. There is minimal dependent atelectasis or scarring. No pleural effusions. Scattered noncalcified and calcified micronodules likely represent prior granulomatous disease. A calcified 7.5 mm pleural-based nodule of the right lower lobe likely also reflects prior granulomatous disease. There are calcified right hilar and mediastinal lymph nodes, which likely represent prior granulomatous disease. Heart size appears within normal limits. There is trace pericardial fluid. The mid to distal esophagus appears thick-walled and contains contrast, please correlate clinically with any patient history of esophageal reflux. Severe. Bilateral chronic rib deformities are noted, likely posttraumatic in nature. A central venous catheter terminates in the distal IVC. The reference right hepatic dome lesion measures 2.1 x 2.2 cm , previously 1.9 x 2.1 cm. The other 3 previously evaluated hypodense lesions of the liver have also increased slightly in size. There is a new hepatic lesion in segment 5. The gallbladder appears normal in size and morphology. Multiple punctate calcifications within the spleen appear similar to the prior study and likely represent prior granulomatous disease. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. There are small retroperitoneal lymph nodes with a reference precarinal lymph node measuring 2.0 x 1.2 cm. Significant. There is diverticulosis of the descending and sigmoid colon with no CT evidence to suggest diverticulitis. Circumferential wall thickening of the sigmoid colon is not significantly changed, correlate with colonoscopy. There is mild peritoneal thickening with an ovoid cystic structure. A note is made of right-sided abdominal postsurgical material. No significant abnormality noted. No significant abnormality noted. Brachytherapy seeds are noted within an atrophic prostate. Patient is status post cystectomy with creation of a right lower quadrant ileal conduit and urostomy. Bilateral inguinal lymph nodes remain prominent. 2 well-defined fluid density collections in the left hemipelvis are compatible with lymphoceles. No significant abnormality noted. No significant abnormality noted
clinical findings_fin: {'minimal dependent atelectasis': {'clinical finding': 'minimal dependent atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'descriptive_term': 'minimal dependent', 'observation': 'atelectasis', 'strength_term': 'minimal', 'quantity_term': 'minimal'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'}}clinical findings_fin: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}clinical findings_fin: {'scattered noncalcified and calcified micronodules': {'clinical finding': 'scattered noncalcified and calcified micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered noncalcified and calcified', 'observation': 'micronodule', 'change_term': 'calcified'}, 'prior granulomatous disease': {'clinical finding': 'prior granulomatous disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'disease'}}size_fin: [{'size': '7.5 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'calcified 7.5 mm pleural-based nodule': {'clinical finding': 'calcified 7.5 mm pleural-based nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'calcified 7 5 mm pleural-based', 'observation': 'nodule', 'change_term': 'calcified'}, 'prior granulomatous disease': {'clinical finding': 'prior granulomatous disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'disease'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}location descriptor_fin: ['right']clinical findings_fin: {'calcified right hilar and mediastinal lymph nodes': {'clinical finding': 'calcified right hilar and mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'calcified right hilar and mediastinal lymph', 'observation': 'node', 'change_term': 'calcified'}, 'prior granulomatous disease': {'clinical finding': 'prior granulomatous disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'disease'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'heart size appears within normal limits': {'clinical finding': 'heart size appears within normal limits'}}anatomical entity_fin: {'fluid': {}}anatomical entity_fin: {'esophagus': {'location descriptor': 'distal'}}location descriptor_fin: ['distal']clinical findings_fin: {'thick': {'clinical finding': 'thick', 'existence': 'pos_dx', 'observation': 'thick'}, 'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}, 'esophageal reflux': {'clinical finding': 'esophageal reflux', 'existence': 'pos_dx', 'descriptive_term': 'esophageal', 'observation': 'reflux'}}anatomical entity_fin: {'rib': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral chronic rib deformities': {'clinical finding': 'bilateral chronic rib deformities', 'cf_snomed': {'deformity': 417893002}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral chronic rib', 'observation': 'deformity', 'temporal_term': 'chronic'}}location descriptor_fin: ['distal']object_fin: ['central venous catheter']clinical findings_fin: {'central venous catheter': {'clinical finding': 'central venous catheter', 'existence': 'pos_dx', 'descriptive_term': 'central venous', 'observation': 'catheter'}}size_fin: [{'size': '2.1 x 2.2 cm'}, {'size': '1.9 x 2.1 cm'}]location descriptor_fin: ['right']clinical findings_fin: {'reference right hepatic dome lesion': {'clinical finding': 'reference right hepatic dome lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference right hepatic dome', 'observation': 'lesion'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'other 3 previously evaluated hypodense lesions': {'clinical finding': 'other 3 previously evaluated hypodense lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'other 3 previously evaluated hypodense', 'observation': 'lesion'}}clinical findings_fin: {'new hepatic lesion': {'clinical finding': 'new hepatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'new hepatic', 'observation': 'lesion', 'temporal_term': 'new'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'gallbladder appears normal in size and morphology': {'clinical finding': 'gallbladder appears normal in size and morphology'}}anatomical entity_fin: {'spleen': {}}clinical findings_fin: {'multiple punctate calcifications': {'clinical finding': 'multiple punctate calcifications', 'cf_snomed': {'punctate calcification': 129755006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple punctate', 'observation': 'calcification', 'quantity_term': 'multiple'}, 'prior granulomatous disease': {'clinical finding': 'prior granulomatous disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'disease'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '2.0 x 1.2 cm', 'size_descriptor': 'nodes'}]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'}, 'reference precarinal lymph node': {'clinical finding': 'reference precarinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference precarinal lymph', 'observation': 'node'}}anatomical entity_fin: {'sigmoid colon': {}}clinical findings_fin: {'diverticulosis': {'clinical finding': 'diverticulosis', 'existence': 'pos_dx', 'observation': 'diverticulosis'}, 'diverticulitis': {'clinical finding': 'diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'unc_dx', 'observation': 'diverticulitis'}}anatomical entity_fin: {'sigmoid colon': {}}clinical findings_fin: {'circumferential wall thickening': {'clinical finding': 'circumferential wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'circumferential wall', 'observation': 'thickening'}}clinical findings_fin: {'mild peritoneal thickening': {'clinical finding': 'mild peritoneal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild peritoneal', 'observation': 'thickening', 'strength_term': 'mild'}, 'ovoid cystic': {'clinical finding': 'ovoid cystic', 'existence': 'pos_dx', 'descriptive_term': 'ovoid', 'observation': 'cystic'}}anatomical entity_fin: {'abdominal': {}}location descriptor_fin: ['right']clinical findings_fin: {'right-sided abdominal postsurgical material': {'clinical finding': 'right-sided abdominal postsurgical material', 'existence': 'pos_dx', 'descriptive_term': 'right-sided abdominal postsurgical', 'observation': 'material'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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': {}}procedure_fin: ['brachytherapy']clinical findings_fin: {'atrophic': {'clinical finding': 'atrophic', 'existence': 'pos_dx', 'observation': 'atrophic'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']procedure_fin: ['cystectomy', 'ileal conduit']clinical findings_fin: {'urostomy': {'clinical finding': 'urostomy', 'existence': 'pos_dx', 'observation': 'urostomy'}}anatomical entity_fin: {'inguinal lymph nodes': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral inguinal lymph nodes': {'clinical finding': 'bilateral inguinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'bilateral inguinal lymph', 'observation': 'node'}}anatomical entity_fin: {'fluid': {}}location descriptor_fin: ['left']clinical findings_fin: {'lymphoceles': {'clinical finding': 'lymphoceles', 'cf_snomed': {'lymphocele': 234109007}, 'existence': 'pos_dx', 'observation': 'lymphocele'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'minimal dependent atelectasis': {'clinical finding': 'minimal dependent atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'descriptive_term': 'minimal dependent', 'observation': 'atelectasis', 'strength_term': 'minimal', 'quantity_term': 'minimal'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'}}clinical findings_fin: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}clinical findings_fin: {'scattered noncalcified and calcified micronodules': {'clinical finding': 'scattered noncalcified and calcified micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered noncalcified and calcified', 'observation': 'micronodule', 'change_term': 'calcified'}, 'prior granulomatous disease': {'clinical finding': 'prior granulomatous disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'disease'}}size_fin: [{'size': '7.5 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'calcified 7.5 mm pleural-based nodule': {'clinical finding': 'calcified 7.5 mm pleural-based nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'calcified 7 5 mm pleural-based', 'observation': 'nodule', 'change_term': 'calcified'}, 'prior granulomatous disease': {'clinical finding': 'prior granulomatous disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'disease'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}location descriptor_fin: ['right']clinical findings_fin: {'calcified right hilar and mediastinal lymph nodes': {'clinical finding': 'calcified right hilar and mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'calcified right hilar and mediastinal lymph', 'observation': 'node', 'change_term': 'calcified'}, 'prior granulomatous disease': {'clinical finding': 'prior granulomatous disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'disease'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'heart size appears within normal limits': {'clinical finding': 'heart size appears within normal limits'}}anatomical entity_fin: {'fluid': {}}anatomical entity_fin: {'esophagus': {'location descriptor': 'distal'}}location descriptor_fin: ['distal']clinical findings_fin: {'thick': {'clinical finding': 'thick', 'existence': 'pos_dx', 'observation': 'thick'}, 'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}, 'esophageal reflux': {'clinical finding': 'esophageal reflux', 'existence': 'pos_dx', 'descriptive_term': 'esophageal', 'observation': 'reflux'}}anatomical entity_fin: {'rib': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral chronic rib deformities': {'clinical finding': 'bilateral chronic rib deformities', 'cf_snomed': {'deformity': 417893002}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral chronic rib', 'observation': 'deformity', 'temporal_term': 'chronic'}}location descriptor_fin: ['distal']object_fin: ['central venous catheter']clinical findings_fin: {'central venous catheter': {'clinical finding': 'central venous catheter', 'existence': 'pos_dx', 'descriptive_term': 'central venous', 'observation': 'catheter'}}size_fin: [{'size': '2.1 x 2.2 cm'}, {'size': '1.9 x 2.1 cm'}]location descriptor_fin: ['right']clinical findings_fin: {'reference right hepatic dome lesion': {'clinical finding': 'reference right hepatic dome lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference right hepatic dome', 'observation': 'lesion'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'other 3 previously evaluated hypodense lesions': {'clinical finding': 'other 3 previously evaluated hypodense lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'other 3 previously evaluated hypodense', 'observation': 'lesion'}}clinical findings_fin: {'new hepatic lesion': {'clinical finding': 'new hepatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'new hepatic', 'observation': 'lesion', 'temporal_term': 'new'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'gallbladder appears normal in size and morphology': {'clinical finding': 'gallbladder appears normal in size and morphology'}}anatomical entity_fin: {'spleen': {}}clinical findings_fin: {'multiple punctate calcifications': {'clinical finding': 'multiple punctate calcifications', 'cf_snomed': {'punctate calcification': 129755006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple punctate', 'observation': 'calcification', 'quantity_term': 'multiple'}, 'prior granulomatous disease': {'clinical finding': 'prior granulomatous disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'disease'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '2.0 x 1.2 cm', 'size_descriptor': 'nodes'}]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'}, 'reference precarinal lymph node': {'clinical finding': 'reference precarinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference precarinal lymph', 'observation': 'node'}}anatomical entity_fin: {'sigmoid colon': {}}clinical findings_fin: {'diverticulosis': {'clinical finding': 'diverticulosis', 'existence': 'pos_dx', 'observation': 'diverticulosis'}, 'diverticulitis': {'clinical finding': 'diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'unc_dx', 'observation': 'diverticulitis'}}anatomical entity_fin: {'sigmoid colon': {}}clinical findings_fin: {'circumferential wall thickening': {'clinical finding': 'circumferential wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'circumferential wall', 'observation': 'thickening'}}clinical findings_fin: {'mild peritoneal thickening': {'clinical finding': 'mild peritoneal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild peritoneal', 'observation': 'thickening', 'strength_term': 'mild'}, 'ovoid cystic': {'clinical finding': 'ovoid cystic', 'existence': 'pos_dx', 'descriptive_term': 'ovoid', 'observation': 'cystic'}}anatomical entity_fin: {'abdominal': {}}location descriptor_fin: ['right']clinical findings_fin: {'right-sided abdominal postsurgical material': {'clinical finding': 'right-sided abdominal postsurgical material', 'existence': 'pos_dx', 'descriptive_term': 'right-sided abdominal postsurgical', 'observation': 'material'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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': {}}procedure_fin: ['brachytherapy']clinical findings_fin: {'atrophic': {'clinical finding': 'atrophic', 'existence': 'pos_dx', 'observation': 'atrophic'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']procedure_fin: ['cystectomy', 'ileal conduit']clinical findings_fin: {'urostomy': {'clinical finding': 'urostomy', 'existence': 'pos_dx', 'observation': 'urostomy'}}anatomical entity_fin: {'inguinal lymph nodes': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral inguinal lymph nodes': {'clinical finding': 'bilateral inguinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'bilateral inguinal lymph', 'observation': 'node'}}anatomical entity_fin: {'fluid': {}}location descriptor_fin: ['left']clinical findings_fin: {'lymphoceles': {'clinical finding': 'lymphoceles', 'cf_snomed': {'lymphocele': 234109007}, 'existence': 'pos_dx', 'observation': 'lymphocele'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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] . There is minimal dependent atelectasis or scarring. No pleural effusions. Scattered noncalcified and calcified micronodules likely represent prior granulomatous disease. A calcified 7.5 mm pleural-based nodule of the right lower lobe likely also reflects prior granulomatous disease. There are calcified right hilar and mediastinal lymph nodes, which likely represent prior granulomatous disease. Heart size appears within normal limits. There is trace pericardial fluid. The mid to distal esophagus appears thick-walled and contains contrast, please correlate clinically with any patient history of esophageal reflux. Severe. Bilateral chronic rib deformities are noted, likely posttraumatic in nature. A central venous catheter terminates in the distal IVC. The reference right hepatic dome lesion measures 2.1 x 2.2 cm , previously 1.9 x 2.1 cm. The other 3 previously evaluated hypodense lesions of the liver have also increased slightly in size. There is a new hepatic lesion in segment 5. The gallbladder appears normal in size and morphology. Multiple punctate calcifications within the spleen appear similar to the prior study and likely represent prior granulomatous disease. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. There are small retroperitoneal lymph nodes with a reference precarinal lymph node measuring 2.0 x 1.2 cm. Significant. There is diverticulosis of the descending and sigmoid colon with no CT evidence to suggest diverticulitis. Circumferential wall thickening of the sigmoid colon is not significantly changed, correlate with colonoscopy. There is mild peritoneal thickening with an ovoid cystic structure. A note is made of right-sided abdominal postsurgical material. No significant abnormality noted. No significant abnormality noted. Brachytherapy seeds are noted within an atrophic prostate. Patient is status post cystectomy with creation of a right lower quadrant ileal conduit and urostomy. Bilateral inguinal lymph nodes remain prominent. 2 well-defined fluid density collections in the left hemipelvis are compatible with lymphoceles. No significant abnormality noted. No significant abnormality noted </s>