Cachexia or lack of intra-abdominal fat limits evaluation. No focal consolidation or pleural effusion. No suspicious pulmonary nodules. Mild emphysema. Liver enhances homogenously without focal lesion. Status post cholecystectomy with mild biliary ductal dilatation. No significant abnormality noted. Pancreas is unremarkable. No adrenal nodularity or thickening. The kidneys enhance symmetrically without focal lesion. No hydronephrosis or ureteronephrosis. Right internal nephroureteral stent is present. No significant retroperitoneal lymphadenopathy. Mild. Post surgical findings in the bowel and right lower quadrant ostomy are redemonstrated. Small bowel loops are normal in caliber. The colon is again dilated and the rectum is distended up to 10 cm by stool balls correlate clinically for fecal impaction. There is also circumferential rectal wall thickening, raising question of stercoral colitis which should be excluded clinically. Patient is severely cachectic. Moderate anasarca. No significant abnormality noted. No significant abnormality noted. Suprapubic catheter is present. Bladder is decompressed. Increased bladder wall thickening correlate clinically for cystitis. An enlarged right external iliac chain lymph node measures 2.3 x 1.7 cm , increased from prior exam, though nonspecific. No significant abnormality noted. Cachexia. Anasarca. Large sacral decubitus wound has increased in size. Exposed sacral bone and underlying osseous changes are grossly stable, suggestive of chronic osteomyelitis. Right external iliac stent and partially imaged right common femoral stent.
anatomical entity_fin: {'abdominal': {}}imaging observation_fin: ['fat']clinical findings_fin: {'cachexia': {'clinical finding': 'cachexia', 'cf_snomed': {'cachexia': 238108007}, 'existence': 'unc_dx', 'observation': 'cachexia'}, 'intra-abdominal fat': {'clinical finding': 'intra-abdominal fat', 'existence': 'neg_dx', 'descriptive_term': 'intra-abdominal', 'observation': 'fat'}}clinical findings_fin: {'focal consolidation': {'clinical finding': 'focal consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'consolidation'}, 'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}clinical findings_fin: {'suspicious pulmonary nodules': {'clinical finding': 'suspicious pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}}clinical findings_fin: {'mild emphysema': {'clinical finding': 'mild emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'emphysema', 'strength_term': 'mild'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'focal lesion': {'clinical finding': 'focal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}procedure_fin: ['cholecystectomy']clinical findings_fin: {'mild biliary ductal dilatation': {'clinical finding': 'mild biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'pos_dx', 'descriptive_term': 'mild biliary ductal', 'observation': 'dilatation', 'strength_term': 'mild'}}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 unremarkable': {'clinical finding': 'pancreas is unremarkable'}}clinical findings_fin: {'adrenal nodularity': {'clinical finding': 'adrenal nodularity', 'existence': 'neg_dx', 'descriptive_term': 'adrenal', 'observation': 'nodularity'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'neg_dx', 'observation': 'thickening'}}anatomical entity_fin: {'kidneys': {}}clinical findings_fin: {'focal lesion': {'clinical finding': 'focal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}, 'ureteronephrosis': {'clinical finding': 'ureteronephrosis', 'existence': 'neg_dx', 'observation': 'ureteronephrosis'}}location descriptor_fin: ['right']object_fin: ['nephroureteral stent']clinical findings_fin: {'internal nephroureteral stent': {'clinical finding': 'internal nephroureteral stent', 'existence': 'pos_dx', 'descriptive_term': 'internal nephroureteral', 'observation': 'stent'}}clinical findings_fin: {'significant retroperitoneal lymphadenopathy': {'clinical finding': 'significant retroperitoneal lymphadenopathy', 'cf_snomed': {'retroperitoneal lymphadenopathy': 127154008}, 'existence': 'neg_dx', 'descriptive_term': 'significant retroperitoneal', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'bowel': {}, 'quadrant': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'post surgical findings in the bowel and right lower quadrant ostomy are redemonstrated': {'clinical finding': 'post surgical findings in the bowel and right lower quadrant ostomy are redemonstrated'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'small bowel loops are normal': {'clinical finding': 'small bowel loops are normal'}}size_fin: [{'size': '10 cm', 'size_descriptor': 'colon'}]anatomical entity_fin: {'rectum': {}}imaging observation_fin: ['colon', 'balls']clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}, 'distended': {'clinical finding': 'distended', 'existence': 'pos_dx', 'observation': 'distended'}, 'fecal impaction': {'clinical finding': 'fecal impaction', 'cf_snomed': {'fecal impaction': 44635007}, 'existence': 'pos_dx', 'descriptive_term': 'fecal', 'observation': 'impaction'}}clinical findings_fin: {'circumferential rectal wall thickening': {'clinical finding': 'circumferential rectal wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'circumferential rectal wall', 'observation': 'thickening'}, 'stercoral colitis': {'clinical finding': 'stercoral colitis', 'cf_snomed': {'stercoral colitis': 449806001}, 'existence': 'unc_dx', 'descriptive_term': 'stercoral', 'observation': 'colitis'}}clinical findings_fin: {'cachectic': {'clinical finding': 'cachectic', 'existence': 'pos_dx', 'observation': 'cachectic'}}clinical findings_fin: {'moderate anasarca': {'clinical finding': 'moderate anasarca', 'cf_snomed': {'anasarca': 442433009}, 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'anasarca', 'strength_term': 'moderate'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: ['suprapubic catheter']clinical findings_fin: {'suprapubic catheter': {'clinical finding': 'suprapubic catheter', 'existence': 'pos_dx', 'descriptive_term': 'suprapubic', 'observation': 'catheter'}}anatomical entity_fin: {'bladder': {}}clinical findings_fin: {'decompressed': {'clinical finding': 'decompressed', 'existence': 'pos_dx', 'observation': 'decompressed'}}anatomical entity_fin: {'bladder': {}}clinical findings_fin: {'increased bladder wall thickening': {'clinical finding': 'increased bladder wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'increased bladder wall', 'observation': 'thickening', 'strength_term': 'increased', 'change_term': 'increased'}, 'cystitis': {'clinical finding': 'cystitis', 'cf_snomed': {'cystitis': 38822007}, 'existence': 'pos_dx', 'observation': 'cystitis'}}size_fin: [{'size': '2.3 x 1.7 cm', 'size_descriptor': 'node'}]location descriptor_fin: ['right', 'external']clinical findings_fin: {'enlarged right external iliac chain lymph node': {'clinical finding': 'enlarged right external iliac chain lymph node', 'existence': 'pos_dx', 'descriptive_term': 'enlarged right external iliac chain 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: {'cachexia': {'clinical finding': 'cachexia', 'cf_snomed': {'cachexia': 238108007}, 'existence': 'pos_dx', 'observation': 'cachexia'}}clinical findings_fin: {'anasarca': {'clinical finding': 'anasarca', 'cf_snomed': {'anasarca': 442433009}, 'existence': 'pos_dx', 'observation': 'anasarca'}}clinical findings_fin: {'large sacral decubitus wound': {'clinical finding': 'large sacral decubitus wound', 'cf_snomed': {'wound': 416462003}, 'existence': 'pos_dx', 'descriptive_term': 'large sacral decubitus', 'observation': 'wound', 'strength_term': 'large'}}clinical findings_fin: {'underlying osseous changes': {'clinical finding': 'underlying osseous changes', 'existence': 'pos_dx', 'descriptive_term': 'underlying osseous', 'observation': 'change'}, 'chronic osteomyelitis': {'clinical finding': 'chronic osteomyelitis', 'cf_snomed': {'chronic osteomyelitis': 40970001}, 'existence': 'unc_dx', 'descriptive_term': 'chronic', 'observation': 'osteomyelitis', 'temporal_term': 'chronic'}}location descriptor_fin: ['right', 'external']clinical findings_fin: {'right external iliac stent': {'clinical finding': 'right external iliac stent', 'existence': 'pos_dx', 'descriptive_term': 'right external iliac', 'observation': 'stent'}, 'partially imaged right common femoral stent': {'clinical finding': 'partially imaged right common femoral stent', 'existence': 'pos_dx', 'descriptive_term': 'partially imaged right common femoral', 'observation': 'stent', 'strength_term': 'partially'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'abdominal': {}}imaging observation_fin: ['fat']clinical findings_fin: {'cachexia': {'clinical finding': 'cachexia', 'cf_snomed': {'cachexia': 238108007}, 'existence': 'unc_dx', 'observation': 'cachexia'}, 'intra-abdominal fat': {'clinical finding': 'intra-abdominal fat', 'existence': 'neg_dx', 'descriptive_term': 'intra-abdominal', 'observation': 'fat'}}clinical findings_fin: {'focal consolidation': {'clinical finding': 'focal consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'consolidation'}, 'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}clinical findings_fin: {'suspicious pulmonary nodules': {'clinical finding': 'suspicious pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}}clinical findings_fin: {'mild emphysema': {'clinical finding': 'mild emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'emphysema', 'strength_term': 'mild'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'focal lesion': {'clinical finding': 'focal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}procedure_fin: ['cholecystectomy']clinical findings_fin: {'mild biliary ductal dilatation': {'clinical finding': 'mild biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'pos_dx', 'descriptive_term': 'mild biliary ductal', 'observation': 'dilatation', 'strength_term': 'mild'}}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 unremarkable': {'clinical finding': 'pancreas is unremarkable'}}clinical findings_fin: {'adrenal nodularity': {'clinical finding': 'adrenal nodularity', 'existence': 'neg_dx', 'descriptive_term': 'adrenal', 'observation': 'nodularity'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'neg_dx', 'observation': 'thickening'}}anatomical entity_fin: {'kidneys': {}}clinical findings_fin: {'focal lesion': {'clinical finding': 'focal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}, 'ureteronephrosis': {'clinical finding': 'ureteronephrosis', 'existence': 'neg_dx', 'observation': 'ureteronephrosis'}}location descriptor_fin: ['right']object_fin: ['nephroureteral stent']clinical findings_fin: {'internal nephroureteral stent': {'clinical finding': 'internal nephroureteral stent', 'existence': 'pos_dx', 'descriptive_term': 'internal nephroureteral', 'observation': 'stent'}}clinical findings_fin: {'significant retroperitoneal lymphadenopathy': {'clinical finding': 'significant retroperitoneal lymphadenopathy', 'cf_snomed': {'retroperitoneal lymphadenopathy': 127154008}, 'existence': 'neg_dx', 'descriptive_term': 'significant retroperitoneal', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'bowel': {}, 'quadrant': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'post surgical findings in the bowel and right lower quadrant ostomy are redemonstrated': {'clinical finding': 'post surgical findings in the bowel and right lower quadrant ostomy are redemonstrated'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'small bowel loops are normal': {'clinical finding': 'small bowel loops are normal'}}size_fin: [{'size': '10 cm', 'size_descriptor': 'colon'}]anatomical entity_fin: {'rectum': {}}imaging observation_fin: ['colon', 'balls']clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}, 'distended': {'clinical finding': 'distended', 'existence': 'pos_dx', 'observation': 'distended'}, 'fecal impaction': {'clinical finding': 'fecal impaction', 'cf_snomed': {'fecal impaction': 44635007}, 'existence': 'pos_dx', 'descriptive_term': 'fecal', 'observation': 'impaction'}}clinical findings_fin: {'circumferential rectal wall thickening': {'clinical finding': 'circumferential rectal wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'circumferential rectal wall', 'observation': 'thickening'}, 'stercoral colitis': {'clinical finding': 'stercoral colitis', 'cf_snomed': {'stercoral colitis': 449806001}, 'existence': 'unc_dx', 'descriptive_term': 'stercoral', 'observation': 'colitis'}}clinical findings_fin: {'cachectic': {'clinical finding': 'cachectic', 'existence': 'pos_dx', 'observation': 'cachectic'}}clinical findings_fin: {'moderate anasarca': {'clinical finding': 'moderate anasarca', 'cf_snomed': {'anasarca': 442433009}, 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'anasarca', 'strength_term': 'moderate'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: ['suprapubic catheter']clinical findings_fin: {'suprapubic catheter': {'clinical finding': 'suprapubic catheter', 'existence': 'pos_dx', 'descriptive_term': 'suprapubic', 'observation': 'catheter'}}anatomical entity_fin: {'bladder': {}}clinical findings_fin: {'decompressed': {'clinical finding': 'decompressed', 'existence': 'pos_dx', 'observation': 'decompressed'}}anatomical entity_fin: {'bladder': {}}clinical findings_fin: {'increased bladder wall thickening': {'clinical finding': 'increased bladder wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'increased bladder wall', 'observation': 'thickening', 'strength_term': 'increased', 'change_term': 'increased'}, 'cystitis': {'clinical finding': 'cystitis', 'cf_snomed': {'cystitis': 38822007}, 'existence': 'pos_dx', 'observation': 'cystitis'}}size_fin: [{'size': '2.3 x 1.7 cm', 'size_descriptor': 'node'}]location descriptor_fin: ['right', 'external']clinical findings_fin: {'enlarged right external iliac chain lymph node': {'clinical finding': 'enlarged right external iliac chain lymph node', 'existence': 'pos_dx', 'descriptive_term': 'enlarged right external iliac chain 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: {'cachexia': {'clinical finding': 'cachexia', 'cf_snomed': {'cachexia': 238108007}, 'existence': 'pos_dx', 'observation': 'cachexia'}}clinical findings_fin: {'anasarca': {'clinical finding': 'anasarca', 'cf_snomed': {'anasarca': 442433009}, 'existence': 'pos_dx', 'observation': 'anasarca'}}clinical findings_fin: {'large sacral decubitus wound': {'clinical finding': 'large sacral decubitus wound', 'cf_snomed': {'wound': 416462003}, 'existence': 'pos_dx', 'descriptive_term': 'large sacral decubitus', 'observation': 'wound', 'strength_term': 'large'}}clinical findings_fin: {'underlying osseous changes': {'clinical finding': 'underlying osseous changes', 'existence': 'pos_dx', 'descriptive_term': 'underlying osseous', 'observation': 'change'}, 'chronic osteomyelitis': {'clinical finding': 'chronic osteomyelitis', 'cf_snomed': {'chronic osteomyelitis': 40970001}, 'existence': 'unc_dx', 'descriptive_term': 'chronic', 'observation': 'osteomyelitis', 'temporal_term': 'chronic'}}location descriptor_fin: ['right', 'external']clinical findings_fin: {'right external iliac stent': {'clinical finding': 'right external iliac stent', 'existence': 'pos_dx', 'descriptive_term': 'right external iliac', 'observation': 'stent'}, 'partially imaged right common femoral stent': {'clinical finding': 'partially imaged right common femoral stent', 'existence': 'pos_dx', 'descriptive_term': 'partially imaged right common femoral', 'observation': 'stent', 'strength_term': 'partially'}} [/INST] Cachexia or lack of intra-abdominal fat limits evaluation. No focal consolidation or pleural effusion. No suspicious pulmonary nodules. Mild emphysema. Liver enhances homogenously without focal lesion. Status post cholecystectomy with mild biliary ductal dilatation. No significant abnormality noted. Pancreas is unremarkable. No adrenal nodularity or thickening. The kidneys enhance symmetrically without focal lesion. No hydronephrosis or ureteronephrosis. Right internal nephroureteral stent is present. No significant retroperitoneal lymphadenopathy. Mild. Post surgical findings in the bowel and right lower quadrant ostomy are redemonstrated. Small bowel loops are normal in caliber. The colon is again dilated and the rectum is distended up to 10 cm by stool balls correlate clinically for fecal impaction. There is also circumferential rectal wall thickening, raising question of stercoral colitis which should be excluded clinically. Patient is severely cachectic. Moderate anasarca. No significant abnormality noted. No significant abnormality noted. Suprapubic catheter is present. Bladder is decompressed. Increased bladder wall thickening correlate clinically for cystitis. An enlarged right external iliac chain lymph node measures 2.3 x 1.7 cm , increased from prior exam, though nonspecific. No significant abnormality noted. Cachexia. Anasarca. Large sacral decubitus wound has increased in size. Exposed sacral bone and underlying osseous changes are grossly stable, suggestive of chronic osteomyelitis. Right external iliac stent and partially imaged right common femoral stent. </s>