. Interval improvement of bilateral pleural effusions with trace residual. Multiple bilateral granulomas at the lung bases. Mild residual scarring or atelectasis. Since the prior study, the perihepatic drain has been removed and there has been interval increase in the amount of subphrenic, perihepatic fluid, with a more well-circumscribed hypoattenuating fluid collection in the hepatic dome, measuring in total approximately 8.2 x 6.0 cm , with the central fluid collection measuring approximately 5.2 x 2.0 cm. Postoperative changes related to liver transplant are again seen. The portal veins are patent. The hepatic artery is somewhat attenuated and tortuous in appearance, but appears patent, although this is an incomplete evaluated on this study. The hepatic veins are narrowed at the confluence, but appear patent as well. Mild splenomegaly, measuring approximately 15 cm in craniocaudal dimension. Subcentimeter hypoattenuating lesion in the pancreatic neck is unchanged, likely a pancreatic lipoma. No pancreatic ductal dilatation. No significant abnormality noted. No significant abnormality noted. Infrarenal IVC filter in expected location. Scattered retroperitoneal lymph nodes are mildly prominent, but not significantly changed, nonspecific. None. A large amount of stool seen within the colon. There is mild distention of the small bowel without evidence of obstruction, and it slight interval improvement of diffuse concentric bowel wall thickening. Multiple prominent mesenteric lymph nodes are likely reactive. Loculated ascitic fluid is again seen in the upper abdomen. The appendix is well-visualized and within normal limits. Unchanged levoconvex lumbar scoliosis, and degenerative changes, worse at L5-S1. Mild diffuse anasarca. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. As above. As above. No significant abnormality noted
location descriptor_fin: ['bilateral']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'}, 'trace residual': {'clinical finding': 'trace residual', 'existence': 'pos_dx', 'descriptive_term': 'trace', 'observation': 'residual'}}anatomical entity_fin: {'lung': {}, 'bases': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'multiple bilateral granulomas': {'clinical finding': 'multiple bilateral granulomas', 'cf_snomed': {'granuloma': 45647009}, 'existence': 'pos_dx', 'descriptive_term': 'multiple bilateral', 'observation': 'granuloma', 'quantity_term': 'multiple'}}clinical findings_fin: {'mild residual scarring': {'clinical finding': 'mild residual scarring', 'existence': 'unc_dx', 'descriptive_term': 'mild residual', 'observation': 'scarr', 'strength_term': 'mild', 'temporal_term': 'residual'}, 'atelectasis': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'observation': 'atelectasis'}}size_fin: [{'size': '8.2 x 6.0 cm'}, {'size': '5.2 x 2.0 cm'}]anatomical entity_fin: {'fluid': {'location descriptor': 'central'}}location descriptor_fin: ['central']clinical findings_fin: {'more well-circumscribed hypoattenuating fluid collection': {'clinical finding': 'more well-circumscribed hypoattenuating fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'more well-circumscribed hypoattenuating fluid', 'observation': 'collection', 'quantity_term': 'more'}, 'central fluid collection': {'clinical finding': 'central fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'central fluid', 'observation': 'collection'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}}anatomical entity_fin: {'portal veins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'hepatic artery': {}}clinical findings_fin: {'attenuated': {'clinical finding': 'attenuated', 'existence': 'pos_dx', 'observation': 'attenuated'}, 'tortuous': {'clinical finding': 'tortuous', 'existence': 'pos_dx', 'observation': 'tortuous'}, 'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'hepatic veins': {}}clinical findings_fin: {'narrowed': {'clinical finding': 'narrowed', 'existence': 'pos_dx', 'observation': 'narrow'}, 'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}size_fin: [{'size': '15 cm'}]clinical findings_fin: {'mild splenomegaly': {'clinical finding': 'mild splenomegaly', 'cf_snomed': {'splenomegaly': 16294009}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'splenomegaly', 'strength_term': 'mild'}}anatomical entity_fin: {'neck': {}}clinical findings_fin: {'subcentimeter hypoattenuating lesion': {'clinical finding': 'subcentimeter hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter hypoattenuating', 'observation': 'lesion'}, 'pancreatic lipoma': {'clinical finding': 'pancreatic lipoma', 'cf_snomed': {'lipoma': 134328007}, 'existence': 'unc_dx', 'descriptive_term': 'pancreatic', 'observation': 'lipoma'}}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'}}object_fin: ['filter']clinical findings_fin: {'infrarenal ivc filter in expected location': {'clinical finding': 'infrarenal ivc filter in expected location'}}clinical findings_fin: {'scattered retroperitoneal lymph nodes': {'clinical finding': 'scattered retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered retroperitoneal lymph', 'observation': 'node'}}imaging observation_fin: ['colon']clinical findings_fin: {'large amount of stool seen within the colon': {'clinical finding': 'large amount of stool seen within the colon'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'mild distention': {'clinical finding': 'mild distention', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'distention', 'strength_term': 'mild'}, 'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}, 'diffuse concentric bowel wall thickening': {'clinical finding': 'diffuse concentric bowel wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'diffuse concentric bowel wall', 'observation': 'thickening'}}anatomical entity_fin: {'mesenteric lymph nodes': {}}clinical findings_fin: {'multiple prominent mesenteric lymph nodes': {'clinical finding': 'multiple prominent mesenteric lymph nodes', 'existence': 'unc_dx', 'descriptive_term': 'multiple prominent mesenteric lymph', 'observation': 'node', 'strength_term': 'prominent', 'quantity_term': 'multiple'}}anatomical entity_fin: {'fluid': {}, 'upper abdomen': {}}clinical findings_fin: {'loculated ascitic fluid is again seen in the upper abdomen': {'clinical finding': 'loculated ascitic fluid is again seen in the upper abdomen', 'cf_snomed': {'abdomen': 818983003}}}anatomical entity_fin: {'appendix': {}}clinical findings_fin: {'well - visualized and within normal limits': {'clinical finding': 'well - visualized and within normal limits'}}anatomical entity_fin: {'lumbar': {}}clinical findings_fin: {'unchanged levoconvex lumbar scoliosis': {'clinical finding': 'unchanged levoconvex lumbar scoliosis', 'existence': 'pos_dx', 'descriptive_term': 'unchanged levoconvex lumbar', 'observation': 'scoliosis', 'strength_term': 'unchanged', 'change_term': 'unchanged'}, 'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}clinical findings_fin: {'mild diffuse anasarca': {'clinical finding': 'mild diffuse anasarca', 'cf_snomed': {'anasarca': 442433009}, 'existence': 'pos_dx', 'descriptive_term': 'mild diffuse', 'observation': 'anasarca', 'strength_term': 'mild'}}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: location descriptor_fin: ['bilateral']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'}, 'trace residual': {'clinical finding': 'trace residual', 'existence': 'pos_dx', 'descriptive_term': 'trace', 'observation': 'residual'}}anatomical entity_fin: {'lung': {}, 'bases': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'multiple bilateral granulomas': {'clinical finding': 'multiple bilateral granulomas', 'cf_snomed': {'granuloma': 45647009}, 'existence': 'pos_dx', 'descriptive_term': 'multiple bilateral', 'observation': 'granuloma', 'quantity_term': 'multiple'}}clinical findings_fin: {'mild residual scarring': {'clinical finding': 'mild residual scarring', 'existence': 'unc_dx', 'descriptive_term': 'mild residual', 'observation': 'scarr', 'strength_term': 'mild', 'temporal_term': 'residual'}, 'atelectasis': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'observation': 'atelectasis'}}size_fin: [{'size': '8.2 x 6.0 cm'}, {'size': '5.2 x 2.0 cm'}]anatomical entity_fin: {'fluid': {'location descriptor': 'central'}}location descriptor_fin: ['central']clinical findings_fin: {'more well-circumscribed hypoattenuating fluid collection': {'clinical finding': 'more well-circumscribed hypoattenuating fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'more well-circumscribed hypoattenuating fluid', 'observation': 'collection', 'quantity_term': 'more'}, 'central fluid collection': {'clinical finding': 'central fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'central fluid', 'observation': 'collection'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}}anatomical entity_fin: {'portal veins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'hepatic artery': {}}clinical findings_fin: {'attenuated': {'clinical finding': 'attenuated', 'existence': 'pos_dx', 'observation': 'attenuated'}, 'tortuous': {'clinical finding': 'tortuous', 'existence': 'pos_dx', 'observation': 'tortuous'}, 'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'hepatic veins': {}}clinical findings_fin: {'narrowed': {'clinical finding': 'narrowed', 'existence': 'pos_dx', 'observation': 'narrow'}, 'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}size_fin: [{'size': '15 cm'}]clinical findings_fin: {'mild splenomegaly': {'clinical finding': 'mild splenomegaly', 'cf_snomed': {'splenomegaly': 16294009}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'splenomegaly', 'strength_term': 'mild'}}anatomical entity_fin: {'neck': {}}clinical findings_fin: {'subcentimeter hypoattenuating lesion': {'clinical finding': 'subcentimeter hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter hypoattenuating', 'observation': 'lesion'}, 'pancreatic lipoma': {'clinical finding': 'pancreatic lipoma', 'cf_snomed': {'lipoma': 134328007}, 'existence': 'unc_dx', 'descriptive_term': 'pancreatic', 'observation': 'lipoma'}}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'}}object_fin: ['filter']clinical findings_fin: {'infrarenal ivc filter in expected location': {'clinical finding': 'infrarenal ivc filter in expected location'}}clinical findings_fin: {'scattered retroperitoneal lymph nodes': {'clinical finding': 'scattered retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered retroperitoneal lymph', 'observation': 'node'}}imaging observation_fin: ['colon']clinical findings_fin: {'large amount of stool seen within the colon': {'clinical finding': 'large amount of stool seen within the colon'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'mild distention': {'clinical finding': 'mild distention', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'distention', 'strength_term': 'mild'}, 'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}, 'diffuse concentric bowel wall thickening': {'clinical finding': 'diffuse concentric bowel wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'diffuse concentric bowel wall', 'observation': 'thickening'}}anatomical entity_fin: {'mesenteric lymph nodes': {}}clinical findings_fin: {'multiple prominent mesenteric lymph nodes': {'clinical finding': 'multiple prominent mesenteric lymph nodes', 'existence': 'unc_dx', 'descriptive_term': 'multiple prominent mesenteric lymph', 'observation': 'node', 'strength_term': 'prominent', 'quantity_term': 'multiple'}}anatomical entity_fin: {'fluid': {}, 'upper abdomen': {}}clinical findings_fin: {'loculated ascitic fluid is again seen in the upper abdomen': {'clinical finding': 'loculated ascitic fluid is again seen in the upper abdomen', 'cf_snomed': {'abdomen': 818983003}}}anatomical entity_fin: {'appendix': {}}clinical findings_fin: {'well - visualized and within normal limits': {'clinical finding': 'well - visualized and within normal limits'}}anatomical entity_fin: {'lumbar': {}}clinical findings_fin: {'unchanged levoconvex lumbar scoliosis': {'clinical finding': 'unchanged levoconvex lumbar scoliosis', 'existence': 'pos_dx', 'descriptive_term': 'unchanged levoconvex lumbar', 'observation': 'scoliosis', 'strength_term': 'unchanged', 'change_term': 'unchanged'}, 'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}clinical findings_fin: {'mild diffuse anasarca': {'clinical finding': 'mild diffuse anasarca', 'cf_snomed': {'anasarca': 442433009}, 'existence': 'pos_dx', 'descriptive_term': 'mild diffuse', 'observation': 'anasarca', 'strength_term': 'mild'}}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] . Interval improvement of bilateral pleural effusions with trace residual. Multiple bilateral granulomas at the lung bases. Mild residual scarring or atelectasis. Since the prior study, the perihepatic drain has been removed and there has been interval increase in the amount of subphrenic, perihepatic fluid, with a more well-circumscribed hypoattenuating fluid collection in the hepatic dome, measuring in total approximately 8.2 x 6.0 cm , with the central fluid collection measuring approximately 5.2 x 2.0 cm. Postoperative changes related to liver transplant are again seen. The portal veins are patent. The hepatic artery is somewhat attenuated and tortuous in appearance, but appears patent, although this is an incomplete evaluated on this study. The hepatic veins are narrowed at the confluence, but appear patent as well. Mild splenomegaly, measuring approximately 15 cm in craniocaudal dimension. Subcentimeter hypoattenuating lesion in the pancreatic neck is unchanged, likely a pancreatic lipoma. No pancreatic ductal dilatation. No significant abnormality noted. No significant abnormality noted. Infrarenal IVC filter in expected location. Scattered retroperitoneal lymph nodes are mildly prominent, but not significantly changed, nonspecific. None. A large amount of stool seen within the colon. There is mild distention of the small bowel without evidence of obstruction, and it slight interval improvement of diffuse concentric bowel wall thickening. Multiple prominent mesenteric lymph nodes are likely reactive. Loculated ascitic fluid is again seen in the upper abdomen. The appendix is well-visualized and within normal limits. Unchanged levoconvex lumbar scoliosis, and degenerative changes, worse at L5-S1. Mild diffuse anasarca. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. As above. As above. No significant abnormality noted </s>