. No significant abnormality noted. There is mild heterogeneity in the posterior right lobe of the liver, likely unchanged from the prior exam, which may represent flow abnormality. There is now complete thrombosis of the portal vein and its branches with nonocclusive thrombus in the superior mesenteric vein. There is cavernous transformation of the portal vein. Splenomegaly without focal abnormality is unchanged. Calcifications consistent with chronic pancreatitis. Multiple clips obscure portions of the region of the pancreatic head. Postoperative changes as previously noted without change. No significant abnormality noted. Right renal cyst identified. Mild, focal parenchymal loss lower pole of the left kidney. No significant abnormality noted. There is borderline to mild, and relatively diffuse small bowel dilatation with some degree of fold thickening. There are less distended loops of small bowel identified in the ileum where there also appears to be perhaps mild wall thickening. The appearance is not specific but could be inflammatory or infectious in nature, and less likely ischemic. No significant abnormality noted. There is moderate abdominal and pelvic ascites. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. There is borderline to mild, and relatively diffuse small bowel dilatation with some degree of fold thickening. There are less distended loops of small bowel identified in the ileum where there also appears to be perhaps mild wall thickening. The appearance is not specific but could be inflammatory or infectious in nature, and less likely ischemic. No significant abnormality noted. Moderate abdominal and pelvic ascites.
clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'lobe': {'location descriptor': 'posterior right'}, 'liver': {}}location descriptor_fin: ['posterior', 'right']clinical findings_fin: {'flow abnormality': {'clinical finding': 'flow abnormality', 'existence': 'unc_dx', 'descriptive_term': 'flow', 'observation': 'abnormality'}}anatomical entity_fin: {'portal vein': {}, 'superior mesenteric vein': {}}clinical findings_fin: {'complete thrombosis': {'clinical finding': 'complete thrombosis', 'cf_snomed': {'thrombosis': 439127006}, 'existence': 'pos_dx', 'descriptive_term': 'complete', 'observation': 'thrombosis'}, 'nonocclusive thrombus': {'clinical finding': 'nonocclusive thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'pos_dx', 'descriptive_term': 'nonocclusive', 'observation': 'thrombus'}}anatomical entity_fin: {'portal vein': {}}clinical findings_fin: {'cavernous transformation': {'clinical finding': 'cavernous transformation', 'existence': 'pos_dx', 'descriptive_term': 'cavernous', 'observation': 'transformation'}}clinical findings_fin: {'splenomegaly': {'clinical finding': 'splenomegaly', 'cf_snomed': {'splenomegaly': 16294009}, 'existence': 'pos_dx', 'observation': 'splenomegaly'}, 'focal abnormality': {'clinical finding': 'focal abnormality', 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'abnormality'}}clinical findings_fin: {'calcifications': {'clinical finding': 'calcifications', 'existence': 'pos_dx', 'observation': 'calcification'}, 'chronic pancreatitis': {'clinical finding': 'chronic pancreatitis', 'cf_snomed': {'chronic pancreatitis': 235494005}, 'existence': 'pos_dx', 'descriptive_term': 'chronic', 'observation': 'pancreatitis', 'temporal_term': 'chronic'}}anatomical entity_fin: {'head': {}}object_fin: ['clips']clinical findings_fin: {'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}, 'change': {'clinical finding': 'change', 'existence': 'pos_dx', 'observation': 'change'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['right']clinical findings_fin: {'right renal cyst': {'clinical finding': 'right renal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'right renal', 'observation': 'cyst'}}anatomical entity_fin: {'pole': {'location descriptor': 'lower'}, 'left kidney': {}}location descriptor_fin: ['lower']clinical findings_fin: {'mild , focal parenchymal loss lower pole of the left kidney': {'clinical finding': 'mild , focal parenchymal loss lower pole of the left kidney'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'fold thickening': {'clinical finding': 'fold thickening', 'cf_snomed': {'fold': 26310004}, 'existence': 'pos_dx', 'descriptive_term': 'fold', 'observation': 'thickening'}}anatomical entity_fin: {'bowel': {}, 'ileum': {}}clinical findings_fin: {'less distended': {'clinical finding': 'less distended', 'existence': 'pos_dx', 'descriptive_term': 'less', 'observation': 'distended', 'quantity_term': 'less'}, 'perhaps mild wall thickening': {'clinical finding': 'perhaps mild wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'perhaps mild wall', 'observation': 'thickening', 'strength_term': 'mild'}}clinical findings_fin: {'appearance is not specific but could be inflammatory or infectious in nature , and less likely ischemic': {'clinical finding': 'appearance is not specific but could be inflammatory or infectious in nature , and less likely ischemic'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'moderate abdominal and pelvic ascites': {'clinical finding': 'moderate abdominal and pelvic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'moderate abdominal and pelvic', 'observation': 'ascite', 'strength_term': 'moderate'}}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: {'bowel': {}}clinical findings_fin: {'fold thickening': {'clinical finding': 'fold thickening', 'cf_snomed': {'fold': 26310004}, 'existence': 'pos_dx', 'descriptive_term': 'fold', 'observation': 'thickening'}}anatomical entity_fin: {'bowel': {}, 'ileum': {}}clinical findings_fin: {'less distended': {'clinical finding': 'less distended', 'existence': 'pos_dx', 'descriptive_term': 'less', 'observation': 'distended', 'quantity_term': 'less'}, 'perhaps mild wall thickening': {'clinical finding': 'perhaps mild wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'perhaps mild wall', 'observation': 'thickening', 'strength_term': 'mild'}}clinical findings_fin: {'appearance is not specific but could be inflammatory or infectious in nature , and less likely ischemic': {'clinical finding': 'appearance is not specific but could be inflammatory or infectious in nature , and less likely ischemic'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'moderate abdominal and pelvic ascites': {'clinical finding': 'moderate abdominal and pelvic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'moderate abdominal and pelvic', 'observation': 'ascite', 'strength_term': 'moderate'}}
<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: {'lobe': {'location descriptor': 'posterior right'}, 'liver': {}}location descriptor_fin: ['posterior', 'right']clinical findings_fin: {'flow abnormality': {'clinical finding': 'flow abnormality', 'existence': 'unc_dx', 'descriptive_term': 'flow', 'observation': 'abnormality'}}anatomical entity_fin: {'portal vein': {}, 'superior mesenteric vein': {}}clinical findings_fin: {'complete thrombosis': {'clinical finding': 'complete thrombosis', 'cf_snomed': {'thrombosis': 439127006}, 'existence': 'pos_dx', 'descriptive_term': 'complete', 'observation': 'thrombosis'}, 'nonocclusive thrombus': {'clinical finding': 'nonocclusive thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'pos_dx', 'descriptive_term': 'nonocclusive', 'observation': 'thrombus'}}anatomical entity_fin: {'portal vein': {}}clinical findings_fin: {'cavernous transformation': {'clinical finding': 'cavernous transformation', 'existence': 'pos_dx', 'descriptive_term': 'cavernous', 'observation': 'transformation'}}clinical findings_fin: {'splenomegaly': {'clinical finding': 'splenomegaly', 'cf_snomed': {'splenomegaly': 16294009}, 'existence': 'pos_dx', 'observation': 'splenomegaly'}, 'focal abnormality': {'clinical finding': 'focal abnormality', 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'abnormality'}}clinical findings_fin: {'calcifications': {'clinical finding': 'calcifications', 'existence': 'pos_dx', 'observation': 'calcification'}, 'chronic pancreatitis': {'clinical finding': 'chronic pancreatitis', 'cf_snomed': {'chronic pancreatitis': 235494005}, 'existence': 'pos_dx', 'descriptive_term': 'chronic', 'observation': 'pancreatitis', 'temporal_term': 'chronic'}}anatomical entity_fin: {'head': {}}object_fin: ['clips']clinical findings_fin: {'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}, 'change': {'clinical finding': 'change', 'existence': 'pos_dx', 'observation': 'change'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['right']clinical findings_fin: {'right renal cyst': {'clinical finding': 'right renal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'right renal', 'observation': 'cyst'}}anatomical entity_fin: {'pole': {'location descriptor': 'lower'}, 'left kidney': {}}location descriptor_fin: ['lower']clinical findings_fin: {'mild , focal parenchymal loss lower pole of the left kidney': {'clinical finding': 'mild , focal parenchymal loss lower pole of the left kidney'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'fold thickening': {'clinical finding': 'fold thickening', 'cf_snomed': {'fold': 26310004}, 'existence': 'pos_dx', 'descriptive_term': 'fold', 'observation': 'thickening'}}anatomical entity_fin: {'bowel': {}, 'ileum': {}}clinical findings_fin: {'less distended': {'clinical finding': 'less distended', 'existence': 'pos_dx', 'descriptive_term': 'less', 'observation': 'distended', 'quantity_term': 'less'}, 'perhaps mild wall thickening': {'clinical finding': 'perhaps mild wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'perhaps mild wall', 'observation': 'thickening', 'strength_term': 'mild'}}clinical findings_fin: {'appearance is not specific but could be inflammatory or infectious in nature , and less likely ischemic': {'clinical finding': 'appearance is not specific but could be inflammatory or infectious in nature , and less likely ischemic'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'moderate abdominal and pelvic ascites': {'clinical finding': 'moderate abdominal and pelvic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'moderate abdominal and pelvic', 'observation': 'ascite', 'strength_term': 'moderate'}}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: {'bowel': {}}clinical findings_fin: {'fold thickening': {'clinical finding': 'fold thickening', 'cf_snomed': {'fold': 26310004}, 'existence': 'pos_dx', 'descriptive_term': 'fold', 'observation': 'thickening'}}anatomical entity_fin: {'bowel': {}, 'ileum': {}}clinical findings_fin: {'less distended': {'clinical finding': 'less distended', 'existence': 'pos_dx', 'descriptive_term': 'less', 'observation': 'distended', 'quantity_term': 'less'}, 'perhaps mild wall thickening': {'clinical finding': 'perhaps mild wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'perhaps mild wall', 'observation': 'thickening', 'strength_term': 'mild'}}clinical findings_fin: {'appearance is not specific but could be inflammatory or infectious in nature , and less likely ischemic': {'clinical finding': 'appearance is not specific but could be inflammatory or infectious in nature , and less likely ischemic'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'moderate abdominal and pelvic ascites': {'clinical finding': 'moderate abdominal and pelvic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'moderate abdominal and pelvic', 'observation': 'ascite', 'strength_term': 'moderate'}} [/INST] . No significant abnormality noted. There is mild heterogeneity in the posterior right lobe of the liver, likely unchanged from the prior exam, which may represent flow abnormality. There is now complete thrombosis of the portal vein and its branches with nonocclusive thrombus in the superior mesenteric vein. There is cavernous transformation of the portal vein. Splenomegaly without focal abnormality is unchanged. Calcifications consistent with chronic pancreatitis. Multiple clips obscure portions of the region of the pancreatic head. Postoperative changes as previously noted without change. No significant abnormality noted. Right renal cyst identified. Mild, focal parenchymal loss lower pole of the left kidney. No significant abnormality noted. There is borderline to mild, and relatively diffuse small bowel dilatation with some degree of fold thickening. There are less distended loops of small bowel identified in the ileum where there also appears to be perhaps mild wall thickening. The appearance is not specific but could be inflammatory or infectious in nature, and less likely ischemic. No significant abnormality noted. There is moderate abdominal and pelvic ascites. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. There is borderline to mild, and relatively diffuse small bowel dilatation with some degree of fold thickening. There are less distended loops of small bowel identified in the ileum where there also appears to be perhaps mild wall thickening. The appearance is not specific but could be inflammatory or infectious in nature, and less likely ischemic. No significant abnormality noted. Moderate abdominal and pelvic ascites. </s>