. The aorta and great vessels are normal in caliber. No evidence of aortic dissection. Mild ectasia of the left common iliac artery. The celiac artery, SMA, and IMA are patent. Moderate to severe atherosclerotic disease affects the aorta and its branch vessels. Central airways are patent. No pneumothorax or pleural effusion. Granuloma in the right upper lobe below. Atelectasis or scarring at the lung bases. No suspicious nodule or mass. Scattered subcentimeter nonspecific micronodules. Patulous debris-filled esophagus. No significant mediastinal or hilar lymphadenopathy. Prominent 9 mm right hilar lymph node. Mild cardiomegaly without pericardial effusion. Mild. No significant lymphadenopathy. A gallstone measuring 6 mm in the distal common bile duct. Layering gallstones in the gallbladder. Small amount of pericholecystic fluid. Severe intrahepatic and extrahepatic biliary ductal dilatation. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Subcentimeter hypoattenuating lesion in the kidneys are too small to further characterize. No hydronephrosis or perinephric inflammation. Bilateral symmetric excretion of contrast without filling defects noted in the collecting systems. No significant lymphadenopathy. Moderate. Mild focal thickening and mucosal enhancement of the pyloric region of the stomach or duodenal bulb raising the question of peptic ulcer disease. Diverticulosis without evidence of diverticulitis. Small bowel caliber is within normal limits without evidence of obstruction. Right-sided lumbar hernia, containing colon, appearing similar to the prior exam. No evidence of obstruction. No significant abnormality noted. No significant abnormality noted. Surgically absent. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted.
anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'aorta and great vessels are normal in caliber': {'clinical finding': 'aorta and great vessels are normal in caliber'}}clinical findings_fin: {'aortic dissection': {'clinical finding': 'aortic dissection', 'existence': 'neg_dx', 'descriptive_term': 'aortic', 'observation': 'dissection'}}anatomical entity_fin: {'common iliac artery': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'mild ectasia': {'clinical finding': 'mild ectasia', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'ectasia', 'strength_term': 'mild'}}anatomical entity_fin: {'celiac artery': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'moderate to severe atherosclerotic disease': {'clinical finding': 'moderate to severe atherosclerotic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'moderate to severe atherosclerotic', 'observation': 'disease', 'strength_term': 'moderate - severe'}}anatomical entity_fin: {'airways': {'location descriptor': 'central'}}location descriptor_fin: ['central']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}clinical findings_fin: {'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}, 'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'granuloma': {'clinical finding': 'granuloma', 'cf_snomed': {'granuloma': 45647009}, 'existence': 'pos_dx', 'observation': 'granuloma'}}anatomical entity_fin: {'lung': {}, 'bases': {}}clinical findings_fin: {'atelectasis': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'observation': 'atelectasis'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'}}clinical findings_fin: {'suspicious nodule': {'clinical finding': 'suspicious nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious', 'observation': 'nodule'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'scattered subcentimeter nonspecific micronodules': {'clinical finding': 'scattered subcentimeter nonspecific micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered subcentimeter nonspecific', 'observation': 'micronodule'}}anatomical entity_fin: {'esophagus': {}}clinical findings_fin: {'patulous debris': {'clinical finding': 'patulous debris', 'existence': 'pos_dx', 'descriptive_term': 'patulous', 'observation': 'debris'}}clinical findings_fin: {'significant mediastinal or hilar lymphadenopathy': {'clinical finding': 'significant mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'significant mediastinal or hilar', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '9 mm', 'size_descriptor': 'node'}]location descriptor_fin: ['right']clinical findings_fin: {'prominent 9 mm right hilar lymph node': {'clinical finding': 'prominent 9 mm right hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'prominent 9 mm right hilar lymph', 'observation': 'node', 'strength_term': 'prominent'}}clinical findings_fin: {'mild cardiomegaly': {'clinical finding': 'mild cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'cardiomegaly', 'strength_term': 'mild'}, 'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '6 mm', 'size_descriptor': 'gallstone'}]anatomical entity_fin: {'common bile duct': {'location descriptor': 'distal'}}location descriptor_fin: ['distal']clinical findings_fin: {'gallstone': {'clinical finding': 'gallstone', 'cf_snomed': {'gallstone': 235919008}, 'existence': 'pos_dx', 'observation': 'gallstone'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'layering gallstones': {'clinical finding': 'layering gallstones', 'cf_snomed': {'gallstone': 235919008}, 'existence': 'pos_dx', 'descriptive_term': 'layering', 'observation': 'gallstone'}}clinical findings_fin: {'pericholecystic fluid': {'clinical finding': 'pericholecystic fluid', 'existence': 'pos_dx', 'descriptive_term': 'pericholecystic', 'observation': 'fluid'}}clinical findings_fin: {'severe intrahepatic and extrahepatic biliary ductal dilatation': {'clinical finding': 'severe intrahepatic and extrahepatic biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'pos_dx', 'descriptive_term': 'severe intrahepatic and extrahepatic biliary ductal', 'observation': 'dilatation', 'strength_term': 'severe'}}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: {'kidneys': {}}clinical findings_fin: {'subcentimeter hypoattenuating lesion': {'clinical finding': 'subcentimeter hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter hypoattenuating', 'observation': 'lesion'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}, 'perinephric inflammation': {'clinical finding': 'perinephric inflammation', 'existence': 'neg_dx', 'descriptive_term': 'perinephric', 'observation': 'inflammation'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral symmetric excretion': {'clinical finding': 'bilateral symmetric excretion', 'existence': 'pos_dx', 'descriptive_term': 'bilateral symmetric', 'observation': 'excretion'}, 'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}, 'filling defects': {'clinical finding': 'filling defects', 'cf_snomed': {'filling defect': 43468004}, 'existence': 'neg_dx', 'descriptive_term': 'filling', 'observation': 'defect'}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'stomach': {}, 'duodenal bulb': {}}clinical findings_fin: {'mild focal thickening': {'clinical finding': 'mild focal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild focal', 'observation': 'thickening', 'strength_term': 'mild'}, 'mucosal enhancement': {'clinical finding': 'mucosal enhancement', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'enhancement'}, 'peptic ulcer disease': {'clinical finding': 'peptic ulcer disease', 'cf_snomed': {'peptic ulcer': 13200003, 'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'peptic ulcer', 'observation': 'disease'}}clinical findings_fin: {'diverticulosis': {'clinical finding': 'diverticulosis', 'existence': 'pos_dx', 'observation': 'diverticulosis'}, 'diverticulitis': {'clinical finding': 'diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'observation': 'diverticulitis'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}imaging observation_fin: ['colon']location descriptor_fin: ['right']clinical findings_fin: {'right-sided lumbar hernia': {'clinical finding': 'right-sided lumbar hernia', 'cf_snomed': {'lumbar hernia': 23344004}, 'existence': 'pos_dx', 'descriptive_term': 'right-sided lumbar', 'observation': 'hernia'}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}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'}}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: anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'aorta and great vessels are normal in caliber': {'clinical finding': 'aorta and great vessels are normal in caliber'}}clinical findings_fin: {'aortic dissection': {'clinical finding': 'aortic dissection', 'existence': 'neg_dx', 'descriptive_term': 'aortic', 'observation': 'dissection'}}anatomical entity_fin: {'common iliac artery': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'mild ectasia': {'clinical finding': 'mild ectasia', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'ectasia', 'strength_term': 'mild'}}anatomical entity_fin: {'celiac artery': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'moderate to severe atherosclerotic disease': {'clinical finding': 'moderate to severe atherosclerotic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'moderate to severe atherosclerotic', 'observation': 'disease', 'strength_term': 'moderate - severe'}}anatomical entity_fin: {'airways': {'location descriptor': 'central'}}location descriptor_fin: ['central']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}clinical findings_fin: {'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}, 'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'granuloma': {'clinical finding': 'granuloma', 'cf_snomed': {'granuloma': 45647009}, 'existence': 'pos_dx', 'observation': 'granuloma'}}anatomical entity_fin: {'lung': {}, 'bases': {}}clinical findings_fin: {'atelectasis': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'observation': 'atelectasis'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'}}clinical findings_fin: {'suspicious nodule': {'clinical finding': 'suspicious nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious', 'observation': 'nodule'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'scattered subcentimeter nonspecific micronodules': {'clinical finding': 'scattered subcentimeter nonspecific micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered subcentimeter nonspecific', 'observation': 'micronodule'}}anatomical entity_fin: {'esophagus': {}}clinical findings_fin: {'patulous debris': {'clinical finding': 'patulous debris', 'existence': 'pos_dx', 'descriptive_term': 'patulous', 'observation': 'debris'}}clinical findings_fin: {'significant mediastinal or hilar lymphadenopathy': {'clinical finding': 'significant mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'significant mediastinal or hilar', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '9 mm', 'size_descriptor': 'node'}]location descriptor_fin: ['right']clinical findings_fin: {'prominent 9 mm right hilar lymph node': {'clinical finding': 'prominent 9 mm right hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'prominent 9 mm right hilar lymph', 'observation': 'node', 'strength_term': 'prominent'}}clinical findings_fin: {'mild cardiomegaly': {'clinical finding': 'mild cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'cardiomegaly', 'strength_term': 'mild'}, 'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '6 mm', 'size_descriptor': 'gallstone'}]anatomical entity_fin: {'common bile duct': {'location descriptor': 'distal'}}location descriptor_fin: ['distal']clinical findings_fin: {'gallstone': {'clinical finding': 'gallstone', 'cf_snomed': {'gallstone': 235919008}, 'existence': 'pos_dx', 'observation': 'gallstone'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'layering gallstones': {'clinical finding': 'layering gallstones', 'cf_snomed': {'gallstone': 235919008}, 'existence': 'pos_dx', 'descriptive_term': 'layering', 'observation': 'gallstone'}}clinical findings_fin: {'pericholecystic fluid': {'clinical finding': 'pericholecystic fluid', 'existence': 'pos_dx', 'descriptive_term': 'pericholecystic', 'observation': 'fluid'}}clinical findings_fin: {'severe intrahepatic and extrahepatic biliary ductal dilatation': {'clinical finding': 'severe intrahepatic and extrahepatic biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'pos_dx', 'descriptive_term': 'severe intrahepatic and extrahepatic biliary ductal', 'observation': 'dilatation', 'strength_term': 'severe'}}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: {'kidneys': {}}clinical findings_fin: {'subcentimeter hypoattenuating lesion': {'clinical finding': 'subcentimeter hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter hypoattenuating', 'observation': 'lesion'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}, 'perinephric inflammation': {'clinical finding': 'perinephric inflammation', 'existence': 'neg_dx', 'descriptive_term': 'perinephric', 'observation': 'inflammation'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral symmetric excretion': {'clinical finding': 'bilateral symmetric excretion', 'existence': 'pos_dx', 'descriptive_term': 'bilateral symmetric', 'observation': 'excretion'}, 'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}, 'filling defects': {'clinical finding': 'filling defects', 'cf_snomed': {'filling defect': 43468004}, 'existence': 'neg_dx', 'descriptive_term': 'filling', 'observation': 'defect'}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'stomach': {}, 'duodenal bulb': {}}clinical findings_fin: {'mild focal thickening': {'clinical finding': 'mild focal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild focal', 'observation': 'thickening', 'strength_term': 'mild'}, 'mucosal enhancement': {'clinical finding': 'mucosal enhancement', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'enhancement'}, 'peptic ulcer disease': {'clinical finding': 'peptic ulcer disease', 'cf_snomed': {'peptic ulcer': 13200003, 'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'peptic ulcer', 'observation': 'disease'}}clinical findings_fin: {'diverticulosis': {'clinical finding': 'diverticulosis', 'existence': 'pos_dx', 'observation': 'diverticulosis'}, 'diverticulitis': {'clinical finding': 'diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'observation': 'diverticulitis'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}imaging observation_fin: ['colon']location descriptor_fin: ['right']clinical findings_fin: {'right-sided lumbar hernia': {'clinical finding': 'right-sided lumbar hernia', 'cf_snomed': {'lumbar hernia': 23344004}, 'existence': 'pos_dx', 'descriptive_term': 'right-sided lumbar', 'observation': 'hernia'}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}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'}}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] . The aorta and great vessels are normal in caliber. No evidence of aortic dissection. Mild ectasia of the left common iliac artery. The celiac artery, SMA, and IMA are patent. Moderate to severe atherosclerotic disease affects the aorta and its branch vessels. Central airways are patent. No pneumothorax or pleural effusion. Granuloma in the right upper lobe below. Atelectasis or scarring at the lung bases. No suspicious nodule or mass. Scattered subcentimeter nonspecific micronodules. Patulous debris-filled esophagus. No significant mediastinal or hilar lymphadenopathy. Prominent 9 mm right hilar lymph node. Mild cardiomegaly without pericardial effusion. Mild. No significant lymphadenopathy. A gallstone measuring 6 mm in the distal common bile duct. Layering gallstones in the gallbladder. Small amount of pericholecystic fluid. Severe intrahepatic and extrahepatic biliary ductal dilatation. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Subcentimeter hypoattenuating lesion in the kidneys are too small to further characterize. No hydronephrosis or perinephric inflammation. Bilateral symmetric excretion of contrast without filling defects noted in the collecting systems. No significant lymphadenopathy. Moderate. Mild focal thickening and mucosal enhancement of the pyloric region of the stomach or duodenal bulb raising the question of peptic ulcer disease. Diverticulosis without evidence of diverticulitis. Small bowel caliber is within normal limits without evidence of obstruction. Right-sided lumbar hernia, containing colon, appearing similar to the prior exam. No evidence of obstruction. No significant abnormality noted. No significant abnormality noted. Surgically absent. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. </s>