. Too numerous to count appearing size and pulmonary nodules consistent with diffuse metastatic disease. There is also granulomatous disease. There is moderate size right pleural effusion. There is bibasilar atelectasis or consolidation left greater than right particularly in the left perihilar area. Rule out infection. For baseline purposes a nodule in the distribution of the right middle lobe measures 0.9 x 0.8 cm series 10738 image. No pathologic size nodes. Moderate coronary artery calcification. Central line in superior vena cava. Moderate. No significant abnormality noted. Multifocal large hepatic masses. Largest is in the dome of the right lobe measured on portal venous series 80740 image 58, 9.5 x 8 cm. Additional mass off the anterior aspect of the dome is somewhat exophytic. There are several small masses in the inferior aspect of the right lobe and medial segment of the left lobe and lateral segment of the left lobe. Additional index lesion in the inferior aspect of the right lobe is measured on portal venous series 80740 image 88, 2.8 x 1.9 cm. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Small consistent with chronic medical renal disease. No significant abnormality noted. Moderate. Large volume generalized ascites with several small foci of solid carcinomatosis. Numerous foci of carcinomatosis seen on the right leaf of the diaphragm. For baseline purposes soft tissue focus in the superior right paracolic gutter is measured on portal venous series 80740 image 96, 1.7 x 1.7 cm. Nonobstructive bowel gas pattern. Antral wall thickening with a somewhat irregular contour. I cannot exclude an antral mass along the posterior-inferior wall of the stomach. Colonic diverticulosis. Mesenteric vasculature enhances normally. Anasarca. Generalized osteoporosis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Large volume ascites with evidence of carcinomatosis. Anasarca. Generalized osteoporosis. Large bilateral inguinal hernias left greater than right containing ascites. Atherosclerotic disease.
clinical findings_fin: {'pulmonary nodules': {'clinical finding': 'pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'pulmonary', 'observation': 'nodule'}, 'diffuse metastatic disease': {'clinical finding': 'diffuse metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse metastatic', 'observation': 'disease'}}clinical findings_fin: {'granulomatous disease': {'clinical finding': 'granulomatous disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'granulomatous', 'observation': 'disease'}}location descriptor_fin: ['right']clinical findings_fin: {'right pleural effusion': {'clinical finding': 'right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'right pleural', 'observation': 'effusion'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'bibasilar atelectasis': {'clinical finding': 'bibasilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'bibasilar', 'observation': 'atelectasis'}, 'consolidation': {'clinical finding': 'consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'unc_dx', 'observation': 'consolidation'}}clinical findings_fin: {'infection': {'clinical finding': 'infection', 'existence': 'pos_dx', 'observation': 'infection'}}size_fin: [{'size': '0.9 x 0.8 cm', 'size_descriptor': 'series'}]anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'nodule': {'clinical finding': 'nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'observation': 'nodule'}}clinical findings_fin: {'pathologic size nodes': {'clinical finding': 'pathologic size nodes', 'existence': 'neg_dx', 'descriptive_term': 'pathologic size', 'observation': 'node'}}clinical findings_fin: {'moderate coronary artery calcification': {'clinical finding': 'moderate coronary artery calcification', 'existence': 'pos_dx', 'descriptive_term': 'moderate coronary artery', 'observation': 'calcification', 'strength_term': 'moderate'}}anatomical entity_fin: {'superior vena cava': {}}location descriptor_fin: ['central']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'multifocal large hepatic masses': {'clinical finding': 'multifocal large hepatic masses', 'existence': 'pos_dx', 'descriptive_term': 'multifocal large hepatic', 'observation': 'mass', 'strength_term': 'large'}}size_fin: [{'size': '9.5 x 8 cm', 'size_descriptor': 'dome'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right'}}location descriptor_fin: ['right']location descriptor_fin: ['anterior']clinical findings_fin: {'additional mass': {'clinical finding': 'additional mass', 'existence': 'pos_dx', 'descriptive_term': 'additional', 'observation': 'mass'}, 'exophytic': {'clinical finding': 'exophytic', 'existence': 'pos_dx', 'observation': 'exophytic'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left'}}location descriptor_fin: ['inferior', 'right', 'medial', 'left', 'lateral']clinical findings_fin: {'several small masses': {'clinical finding': 'several small masses', 'existence': 'pos_dx', 'descriptive_term': 'several small', 'observation': 'mass', 'strength_term': 'small', 'quantity_term': 'several'}}size_fin: [{'size': '2.8 x 1.9 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right'}}location descriptor_fin: ['inferior', 'right']clinical findings_fin: {'additional index lesion': {'clinical finding': 'additional index lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'additional index', 'observation': 'lesion'}}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: {'chronic medical renal disease': {'clinical finding': 'chronic medical renal disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'chronic medical renal', 'observation': 'disease', 'temporal_term': 'chronic'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}imaging observation_fin: ['foci']clinical findings_fin: {'large volume generalized ascites': {'clinical finding': 'large volume generalized ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'large volume generalized', 'observation': 'ascite', 'strength_term': 'large'}, 'several small foci': {'clinical finding': 'several small foci', 'existence': 'pos_dx', 'descriptive_term': 'several small', 'observation': 'foci', 'strength_term': 'small', 'quantity_term': 'several'}, 'solid carcinomatosis': {'clinical finding': 'solid carcinomatosis', 'cf_snomed': {'carcinomatosis': 307593001}, 'existence': 'pos_dx', 'descriptive_term': 'solid', 'observation': 'carcinomatosis'}}anatomical entity_fin: {'diaphragm': {}}imaging observation_fin: ['foci']location descriptor_fin: ['right']clinical findings_fin: {'numerous foci': {'clinical finding': 'numerous foci', 'existence': 'pos_dx', 'descriptive_term': 'numerous', 'observation': 'foci', 'quantity_term': 'numerous'}, 'carcinomatosis': {'clinical finding': 'carcinomatosis', 'cf_snomed': {'carcinomatosis': 307593001}, 'existence': 'pos_dx', 'observation': 'carcinomatosis'}}size_fin: [{'size': '1.7 x 1.7 cm'}]anatomical entity_fin: {'paracolic gutter': {'location descriptor': 'superior right'}}location descriptor_fin: ['superior', 'right']clinical findings_fin: {'soft tissue focus': {'clinical finding': 'soft tissue focus', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'focus'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'nonobstructive bowel gas pattern': {'clinical finding': 'nonobstructive bowel gas pattern', 'existence': 'pos_dx', 'descriptive_term': 'nonobstructive bowel gas', 'observation': 'pattern'}}clinical findings_fin: {'wall thickening': {'clinical finding': 'wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'wall', 'observation': 'thickening'}, 'somewhat irregular contour': {'clinical finding': 'somewhat irregular contour', 'existence': 'pos_dx', 'descriptive_term': 'somewhat irregular', 'observation': 'contour'}}anatomical entity_fin: {'wall': {'location descriptor': 'posterior-inferior'}, 'stomach': {}}location descriptor_fin: ['posterior', 'inferior']clinical findings_fin: {'antral mass': {'clinical finding': 'antral mass', 'existence': 'unc_dx', 'descriptive_term': 'antral', 'observation': 'mass'}}clinical findings_fin: {'colonic diverticulosis': {'clinical finding': 'colonic diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'colonic', 'observation': 'diverticulosis'}}anatomical entity_fin: {'vasculature': {}}clinical findings_fin: {'anasarca': {'clinical finding': 'anasarca', 'cf_snomed': {'anasarca': 442433009}, 'existence': 'pos_dx', 'observation': 'anasarca'}}clinical findings_fin: {'generalized osteoporosis': {'clinical finding': 'generalized osteoporosis', 'cf_snomed': {'osteoporosis': 64859006}, 'existence': 'pos_dx', 'descriptive_term': 'generalized', 'observation': 'osteoporosis'}}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: {'ascites': {'clinical finding': 'ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'observation': 'ascite'}, 'carcinomatosis': {'clinical finding': 'carcinomatosis', 'cf_snomed': {'carcinomatosis': 307593001}, 'existence': 'pos_dx', 'observation': 'carcinomatosis'}}clinical findings_fin: {'anasarca': {'clinical finding': 'anasarca', 'cf_snomed': {'anasarca': 442433009}, 'existence': 'pos_dx', 'observation': 'anasarca'}}clinical findings_fin: {'generalized osteoporosis': {'clinical finding': 'generalized osteoporosis', 'cf_snomed': {'osteoporosis': 64859006}, 'existence': 'pos_dx', 'descriptive_term': 'generalized', 'observation': 'osteoporosis'}}location descriptor_fin: ['bilateral', 'left', 'right']clinical findings_fin: {'large bilateral inguinal hernias': {'clinical finding': 'large bilateral inguinal hernias', 'existence': 'pos_dx', 'descriptive_term': 'large bilateral inguinal', 'observation': 'hernias', 'strength_term': 'large'}, 'ascites': {'clinical finding': 'ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'observation': 'ascite'}}clinical findings_fin: {'atherosclerotic disease': {'clinical finding': 'atherosclerotic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'disease'}}
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'pulmonary nodules': {'clinical finding': 'pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'pulmonary', 'observation': 'nodule'}, 'diffuse metastatic disease': {'clinical finding': 'diffuse metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse metastatic', 'observation': 'disease'}}clinical findings_fin: {'granulomatous disease': {'clinical finding': 'granulomatous disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'granulomatous', 'observation': 'disease'}}location descriptor_fin: ['right']clinical findings_fin: {'right pleural effusion': {'clinical finding': 'right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'right pleural', 'observation': 'effusion'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'bibasilar atelectasis': {'clinical finding': 'bibasilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'bibasilar', 'observation': 'atelectasis'}, 'consolidation': {'clinical finding': 'consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'unc_dx', 'observation': 'consolidation'}}clinical findings_fin: {'infection': {'clinical finding': 'infection', 'existence': 'pos_dx', 'observation': 'infection'}}size_fin: [{'size': '0.9 x 0.8 cm', 'size_descriptor': 'series'}]anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'nodule': {'clinical finding': 'nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'observation': 'nodule'}}clinical findings_fin: {'pathologic size nodes': {'clinical finding': 'pathologic size nodes', 'existence': 'neg_dx', 'descriptive_term': 'pathologic size', 'observation': 'node'}}clinical findings_fin: {'moderate coronary artery calcification': {'clinical finding': 'moderate coronary artery calcification', 'existence': 'pos_dx', 'descriptive_term': 'moderate coronary artery', 'observation': 'calcification', 'strength_term': 'moderate'}}anatomical entity_fin: {'superior vena cava': {}}location descriptor_fin: ['central']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'multifocal large hepatic masses': {'clinical finding': 'multifocal large hepatic masses', 'existence': 'pos_dx', 'descriptive_term': 'multifocal large hepatic', 'observation': 'mass', 'strength_term': 'large'}}size_fin: [{'size': '9.5 x 8 cm', 'size_descriptor': 'dome'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right'}}location descriptor_fin: ['right']location descriptor_fin: ['anterior']clinical findings_fin: {'additional mass': {'clinical finding': 'additional mass', 'existence': 'pos_dx', 'descriptive_term': 'additional', 'observation': 'mass'}, 'exophytic': {'clinical finding': 'exophytic', 'existence': 'pos_dx', 'observation': 'exophytic'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left'}}location descriptor_fin: ['inferior', 'right', 'medial', 'left', 'lateral']clinical findings_fin: {'several small masses': {'clinical finding': 'several small masses', 'existence': 'pos_dx', 'descriptive_term': 'several small', 'observation': 'mass', 'strength_term': 'small', 'quantity_term': 'several'}}size_fin: [{'size': '2.8 x 1.9 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right'}}location descriptor_fin: ['inferior', 'right']clinical findings_fin: {'additional index lesion': {'clinical finding': 'additional index lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'additional index', 'observation': 'lesion'}}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: {'chronic medical renal disease': {'clinical finding': 'chronic medical renal disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'chronic medical renal', 'observation': 'disease', 'temporal_term': 'chronic'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}imaging observation_fin: ['foci']clinical findings_fin: {'large volume generalized ascites': {'clinical finding': 'large volume generalized ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'large volume generalized', 'observation': 'ascite', 'strength_term': 'large'}, 'several small foci': {'clinical finding': 'several small foci', 'existence': 'pos_dx', 'descriptive_term': 'several small', 'observation': 'foci', 'strength_term': 'small', 'quantity_term': 'several'}, 'solid carcinomatosis': {'clinical finding': 'solid carcinomatosis', 'cf_snomed': {'carcinomatosis': 307593001}, 'existence': 'pos_dx', 'descriptive_term': 'solid', 'observation': 'carcinomatosis'}}anatomical entity_fin: {'diaphragm': {}}imaging observation_fin: ['foci']location descriptor_fin: ['right']clinical findings_fin: {'numerous foci': {'clinical finding': 'numerous foci', 'existence': 'pos_dx', 'descriptive_term': 'numerous', 'observation': 'foci', 'quantity_term': 'numerous'}, 'carcinomatosis': {'clinical finding': 'carcinomatosis', 'cf_snomed': {'carcinomatosis': 307593001}, 'existence': 'pos_dx', 'observation': 'carcinomatosis'}}size_fin: [{'size': '1.7 x 1.7 cm'}]anatomical entity_fin: {'paracolic gutter': {'location descriptor': 'superior right'}}location descriptor_fin: ['superior', 'right']clinical findings_fin: {'soft tissue focus': {'clinical finding': 'soft tissue focus', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'focus'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'nonobstructive bowel gas pattern': {'clinical finding': 'nonobstructive bowel gas pattern', 'existence': 'pos_dx', 'descriptive_term': 'nonobstructive bowel gas', 'observation': 'pattern'}}clinical findings_fin: {'wall thickening': {'clinical finding': 'wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'wall', 'observation': 'thickening'}, 'somewhat irregular contour': {'clinical finding': 'somewhat irregular contour', 'existence': 'pos_dx', 'descriptive_term': 'somewhat irregular', 'observation': 'contour'}}anatomical entity_fin: {'wall': {'location descriptor': 'posterior-inferior'}, 'stomach': {}}location descriptor_fin: ['posterior', 'inferior']clinical findings_fin: {'antral mass': {'clinical finding': 'antral mass', 'existence': 'unc_dx', 'descriptive_term': 'antral', 'observation': 'mass'}}clinical findings_fin: {'colonic diverticulosis': {'clinical finding': 'colonic diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'colonic', 'observation': 'diverticulosis'}}anatomical entity_fin: {'vasculature': {}}clinical findings_fin: {'anasarca': {'clinical finding': 'anasarca', 'cf_snomed': {'anasarca': 442433009}, 'existence': 'pos_dx', 'observation': 'anasarca'}}clinical findings_fin: {'generalized osteoporosis': {'clinical finding': 'generalized osteoporosis', 'cf_snomed': {'osteoporosis': 64859006}, 'existence': 'pos_dx', 'descriptive_term': 'generalized', 'observation': 'osteoporosis'}}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: {'ascites': {'clinical finding': 'ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'observation': 'ascite'}, 'carcinomatosis': {'clinical finding': 'carcinomatosis', 'cf_snomed': {'carcinomatosis': 307593001}, 'existence': 'pos_dx', 'observation': 'carcinomatosis'}}clinical findings_fin: {'anasarca': {'clinical finding': 'anasarca', 'cf_snomed': {'anasarca': 442433009}, 'existence': 'pos_dx', 'observation': 'anasarca'}}clinical findings_fin: {'generalized osteoporosis': {'clinical finding': 'generalized osteoporosis', 'cf_snomed': {'osteoporosis': 64859006}, 'existence': 'pos_dx', 'descriptive_term': 'generalized', 'observation': 'osteoporosis'}}location descriptor_fin: ['bilateral', 'left', 'right']clinical findings_fin: {'large bilateral inguinal hernias': {'clinical finding': 'large bilateral inguinal hernias', 'existence': 'pos_dx', 'descriptive_term': 'large bilateral inguinal', 'observation': 'hernias', 'strength_term': 'large'}, 'ascites': {'clinical finding': 'ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'observation': 'ascite'}}clinical findings_fin: {'atherosclerotic disease': {'clinical finding': 'atherosclerotic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'disease'}} [/INST] . Too numerous to count appearing size and pulmonary nodules consistent with diffuse metastatic disease. There is also granulomatous disease. There is moderate size right pleural effusion. There is bibasilar atelectasis or consolidation left greater than right particularly in the left perihilar area. Rule out infection. For baseline purposes a nodule in the distribution of the right middle lobe measures 0.9 x 0.8 cm series 10738 image. No pathologic size nodes. Moderate coronary artery calcification. Central line in superior vena cava. Moderate. No significant abnormality noted. Multifocal large hepatic masses. Largest is in the dome of the right lobe measured on portal venous series 80740 image 58, 9.5 x 8 cm. Additional mass off the anterior aspect of the dome is somewhat exophytic. There are several small masses in the inferior aspect of the right lobe and medial segment of the left lobe and lateral segment of the left lobe. Additional index lesion in the inferior aspect of the right lobe is measured on portal venous series 80740 image 88, 2.8 x 1.9 cm. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Small consistent with chronic medical renal disease. No significant abnormality noted. Moderate. Large volume generalized ascites with several small foci of solid carcinomatosis. Numerous foci of carcinomatosis seen on the right leaf of the diaphragm. For baseline purposes soft tissue focus in the superior right paracolic gutter is measured on portal venous series 80740 image 96, 1.7 x 1.7 cm. Nonobstructive bowel gas pattern. Antral wall thickening with a somewhat irregular contour. I cannot exclude an antral mass along the posterior-inferior wall of the stomach. Colonic diverticulosis. Mesenteric vasculature enhances normally. Anasarca. Generalized osteoporosis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Large volume ascites with evidence of carcinomatosis. Anasarca. Generalized osteoporosis. Large bilateral inguinal hernias left greater than right containing ascites. Atherosclerotic disease. </s>