. No significant abnormality noted. Small mediastinal lymph nodes, nonspecific. Submitted for reference superior pretracheal lymph node measuring 0.7 x 0.7 cm, image 18 series 9 mm hypoattenuating right thyroid nodule. Mild. Right chest wall port catheter with tip near cavoatrial junction. Previously seen reference lesions in hepatic dome, left hepatic lobe and in right hepatic lobe not seen. Cholelithiasis. No secondary signs of acute cholecystitis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Bilateral mild mild hydronephrosis, similar to prior exam. Small left para-aortic and pelvic lymph nodes. Submitted for reference is right external iliac lymph node measuring 1.7 x 0.7 cm on image 177 series None. Small ovoid soft tissue foci just anterior to left psoas muscle on images 144 and 145 series 3 nonspecific and may reflect focal mesenteric stranding, attention on follow-up recommended. Status post hysterectomy with small loculated fluid seen near postoperative site, measures approximately 4.5 x 2.3 cm on image 176 series No significant abnormality noted. Pelvic surgical clips. Left pelvic sidewall fluid containing structure, most likely a lymphocele, measures 5.9 x 3.4 cm in image 179 series No significant abnormality noted. No significant abnormality noted.
clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'small mediastinal lymph nodes': {'clinical finding': 'small mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small mediastinal lymph', 'observation': 'node', 'strength_term': 'small'}}size_fin: [{'size': '0.7 x 0.7 cm'}, {'size': '9 mm'}]anatomical entity_fin: {'pretracheal lymph node': {'location descriptor': 'superior'}}location descriptor_fin: ['superior', 'right']clinical findings_fin: {'superior pretracheal lymph node': {'clinical finding': 'superior pretracheal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'superior pretracheal lymph', 'observation': 'node', 'strength_term': 'superior'}, 'hypoattenuating right thyroid nodule': {'clinical finding': 'hypoattenuating right thyroid nodule', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating right thyroid', 'observation': 'nodule'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port', 'catheter']anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'previously seen reference lesions': {'clinical finding': 'previously seen reference lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'previously seen reference', 'observation': 'lesion'}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'}}clinical findings_fin: {'acute cholecystitis': {'clinical finding': 'acute cholecystitis', 'cf_snomed': {'acute cholecystitis': 65275009}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'cholecystitis', 'strength_term': 'acute', 'temporal_term': 'acute'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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 mild mild hydronephrosis': {'clinical finding': 'bilateral mild mild hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral mild mild', 'observation': 'hydronephrosis', 'strength_term': 'mild - mild'}}location descriptor_fin: ['left']clinical findings_fin: {'small left para-aortic and pelvic lymph nodes': {'clinical finding': 'small left para-aortic and pelvic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small left para-aortic and pelvic lymph', 'observation': 'node', 'strength_term': 'small'}}size_fin: [{'size': '1.7 x 0.7 cm', 'size_descriptor': 'node'}]anatomical entity_fin: {'external iliac lymph node': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right external iliac lymph node': {'clinical finding': 'right external iliac lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right external iliac lymph', 'observation': 'node'}}anatomical entity_fin: {'psoas muscle': {'location descriptor': 'left'}}imaging observation_fin: ['foci']location descriptor_fin: ['anterior', 'left']clinical findings_fin: {'small ovoid soft tissue foci': {'clinical finding': 'small ovoid soft tissue foci', 'existence': 'pos_dx', 'descriptive_term': 'small ovoid soft tissue', 'observation': 'foci', 'strength_term': 'small'}, 'focal mesenteric stranding': {'clinical finding': 'focal mesenteric stranding', 'existence': 'unc_dx', 'descriptive_term': 'focal mesenteric', 'observation': 'strand'}}follow-up_fin: follow-up recommendedsize_fin: [{'size': '4.5 x 2.3 cm', 'size_descriptor': 'hysterectomy'}]anatomical entity_fin: {'fluid': {}}procedure_fin: ['hysterectomy']clinical findings_fin: {'postoperative site': {'clinical finding': 'postoperative site', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'site'}, 'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}object_fin: ['surgical clips']clinical findings_fin: {'pelvic surgical clips': {'clinical finding': 'pelvic surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'pelvic surgical', 'observation': 'clip'}}size_fin: [{'size': '5.9 x 3.4 cm'}]anatomical entity_fin: {'fluid': {}}location descriptor_fin: ['left']clinical findings_fin: {'most likely a lymphocele': {'clinical finding': 'most likely a lymphocele', 'cf_snomed': {'lymphocele': 234109007}, 'existence': 'pos_dx', 'descriptive_term': 'most likely a', 'observation': 'lymphocele', 'quantity_term': 'most'}, 'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'small mediastinal lymph nodes': {'clinical finding': 'small mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small mediastinal lymph', 'observation': 'node', 'strength_term': 'small'}}size_fin: [{'size': '0.7 x 0.7 cm'}, {'size': '9 mm'}]anatomical entity_fin: {'pretracheal lymph node': {'location descriptor': 'superior'}}location descriptor_fin: ['superior', 'right']clinical findings_fin: {'superior pretracheal lymph node': {'clinical finding': 'superior pretracheal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'superior pretracheal lymph', 'observation': 'node', 'strength_term': 'superior'}, 'hypoattenuating right thyroid nodule': {'clinical finding': 'hypoattenuating right thyroid nodule', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating right thyroid', 'observation': 'nodule'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port', 'catheter']anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'previously seen reference lesions': {'clinical finding': 'previously seen reference lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'previously seen reference', 'observation': 'lesion'}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'}}clinical findings_fin: {'acute cholecystitis': {'clinical finding': 'acute cholecystitis', 'cf_snomed': {'acute cholecystitis': 65275009}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'cholecystitis', 'strength_term': 'acute', 'temporal_term': 'acute'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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 mild mild hydronephrosis': {'clinical finding': 'bilateral mild mild hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral mild mild', 'observation': 'hydronephrosis', 'strength_term': 'mild - mild'}}location descriptor_fin: ['left']clinical findings_fin: {'small left para-aortic and pelvic lymph nodes': {'clinical finding': 'small left para-aortic and pelvic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small left para-aortic and pelvic lymph', 'observation': 'node', 'strength_term': 'small'}}size_fin: [{'size': '1.7 x 0.7 cm', 'size_descriptor': 'node'}]anatomical entity_fin: {'external iliac lymph node': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right external iliac lymph node': {'clinical finding': 'right external iliac lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right external iliac lymph', 'observation': 'node'}}anatomical entity_fin: {'psoas muscle': {'location descriptor': 'left'}}imaging observation_fin: ['foci']location descriptor_fin: ['anterior', 'left']clinical findings_fin: {'small ovoid soft tissue foci': {'clinical finding': 'small ovoid soft tissue foci', 'existence': 'pos_dx', 'descriptive_term': 'small ovoid soft tissue', 'observation': 'foci', 'strength_term': 'small'}, 'focal mesenteric stranding': {'clinical finding': 'focal mesenteric stranding', 'existence': 'unc_dx', 'descriptive_term': 'focal mesenteric', 'observation': 'strand'}}follow-up_fin: follow-up recommendedsize_fin: [{'size': '4.5 x 2.3 cm', 'size_descriptor': 'hysterectomy'}]anatomical entity_fin: {'fluid': {}}procedure_fin: ['hysterectomy']clinical findings_fin: {'postoperative site': {'clinical finding': 'postoperative site', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'site'}, 'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}object_fin: ['surgical clips']clinical findings_fin: {'pelvic surgical clips': {'clinical finding': 'pelvic surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'pelvic surgical', 'observation': 'clip'}}size_fin: [{'size': '5.9 x 3.4 cm'}]anatomical entity_fin: {'fluid': {}}location descriptor_fin: ['left']clinical findings_fin: {'most likely a lymphocele': {'clinical finding': 'most likely a lymphocele', 'cf_snomed': {'lymphocele': 234109007}, 'existence': 'pos_dx', 'descriptive_term': 'most likely a', 'observation': 'lymphocele', 'quantity_term': 'most'}, 'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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] . No significant abnormality noted. Small mediastinal lymph nodes, nonspecific. Submitted for reference superior pretracheal lymph node measuring 0.7 x 0.7 cm, image 18 series 9 mm hypoattenuating right thyroid nodule. Mild. Right chest wall port catheter with tip near cavoatrial junction. Previously seen reference lesions in hepatic dome, left hepatic lobe and in right hepatic lobe not seen. Cholelithiasis. No secondary signs of acute cholecystitis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Bilateral mild mild hydronephrosis, similar to prior exam. Small left para-aortic and pelvic lymph nodes. Submitted for reference is right external iliac lymph node measuring 1.7 x 0.7 cm on image 177 series None. Small ovoid soft tissue foci just anterior to left psoas muscle on images 144 and 145 series 3 nonspecific and may reflect focal mesenteric stranding, attention on follow-up recommended. Status post hysterectomy with small loculated fluid seen near postoperative site, measures approximately 4.5 x 2.3 cm on image 176 series No significant abnormality noted. Pelvic surgical clips. Left pelvic sidewall fluid containing structure, most likely a lymphocele, measures 5.9 x 3.4 cm in image 179 series No significant abnormality noted. No significant abnormality noted. </s>