Evaluation of solid organs is limited due to lack of IV contrast however the following observations can be made as detailed below. Trace bilateral pleural effusions with adjacent compressive atelectasis. Otherwise unremarkable. There are no focal lesions in the liver. There appears to be sludge versus stones layering within the dependent portion of the gallbladder. There is no pericholecystic fluid or evidence of acute cholecystitis. There is no intrahepatic or extrahepatic biliary dilatation. No significant abnormality noted. Nonspecific calcification within the pancreas. Otherwise unremarkable. There is nonspecific nodular thickening of the left adrenal gland. Hypoattenuating lesion within the right kidney, too small to characterize but favor benign cyst. No hydronephrosis. There is no discrete fluid collection to suggest retroperitoneal hematoma. Mild. Feeding tube is noted within the gastric fundus. The bowel is otherwise unremarkable. There is mild mesenteric edema without discrete fluid collection. Multilevel degenerative changes of the spine. There is a compression fracture of the L1 vertebral body, uncertain chronicity. No significant abnormality noted. There is air noted within the bladder, likely related to Foley catheter. No significant abnormality noted. There is a partially visualized bowel and fat-containing right inguinal hernia. There is no evidence of incarceration. Multilevel degenerative changes of the spine. There is a compression fracture of the L1 vertebral body, uncertain chronicity. No significant abnormality noted
location descriptor_fin: ['bilateral', 'adjacent']clinical findings_fin: {'bilateral pleural effusions': {'clinical finding': 'bilateral pleural effusions', 'cf_snomed': {'bilateral pleural effusion': 425802001}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral pleural', 'observation': 'effusion'}, 'adjacent compressive atelectasis': {'clinical finding': 'adjacent compressive atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'adjacent compressive', 'observation': 'atelectasis'}}clinical findings_fin: {'otherwise unremarkable': {'clinical finding': 'otherwise unremarkable'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'focal lesions': {'clinical finding': 'focal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'sludge': {'clinical finding': 'sludge', 'cf_snomed': {'sludge': 44901006}, 'existence': 'pos_dx', 'observation': 'sludge'}, 'stones': {'clinical finding': 'stones', 'existence': 'pos_dx', 'observation': 'stone'}}clinical findings_fin: {'pericholecystic fluid': {'clinical finding': 'pericholecystic fluid', 'existence': 'neg_dx', 'descriptive_term': 'pericholecystic', 'observation': 'fluid'}, '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'}}anatomical entity_fin: {'pancreas': {}}clinical findings_fin: {'nonspecific calcification': {'clinical finding': 'nonspecific calcification', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific', 'observation': 'calcification'}}clinical findings_fin: {'otherwise unremarkable': {'clinical finding': 'otherwise unremarkable'}}anatomical entity_fin: {'left adrenal gland': {}}clinical findings_fin: {'nonspecific nodular thickening': {'clinical finding': 'nonspecific nodular thickening', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific nodular', 'observation': 'thickening'}}anatomical entity_fin: {'right kidney': {}}clinical findings_fin: {'hypoattenuating lesion': {'clinical finding': 'hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating', 'observation': 'lesion'}, 'benign cyst': {'clinical finding': 'benign cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'benign', 'observation': 'cyst', 'strength_term': 'benign'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}imaging observation_fin: ['hematoma']clinical findings_fin: {'discrete fluid collection': {'clinical finding': 'discrete fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'discrete fluid', 'observation': 'collection'}, 'retroperitoneal hematoma': {'clinical finding': 'retroperitoneal hematoma', 'cf_snomed': {'retroperitoneal hematoma': 236002003}, 'existence': 'unc_dx', 'descriptive_term': 'retroperitoneal', 'observation': 'hematoma'}}anatomical entity_fin: {'gastric fundus': {}}object_fin: ['feeding tube']clinical findings_fin: {'feeding tube': {'clinical finding': 'feeding tube', 'existence': 'pos_dx', 'descriptive_term': 'feeding', 'observation': 'tube'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'bowel is otherwise unremarkable': {'clinical finding': 'bowel is otherwise unremarkable'}}clinical findings_fin: {'mild mesenteric edema': {'clinical finding': 'mild mesenteric edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'mild mesenteric', 'observation': 'edema', 'strength_term': 'mild'}, 'discrete fluid collection': {'clinical finding': 'discrete fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'discrete fluid', 'observation': 'collection'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'multilevel degenerative changes': {'clinical finding': 'multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative', 'observation': 'change'}}anatomical entity_fin: {'l1 vertebral body': {}}clinical findings_fin: {'compression fracture': {'clinical finding': 'compression fracture', 'cf_snomed': {'compression fracture': 443395009}, 'existence': 'pos_dx', 'descriptive_term': 'compression', 'observation': 'fracture'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'bladder': {}}object_fin: ['catheter']clinical findings_fin: {'is air noted within the bladder , likely related': {'clinical finding': 'is air noted within the bladder , likely related', 'cf_snomed': {'related': 262094002}}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'bowel': {}}imaging observation_fin: ['fat']location descriptor_fin: ['right']clinical findings_fin: {'partially visualized bowel and fat-containing right inguinal hernia': {'clinical finding': 'partially visualized bowel and fat-containing right inguinal hernia', 'cf_snomed': {'right inguinal hernia': 236021006}, 'existence': 'pos_dx', 'descriptive_term': 'partially visualized bowel and fat-containing right inguinal', 'observation': 'hernia', 'strength_term': 'partially'}}clinical findings_fin: {'incarceration': {'clinical finding': 'incarceration', 'existence': 'neg_dx', 'observation': 'incarceration'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'multilevel degenerative changes': {'clinical finding': 'multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative', 'observation': 'change'}}anatomical entity_fin: {'l1 vertebral body': {}}clinical findings_fin: {'compression fracture': {'clinical finding': 'compression fracture', 'cf_snomed': {'compression fracture': 443395009}, 'existence': 'pos_dx', 'descriptive_term': 'compression', 'observation': 'fracture'}}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: location descriptor_fin: ['bilateral', 'adjacent']clinical findings_fin: {'bilateral pleural effusions': {'clinical finding': 'bilateral pleural effusions', 'cf_snomed': {'bilateral pleural effusion': 425802001}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral pleural', 'observation': 'effusion'}, 'adjacent compressive atelectasis': {'clinical finding': 'adjacent compressive atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'adjacent compressive', 'observation': 'atelectasis'}}clinical findings_fin: {'otherwise unremarkable': {'clinical finding': 'otherwise unremarkable'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'focal lesions': {'clinical finding': 'focal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'sludge': {'clinical finding': 'sludge', 'cf_snomed': {'sludge': 44901006}, 'existence': 'pos_dx', 'observation': 'sludge'}, 'stones': {'clinical finding': 'stones', 'existence': 'pos_dx', 'observation': 'stone'}}clinical findings_fin: {'pericholecystic fluid': {'clinical finding': 'pericholecystic fluid', 'existence': 'neg_dx', 'descriptive_term': 'pericholecystic', 'observation': 'fluid'}, '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'}}anatomical entity_fin: {'pancreas': {}}clinical findings_fin: {'nonspecific calcification': {'clinical finding': 'nonspecific calcification', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific', 'observation': 'calcification'}}clinical findings_fin: {'otherwise unremarkable': {'clinical finding': 'otherwise unremarkable'}}anatomical entity_fin: {'left adrenal gland': {}}clinical findings_fin: {'nonspecific nodular thickening': {'clinical finding': 'nonspecific nodular thickening', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific nodular', 'observation': 'thickening'}}anatomical entity_fin: {'right kidney': {}}clinical findings_fin: {'hypoattenuating lesion': {'clinical finding': 'hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating', 'observation': 'lesion'}, 'benign cyst': {'clinical finding': 'benign cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'benign', 'observation': 'cyst', 'strength_term': 'benign'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}imaging observation_fin: ['hematoma']clinical findings_fin: {'discrete fluid collection': {'clinical finding': 'discrete fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'discrete fluid', 'observation': 'collection'}, 'retroperitoneal hematoma': {'clinical finding': 'retroperitoneal hematoma', 'cf_snomed': {'retroperitoneal hematoma': 236002003}, 'existence': 'unc_dx', 'descriptive_term': 'retroperitoneal', 'observation': 'hematoma'}}anatomical entity_fin: {'gastric fundus': {}}object_fin: ['feeding tube']clinical findings_fin: {'feeding tube': {'clinical finding': 'feeding tube', 'existence': 'pos_dx', 'descriptive_term': 'feeding', 'observation': 'tube'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'bowel is otherwise unremarkable': {'clinical finding': 'bowel is otherwise unremarkable'}}clinical findings_fin: {'mild mesenteric edema': {'clinical finding': 'mild mesenteric edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'mild mesenteric', 'observation': 'edema', 'strength_term': 'mild'}, 'discrete fluid collection': {'clinical finding': 'discrete fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'discrete fluid', 'observation': 'collection'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'multilevel degenerative changes': {'clinical finding': 'multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative', 'observation': 'change'}}anatomical entity_fin: {'l1 vertebral body': {}}clinical findings_fin: {'compression fracture': {'clinical finding': 'compression fracture', 'cf_snomed': {'compression fracture': 443395009}, 'existence': 'pos_dx', 'descriptive_term': 'compression', 'observation': 'fracture'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'bladder': {}}object_fin: ['catheter']clinical findings_fin: {'is air noted within the bladder , likely related': {'clinical finding': 'is air noted within the bladder , likely related', 'cf_snomed': {'related': 262094002}}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'bowel': {}}imaging observation_fin: ['fat']location descriptor_fin: ['right']clinical findings_fin: {'partially visualized bowel and fat-containing right inguinal hernia': {'clinical finding': 'partially visualized bowel and fat-containing right inguinal hernia', 'cf_snomed': {'right inguinal hernia': 236021006}, 'existence': 'pos_dx', 'descriptive_term': 'partially visualized bowel and fat-containing right inguinal', 'observation': 'hernia', 'strength_term': 'partially'}}clinical findings_fin: {'incarceration': {'clinical finding': 'incarceration', 'existence': 'neg_dx', 'observation': 'incarceration'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'multilevel degenerative changes': {'clinical finding': 'multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative', 'observation': 'change'}}anatomical entity_fin: {'l1 vertebral body': {}}clinical findings_fin: {'compression fracture': {'clinical finding': 'compression fracture', 'cf_snomed': {'compression fracture': 443395009}, 'existence': 'pos_dx', 'descriptive_term': 'compression', 'observation': 'fracture'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] Evaluation of solid organs is limited due to lack of IV contrast however the following observations can be made as detailed below. Trace bilateral pleural effusions with adjacent compressive atelectasis. Otherwise unremarkable. There are no focal lesions in the liver. There appears to be sludge versus stones layering within the dependent portion of the gallbladder. There is no pericholecystic fluid or evidence of acute cholecystitis. There is no intrahepatic or extrahepatic biliary dilatation. No significant abnormality noted. Nonspecific calcification within the pancreas. Otherwise unremarkable. There is nonspecific nodular thickening of the left adrenal gland. Hypoattenuating lesion within the right kidney, too small to characterize but favor benign cyst. No hydronephrosis. There is no discrete fluid collection to suggest retroperitoneal hematoma. Mild. Feeding tube is noted within the gastric fundus. The bowel is otherwise unremarkable. There is mild mesenteric edema without discrete fluid collection. Multilevel degenerative changes of the spine. There is a compression fracture of the L1 vertebral body, uncertain chronicity. No significant abnormality noted. There is air noted within the bladder, likely related to Foley catheter. No significant abnormality noted. There is a partially visualized bowel and fat-containing right inguinal hernia. There is no evidence of incarceration. Multilevel degenerative changes of the spine. There is a compression fracture of the L1 vertebral body, uncertain chronicity. No significant abnormality noted </s>