasis': 'clinical finding': 'traction bronchiectasis', 'existence': 'pos_dx', 'descriptive_term': 'traction', 'observation': 'bronchiectasis', 'right lung': 'clinical finding': 'right lung', 'existence': 'pos_dx', 'descriptive_term': 'right', 'observation': 'lung'clinical findings_fin: 'significant groundglass opacities': 'clinical finding': 'significant groundglass opacities', 'existence': 'neg_dx', 'descriptive_term': 'significant groundglass', 'observation': 'opacity'anatomical entity_fin: 'lobe': 'location descriptor': 'upper'location descriptor_fin: ['upper']clinical findings_fin: 'pulmonary cysts': 'clinical finding': 'pulmonary cysts', 'existence': 'pos_dx', 'descriptive_term': 'pulmonary', 'observation': 'cyst', 'bullae': 'clinical finding': 'bullae', 'existence': 'unc_dx', 'observation': 'bullae'anatomical entity_fin: 'mediastinal lymph nodes': location descriptor_fin: ['upper']clinical findings_fin: 'numerous upper normal sized mediastinal lymph nodes': 'clinical finding': 'numerous upper normal sized mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'numerous upper normal sized mediastinal lymph', 'observation': 'node', 'strength_term': 'normal', 'quantity_term': 'numerous'clinical findings_fin: 'severe coronary artery calcifications': 'clinical finding': 'severe coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'severe coronary artery', 'observation': 'calcification', 'strength_term': 'severe'location descriptor_fin: ['proximal']clinical findings_fin: 'large hiatal hernia': 'clinical finding': 'large hiatal hernia', 'existence': 'pos_dx', 'descriptive_term': 'large hiatal', 'observation': 'hernia', 'strength_term': 'large', 'proximal esophageal thickening': 'clinical finding': 'proximal esophageal thickening', 'existence': 'pos_dx', 'descriptive_term': 'proximal esophageal', 'observation': 'thickening', 'stasis': 'clinical finding': 'stasis', 'existence': 'pos_dx', 'observation': 'stasis'anatomical entity_fin: 'anterior chest wall': , 'thoracolumbar spine region': clinical findings_fin: 'marked spinal rotoscoliosis': 'clinical finding': 'marked spinal rotoscoliosis', 'existence': 'pos_dx', 'descriptive_term': 'marked spinal', 'observation': 'rotoscoliosis', 'anterior chest wall deformity': 'clinical finding': 'anterior chest wall deformity', 'existence': 'pos_dx', 'descriptive_term': 'anterior chest wall', 'observation': 'deformity', 'surgical plate': 'clinical finding': 'surgical plate', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'plate', 'stabilization rod': 'clinical finding': 'stabilization rod', 'existence': 'pos_dx', 'descriptive_term': 'stabilization', 'observation': 'rod'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality', 'vascular calcifications': 'clinical finding': 'vascular calcifications', 'existence': 'pos_dx', 'descriptive_term': 'vascular', 'observation': 'calcification' [/INST] [RESP] . Severe fibrosis characterized by inter- and intralobular reticular opacities, honeycombing, calcification or ossification, and traction bronchiectasis, significantly worse than on the prior study, particularly involving the right lung. No significant groundglass opacities. Pulmonary cysts or bullae, upper lobe predominant, are worse than on the prior study. Numerous upper normal sized mediastinal lymph nodes are present. Severe coronary artery calcifications are present. A large hiatal hernia is accompanied by proximal esophageal thickening and stasis. Marked spinal rotoscoliosis and anterior chest wall deformity with a surgical plate in the substernal areas and a stabilization rod in the thoracolumbar spine region, unchanged. No significant abnormality noted, except for vascular calcifications. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'left frontal lobe': , 'basal ganglia': 'location descriptor': 'left', 'insula': location descriptor_fin: ['left']clinical findings_fin: 'left mca territory acute ischemic stroke': 'clinical finding': 'left mca territory acute ischemic stroke', 'existence': 'pos_dx', 'descriptive_term': 'left mca territory acute ischemic', 'observation': 'stroke', 'strength_term': 'acute', 'temporal_term': 'acute', 'more mass effect': 'clinical finding': 'more mass effect', 'existence': 'pos_dx', 'descriptive_term': 'more mass', 'observation': 'effect', 'quantity_term': 'more'anatomical entity_fin: 'basal ganglia': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'left basal ganglia ischemic lesion': 'clinical finding': 'left basal ganglia ischemic lesion', 'existence': 'pos_dx', 'descriptive_term': 'left basal ganglia ischemic', 'observation': 'lesion'anatomical entity_fin: 'basal ganglia': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'ill defined high attenuation': 'clinical finding': 'ill defined high attenuation', 'existence': 'pos_dx', 'descriptive_term': 'ill defined high', 'observation': 'attenuation'procedure_fin: ['angiography']clinical findings_fin: 'focal hemorrhagic': 'clinical finding': 'focal hemorrhagic', 'existence': 'unc_dx', 'descriptive_term': 'focal', 'observation': 'hemorrhagic', 'stagnant contrast': 'clinical finding': 'stagnant contrast', 'existence': 'unc_dx', 'descriptive_term': 'stagnant', 'observation': 'contrast'anatomical entity_fin: 'left lateral ventricle': clinical findings_fin: 'effacement': 'clinical finding': 'effacement', 'existence': 'pos_dx', 'observation': 'effacement', 'mass effects': 'clinical finding': 'mass effects', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect'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', 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema', 'intra- or extra-axial fluid collection': 'clinical finding': 'intra- or extra-axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'intra- or extra-axial fluid', 'observation': 'collection', 'acute hemorrhage': 'clinical finding': 'acute hemorrhage', '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] Left MCA territory acute ischemic stroke involving left frontal lobe, left basal ganglia and insula is more conspicuous and shows more mass effect than prior scan. In particular, left basal ganglia ischemic lesion appears to be progressed since prior scan. There is ill defined high attenuation area within the left basal ganglia. This may represent focal hemorrhagic transformation or stagnant contrast from prior angiography. The left lateral ventricle especially frontal horn shows effacement due to mass effects, progressed since prior scan. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection or acute hemorrhage. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'prominent': 'clinical finding': 'prominent', 'existence': 'pos_dx', 'observation': 'prominent'anatomical entity_fin: 'frontal lobes': , 'temporal lobes': clinical findings_fin: 'decreased metabolic activity': 'clinical finding': 'decreased metabolic activity', 'existence': 'pos_dx', 'descriptive_term': 'decreased metabolic', 'observation': 'activity', 'strength_term': 'decreased', 'change_term': 'decreased'anatomical entity_fin: 'occipital lobes': clinical findings_fin: 'parietal and occipital lobes are unremarkable': 'clinical finding': 'parietal and occipital lobes are unremarkable' [/INST] [RESP] Todays CT portion of the exam grossly demonstrates prominent ventricles and sulci. Todays PET portion of the examination demonstrates decreased metabolic activity in the frontal lobes as well as mild decreased activity in the temporal lobes. The parietal and occipital lobes are unremarkable. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '16-mm']anatomical entity_fin: 'lobe': 'location descriptor': 'left lower'location descriptor_fin: ['left', 'lower']clinical findings_fin: 'noncalcified 16-mm left lower lobe nodule': 'clinical finding': 'noncalcified 16-mm left lower lobe nodule', 'existence': 'pos_dx', 'descriptive_term': 'noncalcified 16-mm left lower lobe', 'observation': 'nodule', 'internal lipid attenuation': 'clinical finding': 'internal lipid attenuation', 'existence': 'pos_dx', 'descriptive_term': 'internal lipid', 'observation': 'attenuation', 'hamartoma': 'clinical finding': 'hamartoma', 'existence': 'unc_dx', 'observation': 'hamartoma'anatomical entity_fin: 'lung': location descriptor_fin: ['adjacent']clinical findings_fin: 'few adjacent micronodule opacities': 'clinical finding': 'few adjacent micronodule opacities', 'existence': 'pos_dx', 'descriptive_term': 'few adjacent micronodule', 'observation': 'opacity', 'quantity_term': 'few', 'impacted rhonchi': 'clinical finding': 'impacted rhonchi', 'existence': 'unc_dx', 'descriptive_term': 'impacted', 'observation': 'rhonchi'clinical findings_fin: 'additional suspicious lesions': 'clinical finding': 'additional suspicious lesions', 'existence': 'neg_dx', 'descriptive_term': 'additional suspicious', 'observation': 'lesion'object_fin: ['catheter']anatomical entity_fin: 'coronary arteries': clinical findings_fin: 'calcified': 'clinical finding': 'calcified', 'existence': 'pos_dx', 'observation': 'calcified'anatomical entity_fin: 'heart': clinical findings_fin: 'normal heart size': 'clinical finding': 'normal heart size'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'innumerable hepatic hypoattenuating lesions': 'clinical finding': 'innumerable hepatic hypoattenuating lesions', 'existence': 'pos_dx', 'descriptive_term': 'innumerable hepatic hypoattenuating', 'observation': 'lesion', 'metastases': 'clinical finding': 'metastases', 'existence': 'pos_dx', 'observation': 'metastase'anatomical entity_fin: 'body': , 'pancreas': clinical findings_fin: 'tail mass': 'clinical finding': 'tail mass', 'existence': 'pos_dx', 'descriptive_term': 'tail', 'observation': 'mass'anatomical entity_fin: 'gastrohepatic ligament': 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: 'additional lymphadenopathy': 'clinical finding': 'additional lymphadenopathy', 'existence': 'unc_dx', 'descriptive_term': 'additional', 'observation': 'lymphadenopathy', 'mass': 'clinical finding': 'mass', 'existence': 'unc_dx', 'observation': 'mass'anatomical entity_fin: 'wall': 'location descriptor': 'posterior', 'stomach': location descriptor_fin: ['posterior']clinical findings_fin: 'hypoattenuating mass': 'clinical finding': 'hypoattenuating mass', 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating', 'observation': 'mass'anatomical entity_fin: 'stomach': , 'spleen': clinical findings_fin: 'small fluid collection': 'clinical finding': 'small fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'small fluid', 'observation': 'collection', 'strength_term': 'small', 'necrotic lymph node': 'clinical finding': 'necrotic lymph node', 'existence': 'pos_dx', 'descriptive_term': 'necrotic lymph', 'observation': 'node' [/INST] [RESP] . Noncalcified 16-mm left lower lobe nodule containing internal lipid attenuation, suggestive of a hamartoma. A few adjacent micronodule opacities occur in the lung periphery and could reflect impacted rhonchi but are too small to accurately characterize. No additional suspicious lesions. A jugular catheter tip at the SVC or RA junction. Native coronary arteries are heavily calcified. Normal heart size. No significant abnormality noted. Absence of IV and enteric contrast material markedly limits sensitivity for abdominal pathology. A minute scanning range. Innumerable hepatic hypoattenuating lesions are consistent with metastases. The large hypoattenuating pancreatic body and tail mass pancreas is incompletely included within this scanning range. Small lymph nodes are noted in the gastrohepatic ligament region and above the celiac access. Additional lymphadenopathy cannot be reliably distinguished from the mass. Additionally, there is a hypoattenuating mass in the posterior wall of the stomach. Small fluid collection versus necrotic lymph node between the stomach and spleen. [/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'anatomical entity_fin: 'temporal lobe': 'location descriptor': 'right anterior'location descriptor_fin: ['right', 'anterior']clinical findings_fin: 'encephalomalacia': 'clinical finding': 'encephalomalacia', 'existence': 'pos_dx', 'observation': 'encephalomalacia', 'prior surgical small partial right anterior anterior temporal lobectomy': 'clinical finding': 'prior surgical small partial right anterior anterior temporal lobectomy', 'existence': 'unc_dx', 'descriptive_term': 'prior surgical small partial right anterior anterior temporal', 'observation': 'lobectomy', 'strength_term': 'small - partial'clinical findings_fin: 'underlying parenchymal volume loss': 'clinical finding': 'underlying parenchymal volume loss', 'existence': 'unc_dx', 'descriptive_term': 'underlying parenchymal volume', 'observation': 'loss'location descriptor_fin: ['bilateral']clinical findings_fin: 'prior extensive surgical changes': 'clinical finding': 'prior extensive surgical changes', 'existence': 'pos_dx', 'descriptive_term': 'prior extensive surgical', 'observation': 'change', 'strength_term': 'extensive', 'calvarium': 'clinical finding': 'calvarium', 'existence': 'pos_dx', 'observation': 'calvarium' [/INST] [RESP] Unenhanced head. Examination performed with a surgical assist device in place. Examination redemonstrates a focus of encephalomalacia in the right anterior temporal lobe and evidence of a prior surgical small partial right anterior anterior temporal lobectomy. Generalized prominence of cortical sulci and cerebellar -- vermian folia for patients stated age of 27 similar to prior exam and concerning for underlying parenchymal volume loss. Evidence of prior extensive surgical changes of calvarium in bilateral frontal and temporal regions. [/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: 'hepatic cysts': 'clinical finding': 'hepatic cysts', 'existence': 'pos_dx', 'descriptive_term': 'hepatic', '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'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral renal cysts': 'clinical finding': 'bilateral renal cysts', 'existence': 'pos_dx', 'descriptive_term': 'bilateral renal', 'observation': 'cyst'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'small hiatal hernia': 'clinical finding': 'small hiatal hernia', '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'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'bladder': 'location descriptor': 'left', 'wall': location descriptor_fin: ['left']clinical findings_fin: 'asymmetrical thickening': 'clinical finding': 'asymmetrical thickening', 'existence': 'pos_dx', 'descriptive_term': 'asymmetrical', 'observation': 'thickening'anatomical entity_fin: 'left ureteral orifice': clinical findings_fin: 'this thickening': 'clinical finding': 'this thickening', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'thickening'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . No significant abnormality noted. Hepatic cysts. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Bilateral renal cysts. No significant abnormality noted. Small hiatal hernia. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Asymmetrical thickening of the left bladder wall. This thickening involves the left ureteral orifice. 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 occipital lobe': imaging observation_fin: ['enhancing']object_fin: ['catheter']clinical findings_fin: 'postsurgical changes': 'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change', 'enhancing lesion': 'clinical finding': 'enhancing lesion', 'existence': 'unc_dx', 'descriptive_term': 'enhancing', 'observation': 'lesion'anatomical entity_fin: 'right occipital lobe': clinical findings_fin: 'pneumocephalus': 'clinical finding': 'pneumocephalus', 'existence': 'pos_dx', 'observation': 'pneumocephalus'anatomical entity_fin: 'right occipital lobe': , 'cortex': clinical findings_fin: 'abnormal enhancement': 'clinical finding': 'abnormal enhancement', 'existence': 'pos_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement'clinical findings_fin: 'residual metastatic tumor': 'clinical finding': 'residual metastatic tumor', 'existence': 'unc_dx', 'descriptive_term': 'residual metastatic', 'observation': 'tumor', 'temporal_term': 'residual'clinical findings_fin: 'vasogenic edema': 'clinical finding': 'vasogenic edema', 'existence': 'pos_dx', 'descriptive_term': 'vasogenic', 'observation': 'edema'clinical findings_fin: 'other significant interval change': 'clinical finding': 'other significant interval change', 'existence': 'neg_dx', 'descriptive_term': 'other significant interval', 'observation': 'change' [/INST] [RESP] Postsurgical changes in right occipital lobe are seen with a catheter traversing the area where an enhancing lesion was previously seen. A small pocket of pneumocephalus is present in the right occipital lobe. There is abnormal enhancement in the right occipital lobe, which involves also the cortex. Residual metastatic tumor cannot be excluded. MRI is suggested for further evaluation. Vasogenic edema is present and unchanged compared to earlier non-enhanced CT of same day. No other significant interval change is noted. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'brain': clinical findings_fin: 'hemorrhage': 'clinical finding': 'hemorrhage', 'existence': 'neg_dx', 'observation': 'hemorrhage', 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass', 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema'clinical findings_fin: 'normal limits in size': 'clinical finding': 'normal limits in size'clinical findings_fin: 'abnormal enhancement': 'clinical finding': 'abnormal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement'anatomical entity_fin: 'hypopharynx': , 'epiglottis': clinical findings_fin: 'edema': 'clinical finding': 'edema', 'existence': 'pos_dx', 'observation': 'edema'clinical findings_fin: 'abnormal enhancement': 'clinical finding': 'abnormal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement', 'mass lesion': 'clinical finding': 'mass lesion', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'lesion'anatomical entity_fin: 'neck': location descriptor_fin: ['left']clinical findings_fin: 'prior left neck dissection': 'clinical finding': 'prior left neck dissection', 'existence': 'pos_dx', 'descriptive_term': 'prior left neck', 'observation': 'dissection', 'pathologically enlarged lymph nodes': 'clinical finding': 'pathologically enlarged lymph nodes', 'existence': 'unc_dx', 'descriptive_term': 'pathologically enlarged lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'anatomical entity_fin: 'lung': , 'apices': clinical findings_fin: 'pulmonary parenchymal abnormality': 'clinical finding': 'pulmonary parenchymal abnormality', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary parenchymal', 'observation': 'abnormality' [/INST] [RESP] Postcontrast CT scan of the brain demonstrates no evidence of hemorrhage, mass or edema. The ventricles and basilar cisterns are within normal limits in size. There is no abnormal enhancement on the postcontrast images. There is edema of the hypopharynx and epiglottis which is presumed post therapy in nature. I see no evidence of abnormal enhancement or mass lesion. There is evidence of prior left neck dissection with absence of the left submandibular glandNo pathologically enlarged lymph nodes are seen within the neck. Cuts the lung apices reveal no pulmonary parenchymal abnormality in the bone windows are unremarkable. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower', 'medial']clinical findings_fin: 'atelectasis': 'clinical finding': 'atelectasis', 'existence': 'pos_dx', 'observation': 'atelectasis'anatomical entity_fin: 'heart': clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'size_fin: ['size': '2.8 x 1.0 cm']anatomical entity_fin: 'spine': location descriptor_fin: ['right', 'posterior']clinical findings_fin: 'postoperative changes': 'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change', 'posterior decompression': 'clinical finding': 'posterior decompression', 'existence': 'pos_dx', 'descriptive_term': 'posterior', 'observation': 'decompression'location descriptor_fin: ['central']clinical findings_fin: 'soft tissue': 'clinical finding': 'soft tissue', 'existence': 'pos_dx', 'descriptive_term': 'soft', 'observation': 'tissue', 'narrowing': 'clinical finding': 'narrowing', 'existence': 'pos_dx', 'observation': 'narrowing'anatomical entity_fin: 'liver': clinical findings_fin: 'hypoattenuating': 'clinical finding': 'hypoattenuating', 'existence': 'pos_dx', 'observation': 'hypoattenuating'clinical findings_fin: 'focal hepatic lesion': 'clinical finding': 'focal hepatic lesion', 'existence': 'neg_dx', 'descriptive_term': 'focal hepatic', 'observation': 'lesion'anatomical entity_fin: 'vasculature': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'clinical findings_fin: 'calcified gallstone': 'clinical finding': 'calcified gallstone', 'existence': 'pos_dx', 'descriptive_term': 'calcified', 'observation': 'gallstone', 'change_term': 'calcified'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'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: 'scarring': 'clinical finding': 'scarring', 'existence': 'pos_dx', 'observation': 'scarr'clinical findings_fin: 'hydronephrosis': 'clinical finding': 'hydronephrosis', 'existence': 'neg_dx', 'observation': 'hydronephrosis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'bowel': clinical findings_fin: 'small bowel is normal': 'clinical finding': 'small bowel is normal'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'procedure_fin: ['hysterectomy']clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '2.1 x 0.9', 'size_descriptor': 'node']anatomical entity_fin: 'external iliac lymph node': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'external iliac lymph node': 'clinical finding': 'external iliac lymph node', 'existence': 'pos_dx', 'descriptive_term': 'external iliac 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' [/INST] [RESP] . There is atelectasis of the right lower lobe, medial segment and right basilar subsegments. The heart size is normal without a pericardial effusion. The right paramediastinal soft tissue measures 2.8 x 1.0 cm on image 41 series There are postoperative changes in the thoracic spine from laminectomy and posterior decompression. There is soft tissue within the central canal narrowing the thecal sac in this segment. The liver is diffusely hypoattenuating. No focal hepatic lesion is identified. The hepatic vasculature are patent. The calcified gallstone in the fundus is unchanged. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Focal areas of scarring in the right kidney are unchanged. No hydronephrosis has developed. No significant abnormality noted. Small bowel is normal in caliber and course. No significant abnormality noted. No significant abnormality noted. Status post hysterectomy. No significant abnormality noted. Right external iliac lymph node measures 2.1 x 0.9-cm on image. 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: 'pulmonary embolus': 'clinical finding': 'pulmonary embolus', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolus'size_fin: ['size': '4.4 x 6.3 cm', 'size_descriptor': 'mass']anatomical entity_fin: 'lobe': 'location descriptor': 'left lower'location descriptor_fin: ['left', 'lower']clinical findings_fin: 'large left lower lobe pulmonary mass': 'clinical finding': 'large left lower lobe pulmonary mass', 'existence': 'pos_dx', 'descriptive_term': 'large left lower lobe pulmonary', 'observation': 'mass', 'strength_term': 'large', 'primary lung cancer': 'clinical finding': 'primary lung cancer', 'existence': 'unc_dx', 'descriptive_term': 'primary lung', 'observation': 'cancer'clinical findings_fin: 'surrounding ground glass opacity': 'clinical finding': 'surrounding ground glass opacity', 'existence': 'pos_dx', 'descriptive_term': 'surrounding ground glass', 'observation': 'opacity', 'hemorrhage': 'clinical finding': 'hemorrhage', 'existence': 'unc_dx', 'observation': 'hemorrhage', 'hemoptysis': 'clinical finding': 'hemoptysis', 'existence': 'unc_dx', 'observation': 'hemoptysis'location descriptor_fin: ['left']clinical findings_fin: 'small left pleural effusion': 'clinical finding': 'small left pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'small left pleural', 'observation': 'effusion', 'strength_term': 'small'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: 'lungs': imaging observation_fin: ['reticulonodular pattern']clinical findings_fin: 'mild chronic nonspecific reticulonodular': 'clinical finding': 'mild chronic nonspecific reticulonodular', 'existence': 'pos_dx', 'descriptive_term': 'mild chronic nonspecific', 'observation': 'reticulonodular', 'strength_term': 'mild', 'temporal_term': 'chronic'anatomical entity_fin: 'aorta': clinical findings_fin: 'extensive atherosclerosis': 'clinical finding': 'extensive atherosclerosis', 'existence': 'pos_dx', 'descriptive_term': 'extensive', 'observation': 'atherosclerosis', 'strength_term': 'extensive', 'extensive mitral anulus calcification': 'clinical finding': 'extensive mitral anulus calcification', 'existence': 'pos_dx', 'descriptive_term': 'extensive mitral anulus', 'observation': 'calcification', 'strength_term': 'extensive'clinical findings_fin: 'severe coronary arterial calcification': 'clinical finding': 'severe coronary arterial calcification', 'existence': 'pos_dx', 'descriptive_term': 'severe coronary arterial', 'observation': 'calcification', 'strength_term': 'severe'anatomical entity_fin: 'anterior mediastinum': , 'hilum': 'location descriptor': 'left'location descriptor_fin: ['right', 'posterior', 'left']clinical findings_fin: 'mediastinal lymphadenopathy': 'clinical finding': 'mediastinal lymphadenopathy', 'existence': 'pos_dx', 'descriptive_term': 'mediastinal', 'observation': 'lymphadenopathy'anatomical entity_fin: 'spine': clinical findings_fin: 'moderate to severe degenerative changes': 'clinical finding': 'moderate to severe degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'moderate to severe degenerative', 'observation': 'change', 'strength_term': 'moderate - severe'anatomical entity_fin: 'rib': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'expansile, sclerotic': 'clinical finding': 'expansile, sclerotic', 'existence': 'pos_dx', 'descriptive_term': 'expansile ', 'observation': 'sclerotic', 'healing fracture': 'clinical finding': 'healing fracture', 'existence': 'unc_dx', 'descriptive_term': 'healing', 'observation': 'fracture', 'strength_term': 'healing', 'change_term': 'healing'anatomical entity_fin: 'liver': , 'spleen': clinical findings_fin: 'punctate calcifications': 'clinical finding': 'punctate calcifications', 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'calcification', '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' [/INST] [RESP] . Diagnostic examination. No pulmonary embolus. Large left lower lobe pulmonary mass measuring 4.4 x 6.3 cm suggestive of primary lung cancer. Surrounding ground glass opacity may represent hemorrhage given patients history of hemoptysis. Small left pleural effusion. Minimal centrilobular emphysema. Mild chronic nonspecific reticulonodular pattern affects both lungs. Extensive atherosclerosis within the aorta and its branches extensive mitral anulus calcification. Severe coronary arterial calcification. Mediastinal lymphadenopathy within the high right posterior paratracheal, anterior mediastinum, left hilum and prevascular regions. Moderate to severe degenerative changes noted in the spine. Expansile, sclerotic focus within the seventh left rib may represent a healing fracture. Punctate calcifications within the liver and spleen represent prior healed granulomatous disease. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'subsegmental pulmonary artery': clinical findings_fin: 'subsegmental pulmonary': 'clinical finding': 'subsegmental pulmonary', 'existence': 'pos_dx', 'descriptive_term': 'subsegmental', 'observation': 'pulmonary', 'pulmonary embolus': 'clinical finding': 'pulmonary embolus', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolus'imaging observation_fin: ['apical']location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral apical pleural thickening': 'clinical finding': 'bilateral apical pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'bilateral apical pleural', 'observation': 'thickening'clinical findings_fin: 'centrilobular emphysema': 'clinical finding': 'centrilobular emphysema', 'existence': 'pos_dx', 'descriptive_term': 'centrilobular', 'observation': 'emphysema'anatomical entity_fin: 'base': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'small left pleural effusion': 'clinical finding': 'small left pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'small left pleural', 'observation': 'effusion', 'strength_term': 'small', 'atelectasis': 'clinical finding': 'atelectasis', 'existence': 'pos_dx', 'observation': 'atelectasis', 'consolidation': 'clinical finding': 'consolidation', 'existence': 'unc_dx', 'observation': 'consolidation'anatomical entity_fin: 'base': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'mild atelectasis': 'clinical finding': 'mild atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'atelectasis', 'strength_term': 'mild'anatomical entity_fin: 'lobes': 'location descriptor': 'upper', 'middle': 'location descriptor': 'right', 'lobe': , 'lingula': location descriptor_fin: ['posterior', 'upper', 'right']clinical findings_fin: 'mild scattered ground glass opacities': 'clinical finding': 'mild scattered ground glass opacities', 'existence': 'pos_dx', 'descriptive_term': 'mild scattered ground glass', 'observation': 'opacity', 'strength_term': 'mild', 'mild edema': 'clinical finding': 'mild edema', 'existence': 'unc_dx', 'descriptive_term': 'mild', 'observation': 'edema', 'strength_term': 'mild', 'atypical infection': 'clinical finding': 'atypical infection', 'existence': 'unc_dx', 'descriptive_term': 'atypical', 'observation': 'infection'clinical findings_fin: 'scattered nonspecific punctate nodules': 'clinical finding': 'scattered nonspecific punctate nodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered nonspecific punctate', 'observation': 'nodule'size_fin: ['size': '8 mm', 'size_descriptor': 'opacity']anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'right upper lobe pleural-based nodular opacity': 'clinical finding': 'right upper lobe pleural-based nodular opacity', 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe pleural-based nodular', 'observation': 'opacity', 'focal pleural thickening': 'clinical finding': 'focal pleural thickening', 'existence': 'unc_dx', 'descriptive_term': 'focal pleural', 'observation': 'thickening', 'scarring': 'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'anatomical entity_fin: 'heart': clinical findings_fin: 'heart size normal': 'clinical finding': 'heart size normal'clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'size_fin: ['size': '13 mm']anatomical entity_fin: 'mediastinal lymph nodes': , 'axis': clinical findings_fin: 'moderately enlarged mediastinal lymph nodes': 'clinical finding': 'moderately enlarged mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'moderately enlarged mediastinal lymph', 'observation': 'node', 'strength_term': 'moderately - enlarged', 'change_term': 'enlarged', 'pretracheal node': 'clinical finding': 'pretracheal node', 'existence': 'pos_dx', 'descriptive_term': 'pretracheal', 'observation': 'node'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'anatomical entity_fin: 'fluid': , 'liver': clinical findings_fin: 'ascites': 'clinical finding': 'ascites', 'existence': 'pos_dx', 'observation': 'ascite'anatomical entity_fin: 'abdomen': clinical findings_fin: 'other significant abnormalities': 'clinical finding': 'other significant abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'other significant', 'observation': 'abnormality' [/INST] [RESP] . Diagnostic quality exam down to subsegmental pulmonary artery branches, without evidence of pulmonary embolus. Bilateral apical pleural thickening. Centrilobular emphysema. Small left pleural effusion with atelectasis or consolidation in left base. Mild atelectasis in right base. Mild scattered ground glass opacities in the posterior aspects of both upper lobes, right middle lobe, and lingula, are nonspecific but may represent mild edema or atypical infection. Scattered nonspecific punctate nodules noted bilaterally. Right upper lobe pleural-based nodular opacity measures 8 mm and may represent focal pleural thickening or scarring. Heart size normal. No pericardial effusion. Moderately enlarged mediastinal lymph nodes noted pretracheal node measures 13 mm in short axis. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Small amount of ascites fluid noted around liver. No other significant abnormalities in partially visualized abdomen. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lung': clinical findings_fin: 'dominant lung lesion': 'clinical finding': 'dominant lung lesion', 'existence': 'neg_dx', 'descriptive_term': 'dominant lung', 'observation': 'lesion'anatomical entity_fin: 'pleural spaces': clinical findings_fin: 'pleural spaces': 'clinical finding': 'pleural spaces', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'space', 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'heart': clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'clinical findings_fin: 'mediastinal lymphadenopathy': 'clinical finding': 'mediastinal lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal', 'observation': 'lymphadenopathy'anatomical entity_fin: 'chest wall': 'location descriptor': 'right'location descriptor_fin: ['right']object_fin: ['port']clinical findings_fin: 'axillary lymphadenopathy': 'clinical finding': 'axillary lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'axillary', 'observation': 'lymphadenopathy'anatomical entity_fin: 'manubrium': clinical findings_fin: 'mixed sclerotic and lytic changes': 'clinical finding': 'mixed sclerotic and lytic changes', 'existence': 'pos_dx', 'descriptive_term': 'mixed sclerotic and lytic', 'observation': 'change'anatomical entity_fin: 'liver': clinical findings_fin: 'liver is normal in morphology': 'clinical finding': 'liver is normal in morphology'size_fin: ['size': '1.6 x 1.4 cm', 'size_descriptor': 'lesion']anatomical entity_fin: 'lobe': imaging observation_fin: ['central enhancement']location descriptor_fin: ['posterior', 'right']clinical findings_fin: 'posterior right hepatic lobe lesion': 'clinical finding': 'posterior right hepatic lobe lesion', 'existence': 'pos_dx', 'descriptive_term': 'posterior right hepatic lobe', 'observation': 'lesion'anatomical entity_fin: 'lobe': location descriptor_fin: ['right']clinical findings_fin: 'additional lesion': 'clinical finding': 'additional lesion', 'existence': 'pos_dx', 'descriptive_term': 'additional', 'observation': 'lesion'anatomical entity_fin: 'spleen': clinical findings_fin: 'top normal in size': 'clinical finding': 'top normal in size'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: 'small hypodense areas within the kidneys , too small to characterize': 'clinical finding': 'small hypodense areas within the kidneys , too small to characterize'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: 'lumbar vertebral bodies': clinical findings_fin: 'mixed sclerotic and lytic lesions': 'clinical finding': 'mixed sclerotic and lytic lesions', 'existence': 'pos_dx', 'descriptive_term': 'mixed sclerotic and lytic', '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: '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: 'spine': clinical findings_fin: 'multiple mixed sclerotic lytic lesions': 'clinical finding': 'multiple mixed sclerotic lytic lesions', 'existence': 'pos_dx', 'descriptive_term': 'multiple mixed sclerotic lytic', 'observation': 'lesion', 'quantity_term': 'multiple'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . No dominant lung lesion. Pleural spaces are clear. Heart size is normal without a pericardial effusion. No mediastinal lymphadenopathy. Right chest wall port terminates at the cavoatrial junction. No axillary lymphadenopathy. Mixed sclerotic and lytic changes of the manubrium. Liver is normal in morphology. A posterior right hepatic lobe lesion measures 1.6 x 1.4 cm which appears to have central enhancement. Additional lesion noted within the right hepatic lobe. Spleen is top normal in size. No significant abnormality noted. No significant abnormality noted. Small hypodense areas within the kidneys, too small to characterize. No retroperitoneal lymphadenopathy. No significant abnormality noted. Mixed sclerotic and lytic lesions involving lumbar vertebral bodies. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No pelvic lymphadenopathy. No significant abnormality noted. Multiple mixed sclerotic lytic lesions of the lumbar spine. 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: 'postoperative changes': 'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change', 'right upper lobectomy': 'clinical finding': 'right upper lobectomy', 'existence': 'pos_dx', 'descriptive_term': 'right upper', 'observation': 'lobectomy', 'stable right paramediastinal fibrosis': 'clinical finding': 'stable right paramediastinal fibrosis', 'existence': 'pos_dx', 'descriptive_term': 'stable right paramediastinal', 'observation': 'fibrosis', 'strength_term': 'stable', 'change_term': 'stable'imaging observation_fin: ['tree-in-bud']location descriptor_fin: ['centrilobular']clinical findings_fin: 'multifocal irregular predominantly centrilobular nodular opacities': 'clinical finding': 'multifocal irregular predominantly centrilobular nodular opacities', 'existence': 'pos_dx', 'descriptive_term': 'multifocal irregular predominantly centrilobular nodular', 'observation': 'opacity'size_fin: ['size': '8 x 6 mm', 'size': '5 x 6 mm']anatomical entity_fin: 'middle': 'location descriptor': 'right', 'lobe': location descriptor_fin: ['right']imaging observation_fin: ['apical']clinical findings_fin: 'mild apical pleural-parenchymal scarring': 'clinical finding': 'mild apical pleural-parenchymal scarring', 'existence': 'pos_dx', 'descriptive_term': 'mild apical pleural-parenchymal', 'observation': 'scarr', 'strength_term': 'mild'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'clinical findings_fin: 'significant lymphadenopathy': 'clinical finding': 'significant lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'anatomical entity_fin: 'heart': clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'anatomical entity_fin: 'esophagus': , 'fluid': clinical findings_fin: 'patulous': 'clinical finding': 'patulous', 'existence': 'pos_dx', 'observation': 'patulous', 'air-fluid level': 'clinical finding': 'air-fluid level', 'existence': 'pos_dx', 'descriptive_term': 'air-fluid', 'observation': 'level'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': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'unchanged subcentimeter hepatic hypodensities': 'clinical finding': 'unchanged subcentimeter hepatic hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'unchanged subcentimeter hepatic', 'observation': 'hypodensity', 'strength_term': 'unchanged', 'change_term': 'unchanged' [/INST] [RESP] . Postoperative changes related to right upper lobectomy again noted, with stable right paramediastinal fibrosis. There has been interval development of multifocal irregular predominantly centrilobular nodular opacities, some of which have a tree-in-bud appearance. Series 3, images 37, 49, 56, 57, 66. However, there has been interval increase in size of a the previously described right middle lobe, now measuring 8 x 6 mm , previously 5 x 6 mm. There is mild apical pleural-parenchymal scarring, appearing similar to the prior examination. No pleural effusion or pneumothorax. No significant lymphadenopathy noted. The heart size is normal and there is no pericardial effusion. The esophagus is patulous and has an air-fluid level. Moderate. No significant lymphadenopathy noted. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Unchanged subcentimeter hepatic hypodensities, remain too small to characterize, but are not significantly changed and presumably benign. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'solid organ': clinical findings_fin: 'iv contrast': 'clinical finding': 'iv contrast', 'existence': 'neg_dx', 'descriptive_term': 'iv', 'observation': 'contrast', 'lymphadenopathy': 'clinical finding': 'lymphadenopathy', 'existence': 'pos_dx', 'observation': 'lymphadenopathy'anatomical entity_fin: 'lobe': 'location descriptor': 'left lower'location descriptor_fin: ['left', 'upper', 'lower']clinical findings_fin: 'left upper lobe consolidation': 'clinical finding': 'left upper lobe consolidation', 'existence': 'pos_dx', 'descriptive_term': 'left upper lobe', 'observation': 'consolidation', 'left lower lobe atelectasis': 'clinical finding': 'left lower lobe atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'left lower lobe', 'observation': 'atelectasis'anatomical entity_fin: 'middle': , 'lobe': location descriptor_fin: ['right', 'upper']clinical findings_fin: 'mild right upper and middle lobe atelectasis': 'clinical finding': 'mild right upper and middle lobe atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'mild right upper and middle lobe', 'observation': 'atelectasis', 'strength_term': 'mild'size_fin: ['size': '84 x 69 millimeter', 'size': '89 x 61 mm']location descriptor_fin: ['anterior']clinical findings_fin: 'large anterior mediastinal calcified mass': 'clinical finding': 'large anterior mediastinal calcified mass', 'existence': 'pos_dx', 'descriptive_term': 'large anterior mediastinal calcified', 'observation': 'mass', 'strength_term': 'large', 'change_term': 'calcified'clinical findings_fin: 'this mass': 'clinical finding': 'this mass', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'mass'clinical findings_fin: 'multiple paratracheal lymph nodes': 'clinical finding': 'multiple paratracheal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple paratracheal lymph', 'observation': 'node', 'quantity_term': 'multiple'size_fin: ['size': '39 x 29 millimeter']location descriptor_fin: ['left']clinical findings_fin: 'left thyroid calcified lesion': 'clinical finding': 'left thyroid calcified lesion', 'existence': 'pos_dx', 'descriptive_term': 'left thyroid calcified', 'observation': 'lesion', 'change_term': 'calcified'clinical findings_fin: 'sternotomy wires': 'clinical finding': 'sternotomy wires', 'existence': 'pos_dx', 'descriptive_term': 'sternotomy', 'observation': 'wire'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] Lack of IV contrast administration limits evaluation of solid organ pathology and lymphadenopathy. Interval improvement of left upper lobe consolidation and left lower lobe atelectasis. Mild right upper and middle lobe atelectasis, unchanged. Large anterior mediastinal calcified mass in measuring 84 x 69 millimeters , compared to 89 x 61 mm on prior exam. Considering variation in technique and position this mass is unchanged. Multiple paratracheal lymph nodes, unchanged. Left thyroid calcified lesion is unchanged in size measuring 39 x 29 millimeter. Sternotomy wires again 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'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'size_fin: ['size': '2.9 x 1.2 cm', 'size_descriptor': 'size']location descriptor_fin: ['left']procedure_fin: ['nephrectomy']clinical findings_fin: 'left nephrectomy bed soft tissue focus': 'clinical finding': 'left nephrectomy bed soft tissue focus', 'existence': 'pos_dx', 'descriptive_term': 'left nephrectomy bed soft tissue', 'observation': 'focus'anatomical entity_fin: 'pole': 'location descriptor': 'superior'location descriptor_fin: ['right', 'superior']clinical findings_fin: 'right renal superior pole benign-appearing subcentimeter cyst': 'clinical finding': 'right renal superior pole benign-appearing subcentimeter cyst', 'existence': 'pos_dx', 'descriptive_term': 'right renal superior pole benign-appearing subcentimeter', 'observation': 'cyst', 'strength_term': 'superior - benign'clinical findings_fin: 'change': 'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change', 'mildly enlarged retroperitoneal lymph nodes': 'clinical finding': 'mildly enlarged retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly enlarged retroperitoneal lymph', 'observation': 'node', 'strength_term': 'mildly - enlarged', 'change_term': 'enlarged'size_fin: ['size': '2 x 1.3 cm']location descriptor_fin: ['left']clinical findings_fin: 'reference left periaortic lymph node': 'clinical finding': 'reference left periaortic lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference left periaortic 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'anatomical entity_fin: 'uterus': clinical findings_fin: 'myomatous uterus': 'clinical finding': 'myomatous uterus'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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. Status post cholecystectomy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Stable size of left nephrectomy bed soft tissue focus on image 46, series 7, measuring 2.9 x 1.2 cm. Right renal superior pole benign-appearing subcentimeter cyst. No change in mildly enlarged retroperitoneal lymph nodes. Reference left periaortic lymph node, best seen on image 142 of series 4 measures 2 x 1.3 cm. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Myomatous uterus. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'right lower'imaging observation_fin: ['apical']location descriptor_fin: ['left', 'right', 'upper', 'lower']clinical findings_fin: 'left apical spiculated calcified mass': 'clinical finding': 'left apical spiculated calcified mass', 'existence': 'pos_dx', 'descriptive_term': 'left apical spiculated calcified', 'observation': 'mass', 'change_term': 'calcified', 'right upper lobe linear opacity': 'clinical finding': 'right upper lobe linear opacity', 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe linear', 'observation': 'opacity', 'right lower lobe tubular opacity': 'clinical finding': 'right lower lobe tubular opacity', 'existence': 'pos_dx', 'descriptive_term': 'right lower lobe tubular', 'observation': 'opacity'clinical findings_fin: 'pleural effusions': 'clinical finding': 'pleural effusions', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion', 'new opacities': 'clinical finding': 'new opacities', 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'opacity', 'temporal_term': 'new'anatomical entity_fin: 'coronary arteries': , 'aorta': , 'arteries': clinical findings_fin: 'extensive atherosclerotic calcifications': 'clinical finding': 'extensive atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'extensive atherosclerotic', 'observation': 'calcification', 'strength_term': 'extensive'anatomical entity_fin: 'shoulder': location descriptor_fin: ['right']procedure_fin: ['arthroplasty']clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: 'incidentally': 'clinical finding': 'incidentally', 'existence': 'pos_dx', 'observation': 'incidentally'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change', 'kyphosis': 'clinical finding': 'kyphosis', 'existence': 'pos_dx', 'observation': 'kyphosis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Left apical spiculated calcified mass , right upper lobe linear opacity , and right lower lobe tubular opacity all are unchanged in size from the previous exam dated 8/25/2008 and are likely post infectious in etiology. No pleural effusions or new opacities. Extensive atherosclerotic calcifications are noted in the coronary arteries, aorta, and branch arteries. Right total shoulder arthroplasty. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Asymmetrically smaller left kidney is incidentally noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Degenerative changes and kyphosis of the 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: 'stable micronodules': 'clinical finding': 'stable micronodules', 'existence': 'pos_dx', 'descriptive_term': 'stable', 'observation': 'micronodule', 'strength_term': 'stable', 'change_term': 'stable'imaging observation_fin: ['foci']location descriptor_fin: ['bilateral']clinical findings_fin: 'heterogeneous thyroid': 'clinical finding': 'heterogeneous thyroid', 'existence': 'pos_dx', 'descriptive_term': 'heterogeneous', 'observation': 'thyroid', 'small bilateral calcified foci': 'clinical finding': 'small bilateral calcified foci', 'existence': 'pos_dx', 'descriptive_term': 'small bilateral calcified', 'observation': 'foci', 'strength_term': 'small', 'change_term': 'calcified'anatomical entity_fin: 'mediastinal lymph nodes': clinical findings_fin: 'subcentimeter mediastinal lymph nodes': 'clinical finding': 'subcentimeter mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter mediastinal lymph', 'observation': 'node'anatomical entity_fin: 'coronary artery': clinical findings_fin: 'mild or moderate coronary artery and valvular calcification': 'clinical finding': 'mild or moderate coronary artery and valvular calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild or moderate coronary artery and valvular', 'observation': 'calcification', 'strength_term': 'mild - moderate'anatomical entity_fin: 'chest wall': 'location descriptor': 'right', 'right atrium': location descriptor_fin: ['right']object_fin: ['port']clinical findings_fin: 'scattered bilobar hepatic cysts': 'clinical finding': 'scattered bilobar hepatic cysts', 'existence': 'pos_dx', 'descriptive_term': 'scattered bilobar hepatic', 'observation': 'cyst'clinical findings_fin: 'multiple hypoattenuating lesions': 'clinical finding': 'multiple hypoattenuating lesions', 'existence': 'pos_dx', 'descriptive_term': 'multiple hypoattenuating', 'observation': 'lesion', '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'location descriptor_fin: ['bilateral']clinical findings_fin: 'few bilateral subcentimeter hypoattenuating lesions': 'clinical finding': 'few bilateral subcentimeter hypoattenuating lesions', 'existence': 'pos_dx', 'descriptive_term': 'few bilateral subcentimeter hypoattenuating', 'observation': 'lesion', 'quantity_term': 'few', 'likely cysts': 'clinical finding': 'likely cysts', 'existence': 'neg_dx', 'descriptive_term': 'likely', '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: 'absent': 'clinical finding': 'absent', 'existence': 'unc_dx', 'observation': 'absent'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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] . Stable micronodules. Heterogeneous thyroid with small bilateral calcified foci, nonspecific, but unchanged, likely benign. Subcentimeter mediastinal lymph nodes, unchanged. Mild or moderate coronary artery and valvular calcification. Right chest wall port tip terminates in the right atrium. Scattered bilobar hepatic cysts, unchanged. Multiple hypoattenuating lesions, unchanged. No significant abnormality noted. No significant abnormality noted. Few bilateral subcentimeter hypoattenuating lesions, likely cysts, unchanged. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Atrophic or absent. 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: 'background centrilobular emphysema': 'clinical finding': 'background centrilobular emphysema', 'existence': 'pos_dx', 'descriptive_term': 'background centrilobular', 'observation': 'emphysema'size_fin: ['size': '7 mm', 'size_descriptor': 'nodule']anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'stable noncalcified pulmonary nodule': 'clinical finding': 'stable noncalcified pulmonary nodule', 'existence': 'pos_dx', 'descriptive_term': 'stable noncalcified pulmonary', 'observation': 'nodule', 'strength_term': 'stable', 'change_term': 'stable'clinical findings_fin: 'new pulmonary nodules': 'clinical finding': 'new pulmonary nodules', 'existence': 'neg_dx', 'descriptive_term': 'new pulmonary', 'observation': 'nodule', 'temporal_term': 'new'clinical findings_fin: 'multiple calcified pulmonary nodules': 'clinical finding': 'multiple calcified pulmonary nodules', 'existence': 'pos_dx', 'descriptive_term': 'multiple calcified pulmonary', 'observation': 'nodule', 'quantity_term': 'multiple', 'change_term': 'calcified', 'healed granulomatous disease': 'clinical finding': 'healed granulomatous disease', 'existence': 'pos_dx', 'descriptive_term': 'healed granulomatous', 'observation': 'disease', 'strength_term': 'healed', 'change_term': 'healed'size_fin: ['size': '1.5-cm', 'size_descriptor': 'lymphadenopathy']location descriptor_fin: ['left']clinical findings_fin: 'new left internal mammary lymphadenopathy': 'clinical finding': 'new left internal mammary lymphadenopathy', 'existence': 'pos_dx', 'descriptive_term': 'new left internal mammary', 'observation': 'lymphadenopathy', 'temporal_term': 'new', 'nodes': 'clinical finding': 'nodes', 'existence': 'pos_dx', 'observation': 'node'location descriptor_fin: ['adjacent']object_fin: ['surgical clips']clinical findings_fin: 'surgical clips': 'clinical finding': 'surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'clip'clinical findings_fin: 'stable goiter': 'clinical finding': 'stable goiter', 'existence': 'pos_dx', 'descriptive_term': 'stable', 'observation': 'goiter', 'strength_term': 'stable', 'change_term': 'stable'anatomical entity_fin: 'mediastinal lymph nodes': clinical findings_fin: 'calcified mediastinal lymph nodes': 'clinical finding': 'calcified mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'calcified mediastinal lymph', 'observation': 'node', 'change_term': 'calcified', 'healed granulomatous disease': 'clinical finding': 'healed granulomatous disease', 'existence': 'pos_dx', 'descriptive_term': 'healed granulomatous', 'observation': 'disease', 'strength_term': 'healed', 'change_term': 'healed'anatomical entity_fin: 'breast': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'postop changes': 'clinical finding': 'postop changes', 'existence': 'pos_dx', 'descriptive_term': 'postop', 'observation': 'change'clinical findings_fin: 'stable thoracic spinal hemangioma': 'clinical finding': 'stable thoracic spinal hemangioma', 'existence': 'pos_dx', 'descriptive_term': 'stable thoracic spinal', 'observation': 'hemangioma', 'strength_term': 'stable', 'change_term': 'stable'clinical findings_fin: 'punctate splenic hypodensity': 'clinical finding': 'punctate splenic hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'punctate splenic', 'observation': 'hypodensity'clinical findings_fin: 'stable presumed renal cysts': 'clinical finding': 'stable presumed renal cysts', 'existence': 'pos_dx', 'descriptive_term': 'stable presumed renal', 'observation': 'cyst', 'strength_term': 'stable', 'change_term': 'stable'size_fin: ['size': '10-mm']location descriptor_fin: ['left']clinical findings_fin: 'stable 10-mm left adrenal nodule': 'clinical finding': 'stable 10-mm left adrenal nodule', 'existence': 'pos_dx', 'descriptive_term': 'stable 10-mm left adrenal', 'observation': 'nodule', 'strength_term': 'stable', 'change_term': 'stable'anatomical entity_fin: 'aorta': clinical findings_fin: 'atherosclerotic calcification': 'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification' [/INST] [RESP] . Background centrilobular emphysema. Stable noncalcified pulmonary nodule in right upper lobe measuring 7 mm. No new pulmonary nodules. Multiple calcified pulmonary nodules compatible with healed granulomatous disease. New left internal mammary lymphadenopathy with nodes measuring up to 1.5-cm. This is adjacent to surgical clips. Stable goiter. Calcified mediastinal lymph nodes compatible with healed granulomatous disease. Postop changes left breast. Stable thoracic spinal hemangioma. Negative. Punctate splenic hypodensity too small to characterize. Stable presumed renal cysts. Stable 10-mm left adrenal nodule. Negative. Atherosclerotic calcification of the aorta. Negative. [/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', 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass', 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema'location descriptor_fin: ['midline']clinical findings_fin: 'mass-effect or midline shift': 'clinical finding': 'mass-effect or midline shift', 'existence': 'neg_dx', 'descriptive_term': 'mass-effect or midline', 'observation': 'shift'clinical findings_fin: 'gray white differentiation': 'clinical finding': 'gray white differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray white', 'observation': 'differentiation'clinical findings_fin: 'ventricles and basal cisterns are normal in size and configuration': 'clinical finding': 'ventricles and basal cisterns are normal in size and configuration'clinical findings_fin: 'calvaria': 'clinical finding': 'calvaria', 'existence': 'neg_dx', 'observation': 'calvaria'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear' [/INST] [RESP] There is no evidence of acute intracranial hemorrhage, mass or edema. No mass-effect or midline shift. The gray white differentiation is preserved. The ventricles and basal cisterns are normal in size and configuration. The calvaria is unremarkable. The visualized 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: 'thoracic inlet': object_fin: ['tube']anatomical entity_fin: 'right lung': , 'base': clinical findings_fin: 'minimal dependent atelectasis': 'clinical finding': 'minimal dependent atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'minimal dependent', 'observation': 'atelectasis', 'strength_term': 'minimal', 'quantity_term': 'minimal'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'clinical findings_fin: 'normal, no laceration': 'clinical finding': 'normal, no laceration', 'existence': 'pos_dx', 'descriptive_term': 'normal no', 'observation': 'laceration', 'strength_term': 'normal', 'quantity_term': 'no'clinical findings_fin: 'cortical enhancement': 'clinical finding': 'cortical enhancement', 'existence': 'pos_dx', 'descriptive_term': 'cortical', 'observation': 'enhancement'clinical findings_fin: 'pelvicaliceal dilatation': 'clinical finding': 'pelvicaliceal dilatation', 'existence': 'neg_dx', 'descriptive_term': 'pelvicaliceal', 'observation': 'dilatation'anatomical entity_fin: 'bowel': clinical findings_fin: 'multiple small bowel intussusceptions': 'clinical finding': 'multiple small bowel intussusceptions', 'existence': 'pos_dx', 'descriptive_term': 'multiple small bowel', 'observation': 'intussusception', 'strength_term': 'small', 'quantity_term': 'multiple'clinical findings_fin: 'normal, no fractures': 'clinical finding': 'normal, no fractures', 'existence': 'pos_dx', 'descriptive_term': 'normal no', 'observation': 'fracture', 'strength_term': 'normal', 'quantity_term': 'no'clinical findings_fin: 'normal, no fractures': 'clinical finding': 'normal, no fractures', 'existence': 'pos_dx', 'descriptive_term': 'normal no', 'observation': 'fracture', 'strength_term': 'normal', 'quantity_term': 'no'anatomical entity_fin: 'femoral artery': 'location descriptor': 'left'location descriptor_fin: ['adjacent', 'left']clinical findings_fin: 'slight stranding': 'clinical finding': 'slight stranding', 'existence': 'pos_dx', 'descriptive_term': 'slight', 'observation': 'strand'clinical findings_fin: 'venous thrombus': 'clinical finding': 'venous thrombus', 'existence': 'neg_dx', 'descriptive_term': 'venous', 'observation': 'thrombus'anatomical entity_fin: 'fluid': clinical findings_fin: 'free intraperitoneal fluid': 'clinical finding': 'free intraperitoneal fluid' [/INST] [RESP] . ET tube tip is just below the thoracic inlet. Minimal dependent atelectasis at the right lung base. No pleural effusion, or pneumothorax. Normal. Normal. Normal, no laceration. Cortical enhancement is symmetric. No pelvicaliceal dilatation is present. Normal. Normal. Normal. Normal. Multiple small bowel intussusceptions, clinically insignificant. Normal, no fractures. None. Normal. Normal. Normal. Normal. Normal, no fractures. Slight stranding adjacent to left femoral artery. No venous thrombus. No free intraperitoneal fluid [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'pelvis': location descriptor_fin: ['lower', 'left', 'distal']clinical findings_fin: 'large mass': 'clinical finding': 'large mass', 'existence': 'pos_dx', 'descriptive_term': 'large', 'observation': 'mass', 'strength_term': 'large', 'distal vaginal carcinoma': 'clinical finding': 'distal vaginal carcinoma', 'existence': 'pos_dx', 'descriptive_term': 'distal vaginal', 'observation': 'carcinoma'location descriptor_fin: ['right']clinical findings_fin: 'small calcified mass': 'clinical finding': 'small calcified mass', 'existence': 'pos_dx', 'descriptive_term': 'small calcified', 'observation': 'mass', 'strength_term': 'small', 'change_term': 'calcified'size_fin: ['size': '1 cm', 'size_descriptor': 'examination']imaging observation_fin: ['colon']clinical findings_fin: 'focally increased metabolic activity': 'clinical finding': 'focally increased metabolic activity', 'existence': 'unc_dx', 'descriptive_term': 'focally increased metabolic', 'observation': 'activity', 'strength_term': 'increased', 'change_term': 'increased', 'polyp': 'clinical finding': 'polyp', 'existence': 'unc_dx', 'observation': 'polyp'anatomical entity_fin: 'pelvis': 'location descriptor': 'lower'location descriptor_fin: ['lower', 'left']clinical findings_fin: 'large mass': 'clinical finding': 'large mass', 'existence': 'pos_dx', 'descriptive_term': 'large', 'observation': 'mass', 'strength_term': 'large', 'vaginal cancer': 'clinical finding': 'vaginal cancer', 'existence': 'pos_dx', 'descriptive_term': 'vaginal', 'observation': 'cancer'anatomical entity_fin: 'obturator lymph nodes': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral', 'left', 'right']clinical findings_fin: 'small but abnormally hypermetabolic bilateral obturator lymph nodes': 'clinical finding': 'small but abnormally hypermetabolic bilateral obturator lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small but abnormally hypermetabolic bilateral obturator lymph', 'observation': 'node', 'strength_term': 'small', 'nodal metastases': 'clinical finding': 'nodal metastases', 'existence': 'unc_dx', 'descriptive_term': 'nodal', 'observation': 'metastase'anatomical entity_fin: 'inguinal lymph nodes': clinical findings_fin: 'small round hypermetabolic inguinal lymph nodes': 'clinical finding': 'small round hypermetabolic inguinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small round hypermetabolic inguinal lymph', 'observation': 'node', 'strength_term': 'small', 'additional metastases': 'clinical finding': 'additional metastases', 'existence': 'unc_dx', 'descriptive_term': 'additional', 'observation': 'metastase' [/INST] [RESP] Todays CT portion grossly demonstrates a large mass in the lower left paramedian pelvis compatible with the patients history of distal vaginal carcinoma. A small calcified mass in the right adnexa is uncertain significance, but is unchanged from the prior examination. Todays PET examination demonstrates focally increased metabolic activity is noted along the splenic flexure of the colon, which is on the order of 1 cm in size, with an SUV max of 4.8, most likely representing a polyp. There is a large mass within the lower pelvis, eccentric to the left, which has an SUV max of 32.8, compatible with the patients vaginal cancer. Small but abnormally hypermetabolic bilateral obturator lymph nodes are noted, left greater than right, with an SUV max of 4.6 on the left, which are very suspicious for nodal metastases. Small round hypermetabolic inguinal lymph nodes are noted bilaterally, which have an SUV max of 4.0, and are also very suspicious for additional metastases. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'filling defects': 'clinical finding': 'filling defects', 'existence': 'neg_dx', 'descriptive_term': 'filling', 'observation': 'defect', 'pulmonary embolus': 'clinical finding': 'pulmonary embolus', 'existence': 'unc_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolus'anatomical entity_fin: 'segmental pulmonary arteries': location descriptor_fin: ['bilateral', 'upper', 'displaced']clinical findings_fin: 'extensive hilar lymphadenopathy': 'clinical finding': 'extensive hilar lymphadenopathy', 'existence': 'pos_dx', 'descriptive_term': 'extensive hilar', 'observation': 'lymphadenopathy', 'strength_term': 'extensive'clinical findings_fin: 'diffuse basilar predominant groundglass opacities': 'clinical finding': 'diffuse basilar predominant groundglass opacities', 'existence': 'pos_dx', 'descriptive_term': 'diffuse basilar predominant groundglass', 'observation': 'opacity', 'mild interlobular septal thickening': 'clinical finding': 'mild interlobular septal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild interlobular septal', 'observation': 'thickening', 'strength_term': 'mild', 'mild pulmonary edema': 'clinical finding': 'mild pulmonary edema', 'existence': 'unc_dx', 'descriptive_term': 'mild pulmonary', 'observation': 'edema', 'strength_term': 'mild'location descriptor_fin: ['right', 'left']clinical findings_fin: 'streaky bibasilar and dependent opacities': 'clinical finding': 'streaky bibasilar and dependent opacities', 'existence': 'pos_dx', 'descriptive_term': 'streaky bibasilar and dependent', 'observation': 'opacity', 'atelectasis': 'clinical finding': 'atelectasis', 'existence': 'unc_dx', 'observation': 'atelectasis'anatomical entity_fin: 'airways': 'location descriptor': 'proximal'location descriptor_fin: ['proximal']clinical findings_fin: 'narrowed': 'clinical finding': 'narrowed', 'existence': 'pos_dx', 'observation': 'narrow', 'extensive mediastinal and hilar lymphadenopathy': 'clinical finding': 'extensive mediastinal and hilar lymphadenopathy', 'existence': 'pos_dx', 'descriptive_term': 'extensive mediastinal and hilar', 'observation': 'lymphadenopathy', 'strength_term': 'extensive', 'occluded': 'clinical finding': 'occluded', 'existence': 'pos_dx', 'observation': 'occlude'clinical findings_fin: 'extensive mediastinal and hilar lymphadenopathy': 'clinical finding': 'extensive mediastinal and hilar lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'extensive mediastinal and hilar', 'observation': 'lymphadenopathy', 'strength_term': 'extensive'anatomical entity_fin: 'heart': clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'anatomical entity_fin: 'chest wall': 'location descriptor': 'right'location descriptor_fin: ['right']object_fin: ['port']clinical findings_fin: 'right chest wall port-a-cath': 'clinical finding': 'right chest wall port-a-cath', 'existence': 'pos_dx', 'descriptive_term': 'right chest wall', 'observation': 'port-a-'clinical findings_fin: 'suspicious lytic or sclerotic lesion': 'clinical finding': 'suspicious lytic or sclerotic lesion', 'existence': 'neg_dx', 'descriptive_term': 'suspicious lytic or sclerotic', 'observation': 'lesion', 'osseous metastatic disease': 'clinical finding': 'osseous metastatic disease', 'existence': 'unc_dx', 'descriptive_term': 'osseous metastatic', 'observation': 'disease'clinical findings_fin: 'known hepatic metastases': 'clinical finding': 'known hepatic metastases', 'existence': 'neg_dx', 'descriptive_term': 'known hepatic', 'observation': 'metastase', 'contrast enhancement': 'clinical finding': 'contrast enhancement', 'existence': 'pos_dx', 'descriptive_term': 'contrast', 'observation': 'enhancement' [/INST] [RESP] . Technically adequate examination. No filling defects seen to suggest pulmonary embolus. The bilateral upper lobar and segmental pulmonary arteries are displaced and narrowed by the extensive hilar lymphadenopathy. Diffuse basilar predominant groundglass opacities and mild interlobular septal thickening suggest mild pulmonary edema. Streaky bibasilar and dependent opacities, right greater than left, suggest atelectasis. The proximal airways are narrowed by the extensive mediastinal and hilar lymphadenopathy, but are not occluded. Extensive mediastinal and hilar lymphadenopathy not significantly changed, please refer to measurements from the 7/8/2015 examination for reference measurements. The heart size is normal and there is no pericardial effusion. Right chest wall Port-A-Cath tip terminates at the cavoatrial junction. No suspicious lytic or sclerotic lesion seen to suggest osseous metastatic disease. Known hepatic metastases not as well seen due to phase of contrast enhancement. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'bibasilar atelectasis': 'clinical finding': 'bibasilar atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'bibasilar', 'observation': 'atelectasis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'chest wall': 'location descriptor': 'right'location descriptor_fin: ['right', 'superior']object_fin: ['port']clinical findings_fin: 'right chest wall port-a-cath': 'clinical finding': 'right chest wall port-a-cath', 'existence': 'pos_dx', 'descriptive_term': 'right chest wall', 'observation': 'port-a-'clinical findings_fin: 'cholelithiasis': 'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'anatomical entity_fin: 'lobe': imaging observation_fin: ['falciform ligament']location descriptor_fin: ['left']clinical findings_fin: 'stable hypodensity': 'clinical finding': 'stable hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'stable', 'observation': 'hypodensity', 'strength_term': 'stable', 'change_term': 'stable'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'subcentimeter hypodensities': 'clinical finding': 'subcentimeter hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter', 'observation': 'hypodensity'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '2.8 x 2.2 cm', 'size': '2.1 x 1.7 cm']anatomical entity_fin: 'gastroesophageal junction': clinical findings_fin: 'primary malignancy': 'clinical finding': 'primary malignancy', 'existence': 'pos_dx', 'descriptive_term': 'primary', 'observation': 'malignancy'clinical findings_fin: 'malignancy': 'clinical finding': 'malignancy', 'existence': 'unc_dx', 'observation': 'malignancy'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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 atelectasis. No significant abnormality noted. Right chest wall Port-A-Cath tip in the superior cavoatrial junction. Cholelithiasis. Stable hypodensity along the falciform ligament in the left hepatic lobe. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Subcentimeter hypodensities are too small to characterize. No significant abnormality noted. Primary malignancy again noted at the gastroesophageal junction, previously measuring approximately 2.8 x 2.2 cm , now measuring approximately 2.1 x 1.7 cm. Malignancy is difficult to accurately visualize. No significant abnormality noted. No significant abnormality noted. 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 upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'complete collapse': 'clinical finding': 'complete collapse', 'existence': 'pos_dx', 'descriptive_term': 'complete', 'observation': 'collapse'anatomical entity_fin: 'left upper lobe bronchus': clinical findings_fin: 'is a smooth tapering of the left upper lobe bronchus which is then completely opacified': 'clinical finding': 'is a smooth tapering of the left upper lobe bronchus which is then completely opacified', 'change_term': 'opacified'clinical findings_fin: 'obstructing mass': 'clinical finding': 'obstructing mass', 'existence': 'unc_dx', 'descriptive_term': 'obstructing', 'observation': 'mass'anatomical entity_fin: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['subsegmental', 'right', 'lower']clinical findings_fin: 'subsegmental atelectasis': 'clinical finding': 'subsegmental atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'subsegmental', 'observation': 'atelectasis'anatomical entity_fin: 'lobe': 'location descriptor': 'left lower'location descriptor_fin: ['left', 'lower']clinical findings_fin: 'ground glass opacities': 'clinical finding': 'ground glass opacities', 'existence': 'pos_dx', 'descriptive_term': 'ground glass', 'observation': 'opacity', 'aspiration': 'clinical finding': 'aspiration', 'existence': 'unc_dx', 'observation': 'aspiration'size_fin: ['size': '11 mm', 'size': '10 mm']anatomical entity_fin: 'lobe': 'location descriptor': 'left lower'location descriptor_fin: ['left', 'lower']clinical findings_fin: 'left lower lobe round nodule': 'clinical finding': 'left lower lobe round nodule', 'existence': 'pos_dx', 'descriptive_term': 'left lower lobe round', 'observation': 'nodule'anatomical entity_fin: 'heart': clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'clinical findings_fin: 'significant pericardial effusion': 'clinical finding': 'significant pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'size_fin: ['size': '3.4 cm']anatomical entity_fin: 'main pulmonary artery': clinical findings_fin: 'dilated': 'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated', 'pulmonary hypertension': 'clinical finding': 'pulmonary hypertension', 'existence': 'unc_dx', 'descriptive_term': 'pulmonary', 'observation': 'hypertension'anatomical entity_fin: 'thoracic aorta': clinical findings_fin: 'severe atherosclerotic calcifications': 'clinical finding': 'severe atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'severe atherosclerotic', 'observation': 'calcification', 'strength_term': 'severe'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'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'size_fin: ['size': '3.6 x 3.5 cm']anatomical entity_fin: 'abdominal': clinical findings_fin: 'abdominal aortic aneurysm': 'clinical finding': 'abdominal aortic aneurysm', 'existence': 'pos_dx', 'descriptive_term': 'abdominal aortic', 'observation': 'aneurysm'location descriptor_fin: ['right']clinical findings_fin: 'renal cysts': 'clinical finding': 'renal cysts', 'existence': 'pos_dx', 'descriptive_term': 'renal', 'observation': 'cyst' [/INST] [RESP] . There is complete collapse of the left upper lobe with resultant leftward mediastinal shift, appearing similar to the prior CT. There is a smooth tapering of the left upper lobe bronchus which is then completely opacified distally. Possible etiologies include an obstructing mass or mucous plugging. There is subsegmental atelectasis in the right lower lobe. Ground glass opacities and left lower lobe are likely the result of aspiration. Left lower lobe round nodule measures 11 mm compared to 10 mm,. The heart size is mildly enlarged. No significant pericardial effusion. The main pulmonary artery is dilated measuring up to 3.4 cm, suggesting pulmonary hypertension. Severe atherosclerotic calcifications of the thoracic aorta and its branches. No significant mediastinal or hilar lymphadenopathy. Significant. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for abdominal pathology. Abdominal aortic aneurysm is partially visualized measuring 3.6 x 3.5 cm. Renal cysts are noted on the right. [/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'size_fin: ['size': '8 mm', 'size_descriptor': 'density']location descriptor_fin: ['left']clinical findings_fin: 'narrowing': 'clinical finding': 'narrowing', 'existence': 'pos_dx', 'observation': 'narrowing', '8 mm sclerotic density': 'clinical finding': '8 mm sclerotic density', 'existence': 'pos_dx', 'descriptive_term': '8 mm sclerotic', 'observation': 'density', 'osteoma': 'clinical finding': 'osteoma', 'existence': 'unc_dx', 'observation': 'osteoma'anatomical entity_fin: 'cells': location descriptor_fin: ['bilateral']clinical findings_fin: 'opacification': 'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'clinical findings_fin: 'mild opacification': 'clinical finding': 'mild opacification', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'opacification', 'strength_term': 'mild'location descriptor_fin: ['bilateral']clinical findings_fin: 'obstructed': 'clinical finding': 'obstructed', 'existence': 'pos_dx', 'observation': 'obstruct'anatomical entity_fin: 'nasal cavity': 'location descriptor': 'anterior'location descriptor_fin: ['anterior', 'right']clinical findings_fin: 'opacification': 'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification', 'partial obstruction': 'clinical finding': 'partial obstruction', 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'obstruction', 'strength_term': 'partial'anatomical entity_fin: 'anterior clinoid process': 'location descriptor': 'right', 'crista galli': location descriptor_fin: ['right']clinical findings_fin: 'pneumatization': 'clinical finding': 'pneumatization', 'existence': 'pos_dx', 'observation': 'pneumatization', 'crista galli': 'clinical finding': 'crista galli', 'existence': 'pos_dx', 'descriptive_term': 'crista', 'observation': 'galli' [/INST] [RESP] The orbits and limited view of the brain parenchyma are unremarkable. There is narrowing of the left frontal ethmoid recess secondary to an 8 mm sclerotic density which may represent an osteoma. There is opacification in bilateral maxillary sinuses and ethmoid air cells. Mild opacification is also seen in frontal and sphenoid sinuses. The bilateral osteomeatal complexes are opacified and obstructed. There is opacification in the anterior nasal cavity causing partial obstruction on the right. Incidentally noted is pneumatization of the right anterior clinoid process, and of the crista galli which is also partially opacified. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'mild dependent atelectasis': 'clinical finding': 'mild dependent atelectasis', 'existence': 'unc_dx', 'descriptive_term': 'mild dependent', 'observation': 'atelectasis', 'strength_term': 'mild', 'scarring': 'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'clinical findings_fin: 'pleural effusion': 'clinical finding': 'pleural effusion', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'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'anatomical entity_fin: 'pole': 'location descriptor': 'lower', 'kidneys': location descriptor_fin: ['lower']clinical findings_fin: 'punctate calcification': 'clinical finding': 'punctate calcification', 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'calcification', 'likely nephrolithiases': 'clinical finding': 'likely nephrolithiases', 'existence': 'pos_dx', 'descriptive_term': 'likely', 'observation': 'nephrolithiase'clinical findings_fin: 'hydronephrosis': 'clinical finding': 'hydronephrosis', 'existence': 'neg_dx', 'observation': 'hydronephrosis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'procedure_fin: ['nissen fundoplication']clinical findings_fin: 'nissen fundoplication': 'clinical finding': 'nissen fundoplication', 'existence': 'pos_dx', 'descriptive_term': 'nissen', 'observation': 'fundoplication'clinical findings_fin: 'small hiatal hernia': 'clinical finding': 'small hiatal hernia', 'existence': 'pos_dx', 'descriptive_term': 'small hiatal', 'observation': 'hernia', 'strength_term': 'small'anatomical entity_fin: 'bowel': clinical findings_fin: 'bowel obstruction': 'clinical finding': 'bowel obstruction', 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'anatomical entity_fin: 'breast': 'location descriptor': 'left'location descriptor_fin: ['left']object_fin: ['surgical clips']clinical findings_fin: 'surgical clips': 'clinical finding': 'surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'clip'anatomical entity_fin: 'bowel': imaging observation_fin: ['fat']clinical findings_fin: 'stable ventral incisional hernias': 'clinical finding': 'stable ventral incisional hernias', 'existence': 'pos_dx', 'descriptive_term': 'stable ventral incisional', 'observation': 'hernias', 'strength_term': 'stable', 'change_term': 'stable', 'non-obstructed': 'clinical finding': 'non-obstructed', 'existence': 'pos_dx', 'observation': 'non', 'fat': 'clinical finding': 'fat', 'existence': 'pos_dx', 'observation': 'fat'clinical findings_fin: 'significant significant ovarian cyst': 'clinical finding': 'significant significant ovarian cyst', 'existence': 'neg_dx', 'descriptive_term': 'significant significant ovarian', 'observation': 'cyst', 'abnormality': 'clinical finding': 'abnormality', 'existence': 'neg_dx', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'bowel': clinical findings_fin: '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: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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 dependent atelectasis and or or scarring. No pleural effusion. Status post cholecystectomy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Punctate calcification, likely nephrolithiases, in the lower pole of both kidneys. No evidence of hydronephrosis. No significant abnormality noted. Status post Nissen fundoplication. Small hiatal hernia. No evidence of bowel obstruction. Surgical clips in the left breast. Stable ventral incisional hernias containing non-obstructed bowel and fat. No significant significant ovarian cyst or abnormality noted. No significant abnormality noted. No significant abnormality noted. No evidence of bowel obstruction. 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: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'clinical findings_fin: 'intracranial mass': 'clinical finding': 'intracranial mass', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'mass', 'mass-effect': 'clinical finding': 'mass-effect', 'existence': 'neg_dx', 'observation': 'mass'location descriptor_fin: ['midline']clinical findings_fin: 'herniation': 'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'clinical findings_fin: 'gray-white differentiation is maintained': 'clinical finding': 'gray-white differentiation is maintained', 'change_term': 'maintained'clinical findings_fin: 'hydrocephalus': 'clinical finding': 'hydrocephalus', 'existence': 'neg_dx', 'observation': 'hydrocephalus'clinical findings_fin: 'hypoattenuation': 'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation', 'chronic small vessel ischemic changes': 'clinical finding': 'chronic small vessel ischemic changes', 'existence': 'unc_dx', 'descriptive_term': 'chronic small vessel ischemic', 'observation': 'change', 'strength_term': 'small', 'temporal_term': 'chronic'anatomical entity_fin: 'scalp': imaging observation_fin: ['hematoma']location descriptor_fin: ['left']clinical findings_fin: 'small subgaleal hematoma': 'clinical finding': 'small subgaleal hematoma', 'existence': 'pos_dx', 'descriptive_term': 'small subgaleal', 'observation': 'hematoma', 'strength_term': 'small'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'paranasal sinuses': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact' [/INST] [RESP] No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or herniation. Gray-white differentiation is maintained. Sulci and ventricles are within normal limits for age without evidence of hydrocephalus. No extra-axial collections. There are scattered areas of hypoattenuation in the periventricular and subcortical white matter which are nonspecific but favored to represent chronic small vessel ischemic changes. Small subgaleal hematoma is noted in the left frontal scalp. Underlying calvarium is intact. The visualized portions of the paranasal sinuses are clear. Mastoid air cells are clear. Calvarium is intact. [/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: 'moderate periportal edema': 'clinical finding': 'moderate periportal edema', 'existence': 'pos_dx', 'descriptive_term': 'moderate periportal', 'observation': 'edema', 'strength_term': 'moderate'clinical findings_fin: 'mild hepatomegaly': 'clinical finding': 'mild hepatomegaly', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'hepatomegaly', 'strength_term': 'mild'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['right']clinical findings_fin: 'punctate right renal stone': 'clinical finding': 'punctate right renal stone', 'existence': 'pos_dx', 'descriptive_term': 'punctate right renal', 'observation': 'stone'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'wall': , 'transverse colon': imaging observation_fin: ['colon']location descriptor_fin: ['right']clinical findings_fin: 'thickened': 'clinical finding': 'thickened', 'existence': 'pos_dx', 'observation': 'thickened', 'colitis': 'clinical finding': 'colitis', 'existence': 'pos_dx', 'observation': 'colitis'imaging observation_fin: ['colon']location descriptor_fin: ['left']clinical findings_fin: 'distended': 'clinical finding': 'distended', 'existence': 'neg_dx', 'observation': 'distended'imaging observation_fin: ['colon']location descriptor_fin: ['left']clinical findings_fin: 'mild wall thickening': 'clinical finding': 'mild wall thickening', 'existence': 'unc_dx', 'descriptive_term': 'mild wall', 'observation': 'thickening', 'strength_term': 'mild'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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. Moderate periportal edema. Mild hepatomegaly. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Punctate right renal stone. No significant abnormality noted. The wall of the right colon and transverse colon is thickened suggestive of colitis. Left colon is not distended, therefore cannot be optimally evaluated. There might be mild wall thickening involving the left colon as well. No significant abnormality noted. No significant abnormality noted. 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': '4-mm', 'size_descriptor': 'density']anatomical entity_fin: 'right lung': clinical findings_fin: 'tiny 4-mm nodular density': 'clinical finding': 'tiny 4-mm nodular density', 'existence': 'pos_dx', 'descriptive_term': 'tiny 4-mm nodular', 'observation': 'density', 'strength_term': 'tiny', 'major fissure': 'clinical finding': 'major fissure', 'existence': 'pos_dx', 'descriptive_term': 'major', 'observation': 'fissure'size_fin: ['size': '7 x 5 mm', 'size_descriptor': 'density']clinical findings_fin: '7 x 5 mm nodular density': 'clinical finding': '7 x 5 mm nodular density', 'existence': 'pos_dx', 'descriptive_term': '7 x 5 mm nodular', 'observation': 'density'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'clavicle': location descriptor_fin: ['medial']clinical findings_fin: 'sclerosis': 'clinical finding': 'sclerosis', 'existence': 'pos_dx', 'observation': 'sclerosis', 'metastatic disease': 'clinical finding': 'metastatic disease', 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'anatomical entity_fin: 'liver': clinical findings_fin: 'scattered hypodense liver lesions': 'clinical finding': 'scattered hypodense liver lesions', 'existence': 'pos_dx', 'descriptive_term': 'scattered hypodense liver', 'observation': 'lesion'clinical findings_fin: 'benign simple cysts': 'clinical finding': 'benign simple cysts', 'existence': 'pos_dx', 'descriptive_term': 'benign simple', 'observation': 'cyst', 'strength_term': 'benign'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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 retroperitoneal lymph nodes': 'clinical finding': 'subcentimeter retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter retroperitoneal 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'anatomical entity_fin: 'bladder': clinical findings_fin: 'diffuse bladder wall thickening': 'clinical finding': 'diffuse bladder wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'diffuse bladder wall', 'observation': 'thickening'location descriptor_fin: ['left']clinical findings_fin: 'previously described left sided small fluid collection': 'clinical finding': 'previously described left sided small fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'previously described left sided small fluid', 'observation': 'collection', 'strength_term': 'small', 'lymphocele': 'clinical finding': 'lymphocele', 'existence': 'pos_dx', 'observation': 'lymphocele'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'femoral neck': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'benign-appearing simple cyst': 'clinical finding': 'benign-appearing simple cyst', 'existence': 'pos_dx', 'descriptive_term': 'benign-appearing simple', 'observation': 'cyst', 'strength_term': 'benign'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . There is a tiny 4-mm nodular density along the major fissure in the right lung on series 4 image 78, unchanged since 2008. There is a 7 x 5 mm nodular density which is stable on image 75. No significant abnormality noted. Sclerosis of the medial two-thirds of the clavicle corresponds to increased signal on bone scan and is therefore highly suggestive of metastatic disease. Scattered hypodense liver lesions are unchanged. These are compatible with benign simple cysts. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Subcentimeter retroperitoneal lymph nodes are again seen and stable. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Diffuse bladder wall thickening. The previously described left sided small fluid collection consistent with lymphocele has resolved. No significant abnormality noted. Benign-appearing simple cyst in the left femoral neck is stable. 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']object_fin: ['ventriculoperitoneal shunt']clinical findings_fin: 'right frontal ventriculoperitoneal shunt': 'clinical finding': 'right frontal ventriculoperitoneal shunt', 'existence': 'pos_dx', 'descriptive_term': 'right frontal ventriculoperitoneal', 'observation': 'shunt'anatomical entity_fin: 'lateral ventricles': clinical findings_fin: 'significant interval change': 'clinical finding': 'significant interval change', 'existence': 'neg_dx', 'descriptive_term': 'significant interval', 'observation': 'change'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral frontal mild encephalomalacia': 'clinical finding': 'bilateral frontal mild encephalomalacia', 'existence': 'pos_dx', 'descriptive_term': 'bilateral frontal mild', 'observation': 'encephalomalacia', 'strength_term': 'mild'anatomical entity_fin: 'cerebellum': 'location descriptor': 'right medial'location descriptor_fin: ['left', 'right', 'medial']clinical findings_fin: 'suboccipital craniectomy': 'clinical finding': 'suboccipital craniectomy', 'existence': 'pos_dx', 'descriptive_term': 'suboccipital', 'observation': 'craniectomy', 'surgical cavity': 'clinical finding': 'surgical cavity', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'cavity', 'encephalomalacia': 'clinical finding': 'encephalomalacia', 'existence': 'unc_dx', 'observation': 'encephalomalacia', 'gliosis': 'clinical finding': 'gliosis', 'existence': 'unc_dx', 'observation': 'gliosis'clinical findings_fin: 'dystrophic calcification': 'clinical finding': 'dystrophic calcification', 'existence': 'pos_dx', 'descriptive_term': 'dystrophic', 'observation': 'calcification', 'surgical site': 'clinical finding': 'surgical site', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'site'anatomical entity_fin: 'cerebellum': , 'cerebral cortex': clinical findings_fin: 'volume loss': 'clinical finding': 'volume loss', 'existence': 'pos_dx', 'descriptive_term': 'volume', 'observation': 'loss'anatomical entity_fin: 'right lateral ventricle': , 'left lateral ventricle': , 'third ventricle': , 'cerebellopontine angle': 'location descriptor': 'bilateral', 'spinal canal': location descriptor_fin: ['bilateral', 'upper']clinical findings_fin: 'contrast infused': 'clinical finding': 'contrast infused', 'existence': 'pos_dx', 'descriptive_term': 'contrast', 'observation': 'infuse'anatomical entity_fin: 'fourth ventricle': location descriptor_fin: ['distal']clinical findings_fin: 'contrast': 'clinical finding': 'contrast', 'existence': 'neg_dx', 'observation': 'contrast', 'distal aqueductal obstruction': 'clinical finding': 'distal aqueductal obstruction', 'existence': 'unc_dx', 'descriptive_term': 'distal aqueductal', 'observation': 'obstruction' [/INST] [RESP] Right frontal ventriculoperitoneal shunt is unchanged in position with tip in the right frontal horn. Dilatation of the third and lateral ventricles persists without significant interval change compared to prior exam. Bilateral frontal mild encephalomalacia is unchanged. Suboccipital craniectomy and surgical cavity is again noted with encephalomalacia or gliosis of the left and right medial cerebellum. Dystrophic calcification at the surgical site is unchanged. There is volume loss within the cerebellum as compared to the cerebral cortex. There is contrast infused into the right lateral ventricle, which extends into the left lateral ventricle, third ventricle, aqueduct of Sylvius, prepontine and bilateral cerebellopontine angle cisterns and upper cervical spinal canal. However, there is no contrast material seen in the fourth ventricle, suggesting distal aqueductal obstruction. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'left'location descriptor_fin: ['lateral', 'left']clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality', '. sub-centimeter hypodensity': 'clinical finding': '. sub-centimeter hypodensity', 'existence': 'neg_dx', 'descriptive_term': ' sub-centimeter', 'observation': 'hypodensity', 'likely cyst': 'clinical finding': 'likely cyst', 'existence': 'unc_dx', 'descriptive_term': 'likely', 'observation': 'cyst', 'hemangioma': 'clinical finding': 'hemangioma', 'existence': 'unc_dx', 'observation': 'hemangioma'clinical findings_fin: 'otherwise normal': 'clinical finding': 'otherwise normal'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'aorta': clinical findings_fin: 'mild atherosclerotic changes': 'clinical finding': 'mild atherosclerotic changes', 'existence': 'pos_dx', 'descriptive_term': 'mild atherosclerotic', 'observation': 'change', 'strength_term': 'mild'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'anatomical entity_fin: 'anterior abdominal wall': procedure_fin: ['repair']clinical findings_fin: 'corkscrew staples': 'clinical finding': 'corkscrew staples', 'existence': 'pos_dx', 'descriptive_term': 'corkscrew', 'observation': 'staple', 'laparoscopic hernia': 'clinical finding': 'laparoscopic hernia', 'existence': 'pos_dx', 'descriptive_term': 'laparoscopic', 'observation': 'hernia'clinical findings_fin: 'recurrence': 'clinical finding': 'recurrence', 'existence': 'neg_dx', 'observation': 'recurrence', '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' [/INST] [RESP] . No significant abnormality noted a. Sub-centimeter hypodensity lateral segment left lobe likely cyst or hemangioma. Otherwise normal. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Mild atherosclerotic changes aorta. No evidence of aneurysm. No significant abnormality noted. No significant abnormality noted. Corkscrew staples in the anterior abdominal wall consistent with laparoscopic hernia repair. No evidence of recurrence of 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 [/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: 'previously described hypodense lesions': 'clinical finding': 'previously described hypodense lesions', 'existence': 'neg_dx', 'descriptive_term': 'previously described hypodense', 'observation': 'lesion'anatomical entity_fin: 'liver': clinical findings_fin: 'iv contrast': 'clinical finding': 'iv contrast', 'existence': 'neg_dx', 'descriptive_term': 'iv', '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: 'postsurgical changes': 'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'procedure_fin: ['hysterectomy']clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'residual phlegmonous inflammation': 'clinical finding': 'residual phlegmonous inflammation', 'existence': 'pos_dx', 'descriptive_term': 'residual phlegmonous', 'observation': 'inflammation', 'temporal_term': 'residual', 'discernable fluid collection': 'clinical finding': 'discernable fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'discernable fluid', 'observation': 'collection'clinical findings_fin: 'stable position of the pelvic drain': 'clinical finding': 'stable position of the pelvic drain', 'change_term': 'stable' [/INST] [RESP] This study is limited due to lack of IV contrast. No significant abnormality noted. Previously described hypodense lesions in the liver are not seen. Lack of IV contrast limits optimal evaluation of the liver. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Postsurgical changes are unchanged since previous. No significant abnormality noted. No significant abnormality noted. Patient status post hysterectomy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Residual phlegmonous inflammation with no discernable fluid collection. Stable position of the pelvic drain. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'several micronodules': 'clinical finding': 'several micronodules', 'existence': 'pos_dx', 'descriptive_term': 'several', 'observation': 'micronodule', 'quantity_term': 'several'clinical findings_fin: 'mild basilar atelectasis': 'clinical finding': 'mild basilar atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'mild basilar', 'observation': 'atelectasis', 'strength_term': 'mild'anatomical entity_fin: 'thoracic aorta': clinical findings_fin: 'mild calcifications': 'clinical finding': 'mild calcifications', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'calcification', 'strength_term': 'mild'object_fin: ['port', 'catheter']location descriptor_fin: ['right']object_fin: ['port', 'catheter']anatomical entity_fin: 'spine': clinical findings_fin: 'mild degenerative changes': 'clinical finding': 'mild degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'object_fin: ['cholecystectomy clips']clinical findings_fin: 'cholecystectomy clips': 'clinical finding': 'cholecystectomy clips', 'existence': 'pos_dx', 'descriptive_term': 'cholecystectomy', 'observation': 'clip'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'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: 'stomach': object_fin: ['tube']anatomical entity_fin: 'bowel': , 'stomach': , 'quadrant': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'postsurgical changes': 'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'anatomical entity_fin: 'spine': clinical findings_fin: 'mild degenerative changes': 'clinical finding': 'mild degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Several micronodules are unchanged. Mild basilar atelectasis. Mild calcifications of the thoracic aorta. Port catheter tip in SVC. Right port catheter. Mild degenerative changes of the thoracolumbar spine. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Cholecystectomy clips. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for GI pathology. G-tube tip in stomach. Postsurgical changes of the bowel and stomach in the left upper quadrant. Mild degenerative changes 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: anatomical entity_fin: 'frontal sinus': 'location descriptor': 'inferior'location descriptor_fin: ['inferior']clinical findings_fin: 'minimal mucosal thickening': 'clinical finding': 'minimal mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'minimal mucosal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': 'location descriptor': 'bilateral', 'middle ear cavities': , 'fluid': location descriptor_fin: ['bilateral']clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear', 'air-fluid levels': 'clinical finding': 'air-fluid levels', 'existence': 'neg_dx', 'descriptive_term': 'air-fluid', 'observation': 'level'anatomical entity_fin: 'maxillary sinus': 'location descriptor': 'bilateral', 'sphenoethmoidal recesses': location descriptor_fin: ['bilateral']clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'anatomical entity_fin: 'cells': location descriptor_fin: ['bilateral']clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'anatomical entity_fin: 'floor': , 'anterior cranial fossa': , 'cribriform plate': clinical findings_fin: 'floor of the anterior cranial fossa and cribriform plate region are unremarkable': 'clinical finding': 'floor of the anterior cranial fossa and cribriform plate region are unremarkable'location descriptor_fin: ['deviated']clinical findings_fin: 'nasal septum': 'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum', 'deviated': 'clinical finding': 'deviated', 'existence': 'pos_dx', 'observation': 'deviated'anatomical entity_fin: 'orbits': 'location descriptor': 'bilateral', 'nasopharynx': 'location descriptor': 'posterior'location descriptor_fin: ['bilateral', 'posterior']clinical findings_fin: 'bilateral orbits and the posterior nasopharynx appear unremarkable': 'clinical finding': 'bilateral orbits and the posterior nasopharynx appear unremarkable' [/INST] [RESP] Minimal mucosal thickening is present within the inferior frontal sinus. Otherwise 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. Note is made of bilateral Haller cells The lamina papyracea are intact bilaterally. The floor of the anterior cranial fossa and cribriform plate region are unremarkable. The nasal septum is mildly deviated leftward. 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: 'lungs': clinical findings_fin: 'multiple pulmonary nodules': 'clinical finding': 'multiple pulmonary nodules', 'existence': 'pos_dx', 'descriptive_term': 'multiple pulmonary', 'observation': 'nodule', 'quantity_term': 'multiple', 'cavitary': 'clinical finding': 'cavitary', 'existence': 'pos_dx', 'observation': 'cavitary'size_fin: ['size': '1.2 x 1.6']anatomical entity_fin: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower']clinical findings_fin: 'reference right lower lobe nodule': 'clinical finding': 'reference right lower lobe nodule', 'existence': 'pos_dx', 'descriptive_term': 'reference right lower lobe', 'observation': 'nodule'size_fin: ['size': '2.5 x 1.6 cm', 'size_descriptor': 'adenopathy']location descriptor_fin: ['anterior']clinical findings_fin: 'mediastinal adenopathy': 'clinical finding': 'mediastinal adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'mediastinal', 'observation': 'adenopathy', 'reference anterior paratracheal lymph node': 'clinical finding': 'reference anterior paratracheal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference anterior paratracheal lymph', 'observation': 'node'clinical findings_fin: 'new tracheoesophageal fistula': 'clinical finding': 'new tracheoesophageal fistula', 'existence': 'pos_dx', 'descriptive_term': 'new tracheoesophageal', 'observation': 'fistula', 'temporal_term': 'new'clinical findings_fin: 'significant esophageal thickening': 'clinical finding': 'significant esophageal thickening', 'existence': 'pos_dx', 'descriptive_term': 'significant esophageal', 'observation': 'thickening'clinical findings_fin: 'coronary artery calcifications': 'clinical finding': 'coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'coronary artery', 'observation': 'calcification'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'multiple small subcentimeter hepatic hypodensities': 'clinical finding': 'multiple small subcentimeter hepatic hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'multiple small subcentimeter hepatic', 'observation': 'hypodensity', 'strength_term': 'small', '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'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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] . Multiple pulmonary nodules in both lungs described previously are again noted but now cavitary. Reference right lower lobe nodule measures 1.2 x 1.6-cm , roughly stable compared to prior. Mediastinal adenopathy is roughly stable with the reference anterior paratracheal lymph node measuring 2.5 x 1.6 cm , unchanged. New tracheoesophageal fistula noted. Multiple levels of significant esophageal thickening again noted. Coronary artery calcifications are again noted. No significant abnormality noted. Multiple small subcentimeter hepatic hypodensities are too small to adequately characterize and 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. 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: 'paranasal sinus': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'anatomical entity_fin: 'maxillary sinus': 'location descriptor': 'left', 'ostium': location descriptor_fin: ['left']clinical findings_fin: 'moderate leftward nasal septum deviation': 'clinical finding': 'moderate leftward nasal septum deviation', 'existence': 'pos_dx', 'descriptive_term': 'moderate leftward nasal septum', 'observation': 'deviation', 'strength_term': 'moderate', 'laterally projecting osseous spur': 'clinical finding': 'laterally projecting osseous spur', 'existence': 'pos_dx', 'descriptive_term': 'laterally projecting osseous', 'observation': 'spur'anatomical entity_fin: 'paranasal sinuses': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'anatomical entity_fin: 'fluid': clinical findings_fin: 'air-fluid level': 'clinical finding': 'air-fluid level', 'existence': 'neg_dx', 'descriptive_term': 'air-fluid', 'observation': 'level', 'osseous deficiency': 'clinical finding': 'osseous deficiency', 'existence': 'neg_dx', 'descriptive_term': 'osseous', 'observation': 'deficiency', 'destruction': 'clinical finding': 'destruction', 'existence': 'neg_dx', 'observation': 'destruction'clinical findings_fin: 'visualized soft tissue structures are unremarkable': 'clinical finding': 'visualized soft tissue structures are unremarkable'anatomical entity_fin: 'contents': clinical findings_fin: 'specifically , the visualized orbital and intracranial contents have': 'clinical finding': 'specifically , the visualized orbital and intracranial contents have'clinical findings_fin: 'visualized dental structures are unremarkable': 'clinical finding': 'visualized dental structures are unremarkable' [/INST] [RESP] The major paranasal sinus ostia including the ostiomeatal complexes are patent. Accessory left maxillary sinus ostium. There is moderate leftward nasal septum deviation with laterally projecting osseous spur. In this context, the paranasal sinuses are clear. There is no air-fluid level or area of osseous deficiency or destruction. The visualized soft tissue structures are unremarkable. Specifically, the visualized orbital and intracranial contents have normal appearance. The visualized dental structures are unremarkable. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['bilateral']clinical findings_fin: 'innumerable bilateral pulmonary nodules': 'clinical finding': 'innumerable bilateral pulmonary nodules', 'existence': 'pos_dx', 'descriptive_term': 'innumerable bilateral pulmonary', 'observation': 'nodule', 'metastases': 'clinical finding': 'metastases', 'existence': 'pos_dx', 'observation': 'metastase'size_fin: ['size': '17 x 11 mm', 'size_descriptor': 'metastasis']anatomical entity_fin: 'lobe': 'location descriptor': 'left lower'location descriptor_fin: ['left', 'lower']clinical findings_fin: 'reference left lower lobe 17 x 11 mm metastasis': 'clinical finding': 'reference left lower lobe 17 x 11 mm metastasis', 'existence': 'pos_dx', 'descriptive_term': 'reference left lower lobe 17 x 11 mm', 'observation': 'metastasis'size_fin: ['size': '8 x 9 mm', 'size_descriptor': 'metastasis']anatomical entity_fin: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower']clinical findings_fin: 'reference right lower lobe 8 x 9 mm metastasis': 'clinical finding': 'reference right lower lobe 8 x 9 mm metastasis', 'existence': 'pos_dx', 'descriptive_term': 'reference right lower lobe 8 x 9 mm', 'observation': 'metastasis'clinical findings_fin: 'pleural effusion': 'clinical finding': 'pleural effusion', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'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'anatomical entity_fin: 'heart': clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'anatomical entity_fin: 'anterior chest wall': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'interval resolution': 'clinical finding': 'interval resolution', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'resolution', 'previously seen left anterior chest wall probable sebaceous cyst': 'clinical finding': 'previously seen left anterior chest wall probable sebaceous cyst', 'existence': 'pos_dx', 'descriptive_term': 'previously seen left anterior chest wall probable sebaceous', 'observation': 'cyst'anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'anatomical entity_fin: 'lobe': 'location descriptor': 'right', 'liver': location descriptor_fin: ['right']clinical findings_fin: 'small subcentimeter hypoattenuating focus': 'clinical finding': 'small subcentimeter hypoattenuating focus', 'existence': 'pos_dx', 'descriptive_term': 'small subcentimeter hypoattenuating', 'observation': 'focus', 'strength_term': 'small', 'benign cyst': 'clinical finding': 'benign cyst', 'existence': 'unc_dx', 'descriptive_term': 'benign', 'observation': 'cyst', 'strength_term': 'benign'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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] . Innumerable bilateral pulmonary nodules compatible with metastases are not significantly changed compared to prior. Reference left lower lobe 17 x 11 mm metastasis is unchanged. Reference right lower lobe 8 x 9 mm metastasis is unchanged. No pleural effusion. No significant mediastinal or hilar lymphadenopathy. Heart size is normal with no pericardial effusion. None. Interval resolution of previously seen left anterior chest wall probable sebaceous cyst. Degenerative changes of the spine. Absence of enteric contrast material limits sensitivity for abdominal pathology. Small subcentimeter hypoattenuating focus in the right lobe of the liver is unchanged and likely represents a benign cyst. Cholelithiasis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. 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 embolus': 'clinical finding': 'pulmonary embolus', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolus'clinical findings_fin: 'bronchial wall thickening': 'clinical finding': 'bronchial wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'bronchial wall', 'observation': 'thickening', 'asthma': 'clinical finding': 'asthma', 'existence': 'unc_dx', 'observation': 'asthma', 'bronchitis': 'clinical finding': 'bronchitis', 'existence': 'unc_dx', 'observation': 'bronchiti'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': location descriptor_fin: ['upper']clinical findings_fin: 'upper limits of normal in size': 'clinical finding': 'upper limits of normal in size'anatomical entity_fin: 'chest': clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'anatomical entity_fin: 'pancreatic duct': clinical findings_fin: 'dilated': 'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated' [/INST] [RESP] . Technically adequate study without pulmonary embolus. Bronchial wall thickening is present suggesting asthma or bronchitis. No mediastinal or hilar lymphadenopathy is present. The heart is at the upper limits of normal in size. There is a narrow anteroposterior dimension of the chest. No pericardial effusion is present. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. The pancreatic duct is mildly dilated. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower']clinical findings_fin: 'calcified granuloma': 'clinical finding': 'calcified granuloma', 'existence': 'pos_dx', 'descriptive_term': 'calcified', 'observation': 'granuloma', 'change_term': 'calcified'imaging observation_fin: ['infiltrates']clinical findings_fin: 'acute infiltrates': 'clinical finding': 'acute infiltrates', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'infiltrate', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'effusions': 'clinical finding': 'effusions', 'existence': 'neg_dx', 'observation': 'effusion'anatomical entity_fin: 'chest': , 'common iliac artery': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'known aortic dissection': 'clinical finding': 'known aortic dissection', 'existence': 'pos_dx', 'descriptive_term': 'known aortic', 'observation': 'dissection'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'kidneys': clinical findings_fin: 'atrophic': 'clinical finding': 'atrophic', 'existence': 'pos_dx', 'observation': 'atrophic', 'end stage renal disease': 'clinical finding': 'end stage renal disease', 'existence': 'pos_dx', 'descriptive_term': 'end stage renal', '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'anatomical entity_fin: 'chest': , 'common iliac artery': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'known aortic dissection': 'clinical finding': 'known aortic dissection', 'existence': 'pos_dx', 'descriptive_term': 'known aortic', 'observation': 'dissection'size_fin: ['size': '2.5 cm', 'size_descriptor': 'aorta']anatomical entity_fin: 'aorta': 'location descriptor': 'distal'location descriptor_fin: ['distal']clinical findings_fin: 'tortuous': 'clinical finding': 'tortuous', 'existence': 'pos_dx', 'observation': 'tortuous'size_fin: ['size': '2.5 cm', 'size_descriptor': 'artery']anatomical entity_fin: 'common iliac artery': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'ectatic': 'clinical finding': 'ectatic', 'existence': 'pos_dx', 'observation': 'ectatic'anatomical entity_fin: 'femoral vein': 'location descriptor': 'right'location descriptor_fin: ['right']object_fin: ['catheter']clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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 in the right lower lobe. No acute infiltrates. No effusions. The patient has a known aortic dissection which begins in the chest outside the range of this examination and extends distally to the iliac bifurcation into the right common iliac artery. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Atrophic native kidneys bilaterally compatible with history of end stage renal disease. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Known aortic dissection extends from the chest into the right common iliac artery. The distal aorta is tortuous with diameter of 2.5 cm. The right common iliac artery is ectatic with diameter of 2.5 cm. There is a large bore catheter in the right femoral vein extending proximally into the intrahepatic IVC. 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: 'liver is normal in morphology': 'clinical finding': 'liver is normal in morphology'clinical findings_fin: 'focal hepatic lesion': 'clinical finding': 'focal hepatic lesion', 'existence': 'neg_dx', 'descriptive_term': 'focal hepatic', 'observation': 'lesion'procedure_fin: ['cholecystectomy']clinical findings_fin: 'intra-or extrahepatic biliary ductal dilatation': 'clinical finding': 'intra-or extrahepatic biliary ductal dilatation', 'existence': 'neg_dx', 'descriptive_term': 'intra-or extrahepatic biliary ductal', 'observation': 'dilatation'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'pancreas': clinical findings_fin: 'pancreas is normal in morphology': 'clinical finding': 'pancreas is normal in morphology'clinical findings_fin: 'acute pancreatitis': 'clinical finding': 'acute pancreatitis', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'pancreatitis', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'kidneys': clinical findings_fin: 'hydronephrosis': 'clinical finding': 'hydronephrosis', 'existence': 'pos_dx', 'observation': 'hydronephrosis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'bowel': clinical findings_fin: 'small bowel is normal': 'clinical finding': 'small bowel is normal'anatomical entity_fin: 'appendix': clinical findings_fin: 'appendix is normal in caliber': 'clinical finding': 'appendix is normal in caliber'clinical findings_fin: 'scattered descending colonic diverticula': 'clinical finding': 'scattered descending colonic diverticula', 'existence': 'pos_dx', 'descriptive_term': 'scattered descending colonic', 'observation': 'diverticula', 'surrounding inflammation': 'clinical finding': 'surrounding inflammation', 'existence': 'neg_dx', 'descriptive_term': 'surrounding', 'observation': 'inflammation'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'fluid': clinical findings_fin: 'drainable fluid collections are noted': 'clinical finding': 'drainable fluid collections are noted'size_fin: ['size': '2.4-cm', 'size_descriptor': 'foci']imaging observation_fin: ['foci']location descriptor_fin: ['left']clinical findings_fin: 'two cystic foci': 'clinical finding': 'two cystic foci', 'existence': 'pos_dx', 'descriptive_term': 'two cystic', 'observation': 'foci'location descriptor_fin: ['right']clinical findings_fin: 'small cystic focus': 'clinical finding': 'small cystic focus', 'existence': 'pos_dx', 'descriptive_term': 'small cystic', 'observation': 'focus', 'strength_term': 'small'imaging observation_fin: ['heterogeneous enhancement']clinical findings_fin: 'mild heterogeneous enhancement': 'clinical finding': 'mild heterogeneous enhancement', 'existence': 'pos_dx', 'descriptive_term': 'mild heterogeneous', 'observation': 'enhancement', 'strength_term': 'mild'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'descending colonic diverticula': 'clinical finding': 'descending colonic diverticula', 'existence': 'pos_dx', 'descriptive_term': 'descending colonic', 'observation': 'diverticula', 'surrounding inflammation': 'clinical finding': 'surrounding inflammation', 'existence': 'neg_dx', 'descriptive_term': 'surrounding', 'observation': 'inflammation'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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. The liver is normal in morphology. No focal hepatic lesion is identified. No intra-or extrahepatic biliary ductal dilatation following cholecystectomy. No significant abnormality noted. The pancreas is normal in morphology. No findings of acute pancreatitis. No significant abnormality noted. The kidneys enhance homogeneously without hydronephrosis. No significant abnormality noted. Small bowel is normal in caliber and course. The appendix is normal in caliber. There are scattered descending colonic diverticula without surrounding inflammation. No significant abnormality noted. No drainable fluid collections are noted. There are two cystic foci in the left adnexa the largest measuring 2.4-cm. There is a small cystic focus in the right adnexa. Mild heterogeneous enhancement of the cervix. No significant abnormality noted. No significant abnormality noted. Scattered descending colonic diverticula without surrounding inflammation. 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'clinical findings_fin: 'cholelithiasis': 'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'anatomical entity_fin: 'liver': clinical findings_fin: 'granulomas': 'clinical finding': 'granulomas', 'existence': 'pos_dx', 'observation': 'granuloma'anatomical entity_fin: 'spleen': clinical findings_fin: 'granulomas': 'clinical finding': 'granulomas', 'existence': 'pos_dx', 'observation': 'granuloma'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'bowel': , 'quadrant': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'postsurgical changes': 'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'prostate': clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'anatomical entity_fin: 'bladder': , 'inguinal canal': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'herniates': 'clinical finding': 'herniates', 'existence': 'pos_dx', 'observation': 'herniate'anatomical entity_fin: 'bladder': clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] This study is limited due to lack of intravenous contrast. Cardiomegaly. Cholelithiasis. Punctate calcified granulomas in the liver. Punctate calcified granulomas in the spleen. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Severe. Postsurgical changes involving the small bowel loops in the left upper quadrant. No significant abnormality noted. No significant abnormality noted. Enlarged prostate. Bladder herniates into the right inguinal canal. There is a punctate stone in the bladder. 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: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'clinical findings_fin: 'gray-white matter differentiation': 'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'clinical findings_fin: 'low attenuation': 'clinical finding': 'low attenuation', 'existence': 'pos_dx', 'descriptive_term': 'low', 'observation': 'attenuation'location descriptor_fin: ['midline']clinical findings_fin: 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'intra- or extra-axial fluid collection': 'clinical finding': 'intra- or extra-axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'intra- or extra-axial fluid', 'observation': 'collection', 'acute hemorrhage': 'clinical finding': 'acute hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute', 'abnormal contrast enhancement': 'clinical finding': 'abnormal contrast enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal contrast', 'observation': 'enhancement'anatomical entity_fin: 'orbits': clinical findings_fin: 'orbits are unremarkable': 'clinical finding': 'orbits are unremarkable'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'imaging observation_fin: ['enhancing']location descriptor_fin: ['right']clinical findings_fin: 'previously noted enhancing mass': 'clinical finding': 'previously noted enhancing mass', 'existence': 'pos_dx', 'descriptive_term': 'previously noted enhancing', 'observation': 'mass', 'enhancement': 'clinical finding': 'enhancement', 'existence': 'pos_dx', 'observation': 'enhancement'size_fin: ['size': '2.6 x 1.7 cm', 'size': '2.5 x 1.3 centimeter']clinical findings_fin: 'lesion': 'clinical finding': 'lesion', 'existence': 'pos_dx', 'observation': 'lesion'size_fin: ['size': '3.8 cm', 'size': '3.2 cm']location descriptor_fin: ['left', 'inferior']size_fin: ['size': '1.9 by 1.0 cm', 'size': '1.9 x 0.9 centimeter']clinical findings_fin: 'enhancement': 'clinical finding': 'enhancement', 'existence': 'pos_dx', 'observation': 'enhancement'clinical findings_fin: 'this is not significantly changed': 'clinical finding': 'this is not significantly changed', 'change_term': 'changed'anatomical entity_fin: 'oral cavity': , 'nasopharynx': , 'hypopharynx': , 'larynx': , 'airways': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'anatomical entity_fin: 'epiglottis': imaging observation_fin: ['cords']clinical findings_fin: 'epiglottis , vallecula , and vocal cords are normal': 'clinical finding': 'epiglottis , vallecula , and vocal cords are normal'location descriptor_fin: ['right']clinical findings_fin: 'effaced': 'clinical finding': 'effaced', 'existence': 'pos_dx', 'observation': 'effaced'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: 'significant lymphadenopathy': 'clinical finding': 'significant lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'anatomical entity_fin: 'arteries': , 'veins': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'clinical findings_fin: 'osseous structures are unremarkable': 'clinical finding': 'osseous structures are unremarkable'anatomical entity_fin: 'chest wall': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'right chest wall lipoma': 'clinical finding': 'right chest wall lipoma', 'existence': 'pos_dx', 'descriptive_term': 'right chest wall', 'observation': 'lipoma' [/INST] [RESP] . The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. Patchy areas of low attenuation in the subcortical and periventricular white matter appear similar to prior study. There is no mass effect, midline shift, intra- or extra-axial fluid collection or acute hemorrhage, or abnormal contrast enhancement. The orbits are unremarkable. The paranasal sinuses and mastoid air cells are clear. The previously noted enhancing mass in the right thyroid bed is again identified with enhancement. The lesion currently measures 2.6 x 1.7 cm and previously measured 2.5 x 1.3 centimeters. It measures 3.8 cm in the coronal dimension and previously measured 3.2 cm. In the left inferior thyroid bed. Again identified is a region of increased soft tissue fullness with enhancement that measures 1.9 by 1.0 cm and previously measured 1.9 x 0.9 centimeters. This is not significantly changed. The oral cavity, oro or nasopharynx, hypopharynx, larynx and subglottic airways are unremarkable or patent. The epiglottis, vallecula, and vocal cords are normal. The right perform sinus is effaced. The parotid and submandibular glands are unremarkable. No significant lymphadenopathy is noted. The carotid arteries and jugular veins are patent. The osseous structures are unremarkable. Right chest wall lipoma, unchanged. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'thyroid gland': , 'lobe': location descriptor_fin: ['right']clinical findings_fin: 'heterogeneously enlarged thyroid gland': 'clinical finding': 'heterogeneously enlarged thyroid gland', 'existence': 'pos_dx', 'descriptive_term': 'heterogeneously enlarged thyroid', 'observation': 'gland', 'strength_term': 'enlarged', 'change_term': 'enlarged'anatomical entity_fin: 'lobe': 'location descriptor': 'right', 'middle': , 'mediastinum': , 'carina': location descriptor_fin: ['right', 'inferior']clinical findings_fin: 'right lobe of the thyroid extends posteriorly along the tracheoesophageal groove and inferiorly into the middle mediastinum such that the inferior edge is located just above the carina': 'clinical finding': 'right lobe of the thyroid extends posteriorly along the tracheoesophageal groove and inferiorly into the middle mediastinum such that the inferior edge is located just above the carina'size_fin: ['size': '13 cm', 'size_descriptor': 'extent']anatomical entity_fin: 'lobe': location descriptor_fin: ['right']clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'size_fin: ['size': '1 cm', 'size_descriptor': 'thyroid']anatomical entity_fin: 'trachea': , 'esophagus': , 'aortic arch': clinical findings_fin: 'enlarged thyroid': 'clinical finding': 'enlarged thyroid', 'existence': 'pos_dx', 'descriptive_term': 'enlarged', 'observation': 'thyroid', 'strength_term': 'enlarged', 'change_term': 'enlarged', 'leftward deviation': 'clinical finding': 'leftward deviation', 'existence': 'pos_dx', 'descriptive_term': 'leftward', 'observation': 'deviation', 'mild transverse narrowing': 'clinical finding': 'mild transverse narrowing', 'existence': 'pos_dx', 'descriptive_term': 'mild transverse', 'observation': 'narrowing', 'strength_term': 'mild'anatomical entity_fin: 'thyroid cartilage': clinical findings_fin: 'cricoid, thyroid cartilage or tracheal destruction': 'clinical finding': 'cricoid, thyroid cartilage or tracheal destruction', 'existence': 'neg_dx', 'descriptive_term': 'cricoid thyroid cartilage or tracheal', 'observation': 'destruction', 'invasion': 'clinical finding': 'invasion', 'existence': 'neg_dx', 'observation': 'invasion'clinical findings_fin: 'exophytic masses': 'clinical finding': 'exophytic masses', 'existence': 'neg_dx', 'descriptive_term': 'exophytic', 'observation': 'mass', 'focal effacement': 'clinical finding': 'focal effacement', 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'effacement'anatomical entity_fin: 'palatine tonsils': clinical findings_fin: 'small tonsilliths': 'clinical finding': 'small tonsilliths', 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'tonsillith', 'strength_term': 'small'clinical findings_fin: 'cervical lymphadenopathy': 'clinical finding': 'cervical lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'cervical', 'observation': 'lymphadenopathy', 'scattered small lymph nodes': 'clinical finding': 'scattered small lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'scattered small lymph', 'observation': 'node', 'strength_term': 'small'anatomical entity_fin: 'common carotid artery': 'location descriptor': 'right', 'thyroid gland': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact', 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'anatomical entity_fin: 'salivary glands': clinical findings_fin: 'salivary glands are normal': 'clinical finding': 'salivary glands are normal'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'contents': clinical findings_fin: 'visualized intracranial contents are unremarkable': 'clinical finding': 'visualized intracranial contents are unremarkable'anatomical entity_fin: 'contents': clinical findings_fin: 'intraorbital contents are unremarkable': 'clinical finding': 'intraorbital contents are unremarkable'anatomical entity_fin: 'lung': , 'apices': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP] A heterogeneously enlarged thyroid gland is redemonstrated with substernal extension of the right thyroid lobe. The right lobe of the thyroid extends posteriorly along the tracheoesophageal groove and inferiorly into the middle mediastinum such that the inferior edge is located just above the carina. Total craniocaudal extent of the enlarged right thyroid lobe is approximately 13 cm. The enlarged thyroid causes leftward deviation of the trachea or esophagus by approximately 1 cm and mild transverse narrowing of the trachea at the level of the aortic arch. No gross evidence of cricoid, thyroid cartilage or tracheal destruction or invasion. Outside of this finding, the aerodigestive tract is unremarkable with no exophytic masses or additional areas of focal effacement. Incidentally noted prominence of the palatine tonsils which contain small tonsilliths. No CT evidence of cervical lymphadenopathy though there are scattered small lymph nodes which are present. Cervical vascular structures are intact incidentally noted proximity of the right common carotid artery to the enlarged right thyroid gland. Salivary glands are normal. Paranasal sinuses and mastoid air cells are clear. Visualized intracranial contents are unremarkable. Intraorbital contents are unremarkable. Lung apices are clear however see dedicated CT for further evaluation. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'neck': clinical findings_fin: 'postop change': 'clinical finding': 'postop change', 'existence': 'pos_dx', 'descriptive_term': 'postop', 'observation': 'change'clinical findings_fin: 'coronary calcification': 'clinical finding': 'coronary calcification', 'existence': 'pos_dx', 'descriptive_term': 'coronary', 'observation': 'calcification'clinical findings_fin: 'degenerative change': 'clinical finding': 'degenerative change', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'anatomical entity_fin: 'abdominal': 'location descriptor': 'upper'location descriptor_fin: ['upper']clinical findings_fin: 'small subcentimeter upper abdominal nodes': 'clinical finding': 'small subcentimeter upper abdominal nodes', 'existence': 'pos_dx', 'descriptive_term': 'small subcentimeter upper abdominal', 'observation': 'node', 'strength_term': 'small' [/INST] [RESP] . Negative. Postop change in neck. Coronary calcification. Degenerative change. Small subcentimeter upper abdominal nodes, unchanged. [/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'clinical findings_fin: 'diffuse groundglass opacities': 'clinical finding': 'diffuse groundglass opacities', 'existence': 'pos_dx', 'descriptive_term': 'diffuse groundglass', 'observation': 'opacity', 'interlobular septal thickening': 'clinical finding': 'interlobular septal thickening', 'existence': 'pos_dx', 'descriptive_term': 'interlobular septal', 'observation': 'thickening', 'pre-bronchovascular thickening': 'clinical finding': 'pre-bronchovascular thickening', 'existence': 'pos_dx', 'descriptive_term': 'pre-bronchovascular', 'observation': 'thickening', 'cardiogenic pulmonary edema': 'clinical finding': 'cardiogenic pulmonary edema', 'existence': 'pos_dx', 'descriptive_term': 'cardiogenic pulmonary', 'observation': 'edema'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral pleural effusion': 'clinical finding': 'bilateral pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'bilateral pleural', 'observation': 'effusion', 'compressive atelectasis': 'clinical finding': 'compressive atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'compressive', 'observation': 'atelectasis'size_fin: ['size': '5 mm', 'size_descriptor': 'nodule']anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'new right upper lobe pleural-based 5 mm nodule': 'clinical finding': 'new right upper lobe pleural-based 5 mm nodule', 'existence': 'pos_dx', 'descriptive_term': 'new right upper lobe pleural-based 5 mm', 'observation': 'nodule', 'temporal_term': 'new'clinical findings_fin: 'paramediastinal radiation fibrosis': 'clinical finding': 'paramediastinal radiation fibrosis', 'existence': 'pos_dx', 'descriptive_term': 'paramediastinal radiation', 'observation': 'fibrosis'size_fin: ['size': '21 x 12 mm', 'size': '22 x 12 mm']anatomical entity_fin: 'lobe': 'location descriptor': 'left lower', 'back': location descriptor_fin: ['left', 'lower']clinical findings_fin: 'unchanged left lower lobe pleural-based nodule': 'clinical finding': 'unchanged left lower lobe pleural-based nodule', 'existence': 'pos_dx', 'descriptive_term': 'unchanged left lower lobe pleural-based', 'observation': 'nodule', 'strength_term': 'unchanged', 'change_term': 'unchanged'size_fin: ['size': '6 x 5 mm', 'size': '9 x 5 mm']anatomical entity_fin: 'lobe': 'location descriptor': 'left lower'location descriptor_fin: ['left', 'lower']clinical findings_fin: 'left lower lobe basilar nodule': 'clinical finding': 'left lower lobe basilar nodule', 'existence': 'pos_dx', 'descriptive_term': 'left lower lobe basilar', 'observation': 'nodule'clinical findings_fin: 'scattered micronodules': 'clinical finding': 'scattered micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered', 'observation': 'micronodule'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: 'severe cardiomegaly': 'clinical finding': 'severe cardiomegaly', 'existence': 'pos_dx', 'descriptive_term': 'severe', 'observation': 'cardiomegaly', 'strength_term': 'severe'clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'clinical findings_fin: 'severe coronary artery calcifications': 'clinical finding': 'severe coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'severe coronary artery', 'observation': 'calcification', 'strength_term': 'severe', 'stents': 'clinical finding': 'stents', 'existence': 'pos_dx', 'observation': 'stent'anatomical entity_fin: 'right atrium': location descriptor_fin: ['right']anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'anatomical entity_fin: 'solid organs': clinical findings_fin: 'contrast': 'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'anatomical entity_fin: 'pole': 'location descriptor': 'upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'right renal upper pole hypodense round lesion': 'clinical finding': 'right renal upper pole hypodense round lesion', 'existence': 'pos_dx', 'descriptive_term': 'right renal upper pole hypodense round', 'observation': 'lesion'anatomical entity_fin: 'abdomen': , 'pelvis': [/INST] [RESP] . Technically adequate study without evidence of pulmonary emboli. Diffuse groundglass opacities, interlobular septal thickening and pre-bronchovascular thickening with basilar predominance most compatible with cardiogenic pulmonary edema. Interval decrease in size of bilateral pleural effusion and compressive atelectasis. New right upper lobe pleural-based 5 mm nodule. Paramediastinal radiation fibrosis, unchanged. Unchanged left lower lobe pleural-based nodule measuring 21 x 12 mm, compared to 22 x 12 mm on CT dating back to 2008. Left lower lobe basilar nodule is decreased in size measuring 6 x 5 mm, compared to 9 x 5 mm on prior exam. Scattered micronodules, some of which are calcified, unchanged. No mediastinal or hilar lymphadenopathy. Severe cardiomegaly, unchanged. Slight increased in size pericardial effusion. Severe coronary artery calcifications and stents. Right-sided PICC line with its tip in the right atrium. Degenerative changes of the thoracic spine. Arterial phase of contrast limits evaluation of solid organs. Right renal upper pole hypodense round lesion. Please refer to same date CT of the abdomen and pelvis for further details. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'stable micronodules': 'clinical finding': 'stable micronodules', 'existence': 'pos_dx', 'descriptive_term': 'stable', 'observation': 'micronodule', 'strength_term': 'stable', 'change_term': 'stable'clinical findings_fin: 'cardiomegaly': 'clinical finding': 'cardiomegaly', 'existence': 'pos_dx', 'observation': 'cardiomegaly'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: 'adrenal glands': clinical findings_fin: 'stable prominent': 'clinical finding': 'stable prominent', 'existence': 'pos_dx', 'descriptive_term': 'stable', 'observation': 'prominent', 'strength_term': 'stable', 'change_term': 'stable'location descriptor_fin: ['bilateral']clinical findings_fin: 'stable bilateral renal cysts': 'clinical finding': 'stable bilateral renal cysts', 'existence': 'pos_dx', 'descriptive_term': 'stable bilateral renal', 'observation': 'cyst', 'strength_term': 'stable', 'change_term': 'stable'size_fin: ['size': '2.3 x 1.6 cm', 'size_descriptor': 'node']clinical findings_fin: 'stable reference portacaval lymph node': 'clinical finding': 'stable reference portacaval lymph node', 'existence': 'pos_dx', 'descriptive_term': 'stable reference portacaval lymph', 'observation': 'node', 'strength_term': 'stable', 'change_term': 'stable'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: 'external iliac lymph nodes': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'stable mildly enlarged bilateral external iliac lymph nodes': 'clinical finding': 'stable mildly enlarged bilateral external iliac lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'stable mildly enlarged bilateral external iliac lymph', 'observation': 'node', 'strength_term': 'stable - mildly - enlarged', 'change_term': 'stable - 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' [/INST] [RESP] . Stable micronodules. Cardiomegaly. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Stable prominent adrenal glands. Stable bilateral renal cysts. Stable reference portacaval lymph node best seen on image 101 series 3 measuring 2.3 x 1.6 cm. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Stable mildly enlarged bilateral external iliac lymph nodes. 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: 'spinal canal': clinical findings_fin: 'spinal canal stenosis': 'clinical finding': 'spinal canal stenosis', 'existence': 'pos_dx', 'descriptive_term': 'spinal canal', 'observation': 'stenosis', 'anterolisthesis': 'clinical finding': 'anterolisthesis', 'existence': 'pos_dx', 'observation': 'anterolisthesis'clinical findings_fin: 'grade 1 anterolistheses': 'clinical finding': 'grade 1 anterolistheses', 'existence': 'pos_dx', 'descriptive_term': 'grade 1', 'observation': 'anterolistheses'clinical findings_fin: 'postsurgical changes': 'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change', 'laminoplasty': 'clinical finding': 'laminoplasty', 'existence': 'pos_dx', 'observation': 'laminoplasty'anatomical entity_fin: 'bone': , 'axis': , 'cervical spine': location descriptor_fin: ['posterior']clinical findings_fin: 'bone fragment': 'clinical finding': 'bone fragment', 'existence': 'pos_dx', 'descriptive_term': 'bone', 'observation': 'fragment'location descriptor_fin: ['posterior']clinical findings_fin: 'postoperative soft tissue swelling': 'clinical finding': 'postoperative soft tissue swelling', 'existence': 'pos_dx', 'descriptive_term': 'postoperative soft tissue', 'observation': 'swell'anatomical entity_fin: 'cervical spine': clinical findings_fin: 'severe degenerative disease': 'clinical finding': 'severe degenerative disease', 'existence': 'pos_dx', 'descriptive_term': 'severe degenerative', 'observation': 'disease', 'strength_term': 'severe', 'narrowing': 'clinical finding': 'narrowing', 'existence': 'pos_dx', 'observation': 'narrowing'clinical findings_fin: 'multilevel neural foraminal stenosis': 'clinical finding': 'multilevel neural foraminal stenosis', 'existence': 'pos_dx', 'descriptive_term': 'multilevel neural foraminal', 'observation': 'stenosis'anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative disease': 'clinical finding': 'degenerative disease', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'disease', 'obvious interval change': 'clinical finding': 'obvious interval change', 'existence': 'neg_dx', 'descriptive_term': 'obvious interval', 'observation': 'change'anatomical entity_fin: 'anterior chest': 'location descriptor': 'upper'location descriptor_fin: ['upper']clinical findings_fin: 'calcifications': 'clinical finding': 'calcifications', 'existence': 'pos_dx', 'observation': 'calcification' [/INST] [RESP] Again noted is spinal canal stenosis most severe at C4-C5 level, as a result of grade 2 anterolisthesis of C4 over C5. Grade 1 anterolistheses of C3 relative to C4, C6 relative to C7 and C7 relative to T1 are again noted. Since prior study, there have been postsurgical changes of laminoplasty from C2 to C7. There is a bone fragment at C5 level in the posterior element that is perpendicular to the longitudinal axis of the cervical spine, of uncertain clinical significance. Postoperative soft tissue swelling is seen in posterior subcutaneous soft tissues. There remain severe degenerative disease of cervical spine, with disk space narrowing at C4 -C5 to C6 -- C7 levels. Multilevel neural foraminal stenosis is again present. The degenerative disease of cervical spine demonstrates no obvious interval change, and were better seen on prior MRI study. Calcifications in the upper anterior chest at infraclavicular region are of uncertain clinical significance. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'internal carotid artery': location descriptor_fin: ['left']clinical findings_fin: 'postoperative': 'clinical finding': 'postoperative', 'existence': 'pos_dx', 'observation': 'postoperative', 'clipping': 'clinical finding': 'clipping', 'existence': 'pos_dx', 'observation': 'clipping', 'left paraophthalmic internal carotid artery aneurysm': 'clinical finding': 'left paraophthalmic internal carotid artery aneurysm', 'existence': 'pos_dx', 'descriptive_term': 'left paraophthalmic internal carotid artery', 'observation': 'aneurysm'anatomical entity_fin: 'temporal lobe': 'location descriptor': 'anterior'location descriptor_fin: ['anterior']clinical findings_fin: 'encephalomalacia': 'clinical finding': 'encephalomalacia', 'existence': 'neg_dx', 'observation': 'encephalomalacia'clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'clinical findings_fin: 'ventricles and basal cisterns are unchanged in size and configuration': 'clinical finding': 'ventricles and basal cisterns are unchanged in size and configuration', 'change_term': 'unchanged'location descriptor_fin: ['midline']clinical findings_fin: 'herniation': 'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'anatomical entity_fin: 'orbits': , 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP] There are postoperative findings related to clipping of left paraophthalmic internal carotid artery aneurysm. There is no encephalomalacia in the anterior temporal lobe. There is no evidence of intracranial hemorrhage. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. The orbits are grossly unremarkable and the imaged paranasal sinuses and mastoid air cells are clear. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '25 x 18 mm', 'size': '25 x 17 mm']anatomical entity_fin: 'lobe': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'steady progression': 'clinical finding': 'steady progression', 'existence': 'pos_dx', 'descriptive_term': 'steady', 'observation': 'progression', 'previously described left upper lobe irregular ground glass nodule': 'clinical finding': 'previously described left upper lobe irregular ground glass nodule', 'existence': 'pos_dx', 'descriptive_term': 'previously described left upper lobe irregular ground glass', 'observation': 'nodule'size_fin: ['size': '7 mm', 'size_descriptor': 'nodule']anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'solid 7 mm right upper lobe nodule': 'clinical finding': 'solid 7 mm right upper lobe nodule', 'existence': 'pos_dx', 'descriptive_term': 'solid 7 mm right upper lobe', 'observation': 'nodule', 'multiple micronodules': 'clinical finding': 'multiple micronodules', 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'micronodule', 'quantity_term': 'multiple'anatomical entity_fin: 'aorta': , 'coronary arteries': clinical findings_fin: 'calcification': 'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'anatomical entity_fin: 'mediastinal lymph nodes': clinical findings_fin: 'small calcified mediastinal lymph nodes': 'clinical finding': 'small calcified mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small calcified mediastinal lymph', 'observation': 'node', 'strength_term': 'small', 'change_term': 'calcified'anatomical entity_fin: 'spine': clinical findings_fin: 'djd': 'clinical finding': 'djd', 'existence': 'pos_dx', 'observation': 'djd'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'aorta': clinical findings_fin: 'calcification': 'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification' [/INST] [RESP] This exam is limited in the evaluation of solid organ pathology by lack of contrast. Steady progression of size and solid component of previously described left upper lobe irregular ground glass nodule now measuring 25 x 18 mm image 25, series 6, and previously measuring 25 x 17 mm. Solid 7 mm right upper lobe nodule is unchanged in size, image 45, series Multiple micronodules seen on the MIP views decreased in size and number from prior and likely infectious related. Calcification of the aorta and coronary arteries. Small calcified mediastinal lymph nodes. DJD of thoracic spine. No significant abnormality noted. Calcification of the aorta and its branches [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['left']clinical findings_fin: 'hyperdense mass': 'clinical finding': 'hyperdense mass', 'existence': 'pos_dx', 'descriptive_term': 'hyperdense', 'observation': 'mass'size_fin: ['size': '34 x 27 mm']location descriptor_fin: ['left']clinical findings_fin: 'left orbital and rectus gyri': 'clinical finding': 'left orbital and rectus gyri', 'existence': 'pos_dx', 'descriptive_term': 'left orbital and rectus', 'observation': 'gyri', 'edema': 'clinical finding': 'edema', 'existence': 'pos_dx', 'observation': 'edema'anatomical entity_fin: 'suprasellar cistern': clinical findings_fin: 'effaced': 'clinical finding': 'effaced', 'existence': 'pos_dx', 'observation': 'effaced'anatomical entity_fin: 'optic chiasm': clinical findings_fin: 'volume loss': 'clinical finding': 'volume loss', 'existence': 'unc_dx', 'descriptive_term': 'volume', 'observation': 'loss', 'subdural effusion': 'clinical finding': 'subdural effusion', 'existence': 'pos_dx', 'descriptive_term': 'subdural', 'observation': 'effusion'clinical findings_fin: 'hydrocephalus': 'clinical finding': 'hydrocephalus', 'existence': 'neg_dx', 'observation': 'hydrocephalus'location descriptor_fin: ['midline']clinical findings_fin: 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'anatomical entity_fin: 'head': imaging observation_fin: ['foci']location descriptor_fin: ['right']clinical findings_fin: 'mixed hypo': 'clinical finding': 'mixed hypo', 'existence': 'pos_dx', 'descriptive_term': 'mixed', 'observation': 'hypo', 'hyperattenuation': 'clinical finding': 'hyperattenuation', 'existence': 'pos_dx', 'observation': 'hyperattenuation', 'lacunar infarct': 'clinical finding': 'lacunar infarct', 'existence': 'unc_dx', 'descriptive_term': 'lacunar', 'observation': 'infarct', 'mineralization deposit': 'clinical finding': 'mineralization deposit', 'existence': 'unc_dx', 'descriptive_term': 'mineralization', 'observation': 'deposit', 'petechial hemorrhage': 'clinical finding': 'petechial hemorrhage', 'existence': 'unc_dx', 'descriptive_term': 'petechial', 'observation': 'hemorrhage'clinical findings_fin: 'patchy hypoattenuation': 'clinical finding': 'patchy hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'patchy', 'observation': 'hypoattenuation', 'mild small vessel ischemic disease': 'clinical finding': 'mild small vessel ischemic disease', 'existence': 'pos_dx', 'descriptive_term': 'mild small vessel ischemic', 'observation': 'disease', 'strength_term': 'mild - small'anatomical entity_fin: 'frontal bone': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'right frontal bone burr': 'clinical finding': 'right frontal bone burr', 'existence': 'pos_dx', 'descriptive_term': 'right frontal bone', 'observation': 'burr'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 hyperdense mass occupying the sellar and suprasellar region and mildly projecting to the left. It measures 34 x 27 mm in its transverse dimension, which represents an increase in size since prior exam. It compresses the left orbital and rectus gyri, resulting in edema. The suprasellar cistern is effaced. The optic chiasm and pituitary stalk are compressed. There is prominence of bifrontal CSF space, likely representing volume loss versus subdural effusion. The ventricles are normal in size without evidence of hydrocephalus. There is no midline shift. Foci of mixed hypo and hyperattenuation in the right caudate head, likely representing lacunar infarct associated with mineralization deposit or petechial hemorrhage. There is patchy hypoattenuation in the white matter, consistent with mild small vessel ischemic disease of indeterminate age. A right frontal bone burr is present. 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 hemidiaphragm': clinical findings_fin: 'discontinuity': 'clinical finding': 'discontinuity', 'existence': 'pos_dx', 'observation': 'discontinuity', 'bochdalek hernia': 'clinical finding': 'bochdalek hernia', 'existence': 'unc_dx', 'descriptive_term': 'bochdalek', 'observation': 'hernia'anatomical entity_fin: 'left lobe of liver': imaging observation_fin: ['foci']location descriptor_fin: ['right']clinical findings_fin: 'multiple hypoattenuating foci': 'clinical finding': 'multiple hypoattenuating foci', 'existence': 'pos_dx', 'descriptive_term': 'multiple hypoattenuating', 'observation': 'foci', 'quantity_term': 'multiple', 'lesions': 'clinical finding': 'lesions', 'existence': 'pos_dx', 'observation': 'lesion'clinical findings_fin: 'benign cysts': 'clinical finding': 'benign cysts', 'existence': 'unc_dx', 'descriptive_term': 'benign', 'observation': 'cyst', 'strength_term': 'benign'clinical findings_fin: 'additional lesions': 'clinical finding': 'additional lesions', 'existence': 'pos_dx', 'descriptive_term': 'additional', 'observation': 'lesion'anatomical entity_fin: 'gallbladder': clinical findings_fin: 'gallbladder is within normal limits': 'clinical finding': 'gallbladder is within normal limits'anatomical entity_fin: 'portal veins': , 'hepatic veins': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'pole': 'location descriptor': 'right superior'location descriptor_fin: ['right', 'superior']clinical findings_fin: 'superior pole renal cyst': 'clinical finding': 'superior pole renal cyst', 'existence': 'pos_dx', 'descriptive_term': 'superior pole renal', 'observation': 'cyst', 'strength_term': 'superior'clinical findings_fin: 'hydronephrosis': 'clinical finding': 'hydronephrosis', 'existence': 'neg_dx', 'observation': 'hydronephrosis', 'perinephric inflammation': 'clinical finding': 'perinephric inflammation', 'existence': 'neg_dx', 'descriptive_term': 'perinephric', 'observation': 'inflammation'clinical findings_fin: 'significant lymphadenopathy': 'clinical finding': 'significant lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'size_fin: ['size': '3.7 x 3.1 cm', 'size_descriptor': 'lesion']anatomical entity_fin: 'jejunum': 'location descriptor': 'proximal', 'mesentery': imaging observation_fin: ['enhancing']location descriptor_fin: ['proximal']clinical findings_fin: 'arterially enhancing lesion': 'clinical finding': 'arterially enhancing lesion', 'existence': 'pos_dx', 'descriptive_term': 'arterially enhancing', 'observation': 'lesion'clinical findings_fin: 'obstruction': 'clinical finding': 'obstruction', 'existence': 'neg_dx', 'observation': 'obstruction'anatomical entity_fin: 'appendix': clinical findings_fin: 'well visualized and within normal limits': 'clinical finding': 'well visualized and within normal limits'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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] . Discontinuity in the right hemidiaphragm may represent a Bochdalek hernia. Multiple hypoattenuating foci and lesions in the right and left lobe of liver. Some of these can be characterized as benign cysts measuring near water attenuation. Additional lesions are too small to further characterize and are essentially nonspecific. No intrahepatic or extra hepatic biliary ductal dilatation. The gallbladder is within normal limits. The portal veins and hepatic veins are patent. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Right superior pole renal cyst is present. No hydronephrosis or perinephric inflammation bilaterally. No significant lymphadenopathy is present. Mild. There is an arterially enhancing lesion in the proximal jejunum or mesentery measuring approximately 3.7 x 3.1 cm. There is no evidence of obstruction. The appendix is well visualized and within normal limits. No significant abnormality noted. No significant abnormality noted. Prostatomegaly. 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: 'spine': , 'joints': 'location descriptor': 'peripheral'location descriptor_fin: ['peripheral']clinical findings_fin: 'extensive osseous degenerative changes': 'clinical finding': 'extensive osseous degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'extensive osseous degenerative', 'observation': 'change', 'strength_term': 'extensive'anatomical entity_fin: 'pole': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower']clinical findings_fin: 'exophytic right lower pole renal lesion': 'clinical finding': 'exophytic right lower pole renal lesion', 'existence': 'pos_dx', 'descriptive_term': 'exophytic right lower pole renal', 'observation': 'lesion', 'internal calcifications': 'clinical finding': 'internal calcifications', 'existence': 'pos_dx', 'descriptive_term': 'internal', 'observation': 'calcification', 'simple cyst': 'clinical finding': 'simple cyst', 'existence': 'unc_dx', 'descriptive_term': 'simple', 'observation': 'cyst'anatomical entity_fin: 'pelvis': , 'prostate': location descriptor_fin: ['adjacent']object_fin: ['surgical clips']clinical findings_fin: 'surgical clips': 'clinical finding': 'surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'clip'anatomical entity_fin: 'thigh': 'location descriptor': 'proximal left'location descriptor_fin: ['posterior', 'proximal', 'left']clinical findings_fin: 'lipoma': 'clinical finding': 'lipoma', 'existence': 'pos_dx', 'observation': 'lipoma', 'dystrophic calcifications': 'clinical finding': 'dystrophic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'dystrophic', 'observation': 'calcification'anatomical entity_fin: 'sacral': 'location descriptor': 'midline'location descriptor_fin: ['midline', 'posterior']clinical findings_fin: 'single small but markedly hypermetabolic midline sacral lesion': 'clinical finding': 'single small but markedly hypermetabolic midline sacral lesion', 'existence': 'pos_dx', 'descriptive_term': 'single small but markedly hypermetabolic midline sacral', 'observation': 'lesion', 'strength_term': 'small', 'quantity_term': 'single'clinical findings_fin: 'mixed density': 'clinical finding': 'mixed density', 'existence': 'unc_dx', 'descriptive_term': 'mixed', 'observation': 'density'imaging observation_fin: ['foci']clinical findings_fin: 'additional pathologic foci': 'clinical finding': 'additional pathologic foci', 'existence': 'neg_dx', 'descriptive_term': 'additional pathologic', 'observation': 'foci'anatomical entity_fin: 'spine': , 'joints': 'location descriptor': 'peripheral'location descriptor_fin: ['peripheral']clinical findings_fin: 'extensive degenerative changes': 'clinical finding': 'extensive degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'extensive degenerative', 'observation': 'change', 'strength_term': 'extensive'location descriptor_fin: ['anterior']clinical findings_fin: 'benign activity is noted in the anterior ethmoids': 'clinical finding': 'benign activity is noted in the anterior ethmoids' [/INST] [RESP] Todays CT portion grossly demonstrates extensive osseous degenerative changes most notably throughout the spine and peripheral joints. There is an exophytic right lower pole renal lesion with internal calcifications, which does not meet the criteria of a simple cyst. Surgical clips are noted in the pelvis adjacent to the prostate bed. There is a lipoma containing dystrophic calcifications in the posterior soft tissues of the proximal left thigh. Todays PET examination demonstrates a single small but markedly hypermetabolic midline sacral lesion in the posterior elements at S3. There is suggestion of mixed density on the nondiagnostic CT portion of the exam. There are no additional pathologic foci. There are extensive degenerative changes in the spine and peripheral joints. Benign activity is noted in the anterior ethmoids. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'solid organs': , 'bowel': non-anatomical substance_fin: ['oral contrast']clinical findings_fin: 'lesions': 'clinical finding': 'lesions', 'existence': 'neg_dx', 'observation': 'lesion'clinical findings_fin: 'bibasilar atelectasis': 'clinical finding': 'bibasilar atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'bibasilar', 'observation': 'atelectasis', 'or consolidation': 'clinical finding': 'or consolidation', 'existence': 'pos_dx', 'descriptive_term': 'or', 'observation': 'consolidation', 'small effusions': 'clinical finding': 'small effusions', 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'effusion', 'strength_term': 'small'anatomical entity_fin: 'gallbladder': object_fin: ['tube']procedure_fin: ['percutaneous cholecystostomy']clinical findings_fin: 'decompressed': 'clinical finding': 'decompressed', 'existence': 'pos_dx', 'observation': 'decompressed'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'lumen': object_fin: ['tube']size_fin: ['size': '3.8 cm', 'size': '3.7 cm']anatomical entity_fin: 'bowel': , 'quadrant': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'roughly stable with a representative loop in the right upper quadrant': 'clinical finding': 'roughly stable with a representative loop in the right upper quadrant', 'change_term': 'stable'anatomical entity_fin: 'bowel': , 'wall': , 'fluid': , 'lumen': clinical findings_fin: 'focal wall thickening': 'clinical finding': 'focal wall thickening', 'existence': 'neg_dx', 'descriptive_term': 'focal wall', 'observation': 'thickening'clinical findings_fin: 'mesenteric venous gas': 'clinical finding': 'mesenteric venous gas', 'existence': 'neg_dx', 'descriptive_term': 'mesenteric venous', 'observation': 'gas'clinical findings_fin: 'ascites': 'clinical finding': 'ascites', 'existence': 'pos_dx', 'observation': 'ascite', 'loculation': 'clinical finding': 'loculation', 'existence': 'neg_dx', 'observation': 'loculation', 'abscess': 'clinical finding': 'abscess', 'existence': 'unc_dx', 'observation': 'abscess'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'object_fin: ['catheter']clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'bowel': clinical findings_fin: 'ascites': 'clinical finding': 'ascites', 'existence': 'pos_dx', 'observation': 'ascite'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['midline']clinical findings_fin: 'midline surgical wound': 'clinical finding': 'midline surgical wound', 'existence': 'pos_dx', 'descriptive_term': 'midline surgical', 'observation': 'wound'anatomical entity_fin: 'fluid': , 'subcutaneous fat': [/INST] [RESP] . The exam is not sensitive for detecting lesions in the solid organs or bowel but to the lack of IV or oral contrast. Given that limitation, the following observations are made. Bibasilar atelectasis and or consolidation and small effusions slightly increased since prior exam. Percutaneous cholecystostomy tube in a decompressed gallbladder. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Esophagogastric tube tip within the gastric lumen. Degree of bowel dilatation is roughly stable with a representative loop in the right upper quadrant measuring 3.8 cm in diameter compared with 3.7 cm previously. The bowel wall is outlined by native fluid within the bowel lumen and no obvious areas of focal wall thickening is seen. No evidence of mesenteric venous gas. Small amount of ascites with no evidence of loculation to suggest abscess. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Foley catheter in place. No significant abnormality noted. Diffuse bowel dilatation as described previously. Small amount of ascites. No significant abnormality noted. Midline surgical wound. No evidence of fluid collections in the subcutaneous fat. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'cells': clinical findings_fin: 'ethmoid air cells are unremarkable': 'clinical finding': 'ethmoid air cells are unremarkable'anatomical entity_fin: 'sphenoid sinus': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'opacification': 'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'anatomical entity_fin: 'walls': , 'sphenoid sinus': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'thickened': 'clinical finding': 'thickened', 'existence': 'pos_dx', 'observation': 'thickened'anatomical entity_fin: 'sphenoid sinus': 'location descriptor': 'left', 'sphenoethmoidal recess': location descriptor_fin: ['left']clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear', 'unobstructed': 'clinical finding': 'unobstructed', 'existence': 'pos_dx', 'observation': 'unobstructed'anatomical entity_fin: 'nasal cavity': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'clinical findings_fin: 'nasal septum': 'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum', 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'skull': 'location descriptor': 'anterior', 'base': location descriptor_fin: ['anterior']clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact' [/INST] [RESP] The frontal sinuses and frontoethmoidal recesses are clear. The ethmoid air cells are unremarkable. Opacification of the right sphenoid sinus is seen with internal calcific material. The walls of the right sphenoid sinus are thickened and sclerotic. The left sphenoid sinus and sphenoethmoidal recess are clear. The maxillary sinuses are clear and the maxillary outflow tracts are unobstructed. The nasal cavity is clear and the turbinates are morphologically unremarkable. The nasal septum is intact and straight. The structures of the anterior skull base are intact and symmetric. [/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: 'liver is normal in morphology': 'clinical finding': 'liver is normal in morphology'clinical findings_fin: 'suspicious hepatic lesions': 'clinical finding': 'suspicious hepatic lesions', 'existence': 'neg_dx', 'descriptive_term': 'suspicious hepatic', 'observation': 'lesion'anatomical entity_fin: 'gallbladder': location descriptor_fin: ['distal']clinical findings_fin: 'multiple calcified stones': 'clinical finding': 'multiple calcified stones', 'existence': 'pos_dx', 'descriptive_term': 'multiple calcified', 'observation': 'stone', 'quantity_term': 'multiple', 'change_term': 'calcified', 'few calculi': 'clinical finding': 'few calculi', 'existence': 'pos_dx', 'descriptive_term': 'few', 'observation': 'calculi', 'quantity_term': 'few'clinical findings_fin: 'intrahepatic biliary ductal dilatation': 'clinical finding': 'intrahepatic biliary ductal dilatation', 'existence': 'neg_dx', 'descriptive_term': 'intrahepatic biliary ductal', 'observation': 'dilatation'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'hydronephrosis': 'clinical finding': 'hydronephrosis', 'existence': 'neg_dx', 'observation': 'hydronephrosis'clinical findings_fin: 'nephrolithiasis': 'clinical finding': 'nephrolithiasis', 'existence': 'neg_dx', 'observation': 'nephrolithiasis'clinical findings_fin: 'small retroperitoneal nodes': 'clinical finding': 'small retroperitoneal nodes', 'existence': 'pos_dx', 'descriptive_term': 'small retroperitoneal', 'observation': 'node', 'strength_term': 'small'anatomical entity_fin: 'aorta': clinical findings_fin: 'mild calcific arteriosclerotic disease': 'clinical finding': 'mild calcific arteriosclerotic disease', 'existence': 'pos_dx', 'descriptive_term': 'mild calcific arteriosclerotic', 'observation': 'disease', 'strength_term': 'mild'anatomical entity_fin: 'duodenal bulb': clinical findings_fin: 'inflammatory changes': 'clinical finding': 'inflammatory changes', 'existence': 'pos_dx', 'descriptive_term': 'inflammatory', 'observation': 'change'clinical findings_fin: 'free intraperitoneal air has resolved': 'clinical finding': 'free intraperitoneal air has resolved'anatomical entity_fin: 'bowel': clinical findings_fin: 'bowel obstruction': 'clinical finding': 'bowel obstruction', 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'anatomical entity_fin: 'appendix': clinical findings_fin: 'appendix is normal': 'clinical finding': 'appendix is normal'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'colonic diverticulitis': 'clinical finding': 'colonic diverticulitis', 'existence': 'neg_dx', 'descriptive_term': 'colonic', 'observation': 'diverticulitis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '2.9-cm', 'size_descriptor': 'area']anatomical entity_fin: 'rectum': , 'pelvis': , 'sacrum': location descriptor_fin: ['adjacent', 'anterior']clinical findings_fin: 'cystic area adjacent to the rectum in the deep pelvis anterior to the sacrum': 'clinical finding': 'cystic area adjacent to the rectum in the deep pelvis anterior to the sacrum'anatomical entity_fin: 'pelvis': location descriptor_fin: ['right']clinical findings_fin: 'small walled off collection': 'clinical finding': 'small walled off collection', 'existence': 'unc_dx', 'descriptive_term': 'small walled off', 'observation': 'collection', 'strength_term': 'small' [/INST] [RESP] . No significant abnormality noted. Liver is normal in morphology. No suspicious hepatic lesions. Gallbladder contains multiple calcified stones with a few calculi in the distal CBD. No intrahepatic biliary ductal dilatation. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No hydronephrosis. No nephrolithiasis. Small retroperitoneal nodes. Mild calcific arteriosclerotic disease of the aorta. Inflammatory changes near the duodenal bulb have resolved. The free intraperitoneal air has resolved. No bowel obstruction. The appendix is normal. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No colonic diverticulitis is evident. No significant abnormality noted. Cystic area adjacent to the rectum in the deep pelvis anterior to the sacrum measures 2.9-cm. This may originate from the right adnexa or may represent a small walled off collection within the pelvis. [/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'size_fin: ['size': '2.0 x 3.0 cm', 'size_descriptor': 'node']location descriptor_fin: ['left']clinical findings_fin: 'left para-aortic lymph node': 'clinical finding': 'left para-aortic lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left para-aortic lymph', 'observation': 'node'clinical findings_fin: 'additional small retroperitoneal lymph nodes': 'clinical finding': 'additional small retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'additional small retroperitoneal 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'size_fin: ['size': '2.3 x 3.4 cm', 'size_descriptor': 'node']anatomical entity_fin: 'external iliac lymph node': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'left external iliac lymph node': 'clinical finding': 'left external iliac lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left external iliac 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' [/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. A left para-aortic lymph node measures 2.0 x 3.0 cm on axial image 117/229 and has not significantly changed. Additional small retroperitoneal lymph nodes are unchanged. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. A left external iliac lymph node measures 2.3 x 3.4 cm on axial image 185/229 and has not significantly changed. 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: 'moderate to marked mucosal thickening': 'clinical finding': 'moderate to marked mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'moderate to marked mucosal', 'observation': 'thickening', 'strength_term': 'moderate'anatomical entity_fin: 'cells': clinical findings_fin: 'marked mucosal thickening': 'clinical finding': 'marked mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'marked mucosal', 'observation': 'thickening', 'opacification': 'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'anatomical entity_fin: 'frontal sinus': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'opacification': 'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'anatomical entity_fin: 'sphenoid sinus': clinical findings_fin: 'mild mucosal disease': 'clinical finding': 'mild mucosal disease', 'existence': 'pos_dx', 'descriptive_term': 'mild mucosal', 'observation': 'disease', 'strength_term': 'mild'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'anatomical entity_fin: 'ostiomeatal units': clinical findings_fin: 'occluded': 'clinical finding': 'occluded', 'existence': 'pos_dx', 'observation': 'occlude'clinical findings_fin: 'moderate to marked leftward septal deviation': 'clinical finding': 'moderate to marked leftward septal deviation', 'existence': 'pos_dx', 'descriptive_term': 'moderate to marked leftward septal', 'observation': 'deviation', 'strength_term': 'moderate' [/INST] [RESP] Moderate to marked mucosal thickening in both maxillary sinuses. Marked mucosal thickening and opacification of the ethmoid air cells. Opacification of the left frontal sinus. Mild mucosal disease affects the sphenoid sinus. The mastoid air cells are normally pneumatized. The ostiomeatal units are occluded bilaterally. Moderate to marked leftward septal deviation. [/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: 'unchanged calcified right upper lobe nodule': 'clinical finding': 'unchanged calcified right upper lobe nodule', 'existence': 'pos_dx', 'descriptive_term': 'unchanged calcified right upper lobe', 'observation': 'nodule', 'strength_term': 'unchanged', 'change_term': 'unchanged - calcified', 'calcified right hilar lymph nodes': 'clinical finding': 'calcified right hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'calcified right hilar lymph', 'observation': 'node', 'change_term': 'calcified'anatomical entity_fin: 'pericardial recess': clinical findings_fin: 'reference hypodensity': 'clinical finding': 'reference hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'reference', 'observation': 'hypodensity'size_fin: ['size': '11 x 7 mm', 'size': '18 x 11 mm']anatomical entity_fin: 'subcarinal lymph node': clinical findings_fin: 'appropriate reference subcarinal lymph node': 'clinical finding': 'appropriate reference subcarinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'appropriate reference subcarinal lymph', 'observation': 'node'location descriptor_fin: ['left']clinical findings_fin: 'index left retrocrural node': 'clinical finding': 'index left retrocrural node', 'existence': 'neg_dx', 'descriptive_term': 'index left retrocrural', 'observation': 'node'size_fin: ['size': '4.4 x 3.0 mm', 'size': '4.3 x 4.1 mm']location descriptor_fin: ['right']object_fin: ['port']clinical findings_fin: 'right-sided port-a-cath': 'clinical finding': 'right-sided port-a-cath', 'existence': 'pos_dx', 'descriptive_term': 'right-sided', 'observation': 'port-a-'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'unchanged scattered granulomas': 'clinical finding': 'unchanged scattered granulomas', 'existence': 'pos_dx', 'descriptive_term': 'unchanged scattered', 'observation': 'granuloma', 'strength_term': 'unchanged', 'change_term': 'unchanged'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'left kidney': clinical findings_fin: 'unchanged mild caliectasis': 'clinical finding': 'unchanged mild caliectasis', 'existence': 'pos_dx', 'descriptive_term': 'unchanged mild', 'observation': 'caliectasis', 'strength_term': 'unchanged - mild', 'change_term': 'unchanged', 'left kidney': 'clinical finding': 'left kidney', 'existence': 'pos_dx', 'descriptive_term': 'left', 'observation': 'kidney'object_fin: ['clips']procedure_fin: ['lymph node dissection']clinical findings_fin: 'prior retroperitoneal lymph node dissection': 'clinical finding': 'prior retroperitoneal lymph node dissection', 'existence': 'pos_dx', 'descriptive_term': 'prior retroperitoneal lymph node', 'observation': 'dissection'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'object_fin: ['port']clinical findings_fin: 'subcutaneous intraperitoneal port-a-cath': 'clinical finding': 'subcutaneous intraperitoneal port-a-cath', 'existence': 'pos_dx', 'descriptive_term': 'subcutaneous intraperitoneal', 'observation': 'port-a-'location descriptor_fin: ['bilateral']procedure_fin: ['hysterectomy', 'salpingo-oophorectomy']clinical findings_fin: 'postsurgical changes': 'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'object_fin: ['suture']clinical findings_fin: 'suture line is noted': 'clinical finding': 'suture line is noted'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Unchanged calcified right upper lobe nodule and calcified right hilar lymph nodes. Please note that a reference hypodensity measured on CT scan dated 9/3/09 was a pericardial recess. The appropriate reference subcarinal lymph node currently measures 11 x 7 mm previously 18 x 11 mm. Index left retrocrural node is essentially no longer measurable and probably corresponds to soft tissue. Currently 4.4 x 3.0 mm previously 4.3 x 4.1 mm. Right-sided Port-A-Cath with tip at the SVC and right atrial junction. No significant abnormality noted. Unchanged scattered granulomas. No significant abnormality noted. No significant abnormality noted. Unchanged mild caliectasis of the left kidney. Clips from prior retroperitoneal lymph node dissection are noted. No significant abnormality noted. No significant abnormality noted. Interval removal of subcutaneous intraperitoneal Port-A-Cath. Postsurgical changes consistent with clinical history of hysterectomy and bilateral salpingo-oophorectomy. No significant abnormality noted. No significant abnormality noted. A suture line is noted. No significant abnormality noted. No significant abnormality noted. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['left']clinical findings_fin: 'subgaleal fluid collection': 'clinical finding': 'subgaleal fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'subgaleal fluid', 'observation': 'collection'anatomical entity_fin: 'brain': , 'parenchyma': location descriptor_fin: ['bilateral']clinical findings_fin: 'large bilateral subdural': 'clinical finding': 'large bilateral subdural', 'existence': 'pos_dx', 'descriptive_term': 'large bilateral', 'observation': 'subdural', 'strength_term': 'large', 'mass effect': 'clinical finding': 'mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect'anatomical entity_fin: 'parenchyma': imaging observation_fin: ['blood']clinical findings_fin: 'previously identified acute blood': 'clinical finding': 'previously identified acute blood', 'existence': 'pos_dx', 'descriptive_term': 'previously identified acute', 'observation': 'blood', 'strength_term': 'acute', 'temporal_term': 'acute'anatomical entity_fin: 'parenchyma': clinical findings_fin: 'new bleed': 'clinical finding': 'new bleed', 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'bleed', 'temporal_term': 'new' [/INST] [RESP] Comparison with previous study, the left temporal horn has increased in size, as well as the subgaleal fluid collection of the craniotomy flap. The large bilateral subdural collection with mass effect on the brain parenchyma has been stable. The previously identified acute blood in periventricular parenchyma has partially evolved. There is no evidence of new bleed both in the parenchyma or in the ventricles. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'interval removal': 'clinical finding': 'interval removal', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'removal'anatomical entity_fin: 'occipital pole': , 'right lateral ventricle': location descriptor_fin: ['adjacent']object_fin: ['electrode']clinical findings_fin: 'hemorrhage': 'clinical finding': 'hemorrhage', 'existence': 'pos_dx', 'observation': 'hemorrhage'location descriptor_fin: ['midline']clinical findings_fin: 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema', 'intra- or extra-axial fluid collection': 'clinical finding': 'intra- or extra-axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'intra- or extra-axial fluid', 'observation': 'collection'location descriptor_fin: ['right']clinical findings_fin: 'postsurgical changes': 'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change', 'previous right temporal lobectomy': 'clinical finding': 'previous right temporal lobectomy', 'existence': 'pos_dx', 'descriptive_term': 'previous right temporal', 'observation': 'lobectomy', 'temporal_term': 'previous', 'encephalomalacia': 'clinical finding': 'encephalomalacia', 'existence': 'pos_dx', 'observation': 'encephalomalacia'clinical findings_fin: 'ventricles and basal cisterns are unchanged in size': 'clinical finding': 'ventricles and basal cisterns are unchanged in size', 'change_term': 'unchanged'clinical findings_fin: 'hydrocephalus': 'clinical finding': 'hydrocephalus', 'existence': 'neg_dx', 'observation': 'hydrocephalus'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP] Interval removal of intracranial and extracranial electrodes. Subtle, small focus of hemorrhage adjacent to the occipital pole of the right lateral ventricle, consistent with prior electrode tract. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection. Again noted are postsurgical changes of previous right temporal lobectomy and encephalomalacia, which appear unchanged. Ventricles and basal cisterns are unchanged in size. There is no evidence of hydrocephalus. 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: clinical findings_fin: 'pulmonary embolism': 'clinical finding': 'pulmonary embolism', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolism'anatomical entity_fin: 'airspace': clinical findings_fin: 'focal airspace consolidation': 'clinical finding': 'focal airspace consolidation', 'existence': 'neg_dx', 'descriptive_term': 'focal airspace', 'observation': 'consolidation', 'pleural effusion': 'clinical finding': 'pleural effusion', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion', 'pneumothorax': 'clinical finding': 'pneumothorax', 'existence': 'neg_dx', 'observation': 'pneumothorax'size_fin: ['size': '1.7 x 0.6 cm', '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', 'enlarged': 'clinical finding': 'enlarged', 'existence': 'neg_dx', 'observation': 'enlarged'anatomical entity_fin: 'heart': clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'clinical findings_fin: 'minimal bibasilar atelectasis': 'clinical finding': 'minimal bibasilar atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'minimal bibasilar', 'observation': 'atelectasis', 'strength_term': 'minimal', 'quantity_term': 'minimal'clinical findings_fin: 'axillary adenopathy': 'clinical finding': 'axillary adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'axillary', 'observation': 'adenopathy'clinical findings_fin: 'normal appearance of the bones': 'clinical finding': 'normal appearance of the bones'anatomical entity_fin: 'upper abdomen': clinical findings_fin: 'normal appearance of the upper abdomen': 'clinical finding': 'normal appearance of the upper abdomen' [/INST] [RESP] . Technically adequate examination. No pulmonary embolism. No focal airspace consolidation, pleural effusion, or pneumothorax. Right hilar lymph node measures 1.7 x 0.6 cm and is not pathologically enlarged by CT size criteria. Normal heart size without pericardial effusion. Minimal bibasilar atelectasis. No axillary adenopathy. Normal appearance of the bones. Normal appearance of the upper abdomen. [/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: 'punctate right upper lobe granuloma': 'clinical finding': 'punctate right upper lobe granuloma', 'existence': 'pos_dx', 'descriptive_term': 'punctate right upper lobe', 'observation': 'granuloma'clinical findings_fin: 'new nodules': 'clinical finding': 'new nodules', 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'nodule', 'temporal_term': 'new', 'pleural effusions': 'clinical finding': 'pleural effusions', 'existence': 'neg_dx', 'descriptive_term': 'pleural', '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: 'heart': clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'anatomical entity_fin: 'axillary lymph nodes': , 'chest wall': 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', 'chest wall lesions': 'clinical finding': 'chest wall lesions', 'existence': 'neg_dx', 'descriptive_term': 'chest wall', 'observation': 'lesion'anatomical entity_fin: 'spine': clinical findings_fin: 'mild degenerative changes': 'clinical finding': 'mild degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild', 'bone metastases': 'clinical finding': 'bone metastases', 'existence': 'neg_dx', 'descriptive_term': 'bone', 'observation': 'metastase'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'accessory spleen': clinical findings_fin: 'small accessory spleen': 'clinical finding': 'small accessory spleen'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'kidneys': clinical findings_fin: 'small hypodense lesions': 'clinical finding': 'small hypodense lesions', 'existence': 'pos_dx', 'descriptive_term': 'small hypodense', 'observation': 'lesion', 'strength_term': 'small'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'small retroperitoneal lymph nodes': 'clinical finding': 'small retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small retroperitoneal lymph', 'observation': 'node', 'strength_term': 'small', 'enlarged': 'clinical finding': 'enlarged', 'existence': 'neg_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' [/INST] [RESP] . Punctate right upper lobe granuloma is unchanged. No new nodules or pleural effusions. No enlarged mediastinal or hilar lymph nodes. Heart size is within normal limits, with no pericardial effusion. No enlarged axillary lymph nodes or chest wall lesions. Review of bone windows reveals mild degenerative changes of the thoracic spine, with no evidence of bone metastases. No significant abnormality noted. Small accessory spleen. No significant abnormality noted. Small hypodense lesions are seen in both kidneys, too small to characterize, and unchanged from prior exams. No significant abnormality noted. Small retroperitoneal lymph nodes are seen, unchanged from the prior exam, none of which are enlarged by CT criteria. 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: 'punctate micro-nodule': 'clinical finding': 'punctate micro-nodule', 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'micro-nodule'clinical findings_fin: 'pulmonary or pleural metastases': 'clinical finding': 'pulmonary or pleural metastases', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary or pleural', 'observation': 'metastase'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'clinical findings_fin: 'coronary artery calcifications': 'clinical finding': 'coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'coronary artery', 'observation': 'calcification'anatomical entity_fin: 'spine': clinical findings_fin: 'calcified gallstones': 'clinical finding': 'calcified gallstones', 'existence': 'pos_dx', 'descriptive_term': 'calcified', 'observation': 'gallstone', 'change_term': 'calcified'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'renal cystlike hypodensities': 'clinical finding': 'renal cystlike hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'renal cystlike', 'observation': 'hypodensity'location descriptor_fin: ['left']clinical findings_fin: 'small left adrenal nodule': 'clinical finding': 'small left adrenal nodule', 'existence': 'pos_dx', 'descriptive_term': 'small left adrenal', 'observation': 'nodule', 'strength_term': 'small', 'probably an adenoma': 'clinical finding': 'probably an adenoma', 'existence': 'pos_dx', 'descriptive_term': 'probably an', 'observation': 'adenoma'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'spine': clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . At least one punctate micro-nodule. No evidence of pulmonary or pleural metastases. No significantly enlarged mediastinal or hilar lymph nodes. Coronary artery calcifications. DJD thoracic spine. Calcified gallstones. No significant abnormality noted. Renal cystlike hypodensities. Small left adrenal nodule, probably an adenoma. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. DJD lumbar spine. No significant abnormality noted [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'pulmonary embolism': 'clinical finding': 'pulmonary embolism', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolism'anatomical entity_fin: 'lung': 'location descriptor': 'right anterior'imaging observation_fin: ['apical']location descriptor_fin: ['right', 'anterior']clinical findings_fin: 'apical scarring': 'clinical finding': 'apical scarring', 'existence': 'pos_dx', 'descriptive_term': 'apical', 'observation': 'scarr', 'groundglass opacity': 'clinical finding': 'groundglass opacity', 'existence': 'pos_dx', 'descriptive_term': 'groundglass', 'observation': 'opacity', 'post radiation reaction': 'clinical finding': 'post radiation reaction', 'existence': 'pos_dx', 'descriptive_term': 'post radiation', 'observation': 'reaction'clinical findings_fin: 'dependent basilar groundglass opacities': 'clinical finding': 'dependent basilar groundglass opacities', 'existence': 'pos_dx', 'descriptive_term': 'dependent basilar groundglass', 'observation': 'opacity', 'atelectasis': 'clinical finding': 'atelectasis', 'existence': 'unc_dx', 'observation': 'atelectasis', 'scarring': 'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'anatomical entity_fin: 'lobe': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'calcifications': 'clinical finding': 'calcifications', 'existence': 'pos_dx', 'observation': 'calcification', 'prior granulomatous infection': 'clinical finding': 'prior granulomatous infection', 'existence': 'pos_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'infection'anatomical entity_fin: 'lobe': 'location descriptor': 'right upper', 'lymphoid tissue': location descriptor_fin: ['right', 'upper']clinical findings_fin: 'stable right upper lobe micronodule': 'clinical finding': 'stable right upper lobe micronodule', 'existence': 'pos_dx', 'descriptive_term': 'stable right upper lobe', 'observation': 'micronodule', 'strength_term': 'stable', 'change_term': 'stable', 'lymphoid tissue': 'clinical finding': 'lymphoid tissue', 'existence': 'unc_dx', 'descriptive_term': 'lymphoid', 'observation': 'tissue', 'granuloma': 'clinical finding': 'granuloma', 'existence': 'unc_dx', 'observation': 'granuloma'anatomical entity_fin: 'heart': clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'anatomical entity_fin: 'breast': 'location descriptor': 'right'location descriptor_fin: ['right']object_fin: ['surgical clips']clinical findings_fin: 'surgical clips': 'clinical finding': 'surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'clip', 'punctate calcifications': 'clinical finding': 'punctate calcifications', 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'calcification'anatomical entity_fin: 'spleen': 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'location descriptor_fin: ['left']clinical findings_fin: 'left adrenal nodule': 'clinical finding': 'left adrenal nodule', 'existence': 'pos_dx', 'descriptive_term': 'left adrenal', 'observation': 'nodule'anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change' [/INST] [RESP] . No evidence of pulmonary embolism. Apical scarring and groundglass opacity along the right anterior lung, consistent with post radiation reaction. Dependent basilar groundglass opacities, likely represents atelectasis or scarring. Cluster of calcifications in the left upper lobe are stable when compared to the prior CT and likely represent prior granulomatous infection. Stable right upper lobe micronodule is contiguous with a vessel and likely represents lymphoid tissue or granuloma. The heart is normal in size without evidence of pericardial effusion. Surgical clips and punctate calcifications are noted in the right breast. Punctate calcifications in the spleen represent prior granulomatous disease. Left adrenal nodule, unchanged since 2005 is presumably benign. Degenerative changes of the spine, unchanged. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'ventricles and sulci are normal in size': 'clinical finding': 'ventricles and sulci are normal in size'location descriptor_fin: ['midline']clinical findings_fin: 'masses': 'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass', 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'midline shift': 'clinical finding': 'midline shift', '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 cerebral or cerebellar cortical infarction': 'clinical finding': 'acute cerebral or cerebellar cortical infarction', 'existence': 'neg_dx', 'descriptive_term': 'acute cerebral or cerebellar cortical', 'observation': 'infarction', 'strength_term': 'acute', 'temporal_term': 'acute'anatomical entity_fin: 'fluid': clinical findings_fin: 'subdural hematomas': 'clinical finding': 'subdural hematomas', 'existence': 'neg_dx', 'descriptive_term': 'subdural', 'observation': 'hematoma'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'clinical findings_fin: 'intracranial arterial stenoses': 'clinical finding': 'intracranial arterial stenoses', 'existence': 'neg_dx', 'descriptive_term': 'intracranial arterial', 'observation': 'stenoses', 'occlusions': 'clinical finding': 'occlusions', 'existence': 'neg_dx', 'observation': 'occlusion', 'aneurysms': 'clinical finding': 'aneurysms', 'existence': 'neg_dx', 'observation': 'aneurysm'clinical findings_fin: 'cerebral vasculitis': 'clinical finding': 'cerebral vasculitis', 'existence': 'neg_dx', 'descriptive_term': 'cerebral', 'observation': 'vasculitis', 'arteriovenous malformations': 'clinical finding': 'arteriovenous malformations', 'existence': 'neg_dx', 'descriptive_term': 'arteriovenous', 'observation': 'malformation'location descriptor_fin: ['right']clinical findings_fin: 'hypoplastic or aplastic': 'clinical finding': 'hypoplastic or aplastic', 'existence': 'pos_dx', 'descriptive_term': 'hypoplastic or', 'observation': 'aplastic'anatomical entity_fin: 'right subclavian artery': , 'esophagus': location descriptor_fin: ['posterior']clinical findings_fin: 'incidental note is made of a aberrant right subclavian artery which courses': 'clinical finding': 'incidental note is made of a aberrant right subclavian artery which courses'anatomical entity_fin: 'right vertebral artery': , 'origin': , 'common carotid artery': 'location descriptor': 'right'location descriptor_fin: ['right']anatomical entity_fin: 'left vertebral artery': , 'origin': , 'aortic arch': clinical findings_fin: 'calcified': 'clinical finding': 'calcified', 'existence': 'pos_dx', 'observation': 'calcified'location descriptor_fin: ['bilateral', 'right', 'left']clinical findings_fin: 'bilateral pleural effusions': 'clinical finding': 'bilateral pleural effusions', 'existence': 'pos_dx', 'descriptive_term': 'bilateral pleural', 'observation': 'effusion'anatomical entity_fin: 'internal carotid artery': 'location descriptor': 'left', 'origin': location descriptor_fin: ['left', 'right']clinical findings_fin: 'mild calcifications': 'clinical finding': 'mild calcifications', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'calcification', 'strength_term': 'mild', 'approximate 50% lumenal stenosis': 'clinical finding': 'approximate 50% lumenal stenosis', 'existence': 'pos_dx', 'descriptive_term': 'approximate 50 lumenal', 'observation': 'stenosis', 'sided stenosis': 'clinical finding': 'sided stenosis', 'existence': 'pos_dx', 'descriptive_term': 'sided', 'observation': 'stenosis'anatomical entity_fin: 'left subclavian artery': , 'origin': , 'aortic arch': clinical findings_fin: 'occlusion': 'clinical finding': 'occlusion', 'existence': 'pos_dx', 'observation': 'occlusion' [/INST] [RESP] . The ventricles and sulci are normal in size. There are no masses, mass effect or midline shift. There is no evidence for intracranial hemorrhage or acute cerebral or cerebellar cortical infarction. There are no extraaxial fluid collections or subdural hematomas. The visualized portions of the paranasal sinuses and mastoid air cells are clear. Head. There are no intracranial arterial stenoses, occlusions or aneurysms identified. There is no evidence for cerebral vasculitis and no arteriovenous malformations are identified. Note is made of a persistent fetal right PCA circulation with a hypoplastic or aplastic right P1 segment. Neck. Incidental note is made of a aberrant right subclavian artery which courses posterior to the esophagus. Correspondingly, the right vertebral artery origin arises from the right common carotid artery. The left vertebral artery origin is calcified and arises from the aortic arch. There are also bilateral pleural effusions, right greater than left. Mild calcifications are noted involving both common carotid bifurcations with approximate 50% lumenal stenosis of the left internal carotid artery origin and no hemodynamically significant right sided stenosis. There appears to be occlusion of the left subclavian artery just beyond its origin from the aortic arch. [/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: ['left']clinical findings_fin: 'left pleural effusion': 'clinical finding': 'left pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'left pleural', 'observation': 'effusion', 'associated compressive atelectasis': 'clinical finding': 'associated compressive atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'associated compressive', 'observation': 'atelectasis'location descriptor_fin: ['left']clinical findings_fin: 'left basilar interstitial thickening': 'clinical finding': 'left basilar interstitial thickening', 'existence': 'pos_dx', 'descriptive_term': 'left basilar interstitial', 'observation': 'thickening', 'atelectasis': 'clinical finding': 'atelectasis', 'existence': 'pos_dx', 'observation': 'atelectasis', 'scarring': 'clinical finding': 'scarring', 'existence': 'pos_dx', 'observation': 'scarr'clinical findings_fin: 'multiple pulmonary and subpleural nodules': 'clinical finding': 'multiple pulmonary and subpleural nodules', 'existence': 'pos_dx', 'descriptive_term': 'multiple pulmonary and subpleural', 'observation': 'nodule', 'quantity_term': 'multiple', 'metastases': 'clinical finding': 'metastases', 'existence': 'pos_dx', 'observation': 'metastase'location descriptor_fin: ['right']clinical findings_fin: 'new large right pleural effusion': 'clinical finding': 'new large right pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'new large right pleural', 'observation': 'effusion', 'strength_term': 'large', 'temporal_term': 'new', 'associated compressive atelectasis': 'clinical finding': 'associated compressive atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'associated compressive', 'observation': 'atelectasis'clinical findings_fin: 'mediastinal lymphadenopathy': 'clinical finding': 'mediastinal lymphadenopathy', 'existence': 'pos_dx', 'descriptive_term': 'mediastinal', 'observation': 'lymphadenopathy'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'multiple hepatic hypodensities': 'clinical finding': 'multiple hepatic hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'multiple hepatic', 'observation': 'hypodensity', 'quantity_term': 'multiple', 'metastases': 'clinical finding': 'metastases', 'existence': 'pos_dx', 'observation': 'metastase'anatomical entity_fin: 'liver': clinical findings_fin: 'peritoneal metastatic lesions': 'clinical finding': 'peritoneal metastatic lesions', 'existence': 'pos_dx', 'descriptive_term': 'peritoneal metastatic', 'observation': 'lesion'anatomical entity_fin: 'spleen': clinical findings_fin: 'absent spleen': 'clinical finding': 'absent spleen'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral axial lymphadenopathy': 'clinical finding': 'bilateral axial lymphadenopathy', 'existence': 'pos_dx', 'descriptive_term': 'bilateral axial', 'observation': 'lymphadenopathy' [/INST] [RESP] . No pulmonary embolus. Decreasing left pleural effusion and associated compressive atelectasis. Left basilar interstitial thickening, consistent with atelectasis and scarring. Multiple pulmonary and subpleural nodules, consistent with metastases. New large right pleural effusion with associated compressive atelectasis. Mediastinal lymphadenopathy, unchanged. No significant abnormality noted. Multiple hepatic hypodensities, increased in size or new from previous, consistent with metastases. Peritoneal metastatic lesions surrounding the liver, increased in size from 3/23/2011. Absent spleen. Bilateral axial lymphadenopathy. [/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: 'unchanged calcified lymph nodes': 'clinical finding': 'unchanged calcified lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'unchanged calcified lymph', 'observation': 'node', 'strength_term': 'unchanged', 'change_term': 'unchanged - 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: 'stable splenic hypodensities': 'clinical finding': 'stable splenic hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'stable splenic', 'observation': 'hypodensity', 'strength_term': 'stable', 'change_term': 'stable'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['bilateral', 'left']clinical findings_fin: 'bilateral renal cysts': 'clinical finding': 'bilateral renal cysts', 'existence': 'pos_dx', 'descriptive_term': 'bilateral renal', 'observation': 'cyst', 'left nephrolithiasis': 'clinical finding': 'left nephrolithiasis', 'existence': 'pos_dx', 'descriptive_term': 'left', 'observation': 'nephrolithiasis'size_fin: ['size': '1.7 cm', 'size': '1.2 cm', 'size': '6 mm']anatomical entity_fin: 'left kidney': 'location descriptor': 'medial'location descriptor_fin: ['medial']clinical findings_fin: '1.7 cm hyperdense cystic lesion': 'clinical finding': '1.7 cm hyperdense cystic lesion', 'existence': 'pos_dx', 'descriptive_term': '1 7 cm hyperdense cystic', 'observation': 'lesion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['distal']clinical findings_fin: 'recurrence': 'clinical finding': 'recurrence', 'existence': 'neg_dx', 'observation': 'recurrence'anatomical entity_fin: 'bowel': clinical findings_fin: 'nonobstructed small bowel loop': 'clinical finding': 'nonobstructed small bowel loop', 'existence': 'pos_dx', 'descriptive_term': 'nonobstructed small bowel', 'observation': 'loop', 'strength_term': 'small', 'ventral hernia': 'clinical finding': 'ventral hernia', 'existence': 'pos_dx', 'descriptive_term': 'ventral', 'observation': 'hernia'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'uterus': clinical findings_fin: 'fibroid uterus': 'clinical finding': 'fibroid uterus'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'colonic diverticulosis': 'clinical finding': 'colonic diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'colonic', 'observation': 'diverticulosis', 'diverticulitis': 'clinical finding': 'diverticulitis', 'existence': 'neg_dx', 'observation': 'diverticulitis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . No significant abnormality noted. Unchanged calcified lymph nodes. No significant abnormality noted. No significant abnormality noted. Stable splenic hypodensities. No significant abnormality noted. No significant abnormality noted. Bilateral renal cysts and left nephrolithiasis, unchanged. 1.7 cm hyperdense cystic lesion in the medial left kidney has grown in size, previously measuring 1.2 cm on most recent exam, and approximately 6 mm on 10/25/2015 exam. No significant abnormality noted. Status post distal gastrectomy without evidence of recurrence. Nonobstructed small bowel loop containing ventral hernia. No significant abnormality noted. Fibroid uterus. No significant abnormality noted. No significant abnormality noted. Colonic diverticulosis without evidence of diverticulitis. Large stool burden. 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: '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: 'frontal bone': 'location descriptor': 'left', 'orbit': location descriptor_fin: ['left', 'adjacent', 'lateral']clinical findings_fin: 'soft tissue swelling': 'clinical finding': 'soft tissue swelling', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'swell', 'bruising': 'clinical finding': 'bruising', 'existence': 'unc_dx', 'observation': 'bruising'clinical findings_fin: 'two punctate foreign bodies': 'clinical finding': 'two punctate foreign bodies', 'existence': 'unc_dx', 'descriptive_term': 'two punctate foreign', 'observation': 'body', 'high density': 'clinical finding': 'high density', 'existence': 'pos_dx', 'descriptive_term': 'high', 'observation': 'density', 'foreign bodies': 'clinical finding': 'foreign bodies', 'existence': 'unc_dx', 'descriptive_term': 'foreign', 'observation': 'body', 'glass': 'clinical finding': 'glass', 'existence': 'unc_dx', 'observation': 'glass'clinical findings_fin: 'underlying fractures': 'clinical finding': 'underlying fractures', 'existence': 'neg_dx', 'descriptive_term': 'underlying', 'observation': 'fracture'clinical findings_fin: 'osseous structures are unremarkable': 'clinical finding': 'osseous structures are unremarkable'anatomical entity_fin: 'cells': clinical findings_fin: 'ethmoid air cells are partially opacified': 'clinical finding': 'ethmoid air cells are partially opacified', 'change_term': 'opacified'clinical findings_fin: 'mild straightening cervical lordosis': 'clinical finding': 'mild straightening cervical lordosis', 'existence': 'pos_dx', 'descriptive_term': 'mild straightening cervical', 'observation': 'lordosis', 'strength_term': 'mild'anatomical entity_fin: 'vertebral bodies': , 'dens': , 'lateral masses': , 'facets': imaging observation_fin: ['pedicles']location descriptor_fin: ['posterior']clinical findings_fin: 'lateral masses': 'clinical finding': 'lateral masses', 'existence': 'pos_dx', 'descriptive_term': 'lateral', 'observation': 'mass', 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact', 'fracture': 'clinical finding': 'fracture', 'existence': 'neg_dx', 'observation': 'fracture', 'subluxation': 'clinical finding': 'subluxation', 'existence': 'neg_dx', 'observation': 'subluxation'anatomical entity_fin: 'spinal cord': , 'spinal canal': clinical findings_fin: 'spinal canal stenosis': 'clinical finding': 'spinal canal stenosis', 'existence': 'neg_dx', 'descriptive_term': 'spinal canal', 'observation': 'stenosis'anatomical entity_fin: 'foramen': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'anatomical entity_fin: 'intervertebral disk': clinical findings_fin: 'intervertebral disk spaces are preserved': 'clinical finding': 'intervertebral disk spaces are preserved', 'change_term': 'preserved'clinical findings_fin: 'paraspinal and prevertebral soft tissues are unremarkable': 'clinical finding': 'paraspinal and prevertebral soft tissues are unremarkable' [/INST] [RESP] .The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, midline shift, intra- or extra-axial fluid collection or acute hemorrhage. Soft tissue swelling or bruising overlying the left frontal bone adjacent to the left supraorbital ridge and lateral of the left orbit. Two punctate foreign bodies of high density are likely foreign bodies, possibly glass. No underlying fractures. The osseous structures are unremarkable. The ethmoid air cells are partially opacified. There is mild straightening cervical lordosis. The vertebral bodies, dens, lateral masses, pedicles, lamina, facets, and posterior elements are intact with no evidence of fracture or subluxation. Within the limits of CT scanning, the thecal sac and spinal cord are preserved with no evidence of spinal canal stenosis. The neural foramen are patent. The intervertebral disk spaces are preserved. The paraspinal and prevertebral soft tissues are unremarkable. [/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: 'innumerable enlarged and borderline enlarged mesenteric and retroperitoneal lymph nodes': 'clinical finding': 'innumerable enlarged and borderline enlarged mesenteric and retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'innumerable enlarged and borderline enlarged mesenteric and retroperitoneal lymph', 'observation': 'node', 'strength_term': 'enlarged - borderline - enlarged', 'change_term': 'enlarged - enlarged'anatomical entity_fin: 'abdomen': , 'quadrant': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower']clinical findings_fin: 'concentrated': 'clinical finding': 'concentrated', 'existence': 'pos_dx', 'observation': 'concentrate'imaging observation_fin: ['fat']clinical findings_fin: 'is subtle pericecal fat stranding': 'clinical finding': 'is subtle pericecal fat stranding', 'existence': 'pos_dx', 'descriptive_term': 'is subtle pericecal fat', 'observation': 'strand', 'strength_term': 'subtle', 'colitis': 'clinical finding': 'colitis', 'existence': 'unc_dx', 'observation': 'colitis', 'possible inflammatory bowel disease': 'clinical finding': 'possible inflammatory bowel disease', 'existence': 'unc_dx', 'descriptive_term': 'possible inflammatory bowel', 'observation': 'disease'anatomical entity_fin: 'appendix': , 'quadrant': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower']clinical findings_fin: 'normal appendix is present': 'clinical finding': 'normal appendix is present'anatomical entity_fin: 'terminal ileum': , 'wall': clinical findings_fin: 'thickened': 'clinical finding': 'thickened', 'existence': 'unc_dx', 'observation': 'thickened'anatomical entity_fin: 'bowel': , 'wall': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'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: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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. There are innumerable enlarged and borderline enlarged mesenteric and retroperitoneal lymph nodes. These are diffusely present throughout the abdomen, but are most concentrated in the right lower quadrant. The is subtle pericecal fat stranding is present on coronal image 54/117 and axial image 80/162 which may be due to colitis with possible inflammatory bowel disease or infectious etiology. A normal appendix is present in the right lower quadrant. The terminal ileum wall appears possibly thickened at coronal image 60/117 and axial image 96/162. The bowel wall thickness cannot be confidently evaluated in the absence of enteric contrast. No evidence of bowel obstruction. No significant abnormality noted. No significant abnormality noted. 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: 'cerebellum': clinical findings_fin: 'multiple chronic infarctions': 'clinical finding': 'multiple chronic infarctions', 'existence': 'pos_dx', 'descriptive_term': 'multiple chronic', 'observation': 'infarction', 'quantity_term': 'multiple', 'temporal_term': 'chronic'clinical findings_fin: 'periventricular hypoattenuation': 'clinical finding': 'periventricular hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'periventricular', 'observation': 'hypoattenuation'clinical findings_fin: 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema', 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'clinical findings_fin: 'gray-white differentiation': 'clinical finding': 'gray-white differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white', 'observation': 'differentiation', 'intact': 'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'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', 'any abnormal extra-axial fluid collection': 'clinical finding': 'any abnormal extra-axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'any abnormal extra-axial fluid', 'observation': 'collection'clinical findings_fin: 'ventricles are stable and normal': 'clinical finding': 'ventricles are stable and normal', 'change_term': 'stable'anatomical entity_fin: 'skull': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact' [/INST] [RESP] Multiple chronic infarctions of the cerebellum are seen. Periventricular hypoattenuation is noted supratentorially, similar to the prior examination. No evidence of edema or mass effect is observed. The gray-white differentiation is otherwise intact. No acute intracranial hemorrhage or any abnormal extra-axial fluid collection is seen. The ventricles are stable and normal in size. The osseous structures of the skull are intact. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['left', 'right']clinical findings_fin: 'bibasilar dependent opacities': 'clinical finding': 'bibasilar dependent opacities', 'existence': 'pos_dx', 'descriptive_term': 'bibasilar dependent', 'observation': 'opacity', 'atelectasis': 'clinical finding': 'atelectasis', 'existence': 'unc_dx', 'observation': 'atelectasis', 'aspiration': 'clinical finding': 'aspiration', 'existence': 'unc_dx', 'observation': 'aspiration'anatomical entity_fin: 'liver': clinical findings_fin: 'focal hepatic mass lesion': 'clinical finding': 'focal hepatic mass lesion', 'existence': 'pos_dx', 'descriptive_term': 'focal hepatic mass', 'observation': 'lesion'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'anatomical entity_fin: 'spleen': clinical findings_fin: 'spleen is normal in appearance': 'clinical finding': 'spleen is normal in appearance'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 visualized and normal': 'clinical finding': 'adrenal glands are visualized and normal'anatomical entity_fin: 'kidneys': clinical findings_fin: 'normal appearance of both kidneys': 'clinical finding': 'normal appearance of both kidneys'clinical findings_fin: 'hydronephrosis': 'clinical finding': 'hydronephrosis', 'existence': 'neg_dx', 'observation': 'hydronephrosis'clinical findings_fin: 'lymphadenopathy': 'clinical finding': 'lymphadenopathy', 'existence': 'neg_dx', 'observation': 'lymphadenopathy'anatomical entity_fin: 'esophagus': clinical findings_fin: 'patulous': 'clinical finding': 'patulous', 'existence': 'pos_dx', 'observation': 'patulous'anatomical entity_fin: 'stomach': clinical findings_fin: 'markedly distended': 'clinical finding': 'markedly distended', 'existence': 'pos_dx', 'descriptive_term': 'markedly', 'observation': 'distended', 'debris': 'clinical finding': 'debris', 'existence': 'pos_dx', 'observation': 'debris'anatomical entity_fin: 'body': object_fin: ['tube']anatomical entity_fin: 'bowel': clinical findings_fin: 'bowel obstruction': 'clinical finding': 'bowel obstruction', 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction', 'abnormal bowel wall thickening': 'clinical finding': 'abnormal bowel wall thickening', 'existence': 'neg_dx', 'descriptive_term': 'abnormal bowel wall', 'observation': 'thickening'clinical findings_fin: 'normal appearance of the bones': 'clinical finding': 'normal appearance of the bones'clinical findings_fin: 'fracture': 'clinical finding': 'fracture', 'existence': 'neg_dx', 'observation': 'fracture'clinical findings_fin: 'free fluid': 'clinical finding': 'free fluid', 'existence': 'neg_dx', 'descriptive_term': 'free', 'observation': 'fluid', 'pneumoperitoneum': 'clinical finding': 'pneumoperitoneum', 'existence': 'neg_dx', 'observation': 'pneumoperitoneum'anatomical entity_fin: 'uterus': clinical findings_fin: 'normal appearance of the uterus': 'clinical finding': 'normal appearance of the uterus'anatomical entity_fin: 'bladder': clinical findings_fin: 'normal appearance of the bladder': 'clinical finding': 'normal appearance of the bladder'clinical findings_fin: 'adenopathy': 'clinical finding': 'adenopathy', 'existence': 'neg_dx', 'observation': 'adenopathy'anatomical entity_fin: 'bowel': clinical findings_fin: 'bowel obstruction': 'clinical finding': 'bowel obstruction', 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction', 'abnormal bowel wall thickening': 'clinical finding': 'abnormal bowel wall thickening', 'existence': 'neg_dx', 'descriptive_term': 'abnormal bowel wall', 'observation': 'thickening'clinical findings_fin: 'normal appearance of the bones': 'clinical finding': 'normal appearance of the bones'clinical findings_fin: 'fracture': 'clinical finding': 'fracture', 'existence': 'neg_dx', 'observation': 'fracture'clinical findings_fin: 'free fluid': 'clinical finding': 'free fluid', 'existence': 'neg_dx', 'descriptive_term': 'free', 'observation': 'fluid', 'pneumoperitoneum': 'clinical finding': 'pneumoperitoneum', 'existence': 'neg_dx', 'observation': 'pneumoperitoneum' [/INST] [RESP] . Examination is somewhat limited due to motion artifact. Bibasilar dependent opacities, left greater than right, likely represent atelectasis and or or aspiration. Normal appearance of the liver without focal hepatic mass lesion. No intrahepatic or extrahepatic biliary ductal dilatation. The gallbladder is normal in appearance. Spleen is normal in appearance. Pancreas is normal in appearance. Both adrenal glands are visualized and normal in appearance. Normal appearance of both kidneys. No hydronephrosis. No lymphadenopathy. Esophagus is patulous at the GE junction. Markedly distended stomach which contains air and debris. NG tube tip terminates in the gastric body. No bowel obstruction or abnormal bowel wall thickening. Normal appearance of the bones. No fracture. No free fluid or pneumoperitoneum. Normal appearance of the uterus. Normal appearance of the bladder. No adenopathy. No bowel obstruction or abnormal bowel wall thickening. Normal appearance of the bones. No fracture. No free fluid or pneumoperitoneum. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'brain': location descriptor_fin: ['posterior']clinical findings_fin: 'low-attenuation': 'clinical finding': 'low-attenuation', 'existence': 'pos_dx', 'observation': 'low'location descriptor_fin: ['midline']clinical findings_fin: 'mass-effect or midline shift': 'clinical finding': 'mass-effect or midline shift', 'existence': 'neg_dx', 'descriptive_term': 'mass-effect or midline', 'observation': 'shift'clinical findings_fin: 'acute cranial hemorrhage': 'clinical finding': 'acute cranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'acute cranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'dilated': 'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'anatomical entity_fin: 'skull': , 'base': clinical findings_fin: 'lytic or erosive changes': 'clinical finding': 'lytic or erosive changes', 'existence': 'neg_dx', 'descriptive_term': 'lytic or erosive', 'observation': 'change'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP] Images of the brain show areas of low-attenuation in the white matter posterior hemispheres. There is no mass-effect or midline shift. There is no acute cranial hemorrhage. The ventricles and focal sulci are mildly dilated however are within normal limits given the patients age. Bone windows show no lytic or erosive changes involving the calvarium or skull base. Views of the visualized 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: 'significant basilar consolidation': 'clinical finding': 'significant basilar consolidation', 'existence': 'pos_dx', 'descriptive_term': 'significant basilar', 'observation': 'consolidation', 'small bilateral pleural effusions': 'clinical finding': 'small bilateral pleural effusions', 'existence': 'pos_dx', 'descriptive_term': 'small bilateral pleural', 'observation': 'effusion', 'strength_term': 'small'anatomical entity_fin: 'chest': anatomical entity_fin: 'liver': clinical findings_fin: 'numerous large liver metastases': 'clinical finding': 'numerous large liver metastases', 'existence': 'pos_dx', 'descriptive_term': 'numerous large liver', 'observation': 'metastase', 'strength_term': 'large', 'quantity_term': 'numerous'size_fin: ['size': '3.6 x 4.8 cm', 'size_descriptor': 'lesion']anatomical entity_fin: 'lobe': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'lesion': 'clinical finding': 'lesion', 'existence': 'pos_dx', 'observation': 'lesion'clinical findings_fin: 'intrahepatic biliary ductal dilatation': 'clinical finding': 'intrahepatic biliary ductal dilatation', 'existence': 'neg_dx', 'descriptive_term': 'intrahepatic biliary ductal', 'observation': 'dilatation'anatomical entity_fin: 'portal vein': , 'hepatic artery': , 'hepatic veins': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'procedure_fin: ['adrenalectomy']clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: 'duodenum': object_fin: ['dobbhoff tube']clinical findings_fin: 'dobbhoff tube': 'clinical finding': 'dobbhoff tube', 'existence': 'pos_dx', 'descriptive_term': 'dobbhoff', 'observation': 'tube'anatomical entity_fin: 'bowel': clinical findings_fin: 'mild bowel wall thickening': 'clinical finding': 'mild bowel wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild bowel wall', 'observation': 'thickening', 'strength_term': 'mild', 'edema': 'clinical finding': 'edema', 'existence': 'unc_dx', 'observation': 'edema'clinical findings_fin: 'anasarca': 'clinical finding': 'anasarca', 'existence': 'pos_dx', 'observation': 'anasarca'clinical findings_fin: 'widespread bony metastases': 'clinical finding': 'widespread bony metastases', 'existence': 'pos_dx', 'descriptive_term': 'widespread bony', 'observation': 'metastase', 'strength_term': 'widespread'clinical findings_fin: 'trace ascites': 'clinical finding': 'trace ascites', 'existence': 'pos_dx', 'descriptive_term': 'trace', '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'object_fin: ['tube']clinical findings_fin: 'presumed rectal tube in completely imaged': 'clinical finding': 'presumed rectal tube in completely imaged'clinical findings_fin: 'widespread bony metastases': 'clinical finding': 'widespread bony metastases', 'existence': 'pos_dx', 'descriptive_term': 'widespread bony', 'observation': 'metastase', 'strength_term': 'widespread'clinical findings_fin: 'pelvic ascites': 'clinical finding': 'pelvic ascites', 'existence': 'pos_dx', 'descriptive_term': 'pelvic', 'observation': 'ascite' [/INST] [RESP] . Significant basilar consolidation with small bilateral pleural effusions. Please refer to the chest CT for further details. Numerous large liver metastases. For reference purposes, a lesion anteriorly in the left lobe measures 3.6 x 4.8 cm. No intrahepatic biliary ductal dilatation. Portal vein, hepatic artery, and hepatic veins are all patent. No significant abnormality noted. No significant abnormality noted. Status post adrenalectomy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Dobbhoff tube terminates in the transverse portion of the duodenum. Mild bowel wall thickening may represent edema. Anasarca. Widespread bony metastases. Trace ascites. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Presumed rectal tube in completely imaged. Widespread bony metastases. Pelvic ascites. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'chest': clinical findings_fin: 'ct chest performed on the same day': 'clinical finding': 'ct chest performed on the same day'anatomical entity_fin: 'lobe': 'location descriptor': 'right', 'liver': location descriptor_fin: ['right']clinical findings_fin: 'calcified granuloma': 'clinical finding': 'calcified granuloma', 'existence': 'pos_dx', 'descriptive_term': 'calcified', 'observation': 'granuloma', 'change_term': 'calcified'clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'anatomical entity_fin: 'gallbladder': clinical findings_fin: 'gallbladder appears unremarkable': 'clinical finding': 'gallbladder appears unremarkable'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '2.2 x 1.7 cm']location descriptor_fin: ['left']clinical findings_fin: 'left adrenal nodule': 'clinical finding': 'left adrenal nodule', 'existence': 'pos_dx', 'descriptive_term': 'left adrenal', 'observation': 'nodule'anatomical entity_fin: 'pelvis': location descriptor_fin: ['right']clinical findings_fin: 'right extrarenal pelvis noted': 'clinical finding': 'right extrarenal pelvis noted'clinical findings_fin: 'hydronephrosis': 'clinical finding': 'hydronephrosis', 'existence': 'neg_dx', 'observation': 'hydronephrosis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'ascites': 'clinical finding': 'ascites', 'existence': 'neg_dx', 'observation': 'ascite'anatomical entity_fin: 'uterus': clinical findings_fin: 'calcified fibroid uterus': 'clinical finding': 'calcified fibroid uterus', 'change_term': 'calcified'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: 'l5 vertebral body': , 'intertrochanteric': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'diffusely sclerotic': 'clinical finding': 'diffusely sclerotic', 'existence': 'pos_dx', 'descriptive_term': 'diffusely', 'observation': 'sclerotic'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Kindly refer to CT chest performed on the same day, accession #. Calcified granuloma noted in the right lobe of the liver. Hepatic vessels are patent. Gallbladder appears unremarkable. No significant abnormality noted. No significant abnormality noted. Left adrenal nodule measures 2.2 x 1.7 cm, mostly unchanged from prior study. Right extrarenal pelvis noted. No hydronephrosis. No significant abnormality noted. Mild. No significant abnormality noted. No significant abnormality noted. No ascites. Calcified fibroid uterus. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Diffusely sclerotic L5 vertebral body and left intertrochanteric region, mostly stable. No significant abnormality noted [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'nasopharynx': clinical findings_fin: 'abnormal soft tissue enhancement': 'clinical finding': 'abnormal soft tissue enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal soft tissue', 'observation': 'enhancement', 'thickening': 'clinical finding': 'thickening', 'existence': 'neg_dx', 'observation': 'thickening'anatomical entity_fin: 'oropharynx': , 'soft palate': , 'mandible': clinical findings_fin: 'hardening artifact': 'clinical finding': 'hardening artifact', 'existence': 'pos_dx', 'descriptive_term': 'hardening', 'observation': 'artifact'anatomical entity_fin: 'hypopharynx': clinical findings_fin: 'hypopharynx is unremarkable': 'clinical finding': 'hypopharynx is unremarkable'anatomical entity_fin: 'neck': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'patient status post left neck dissection': 'clinical finding': 'patient status post left neck dissection', 'existence': 'pos_dx', 'descriptive_term': 'patient status post left neck', 'observation': 'dissection', 'extensive postsurgical changes': 'clinical finding': 'extensive postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'extensive postsurgical', 'observation': 'change', 'strength_term': 'extensive'size_fin: ['size': '0.9 x 0.6 cm', 'size': '1.2 x 0.6 cm']location descriptor_fin: ['left']clinical findings_fin: 'left cervical lymph node': 'clinical finding': 'left cervical lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left cervical lymph', 'observation': 'node'clinical findings_fin: 'pathologic submandibular, cervical, or supraclavicular lymphadenopathy': 'clinical finding': 'pathologic submandibular, cervical, or supraclavicular lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'pathologic submandibular cervical or supraclavicular', 'observation': 'lymphadenopathy'anatomical entity_fin: 'brain': clinical findings_fin: 'limited evaluation of the visualized portion of the brain': 'clinical finding': 'limited evaluation of the visualized portion of the brain'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'anatomical entity_fin: 'cervical spine': , 'thoracic spine': 'location descriptor': 'upper', 'bones': , 'thorax': 'location descriptor': 'upper', 'spinal': 'location descriptor': 'anterior'location descriptor_fin: ['upper', 'anterior']procedure_fin: ['spinal fusion']clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change', 'c5-c6 anterior spinal fusion hardware': 'clinical finding': 'c5-c6 anterior spinal fusion hardware', 'existence': 'unc_dx', 'descriptive_term': 'c5-c6 anterior spinal fusion', 'observation': 'hardware'anatomical entity_fin: 'thorax': 'location descriptor': 'upper'location descriptor_fin: ['upper']clinical findings_fin: 'limited evaluation of the upper thorax unremarkable': 'clinical finding': 'limited evaluation of the upper thorax unremarkable'anatomical entity_fin: 'lung': , 'apices': , 'chest': clinical findings_fin: 'lung apices are unremarkable -- recommend': 'clinical finding': 'lung apices are unremarkable -- recommend' [/INST] [RESP] There is no abnormal soft tissue enhancement or thickening in the nasopharynx. Images of the oropharynx are degraded by being hardening artifact from the level of the soft palate to the mandible. The hypopharynx is unremarkable. Patient status post left neck dissection with extensive postsurgical changes. There is a left cervical lymph node which measures 0.9 x 0.6 cm compared to 1.2 x 0.6 cm on study dated 4/30/2008. There is no pathologic submandibular, cervical, or supraclavicular lymphadenopathy. Limited evaluation of the visualized portion of the brain is unremarkable. The calvaria and skull base are radiographically normal. The visualized paranasal sinuses and mastoid air cells are normally pneumatized. Evaluation of the cervical spine, upper thoracic spine, and visualized bones of the upper thorax is remarkable for degenerative changes and C5-C6 anterior spinal fusion hardware. Limited evaluation of the upper thorax unremarkable. The lung apices are unremarkable -- recommend correlation with chest CT. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'pulmonary or pleural metastases': 'clinical finding': 'pulmonary or pleural metastases', 'existence': 'pos_dx', 'descriptive_term': 'pulmonary or pleural', 'observation': 'metastase'clinical findings_fin: 'moderate coronary artery calcification': 'clinical finding': 'moderate coronary artery calcification', 'existence': 'pos_dx', 'descriptive_term': 'moderate coronary artery', 'observation': 'calcification', 'strength_term': 'moderate'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'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'unchanged hepatic cyst': 'clinical finding': 'unchanged hepatic cyst', 'existence': 'pos_dx', 'descriptive_term': 'unchanged hepatic', 'observation': 'cyst', 'strength_term': 'unchanged', 'change_term': 'unchanged', 'hypodensity': 'clinical finding': 'hypodensity', 'existence': 'pos_dx', 'observation': 'hypodensity' [/INST] [RESP] . The evidence of pulmonary or pleural metastases. Moderate coronary artery calcification. No significantly enlarged mediastinal or hilar lymph nodes. No significant abnormality noted. Unchanged hepatic cyst like hypodensity. [/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'anatomical entity_fin: 'parietal lobes': clinical findings_fin: 'hypodensities': 'clinical finding': 'hypodensities', 'existence': 'pos_dx', 'observation': 'hypodensity'location descriptor_fin: ['midline']clinical findings_fin: 'mass-effect or midline shift': 'clinical finding': 'mass-effect or midline shift', 'existence': 'neg_dx', 'descriptive_term': 'mass-effect or midline', 'observation': 'shift'clinical findings_fin: 'parenchymal volume loss': 'clinical finding': 'parenchymal volume loss', 'existence': 'pos_dx', 'descriptive_term': 'parenchymal volume', 'observation': 'loss'anatomical entity_fin: 'wall': location descriptor_fin: ['medial', 'right']clinical findings_fin: 'mild deformity': 'clinical finding': 'mild deformity', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'deformity', 'strength_term': 'mild', 'prior trauma': 'clinical finding': 'prior trauma', 'existence': 'unc_dx', 'descriptive_term': 'prior', 'observation': 'trauma'anatomical entity_fin: 'mastoid air cells': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'partial opacification': 'clinical finding': 'partial opacification', 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'opacification', 'strength_term': 'partial', 'left mastoid air cells': 'clinical finding': 'left mastoid air cells', 'existence': 'pos_dx', 'descriptive_term': 'left mastoid air', 'observation': 'cell'anatomical entity_fin: 'paranasal sinuses': clinical findings_fin: 'otherwise , paranasal sinuses unremarkable': 'clinical finding': 'otherwise , paranasal sinuses unremarkable' [/INST] [RESP] No intracranial hemorrhage. There are hypodensities in white matter of both frontal and parietal lobes, which are nonspecific. No mass-effect or midline shift. Prominence of ventricles and cortical sulci consistent with parenchymal volume loss. There is mild deformity of the medial right orbital wall, possibly from prior trauma. Partial opacification of left mastoid air cells. Otherwise, paranasal sinuses unremarkable. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'base': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'minimal scarring': 'clinical finding': 'minimal scarring', 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'scarr', 'strength_term': 'minimal', 'quantity_term': 'minimal', 'atelectasis': 'clinical finding': 'atelectasis', 'existence': 'unc_dx', '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'anatomical entity_fin: 'pole': 'location descriptor': 'lower', 'right kidney': location descriptor_fin: ['lower']clinical findings_fin: 'two round, well-circumscribed, cortically based low attenuation lesions': 'clinical finding': 'two round, well-circumscribed, cortically based low attenuation lesions', 'existence': 'pos_dx', 'descriptive_term': 'two round well-circumscribed cortically based low attenuation', 'observation': 'lesion'anatomical entity_fin: 'fluid': clinical findings_fin: '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'anatomical entity_fin: 'bowel': clinical findings_fin: 'bowel obstruction': 'clinical finding': 'bowel obstruction', 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction', 'dilatation': 'clinical finding': 'dilatation', 'existence': 'neg_dx', 'observation': 'dilatation'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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] . Minimal scarring or atelectasis at the right base. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Two round, well-circumscribed, cortically based low attenuation lesions within the lower pole of the right kidney. These measure fluid attenuation and are compatible with benign cysts. No significant abnormality noted. No bowel obstruction or dilatation. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'acute pulmonary embolism': 'clinical finding': 'acute pulmonary embolism', 'existence': 'neg_dx', 'descriptive_term': 'acute pulmonary', 'observation': 'embolism', 'strength_term': 'acute', 'temporal_term': 'acute'size_fin: ['size': '31 mm']anatomical entity_fin: 'main pulmonary artery': clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'anatomical entity_fin: 'airways': 'location descriptor': 'central'location descriptor_fin: ['central']clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'clinical findings_fin: 'residual mosaic perfusion': 'clinical finding': 'residual mosaic perfusion', 'existence': 'pos_dx', 'descriptive_term': 'residual mosaic', 'observation': 'perfusion', 'temporal_term': 'residual', 'patchy groundglass opacities': 'clinical finding': 'patchy groundglass opacities', 'existence': 'pos_dx', 'descriptive_term': 'patchy groundglass', 'observation': 'opacity'location descriptor_fin: ['right', 'adjacent']clinical findings_fin: 'small right-sided pleural effusion': 'clinical finding': 'small right-sided pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'small right-sided pleural', 'observation': 'effusion', 'strength_term': 'small', 'adjacent compressive atelectasis': 'clinical finding': 'adjacent compressive atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'adjacent compressive', 'observation': 'atelectasis'size_fin: ['size': '5 mm', 'size_descriptor': 'nodule']anatomical entity_fin: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower']clinical findings_fin: 'right lower lobe pulmonary nodule': 'clinical finding': 'right lower lobe pulmonary nodule', 'existence': 'pos_dx', 'descriptive_term': 'right lower lobe pulmonary', 'observation': 'nodule'clinical findings_fin: 'lingular atelectasis': 'clinical finding': 'lingular atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'lingular', 'observation': 'atelectasis', 'scarring': 'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged', 'significant pericardial effusion': 'clinical finding': 'significant pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'anatomical entity_fin: 'aorta': clinical findings_fin: 'aorta is normal in caliber': 'clinical finding': 'aorta is normal in caliber'anatomical entity_fin: 'aorta': clinical findings_fin: 'atherosclerotic calcification': 'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'location descriptor_fin: ['bilateral']clinical findings_fin: 'moderate to severe bilateral hilar and mediastinal lymphadenopathy': 'clinical finding': 'moderate to severe bilateral hilar and mediastinal lymphadenopathy', 'existence': 'pos_dx', 'descriptive_term': 'moderate to severe bilateral hilar and mediastinal', 'observation': 'lymphadenopathy', 'strength_term': 'moderate - severe'size_fin: ['size': '21 mm', 'size_descriptor': 'node']location descriptor_fin: ['right']clinical findings_fin: 'right peritracheal lymph node': 'clinical finding': 'right peritracheal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right peritracheal lymph', 'observation': 'node'size_fin: ['size': '27 mm', 'size': '26 mm']anatomical entity_fin: 'right interlobar lymph node': clinical findings_fin: 'right interlobar lymph node': 'clinical finding': 'right interlobar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right interlobar lymph', 'observation': 'node'clinical findings_fin: 'lymphadenopathy': 'clinical finding': 'lymphadenopathy', 'existence': 'neg_dx', 'observation': 'lymphadenopathy'location descriptor_fin: ['left']clinical findings_fin: 'left axillary venous stent': 'clinical finding': 'left axillary venous stent', 'existence': 'pos_dx', 'descriptive_term': 'left axillary venous', 'observation': 'stent'clinical findings_fin: 'significant osseous abnormalities': 'clinical finding': 'significant osseous abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'significant osseous', 'observation': 'abnormality'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'anatomical entity_fin: 'kidneys': clinical findings_fin: 'subcentimeter low-attenuation lesions': 'clinical finding': 'subcentimeter low-attenuation lesions', 'existence': 'neg_dx', 'descriptive_term': 'subcentimeter low-attenuation', 'observation': 'lesion' [/INST] [RESP] . Technically adequate examination. No evidence of acute pulmonary embolism. Main pulmonary artery is mildly enlarged measuring 31 mm, unchanged. The central airways are patent. Redemonstration of residual mosaic perfusion with interval improvement in patchy groundglass opacities. Interval development of a small right-sided pleural effusion with adjacent compressive atelectasis. Right lower lobe pulmonary nodule measures 5 mm , unchanged. Lingular atelectasis or scarring is unchanged. Cardiac size is enlarged without significant pericardial effusion. Aorta is normal in caliber. Atherosclerotic calcification of the aorta and its major branches. Redemonstration of moderate to severe bilateral hilar and mediastinal lymphadenopathy. Right peritracheal lymph node measures 21 mm , unchanged. Right interlobar lymph node measures 27 mm, previously 26 mm. Severe. No lymphadenopathy. Left axillary venous stent. No significant osseous abnormalities. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Subcentimeter low-attenuation lesions in the kidneys are not completely imaged. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'parietal bones': location descriptor_fin: ['left']clinical findings_fin: 'craniotomies': 'clinical finding': 'craniotomies', 'existence': 'pos_dx', 'observation': 'craniotomy', 'postsurgical changes': 'clinical finding': 'postsurgical changes', 'existence': 'unc_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'clinical findings_fin: 'pneumocephalus': 'clinical finding': 'pneumocephalus', 'existence': 'pos_dx', 'observation': 'pneumocephalus'size_fin: ['size': '56.0mm']anatomical entity_fin: 'lateral ventricles': location descriptor_fin: ['anterior']clinical findings_fin: 'more ballooning': 'clinical finding': 'more ballooning', 'existence': 'pos_dx', 'descriptive_term': 'more', 'observation': 'ballooning', 'quantity_term': 'more'anatomical entity_fin: 'cerebral hemispheres': clinical findings_fin: 'mass effect': 'clinical finding': 'mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'sulcal effacement': 'clinical finding': 'sulcal effacement', 'existence': 'pos_dx', 'descriptive_term': 'sulcal', 'observation': 'effacement'location descriptor_fin: ['right', 'left', 'posterior']clinical findings_fin: 'cystic encephalomalacia': 'clinical finding': 'cystic encephalomalacia', 'existence': 'pos_dx', 'descriptive_term': 'cystic', 'observation': 'encephalomalacia'location descriptor_fin: ['left']anatomical entity_fin: 'left temporal lobe': , 'left cerebral peduncle': location descriptor_fin: ['left']clinical findings_fin: 'left temporal lobe surgical cavity': 'clinical finding': 'left temporal lobe surgical cavity', 'existence': 'pos_dx', 'descriptive_term': 'left temporal lobe surgical', 'observation': 'cavity', 'csf density fluid collection': 'clinical finding': 'csf density fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'csf density fluid', 'observation': 'collection', 'subtle mass effect': 'clinical finding': 'subtle mass effect', 'existence': 'pos_dx', 'descriptive_term': 'subtle mass', 'observation': 'effect', 'strength_term': 'subtle', 'effacement': 'clinical finding': 'effacement', 'existence': 'pos_dx', 'observation': 'effacement', 'less csf fluid collection': 'clinical finding': 'less csf fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'less csf fluid', 'observation': 'collection', 'quantity_term': 'less'anatomical entity_fin: 'left cerebral peduncle': location descriptor_fin: ['left']clinical findings_fin: 'subtle mass effect': 'clinical finding': 'subtle mass effect', 'existence': 'pos_dx', 'descriptive_term': 'subtle mass', 'observation': 'effect', 'strength_term': 'subtle'clinical findings_fin: 'aspiration': 'clinical finding': 'aspiration', 'existence': 'unc_dx', 'observation': 'aspiration'imaging observation_fin: ['ball']location descriptor_fin: ['anterior']object_fin: ['valve']location descriptor_fin: ['midline']clinical findings_fin: 'any intracranial hemorrhage': 'clinical finding': 'any intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'any intracranial', 'observation': 'hemorrhage', 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'clinical findings_fin: 'symmetrical': 'clinical finding': 'symmetrical', 'existence': 'pos_dx', 'observation': 'symmetrical'anatomical entity_fin: 'skull': , 'base': , 'orbits': , 'contents': clinical findings_fin: 'remainder of the calvarium , skull base , orbits , retro-orbital contents , and infratemporal fossa appears normal': 'clinical finding': 'remainder of the calvarium , skull base , orbits , retro-orbital contents , and infratemporal fossa appears normal'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': 'pos_dx', 'observation': 'clear' [/INST] [RESP] Re-demonstration of the craniotomies and postsurgical changes involving the left temporal and parietal bones. Since the prior study, there is increase in the pneumocephalus within the ventricular systems. There is more air in the anterior horns of the lateral ventricles, with more ballooning and now measures 56.0mm in the axial dimension. This is causing mass effect with sulcal effacement of the cerebral hemispheres. There is also more air seen in the right temporal horn and in the cystic encephalomalacia in the left posterior parietal region compared to the prior study. There is more air underlying the left temporal craniotomy flap. The left temporal lobe surgical cavity previously showed CSF density fluid collection and subtle mass effect on the left cerebral peduncle and effacement of the left Sylvian cistern, now currently shows more air and less CSF fluid collection. The left Sylvian cistern is no longer effaced and the subtle mass effect on the left cerebral peduncle has improved. Has there been surgical intervention or aspiration in the interim as this clinical history is not provided and may explain the current imaging appearance. The possibility of a ball valve effect is a consideration, with the site being at this anterior temporal craniotomy flap. There is no evidence of any intracranial hemorrhage or midline shift. The ventricular and basal cisterns appear symmetrical. The remainder of the calvarium, skull base, orbits, retro-orbital contents, and infratemporal fossa appears normal. The 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: anatomical entity_fin: 'organs': clinical findings_fin: 'iv contrast': 'clinical finding': 'iv contrast', 'existence': 'neg_dx', 'descriptive_term': 'iv', 'observation': 'contrast'size_fin: ['size': '10 mm', 'size_descriptor': 'nodule']anatomical entity_fin: 'middle': 'location descriptor': 'right', 'lobe': location descriptor_fin: ['right']clinical findings_fin: '10 mm right middle lobe pulmonary nodule': 'clinical finding': '10 mm right middle lobe pulmonary nodule', 'existence': 'pos_dx', 'descriptive_term': '10 mm right middle lobe pulmonary', 'observation': 'nodule'clinical findings_fin: 'pleural effusion': 'clinical finding': 'pleural effusion', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'anatomical entity_fin: 'liver': clinical findings_fin: 'multiple subcentimeter hypoattenuating lesions': 'clinical finding': 'multiple subcentimeter hypoattenuating lesions', 'existence': 'pos_dx', 'descriptive_term': 'multiple subcentimeter hypoattenuating', 'observation': 'lesion', '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: 'mild hydronephrosis': 'clinical finding': 'mild hydronephrosis', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'hydronephrosis', 'strength_term': 'mild', 'hydroureter': 'clinical finding': 'hydroureter', 'existence': 'pos_dx', 'observation': 'hydroureter'clinical findings_fin: 'scattered subcentimeter retroperitoneal lymph nodes': 'clinical finding': 'scattered subcentimeter retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered subcentimeter retroperitoneal 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'anatomical entity_fin: 'bladder': location descriptor_fin: ['right']clinical findings_fin: 'asymmetric right posterolateral bladder wall thickening': 'clinical finding': 'asymmetric right posterolateral bladder wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'asymmetric right posterolateral bladder wall', 'observation': 'thickening'clinical findings_fin: 'scattered small pelvic lymph nodes': 'clinical finding': 'scattered small pelvic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered small pelvic lymph', 'observation': 'node', 'strength_term': 'small', 'reference node': 'clinical finding': 'reference node', 'existence': 'pos_dx', 'descriptive_term': 'reference', 'observation': 'node'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '1.2 x 0.8 cm'] [/INST] [RESP] Lack of IV contrast limits evaluation of solid parenchymal organs and vascular structures. There is a 10 mm right middle lobe pulmonary nodule. No pleural effusion is identified. Multiple subcentimeter hypoattenuating lesions within the liver are incompletely characterized on this examination. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. There is mild hydronephrosis bilaterally with hydroureter. There are scattered subcentimeter retroperitoneal lymph nodes. Mild. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. There is asymmetric right posterolateral bladder wall thickening. There are scattered small pelvic lymph nodes with a reference node noted below. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. 1.2 x 0.8 cm. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'anatomic alignment': 'clinical finding': 'anatomic alignment', 'existence': 'unc_dx', 'descriptive_term': 'anatomic', 'observation': 'alignment', 'mild thoracic dextroscoliosis': 'clinical finding': 'mild thoracic dextroscoliosis', 'existence': 'pos_dx', 'descriptive_term': 'mild thoracic', 'observation': 'dextroscoliosis', 'strength_term': 'mild'anatomical entity_fin: 'vertebral body': , 'intervertebral disk': clinical findings_fin: 'fracture': 'clinical finding': 'fracture', 'existence': 'neg_dx', 'observation': 'fracture', 'subluxation': 'clinical finding': 'subluxation', 'existence': 'neg_dx', 'observation': 'subluxation'location descriptor_fin: ['anterior']clinical findings_fin: 'prior anterior fusion': 'clinical finding': 'prior anterior fusion', 'existence': 'pos_dx', 'descriptive_term': 'prior anterior', 'observation': 'fusion'clinical findings_fin: 'normal lumbar lordosis': 'clinical finding': 'normal lumbar lordosis', 'existence': 'pos_dx', 'descriptive_term': 'normal lumbar', 'observation': 'lordosis', 'strength_term': 'normal'anatomical entity_fin: 'vertebral body': , 'intervertebral disk': anatomical entity_fin: 'facet': , 'spine': location descriptor_fin: ['lower']clinical findings_fin: 'mild facet hypertrophy': 'clinical finding': 'mild facet hypertrophy', 'existence': 'pos_dx', 'descriptive_term': 'mild facet', 'observation': 'hypertrophy', 'strength_term': 'mild'clinical findings_fin: 'fracture': 'clinical finding': 'fracture', 'existence': 'neg_dx', 'observation': 'fracture', 'subluxation': 'clinical finding': 'subluxation', 'existence': 'neg_dx', 'observation': 'subluxation'object_fin: ['catheter']clinical findings_fin: 'intrathecal catheter seen': 'clinical finding': 'intrathecal catheter seen'anatomical entity_fin: 'thecal sac': location descriptor_fin: ['right', 'anterolateral', 'midline']object_fin: ['catheter']clinical findings_fin: 'changes': 'clinical finding': 'changes', 'existence': 'pos_dx', 'observation': 'change'object_fin: ['catheter']object_fin: ['catheter']clinical findings_fin: 'any soft tissue anomaly': 'clinical finding': 'any soft tissue anomaly', 'existence': 'neg_dx', 'descriptive_term': 'any soft tissue', 'observation': 'anomaly', 'granuloma': 'clinical finding': 'granuloma', 'existence': 'unc_dx', 'observation': 'granuloma'clinical findings_fin: 'contrast': 'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast', 'post recent intrathecal contrast': 'clinical finding': 'post recent intrathecal contrast', 'existence': 'unc_dx', 'descriptive_term': 'post recent intrathecal', 'observation': 'contrast'anatomical entity_fin: 'lung': 'location descriptor': 'upper', 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['upper', 'right']clinical findings_fin: 'calcified granuloma': 'clinical finding': 'calcified granuloma', 'existence': 'pos_dx', 'descriptive_term': 'calcified', 'observation': 'granuloma', 'change_term': 'calcified'anatomical entity_fin: 'abdominal aorta': clinical findings_fin: 'atherosclerosis of the abdominal aorta': 'clinical finding': 'atherosclerosis of the abdominal aorta', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerosis of the abdominal', 'observation': 'aorta' [/INST] [RESP] . Examination demonstrates anatomic alignment with mild thoracic dextroscoliosis. There is preservation of the vertebral body heights and intervertebral disk spaces. No evidence of fracture or subluxation. Prior anterior fusion of at least C5-C6 is incompletely imaged. Examination demonstrates normal lumbar lordosis. There is preservation of vertebral body heights and intervertebral disk spaces. Mild facet hypertrophy is noted in the lower lumbar spine. No evidence of fracture or subluxation. There is an intrathecal catheter seen entering percutaneously at the level of L4-5. The catheter extends in the right anterolateral aspect of the thecal sac to the level of L1, at which point it changes its course posteriorly in the midline terminating at the level of T11. The catheter is continuous without evidence of disruption. There is no CT evidence of any soft tissue anomaly associated with the catheter to suggest granuloma. Note is made of a small amount of contrast material layering dependently in the thecal sac, presumably status post recent intrathecal contrast injection. Partially visualized upper lung fields demonstrate a calcified granuloma in the right upper lobe. Atherosclerosis of the abdominal aorta and its branches. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'upper'location descriptor_fin: ['upper']clinical findings_fin: 'moderate upper lobe predominant paraseptal and centrilobular emphysema': 'clinical finding': 'moderate upper lobe predominant paraseptal and centrilobular emphysema', 'existence': 'pos_dx', 'descriptive_term': 'moderate upper lobe predominant paraseptal and centrilobular', 'observation': 'emphysema', 'strength_term': 'moderate'anatomical entity_fin: 'lobes': 'location descriptor': 'upper'imaging observation_fin: ['reticulation']location descriptor_fin: ['peripheral', 'upper']clinical findings_fin: 'mild peripheral bronchiolectasis': 'clinical finding': 'mild peripheral bronchiolectasis', 'existence': 'pos_dx', 'descriptive_term': 'mild peripheral', 'observation': 'bronchiolectasis', 'strength_term': 'mild', 'subpleural reticulation': 'clinical finding': 'subpleural reticulation', 'existence': 'pos_dx', 'descriptive_term': 'subpleural', 'observation': 'reticulation', 'very mild superimposed fibrosis': 'clinical finding': 'very mild superimposed fibrosis', 'existence': 'unc_dx', 'descriptive_term': 'very mild superimposed', 'observation': 'fibrosis', 'strength_term': 'mild'anatomical entity_fin: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower', 'adjacent']clinical findings_fin: 'lower lobe bullous': 'clinical finding': 'lower lobe bullous', 'existence': 'pos_dx', 'descriptive_term': 'lower lobe', 'observation': 'bullous', 'adjacent scar like opacity': 'clinical finding': 'adjacent scar like opacity', 'existence': 'pos_dx', 'descriptive_term': 'adjacent scar like', 'observation': 'opacity'clinical findings_fin: 'suspicious nodules': 'clinical finding': 'suspicious nodules', 'existence': 'neg_dx', 'descriptive_term': 'suspicious', 'observation': 'nodule', 'masses': 'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'clinical findings_fin: 'minimal dependent atelectasis': 'clinical finding': 'minimal dependent atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'minimal dependent', 'observation': 'atelectasis', 'strength_term': 'minimal', 'quantity_term': 'minimal'clinical findings_fin: 'pleural effusions': 'clinical finding': 'pleural effusions', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'clinical findings_fin: 'mildly prominent mediastinal and hilar lymph nodes': 'clinical finding': 'mildly prominent mediastinal and hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly prominent mediastinal and hilar lymph', 'observation': 'node', 'strength_term': 'mildly - prominent'clinical findings_fin: 'cardiomegaly': 'clinical finding': 'cardiomegaly', 'existence': 'neg_dx', 'observation': 'cardiomegaly', 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'incompletely characterized subcentimeter hypodensities': 'clinical finding': 'incompletely characterized subcentimeter hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'incompletely characterized subcentimeter', 'observation': 'hypodensity', 'pancreatic tail': 'clinical finding': 'pancreatic tail', 'existence': 'pos_dx', 'descriptive_term': 'pancreatic', 'observation': 'tail' [/INST] [RESP] . Moderate upper lobe predominant paraseptal and centrilobular emphysema appearing mildly increased from prior exam. Mild peripheral bronchiolectasis in the upper lobes and subpleural reticulation may indicate very mild superimposed fibrosis, nonspecific. Right lower lobe bullous cavity with adjacent scar like opacity appears unchanged from prior exams. No suspicious nodules or masses identified. Minimal dependent atelectasis. No pleural effusions. Mildly prominent mediastinal and hilar lymph nodes appearing stable from prior exam. No cardiomegaly or pericardial effusion. None. No significant abnormality noted. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Incompletely characterized subcentimeter hypodensities in the pancreatic tail appear similar to prior exam. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '5 mm', 'size': '5 mm']anatomical entity_fin: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower']clinical findings_fin: 'right lower lobe nodule': 'clinical finding': 'right lower lobe nodule', 'existence': 'pos_dx', 'descriptive_term': 'right lower lobe', 'observation': 'nodule'size_fin: ['size': '6 mm', 'size_descriptor': 'nodule']anatomical entity_fin: 'lobe': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'sub-solid left upper lobe nodule': 'clinical finding': 'sub-solid left upper lobe nodule', 'existence': 'pos_dx', 'descriptive_term': 'sub-solid left upper lobe', 'observation': 'nodule'clinical findings_fin: 'pulmonary micronodules': 'clinical finding': 'pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'pulmonary', 'observation': 'micronodule', 'new suspicious nodules': 'clinical finding': 'new suspicious nodules', 'existence': 'neg_dx', 'descriptive_term': 'new suspicious', 'observation': 'nodule', 'temporal_term': 'new'anatomical entity_fin: 'anterior mediastinum': , 'thymus': imaging observation_fin: ['soft tissue density']clinical findings_fin: 'soft tissue density': 'clinical finding': 'soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'density', 'residual': 'clinical finding': 'residual', 'existence': 'pos_dx', 'observation': 'residual'anatomical entity_fin: 'thyroid gland': clinical findings_fin: 'heterogeneous thyroid gland': 'clinical finding': 'heterogeneous thyroid gland'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: 'coronary artery': , 'thoracic aorta': clinical findings_fin: 'mild coronary artery and thoracic aorta calcifications': 'clinical finding': 'mild coronary artery and thoracic aorta calcifications', 'existence': 'pos_dx', 'descriptive_term': 'mild coronary artery and thoracic aorta', 'observation': 'calcification', 'strength_term': 'mild'anatomical entity_fin: 'chest wall': 'location descriptor': 'right'location descriptor_fin: ['right']object_fin: ['port']anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'anatomical entity_fin: 'l2 vertebral bodies': clinical findings_fin: 'spinal fixation hardware': 'clinical finding': 'spinal fixation hardware', 'existence': 'pos_dx', 'descriptive_term': 'spinal fixation', 'observation': 'hardware'location descriptor_fin: ['right']clinical findings_fin: 'right renal cysts': 'clinical finding': 'right renal cysts', 'existence': 'pos_dx', 'descriptive_term': 'right renal', 'observation': 'cyst' [/INST] [RESP] . Right lower lobe nodule measures 5 mm , previously 5 mm. Sub-solid left upper lobe nodule measures 6 mm , unchanged. Scattered pulmonary micronodules without evidence of new suspicious nodules. Redemonstration of soft tissue density in the anterior mediastinum compatible with residual thymus. Heterogeneous thyroid gland. No mediastinal or hilar lymphadenopathy. Mild coronary artery and thoracic aorta calcifications. Right chest wall port at the cavoatrial junction. Degenerative changes affect the thoracic spine. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Spinal fixation hardware in the L1 and L2 vertebral bodies. Right renal cysts. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'kidneys': clinical findings_fin: 'scarring': 'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr', 'congenital lobulation': 'clinical finding': 'congenital lobulation', 'existence': 'unc_dx', 'descriptive_term': 'congenital', 'observation': 'lobulation'clinical findings_fin: 'small peripancreatic and retroperitoneal nodes': 'clinical finding': 'small peripancreatic and retroperitoneal nodes', 'existence': 'pos_dx', 'descriptive_term': 'small peripancreatic and retroperitoneal', 'observation': 'node', 'strength_term': 'small'anatomical entity_fin: 'right hepatic artery': clinical findings_fin: 'replaced': 'clinical finding': 'replaced', 'existence': 'pos_dx', 'observation': 'replace'object_fin: ['staple']procedure_fin: ['gastric bypass']clinical findings_fin: 'roux-en-y': 'clinical finding': 'roux-en-y', 'existence': 'pos_dx', 'observation': 'roux'anatomical entity_fin: 'anterior abdominal wall': clinical findings_fin: 'postsurgical changes': 'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change', 'small fatty lobular': 'clinical finding': 'small fatty lobular', 'existence': 'pos_dx', 'descriptive_term': 'small fatty', 'observation': 'lobular', 'strength_term': 'small', 'herniation': 'clinical finding': 'herniation', 'existence': 'pos_dx', 'observation': 'herniation'clinical findings_fin: 'dominant hernia': 'clinical finding': 'dominant hernia', 'existence': 'neg_dx', 'descriptive_term': 'dominant', '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: 'expected postsurgical changes': 'clinical finding': 'expected postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'expected postsurgical', 'observation': 'change'anatomical entity_fin: 'quadrant': 'location descriptor': 'left lower', 'anastomosis': location descriptor_fin: ['left', 'lower']object_fin: ['suture']clinical findings_fin: 'suture lines': 'clinical finding': 'suture lines', 'existence': 'pos_dx', 'descriptive_term': 'suture', 'observation': 'line'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' [/INST] [RESP] . No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Very lobulated kidneys bilaterally suggestive of scarring rather than congenital lobulation. Small peripancreatic and retroperitoneal nodes nonpathologic in size. Trace replaced right hepatic artery noted. Gastric staple line consistent with Roux-en-Y gastric bypass. Postsurgical changes anterior abdominal wall with small fatty lobular appearance suggestive of multifocal nonobstructive areas of herniation. There is no dominant hernia site or measurable sac. See sagittal image. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Expected postsurgical changes. Suture lines in the left lower quadrant consistent with Roux-en-Y anastomosis. No evidence of ascites. 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: 'several micronodules': 'clinical finding': 'several micronodules', 'existence': 'pos_dx', 'descriptive_term': 'several', 'observation': 'micronodule', 'quantity_term': 'several', 'fissures': 'clinical finding': 'fissures', 'existence': 'pos_dx', 'observation': 'fissure', 'intrapulmonary lymph nodes': 'clinical finding': 'intrapulmonary lymph nodes', 'existence': 'unc_dx', 'descriptive_term': 'intrapulmonary lymph', 'observation': 'node'clinical findings_fin: 'suspicious nodules': 'clinical finding': 'suspicious nodules', 'existence': 'neg_dx', 'descriptive_term': 'suspicious', 'observation': 'nodule'clinical findings_fin: 'pleural effusions': 'clinical finding': 'pleural effusions', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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] . Several micronodules along the fissures of the right lung likely represent intrapulmonary lymph nodes. No suspicious nodules are identified. No pleural effusions. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. 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'size_fin: ['size': '10 by 8mm', 'size_descriptor': 'focus']anatomical entity_fin: 'head': , 'pancreas': clinical findings_fin: 'cystic focus': 'clinical finding': 'cystic focus', 'existence': 'pos_dx', 'descriptive_term': 'cystic', 'observation': 'focus', 'pancreatic ductal dilatation': 'clinical finding': 'pancreatic ductal dilatation', 'existence': 'neg_dx', 'descriptive_term': 'pancreatic ductal', 'observation': 'dilatation'size_fin: ['size': '8 mm', 'size_descriptor': 'duct']anatomical entity_fin: 'common bile duct': clinical findings_fin: 'borderline dilated': 'clinical finding': 'borderline dilated', 'existence': 'pos_dx', 'descriptive_term': 'borderline', 'observation': 'dilated', 'strength_term': 'borderline'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['right']clinical findings_fin: 'stable next sclerotic or lytic changes': 'clinical finding': 'stable next sclerotic or lytic changes', 'existence': 'pos_dx', 'descriptive_term': 'stable next sclerotic or lytic', 'observation': 'change', 'strength_term': 'stable', 'change_term': 'stable'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. 10 by 8mm cystic focus in the head of the pancreas is unchanged from previous CT. No evidence of pancreatic ductal dilatation. Borderline dilated common bile duct measuring 8 mm 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. Stable next sclerotic or lytic changes involving the right iliac bone. No significant abnormality noted [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'brain': , 'cerebral hemispheres': clinical findings_fin: 'low-attenuation': 'clinical finding': 'low-attenuation', 'existence': 'pos_dx', 'observation': 'low', 'small vessel disease': 'clinical finding': 'small vessel disease', 'existence': 'pos_dx', 'descriptive_term': 'small vessel', 'observation': 'disease', 'strength_term': 'small'location descriptor_fin: ['midline']clinical findings_fin: 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'clinical findings_fin: 'acute intracranial hemorrhage': 'clinical finding': 'acute intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'anatomical entity_fin: 'brain': clinical findings_fin: 'dilated': 'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated', 'diffuse mild to moderate brain volume loss': 'clinical finding': 'diffuse mild to moderate brain volume loss', 'existence': 'pos_dx', 'descriptive_term': 'diffuse mild to moderate brain volume', 'observation': 'loss', 'strength_term': 'mild - moderate'anatomical entity_fin: 'skull': , 'base': clinical findings_fin: 'fracture': 'clinical finding': 'fracture', 'existence': 'neg_dx', 'observation': 'fracture', 'calvarium': 'clinical finding': 'calvarium', 'existence': 'neg_dx', 'observation': 'calvarium'anatomical entity_fin: 'paranasal sinuses': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP] Images of the brain show diffuse areas of low-attenuation involving periventricular deep white matter of both cerebral hemispheres consistent with small vessel disease. There is no evidence of mass effect and no midline shift. No acute intracranial hemorrhage is noted. The ventricles are mild to moderately dilated with mild to moderate prominence of the sulci, consistent with diffuse mild to moderate brain volume loss. Bone windows show no evidence of fracture involving the calvarium or skull base. Views of the visualized paranasal sinuses are clear. [/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: 'trachea': location descriptor_fin: ['deviated', 'left']clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent', 'deviated': 'clinical finding': 'deviated', 'existence': 'pos_dx', 'observation': 'deviated', 'compression': 'clinical finding': 'compression', 'existence': 'neg_dx', 'observation': 'compression', 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'anatomical entity_fin: 'lobe': , 'mediastinum': location descriptor_fin: ['right']clinical findings_fin: 'substernal goiter': 'clinical finding': 'substernal goiter', 'existence': 'pos_dx', 'descriptive_term': 'substernal', 'observation': 'goiter', 'significant interval change': 'clinical finding': 'significant interval change', 'existence': 'pos_dx', 'descriptive_term': 'significant interval', 'observation': 'change'anatomical entity_fin: 'heart': clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'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'location descriptor_fin: ['right']clinical findings_fin: 'right hepatic hypodensity': 'clinical finding': 'right hepatic hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'right hepatic', 'observation': 'hypodensity' [/INST] [RESP] . No significant abnormality noted. The trachea is patent and is slightly deviated to the left without compression from mass effect. Substernal goiter of the right thyroid lobe with an additional separate component in the mediastinum in a right paratracheal location, without significant interval change. Heart size is normal without evidence of pericardial effusion. Minimal atherosclerotic calcifications of the aorta. No significant abnormality noted. Right hepatic hypodensity too small to accurately characterize, unchanged. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'prominent': 'clinical finding': 'prominent', 'existence': 'pos_dx', 'observation': 'prominent', 'mild-moderate age-related volume loss': 'clinical finding': 'mild-moderate age-related volume loss', 'existence': 'pos_dx', 'descriptive_term': 'mild-moderate age-related volume', 'observation': 'loss', 'strength_term': 'mild - moderate'location descriptor_fin: ['midline']clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'anatomical entity_fin: 'subarachnoid space': clinical findings_fin: 'is stable focal prominence of the subarachnoid space along the supracerebellar cistern': 'clinical finding': 'is stable focal prominence of the subarachnoid space along the supracerebellar cistern', 'change_term': 'stable'clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'anatomical entity_fin: 'occipital lobe': 'location descriptor': 'right medial'location descriptor_fin: ['right', 'medial']clinical findings_fin: 'encephalomalacia': 'clinical finding': 'encephalomalacia', 'existence': 'pos_dx', 'observation': 'encephalomalacia'location descriptor_fin: ['right']clinical findings_fin: 'associated ex vacuo dilatation': 'clinical finding': 'associated ex vacuo dilatation', 'existence': 'pos_dx', 'descriptive_term': 'associated ex vacuo', 'observation': 'dilatation', 'extraaxial fluid collection': 'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'anatomical entity_fin: 'paranasal sinuses': , 'middle ears': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'clinical findings_fin: 'partial empty sella': 'clinical finding': 'partial empty sella', 'existence': 'pos_dx', 'descriptive_term': 'partial empty', 'observation': 'sella', 'strength_term': 'partial'location descriptor_fin: ['right']clinical findings_fin: 'stable small pedunculated appearing ossific density': 'clinical finding': 'stable small pedunculated appearing ossific density', 'existence': 'pos_dx', 'descriptive_term': 'stable small pedunculated appearing ossific', 'observation': 'density', 'strength_term': 'stable - small', 'change_term': 'stable' [/INST] [RESP] The ventricles and sulci are prominent, consistent with mild-moderate age-related volume loss. There is no midline shift or mass effect. There is stable focal prominence of the subarachnoid space along the supracerebellar cistern. There is no intracranial hemorrhage. There is redemonstration of encephalomalacia involving the right medial occipital lobe. There is associated ex vacuo dilatation of the right occipital horn and atrium There is no extraaxial fluid collection. The visualized portions of the paranasal sinuses and mastoids or middle ears are grossly clear. Incidental note is made of partial empty sella. There is a stable small pedunculated appearing ossific density off the inner table of the right frontal calvarium. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'anterior communicating artery': object_fin: ['coil']procedure_fin: ['embolization']clinical findings_fin: 'post coil embolization anterior communicating artery aneurysm': 'clinical finding': 'post coil embolization anterior communicating artery aneurysm', 'existence': 'pos_dx', 'descriptive_term': 'post coil embolization anterior communicating artery', 'observation': 'aneurysm'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: 'origin': , 'right posterior cerebral artery': clinical findings_fin: 'fetal origin of the right posterior cerebral artery is noted': 'clinical finding': 'fetal origin of the right posterior cerebral artery is noted'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': 'pos_dx', 'observation': 'patent'clinical findings_fin: 'aneurysm': 'clinical finding': 'aneurysm', 'existence': 'neg_dx', 'observation': 'aneurysm', 'significant stenosis': 'clinical finding': 'significant stenosis', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'stenosis', 'occlusive thrombus': 'clinical finding': 'occlusive thrombus', 'existence': 'neg_dx', 'descriptive_term': 'occlusive', 'observation': 'thrombus', 'dissection': 'clinical finding': 'dissection', 'existence': 'neg_dx', 'observation': 'dissection', 'vascular malformation': 'clinical finding': 'vascular malformation', 'existence': 'neg_dx', 'descriptive_term': 'vascular', 'observation': 'malformation'location descriptor_fin: ['superficial']procedure_fin: ['drainage']clinical findings_fin: 'is normal superficial and deep intracranial venous drainage': 'clinical finding': 'is normal superficial and deep intracranial venous drainage'anatomical entity_fin: 'left orbital gyrus': , 'corpus callosum': 'location descriptor': 'anterior'location descriptor_fin: ['bilateral', 'anterior']clinical findings_fin: 'subarachnoid hemorrhage': 'clinical finding': 'subarachnoid hemorrhage', 'existence': 'pos_dx', 'descriptive_term': 'subarachnoid', 'observation': 'hemorrhage', 'intraparenchymal hemorrhage': 'clinical finding': 'intraparenchymal hemorrhage', 'existence': 'pos_dx', 'descriptive_term': 'intraparenchymal', 'observation': 'hemorrhage', 'edema': 'clinical finding': 'edema', 'existence': 'pos_dx', 'observation': 'edema'imaging observation_fin: ['blood']clinical findings_fin: 'intraventricular blood': 'clinical finding': 'intraventricular blood', 'existence': 'pos_dx', 'descriptive_term': 'intraventricular', 'observation': 'blood'clinical findings_fin: 'bifrontal catheteres': 'clinical finding': 'bifrontal catheteres', 'existence': 'pos_dx', 'descriptive_term': 'bifrontal', 'observation': 'cathetere'anatomical entity_fin: 'orbital gyrus': location descriptor_fin: ['left']clinical findings_fin: 'infarct': 'clinical finding': 'infarct', 'existence': 'unc_dx', 'observation': 'infarct'location descriptor_fin: ['right']clinical findings_fin: 'decreased': 'clinical finding': 'decreased', 'existence': 'pos_dx', 'observation': 'decrease'clinical findings_fin: 'several abnormally increased cbf': 'clinical finding': 'several abnormally increased cbf', 'existence': 'pos_dx', 'descriptive_term': 'several abnormally increased', 'observation': 'cbf', 'strength_term': 'increased', 'quantity_term': 'several', 'change_term': 'increased'clinical findings_fin: 'artifactual': 'clinical finding': 'artifactual', 'existence': 'unc_dx', 'observation': 'artifactual'anatomical entity_fin: 'brain': clinical findings_fin: 'definite perfusion abnormality': 'clinical finding': 'definite perfusion abnormality', 'existence': 'neg_dx', 'descriptive_term': 'definite perfusion', 'observation': 'abnormality' [/INST] [RESP] CTA HEADThe patient is status post coil embolization anterior communicating artery aneurysm. There is normal contrast opacification through anterior circulation , posterior circulation , and distal intracranial vasculature. A fetal origin of the right posterior cerebral artery is noted. 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 aneurysm, significant stenosis, occlusive thrombus, dissection, or vascular malformation is noted. There is normal superficial and deep intracranial venous drainage. Examination again shows subarachnoid hemorrhage and intraparenchymal hemorrhage and edema in the left orbital gyrus, bilateral gyri recti and anterior corpus callosum. There is also redemonstraton of intraventricular blood, which appears less compared to prior exam. Bifrontal catheteres have been unchanged in position, and the ventricular system has been unchanged in size. There is a decrease of CBV and CBF in the left gyrus rectus and orbital gyrus. This may represent an infarct in the area. The MTT in the area appears slightly decreased or unchanged, when compared to the right side. There are several abnormally increased CBF in several ROIs. These are believed to be artifactual. No definite perfusion abnormality is seen in remainder of the brain. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'cortex': location descriptor_fin: ['lateral', 'right', 'adjacent']clinical findings_fin: 'predominantly gyriform hyperdensities': 'clinical finding': 'predominantly gyriform hyperdensities', 'existence': 'pos_dx', 'descriptive_term': 'predominantly gyriform', 'observation': 'hyperdensity', 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema', 'contrast staining': 'clinical finding': 'contrast staining', 'existence': 'unc_dx', 'descriptive_term': 'contrast', 'observation': 'stain', 'known large territory right cerebral infarct': 'clinical finding': 'known large territory right cerebral infarct', 'existence': 'pos_dx', 'descriptive_term': 'known large territory right cerebral', 'observation': 'infarct', 'strength_term': 'large'anatomical entity_fin: 'basal ganglia': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'patchy hyperdensities': 'clinical finding': 'patchy hyperdensities', 'existence': 'pos_dx', 'descriptive_term': 'patchy', 'observation': 'hyperdensity', 'contrast staining': 'clinical finding': 'contrast staining', 'existence': 'unc_dx', 'descriptive_term': 'contrast', 'observation': 'stain'clinical findings_fin: 'underlying acute hemorrhage': 'clinical finding': 'underlying acute hemorrhage', 'existence': 'unc_dx', 'descriptive_term': 'underlying acute', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'location descriptor_fin: ['right']clinical findings_fin: 'diffuse right sulcal effacement': 'clinical finding': 'diffuse right sulcal effacement', 'existence': 'pos_dx', 'descriptive_term': 'diffuse right sulcal', 'observation': 'effacement', 'decreased grey-white differentiation': 'clinical finding': 'decreased grey-white differentiation', 'existence': 'pos_dx', 'descriptive_term': 'decreased grey-white', 'observation': 'differentiation', 'strength_term': 'decreased', 'change_term': 'decreased', 'known recent infarct': 'clinical finding': 'known recent infarct', 'existence': 'pos_dx', 'descriptive_term': 'known recent', 'observation': 'infarct'anatomical entity_fin: 'suprasellar cistern': clinical findings_fin: 'suprasellar cistern is not well visualized': 'clinical finding': 'suprasellar cistern is not well visualized'clinical findings_fin: 'ventricles are normal is size': 'clinical finding': 'ventricles are normal is size'clinical findings_fin: 'extraaxial fluid collection': 'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'location descriptor_fin: ['left', 'anterior', 'posterior']clinical findings_fin: 'postsurgical changes': 'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change', 'reported prior acoustic neuroma': 'clinical finding': 'reported prior acoustic neuroma', 'existence': 'unc_dx', 'descriptive_term': 'reported prior acoustic', 'observation': 'neuroma', 'focal volume loss': 'clinical finding': 'focal volume loss', 'existence': 'pos_dx', 'descriptive_term': 'focal volume', 'observation': 'loss' [/INST] [RESP] Within the lateral right frontal cortex and insular region, there are predominantly gyriform hyperdensities along the cortex with slightly less dense areas in the adjacent white matter, without mass effect or edema, which likely represents contrast staining in the setting of a known large territory right cerebral infarct and recent angiogram. There are patchy hyperdensities conforming to the right basal ganglia, which likely also represent contrast staining. Underlying acute hemorrhage cannot be entirely excluded. There is diffuse right sulcal effacement, with decreased grey-white differentiation, especially in the ACA and MCA distributions, consistent with the known recent infarct. The suprasellar cistern is not well visualized. The ventricles are normal is size. There is no extraaxial fluid collection. Postsurgical changes of a previous left retromastoid occipital craniotomy are seen presumably relating to resection of the reported prior acoustic neuroma, with focal volume loss along the left anterior posterior fossa. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'back': clinical findings_fin: 'scattered small micronodules': 'clinical finding': 'scattered small micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered small', 'observation': 'micronodule', 'strength_term': 'small'clinical findings_fin: 'new pulmonary nodular masses': 'clinical finding': 'new pulmonary nodular masses', 'existence': 'neg_dx', 'descriptive_term': 'new pulmonary nodular', 'observation': 'mass', 'temporal_term': 'new'clinical findings_fin: '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'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . There is redemonstration of scattered small micronodules that are unchanged in size and appearance in comparison to previous exams dating back to 9/25/07. No new pulmonary nodular masses can be identified. There is no evidence of pulmonary metastases. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. 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: 'head': clinical findings_fin: 'nonenhanced head': 'clinical finding': 'nonenhanced head'location descriptor_fin: ['midline']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', 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift', 'hydrocephalus': 'clinical finding': 'hydrocephalus', 'existence': 'unc_dx', 'observation': 'hydrocephalus'clinical findings_fin: 'very minimal suspected small vessel ischemic disease': 'clinical finding': 'very minimal suspected small vessel ischemic disease', 'existence': 'pos_dx', 'descriptive_term': 'very minimal suspected small vessel ischemic', 'observation': 'disease', 'strength_term': 'minimal - small', 'quantity_term': 'minimal'clinical findings_fin: 'within normal': 'clinical finding': 'within normal', 'existence': 'pos_dx', 'descriptive_term': 'within', 'observation': 'normal'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': , 'orbits': clinical findings_fin: 'limited view of the orbits': 'clinical finding': 'limited view of the orbits' [/INST] [RESP] Nonenhanced head. Examination demonstrates no evidence of intracranial hemorrhage, edema, mass-effect, midline shift or hydrocephalus. Very minimal suspected small vessel ischemic disease of indeterminate age. The cortical sulci, ventricular system and CSF cisterns are within normal for patients stated age. Calvarium, paranasal sinuses, mastoid air cells and limited view of the orbits are unremarkable. [/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: 'coronary artery calcifications': 'clinical finding': 'coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'coronary artery', 'observation': 'calcification'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'wall': object_fin: ['sutures']procedure_fin: ['gastric bypass']clinical findings_fin: 'evidence of gastric wall sutures secondary to previous gastric bypass surgery': 'clinical finding': 'evidence of gastric wall sutures secondary to previous gastric bypass surgery' [/INST] [RESP] . No significant abnormality noted. Coronary artery calcifications. No significant abnormality noted. Evidence of gastric wall sutures secondary to previous gastric bypass surgery [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'previously described patchy ground glass opacities': 'clinical finding': 'previously described patchy ground glass opacities', 'existence': 'neg_dx', 'descriptive_term': 'previously described patchy ground glass', 'observation': 'opacity'clinical findings_fin: 'nodules': 'clinical finding': 'nodules', 'existence': 'neg_dx', 'observation': 'nodule'size_fin: ['size': '8 x 9 mm', 'size_descriptor': 'image']location descriptor_fin: ['right']clinical findings_fin: 'hilar lymph node': 'clinical finding': 'hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'hilar lymph', 'observation': 'node', 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '7 by 8mm', 'size_descriptor': 'image']clinical findings_fin: 'reference gastrohepatic lymph node': 'clinical finding': 'reference gastrohepatic lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference gastrohepatic lymph', 'observation': 'node', 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'skeleton': clinical findings_fin: 'diffuse sclerotic metastases': 'clinical finding': 'diffuse sclerotic metastases', 'existence': 'pos_dx', 'descriptive_term': 'diffuse sclerotic', 'observation': 'metastase'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'diffuse sclerotic metastatic disease': 'clinical finding': 'diffuse sclerotic metastatic disease', 'existence': 'pos_dx', 'descriptive_term': 'diffuse sclerotic metastatic', 'observation': 'disease'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Previously described patchy ground glass opacities have completely resolved. No evidence of nodules. Right hilar lymph node is smaller, measuring 8 x 9 mm image number 44, series number No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Reference gastrohepatic lymph node is smaller and measures 7 by 8mm image number 90, series number No significant abnormality noted. Diffuse sclerotic metastases throughout the entire skeleton. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Diffuse sclerotic metastatic disease Again seen. No significant abnormality noted [/RESP]</s>