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This study addresses two key challenges in structuring radiology reports: the lack of a practical structuring schema and datasets to evaluate model generalizability. To address these challenges, we propose a “Finding-Centric Structuring,” which organizes reports around individual findings, facilitating secondary use. We also construct JRadFCS, a large-scale dataset with annotated named entities (NEs) and relations, comprising 8,428 Japanese Computed Tomography (CT) reports from seven facilities, providing a comprehensive resource for evaluating model generalizability. Our experiments reveal performance gaps when applying models trained on single-facility reports to those from other facilities. We further analyze factors contributing to these gaps and demonstrate that augmenting the training set based on these performance-correlated factors can efficiently enhance model generalizability.