. Examination limited by lack of intravenous contrast. No significant abnormality noted. Innumerable hypoattenuating hepatic metastases. Comparison with the prior exam is difficult given lack of intravenous contrast although the reference left hepatic lobe lesion appears similar in size measuring 2.0 x 1.6 cm , previously 2.0 x 1.6 cm. Status post cholecystectomy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No hydronephrosis or nephrolithiasis. No significant abnormality noted. Mild. Postsurgical changes in the ileocecal region. No evidence of bowel obstruction. No free air or free fluid. No significant abnormality noted. Fibroids. No significant abnormality noted. No significant abnormality noted. Mild sigmoid colon wall thickening may reflect underdistention, although colitis is not excluded. No significant abnormality noted.
clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'innumerable hypoattenuating hepatic metastases': {'clinical finding': 'innumerable hypoattenuating hepatic metastases', 'existence': 'pos_dx', 'descriptive_term': 'innumerable hypoattenuating hepatic', 'observation': 'metastase'}}size_fin: [{'size': '2.0 x 1.6 cm'}, {'size': '2.0 x 1.6 cm'}]anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['left']clinical findings_fin: {'intravenous contrast': {'clinical finding': 'intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'}, 'reference left hepatic lobe lesion': {'clinical finding': 'reference left hepatic lobe lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference left hepatic lobe', 'observation': 'lesion'}}procedure_fin: ['cholecystectomy']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: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}, 'nephrolithiasis': {'clinical finding': 'nephrolithiasis', 'existence': 'neg_dx', 'observation': 'nephrolithiasis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'bowel obstruction': {'clinical finding': 'bowel obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'}}clinical findings_fin: {'free air': {'clinical finding': 'free air', 'existence': 'neg_dx', 'descriptive_term': 'free', 'observation': 'air'}, 'free fluid': {'clinical finding': 'free fluid', 'existence': 'neg_dx', 'descriptive_term': 'free', 'observation': 'fluid'}}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: {'sigmoid colon': {}}clinical findings_fin: {'mild sigmoid colon wall thickening': {'clinical finding': 'mild sigmoid colon wall thickening', 'existence': 'unc_dx', 'descriptive_term': 'mild sigmoid colon wall', 'observation': 'thickening', 'strength_term': 'mild'}, 'underdistention': {'clinical finding': 'underdistention', 'existence': 'unc_dx', 'observation': 'underdistention'}, 'colitis': {'clinical finding': 'colitis', 'cf_snomed': {'colitis': 64226004}, 'existence': 'unc_dx', 'observation': 'colitis'}}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'}}clinical findings_fin: {'innumerable hypoattenuating hepatic metastases': {'clinical finding': 'innumerable hypoattenuating hepatic metastases', 'existence': 'pos_dx', 'descriptive_term': 'innumerable hypoattenuating hepatic', 'observation': 'metastase'}}size_fin: [{'size': '2.0 x 1.6 cm'}, {'size': '2.0 x 1.6 cm'}]anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['left']clinical findings_fin: {'intravenous contrast': {'clinical finding': 'intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'}, 'reference left hepatic lobe lesion': {'clinical finding': 'reference left hepatic lobe lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference left hepatic lobe', 'observation': 'lesion'}}procedure_fin: ['cholecystectomy']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: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}, 'nephrolithiasis': {'clinical finding': 'nephrolithiasis', 'existence': 'neg_dx', 'observation': 'nephrolithiasis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'bowel obstruction': {'clinical finding': 'bowel obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'}}clinical findings_fin: {'free air': {'clinical finding': 'free air', 'existence': 'neg_dx', 'descriptive_term': 'free', 'observation': 'air'}, 'free fluid': {'clinical finding': 'free fluid', 'existence': 'neg_dx', 'descriptive_term': 'free', 'observation': 'fluid'}}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: {'sigmoid colon': {}}clinical findings_fin: {'mild sigmoid colon wall thickening': {'clinical finding': 'mild sigmoid colon wall thickening', 'existence': 'unc_dx', 'descriptive_term': 'mild sigmoid colon wall', 'observation': 'thickening', 'strength_term': 'mild'}, 'underdistention': {'clinical finding': 'underdistention', 'existence': 'unc_dx', 'observation': 'underdistention'}, 'colitis': {'clinical finding': 'colitis', 'cf_snomed': {'colitis': 64226004}, 'existence': 'unc_dx', 'observation': 'colitis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Examination limited by lack of intravenous contrast. No significant abnormality noted. Innumerable hypoattenuating hepatic metastases. Comparison with the prior exam is difficult given lack of intravenous contrast although the reference left hepatic lobe lesion appears similar in size measuring 2.0 x 1.6 cm , previously 2.0 x 1.6 cm. Status post cholecystectomy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No hydronephrosis or nephrolithiasis. No significant abnormality noted. Mild. Postsurgical changes in the ileocecal region. No evidence of bowel obstruction. No free air or free fluid. No significant abnormality noted. Fibroids. No significant abnormality noted. No significant abnormality noted. Mild sigmoid colon wall thickening may reflect underdistention, although colitis is not excluded. No significant abnormality noted. </s>