. Trace right pleural effusion. Hepatic steatosis. Persistent biliary ductal dilatation not significantly changed. Cholelithiasis without evidence of cholecystitis. No significant abnormality noted. Severe necrotizing pancreatitis again noted with a peripancreatic fluid collection slightly increased in size measuring 16.0 cm x 5.6 cm. Left-sided percutaneous drain terminates centrally within this collection. There has been interval removal of the anterior percutaneous drain along the track of this previously seen drain there is a soft tissue defect along the anterior abdominal wall with foci of gas and a track that extends posteriorly to the peripancreatic collection , correlate clinically to assess for fluid leakage externally. The collection anterior to the spleen appears much improved measuring approximately 3.9 cm x 1.2 cm previously 8.8 cm x 2.4 cm. A portion of the fluid collection extends inferiorly into the right paracolic gutter and infiltrating the right iliopsoas musculature. Additional smaller fluid collection is seen along the left paracolic gutter. The portal vein and superior mesenteric veins are narrowed at the confluence but patent. The splenic vein is thrombosed. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. None. Contrast seen in the distal esophagus may reflect reflux. Degenerative changes of the spine with loss of height of several vertebral bodies. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Degenerative changes of the spine with loss of height of several vertebral bodies. The right femoral vein is asymmetrically enlarged with intraluminal filling defect extending to the distal IVC compatible with thrombus. Interval placement of a right-sided percutaneous drain terminating in the pelvis with minimal surrounding fluid.
location descriptor_fin: ['right']clinical findings_fin: {'trace right pleural effusion': {'clinical finding': 'trace right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'trace right pleural', 'observation': 'effusion'}}clinical findings_fin: {'hepatic steatosis': {'clinical finding': 'hepatic steatosis', 'cf_snomed': {'steatosis': 1187537008}, 'existence': 'pos_dx', 'descriptive_term': 'hepatic', 'observation': 'steatosis'}}clinical findings_fin: {'persistent biliary ductal dilatation': {'clinical finding': 'persistent biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'descriptive_term': 'persistent biliary ductal', 'observation': 'dilatation', 'temporal_term': 'persistent'}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'}, 'cholecystitis': {'clinical finding': 'cholecystitis', 'cf_snomed': {'cholecystitis': 76581006}, 'existence': 'neg_dx', 'observation': 'cholecystitis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '16.0 cm x 5.6 cm', 'size_descriptor': 'pancreatitis'}]clinical findings_fin: {'severe necrotizing pancreatitis': {'clinical finding': 'severe necrotizing pancreatitis', 'cf_snomed': {'pancreatitis': 75694006}, 'existence': 'pos_dx', 'descriptive_term': 'severe necrotizing', 'observation': 'pancreatitis', 'strength_term': 'severe'}, 'peripancreatic fluid collection': {'clinical finding': 'peripancreatic fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'peripancreatic fluid', 'observation': 'collection'}}location descriptor_fin: ['left']anatomical entity_fin: {'anterior abdominal wall': {}, 'fluid': {}}imaging observation_fin: ['foci']location descriptor_fin: ['anterior']clinical findings_fin: {'soft tissue defect': {'clinical finding': 'soft tissue defect', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'defect'}, 'foci': {'clinical finding': 'foci', 'existence': 'pos_dx', 'observation': 'foci'}, 'gas': {'clinical finding': 'gas', 'existence': 'pos_dx', 'observation': 'gas'}, 'fluid leakage': {'clinical finding': 'fluid leakage', 'existence': 'unc_dx', 'descriptive_term': 'fluid', 'observation': 'leakage'}}size_fin: [{'size': '3.9 cm x 1.2 cm'}, {'size': '8.8 cm x 2.4 cm'}]anatomical entity_fin: {'spleen': {}}location descriptor_fin: ['anterior']anatomical entity_fin: {'paracolic gutter': {'location descriptor': 'right'}, 'right iliopsoas': {}, 'musculature': {}}location descriptor_fin: ['right']clinical findings_fin: {'fluid collection': {'clinical finding': 'fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'fluid', 'observation': 'collection'}, 'infiltrating': {'clinical finding': 'infiltrating', 'existence': 'pos_dx', 'observation': 'infiltrating'}}anatomical entity_fin: {'paracolic gutter': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'additional smaller fluid collection': {'clinical finding': 'additional smaller fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'additional smaller fluid', 'observation': 'collection'}}anatomical entity_fin: {'portal vein': {}, 'superior mesenteric veins': {}}clinical findings_fin: {'narrowed': {'clinical finding': 'narrowed', 'existence': 'pos_dx', 'observation': 'narrow'}, 'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'splenic vein': {}}clinical findings_fin: {'splenic vein is thrombosed': {'clinical finding': 'splenic vein is thrombosed', 'change_term': 'thrombosed'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'esophagus': {'location descriptor': 'distal'}}location descriptor_fin: ['distal']clinical findings_fin: {'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}, 'reflux': {'clinical finding': 'reflux', 'existence': 'unc_dx', 'observation': 'reflux'}}anatomical entity_fin: {'spine': {}, 'vertebral bodies': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'spine': {}, 'vertebral bodies': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}anatomical entity_fin: {'femoral vein': {'location descriptor': 'right'}}location descriptor_fin: ['right', 'distal']clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}, 'intraluminal filling defect': {'clinical finding': 'intraluminal filling defect', 'cf_snomed': {'filling defect': 43468004}, 'existence': 'pos_dx', 'descriptive_term': 'intraluminal filling', 'observation': 'defect'}, 'thrombus': {'clinical finding': 'thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'pos_dx', 'observation': 'thrombus'}}anatomical entity_fin: {'pelvis': {}, 'fluid': {}}location descriptor_fin: ['right']
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['right']clinical findings_fin: {'trace right pleural effusion': {'clinical finding': 'trace right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'trace right pleural', 'observation': 'effusion'}}clinical findings_fin: {'hepatic steatosis': {'clinical finding': 'hepatic steatosis', 'cf_snomed': {'steatosis': 1187537008}, 'existence': 'pos_dx', 'descriptive_term': 'hepatic', 'observation': 'steatosis'}}clinical findings_fin: {'persistent biliary ductal dilatation': {'clinical finding': 'persistent biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'descriptive_term': 'persistent biliary ductal', 'observation': 'dilatation', 'temporal_term': 'persistent'}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'}, 'cholecystitis': {'clinical finding': 'cholecystitis', 'cf_snomed': {'cholecystitis': 76581006}, 'existence': 'neg_dx', 'observation': 'cholecystitis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '16.0 cm x 5.6 cm', 'size_descriptor': 'pancreatitis'}]clinical findings_fin: {'severe necrotizing pancreatitis': {'clinical finding': 'severe necrotizing pancreatitis', 'cf_snomed': {'pancreatitis': 75694006}, 'existence': 'pos_dx', 'descriptive_term': 'severe necrotizing', 'observation': 'pancreatitis', 'strength_term': 'severe'}, 'peripancreatic fluid collection': {'clinical finding': 'peripancreatic fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'peripancreatic fluid', 'observation': 'collection'}}location descriptor_fin: ['left']anatomical entity_fin: {'anterior abdominal wall': {}, 'fluid': {}}imaging observation_fin: ['foci']location descriptor_fin: ['anterior']clinical findings_fin: {'soft tissue defect': {'clinical finding': 'soft tissue defect', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'defect'}, 'foci': {'clinical finding': 'foci', 'existence': 'pos_dx', 'observation': 'foci'}, 'gas': {'clinical finding': 'gas', 'existence': 'pos_dx', 'observation': 'gas'}, 'fluid leakage': {'clinical finding': 'fluid leakage', 'existence': 'unc_dx', 'descriptive_term': 'fluid', 'observation': 'leakage'}}size_fin: [{'size': '3.9 cm x 1.2 cm'}, {'size': '8.8 cm x 2.4 cm'}]anatomical entity_fin: {'spleen': {}}location descriptor_fin: ['anterior']anatomical entity_fin: {'paracolic gutter': {'location descriptor': 'right'}, 'right iliopsoas': {}, 'musculature': {}}location descriptor_fin: ['right']clinical findings_fin: {'fluid collection': {'clinical finding': 'fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'fluid', 'observation': 'collection'}, 'infiltrating': {'clinical finding': 'infiltrating', 'existence': 'pos_dx', 'observation': 'infiltrating'}}anatomical entity_fin: {'paracolic gutter': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'additional smaller fluid collection': {'clinical finding': 'additional smaller fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'additional smaller fluid', 'observation': 'collection'}}anatomical entity_fin: {'portal vein': {}, 'superior mesenteric veins': {}}clinical findings_fin: {'narrowed': {'clinical finding': 'narrowed', 'existence': 'pos_dx', 'observation': 'narrow'}, 'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'splenic vein': {}}clinical findings_fin: {'splenic vein is thrombosed': {'clinical finding': 'splenic vein is thrombosed', 'change_term': 'thrombosed'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'esophagus': {'location descriptor': 'distal'}}location descriptor_fin: ['distal']clinical findings_fin: {'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}, 'reflux': {'clinical finding': 'reflux', 'existence': 'unc_dx', 'observation': 'reflux'}}anatomical entity_fin: {'spine': {}, 'vertebral bodies': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'spine': {}, 'vertebral bodies': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}anatomical entity_fin: {'femoral vein': {'location descriptor': 'right'}}location descriptor_fin: ['right', 'distal']clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}, 'intraluminal filling defect': {'clinical finding': 'intraluminal filling defect', 'cf_snomed': {'filling defect': 43468004}, 'existence': 'pos_dx', 'descriptive_term': 'intraluminal filling', 'observation': 'defect'}, 'thrombus': {'clinical finding': 'thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'pos_dx', 'observation': 'thrombus'}}anatomical entity_fin: {'pelvis': {}, 'fluid': {}}location descriptor_fin: ['right'] [/INST] . Trace right pleural effusion. Hepatic steatosis. Persistent biliary ductal dilatation not significantly changed. Cholelithiasis without evidence of cholecystitis. No significant abnormality noted. Severe necrotizing pancreatitis again noted with a peripancreatic fluid collection slightly increased in size measuring 16.0 cm x 5.6 cm. Left-sided percutaneous drain terminates centrally within this collection. There has been interval removal of the anterior percutaneous drain along the track of this previously seen drain there is a soft tissue defect along the anterior abdominal wall with foci of gas and a track that extends posteriorly to the peripancreatic collection , correlate clinically to assess for fluid leakage externally. The collection anterior to the spleen appears much improved measuring approximately 3.9 cm x 1.2 cm previously 8.8 cm x 2.4 cm. A portion of the fluid collection extends inferiorly into the right paracolic gutter and infiltrating the right iliopsoas musculature. Additional smaller fluid collection is seen along the left paracolic gutter. The portal vein and superior mesenteric veins are narrowed at the confluence but patent. The splenic vein is thrombosed. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. None. Contrast seen in the distal esophagus may reflect reflux. Degenerative changes of the spine with loss of height of several vertebral bodies. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Degenerative changes of the spine with loss of height of several vertebral bodies. The right femoral vein is asymmetrically enlarged with intraluminal filling defect extending to the distal IVC compatible with thrombus. Interval placement of a right-sided percutaneous drain terminating in the pelvis with minimal surrounding fluid. </s>