. The central airways are patent. No pneumothorax or pleural effusion. Mild pleural nodularity in the right lung base, new. Reference right upper lobe nodule measures 2.0 x 1.6 cm. No new suspicious nodule or mass. Right chest wall Port-A-Cath tip is in the SVC. No significant mediastinal or hilar lymphadenopathy. The heart size is normal without pericardial effusion. Mild. No significant lymphadenopathy. No focal liver lesions. No intrahepatic or extrahepatic biliary ductal dilatation. Gallbladder is within normal limits. Punctate calcified granuloma unchanged. No significant abnormality noted. No significant abnormality noted. Percutaneous left nephrostomy tube is unchanged. Atrophic left kidney with mild enhancement of the ureteral wall is unchanged. Multiple hypoattenuating foci in the right kidney are unchanged and too small to further characterize. The ureters empty into a right lower quadrant conduit. Interval decrease in size of lymphadenopathy. Reference left periaortic lymph node measures 2.0 x 0.5 cm, previously 2.9 x 1.3 cm. Reference left peripancreatic lymph node is no longer seen. Moderate. Left lower quadrant colostomy with peristomal hernia containing a loop of contrast opacified small bowel, appearing decreased in size when compared to the prior exam. Diverticulosis without evidence of diverticulitis. Blind-ending sigmoid colon. Small bowel caliber is within normal limits without evidence of obstruction. Scattered mesenteric lymph nodes not pathologically enlarged by size criteria. Degenerative disease of the spine most prominent at the L4-L5 level. No suspicious osseous lesions. Interval resolution of hypoattenuating focus previously seen in the right iliac fossa. No significant abnormality noted. No significant abnormality noted. Status post cystectomy with right lower quadrant ileal conduit. Interval decrease in size of left operator chain lymph nodes. Significant decrease in size of reference conglomerate of lymph nodes now measuring 1.7 x 1.1 cm , previously 3.3 x 2.6 cm. Surgical clips in the retroperitoneum are unchanged reflecting retroperitoneal dissection. Numerous surgical clips in the right iliac fossa with soft tissue attenuation and mild tethering and angulation of small bowel without evidence of small bowel obstruction. Mild wall thickening of these loops of bowel in the right lower quadrant are nonspecific and may be related to posttreatment changes. No suspicious osseous lesions. No significant abnormality noted.
anatomical entity_fin: {'airways': {'location descriptor': 'central'}}location descriptor_fin: ['central']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_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: {'right lung': {}, 'base': {}}clinical findings_fin: {'mild pleural nodularity': {'clinical finding': 'mild pleural nodularity', 'existence': 'pos_dx', 'descriptive_term': 'mild pleural', 'observation': 'nodularity', 'strength_term': 'mild'}}size_fin: [{'size': '2.0 x 1.6 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'reference right upper lobe nodule': {'clinical finding': 'reference right upper lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right upper lobe', 'observation': 'nodule'}}clinical findings_fin: {'new suspicious nodule': {'clinical finding': 'new suspicious nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'new suspicious', 'observation': 'nodule', 'temporal_term': 'new'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port']clinical findings_fin: {'right chest wall port-a-cath': {'clinical finding': 'right chest wall port-a-cath', 'existence': 'pos_dx', 'descriptive_term': 'right chest wall', 'observation': 'port-a-'}}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'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_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'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'focal liver lesions': {'clinical finding': 'focal liver lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal liver', 'observation': 'lesion'}}clinical findings_fin: {'intrahepatic or extrahepatic biliary ductal dilatation': {'clinical finding': 'intrahepatic or extrahepatic biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'descriptive_term': 'intrahepatic or extrahepatic biliary ductal', 'observation': 'dilatation'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'gallbladder is within normal limits': {'clinical finding': 'gallbladder is within normal limits'}}clinical findings_fin: {'punctate calcified granuloma': {'clinical finding': 'punctate calcified granuloma', 'cf_snomed': {'calcified granuloma': 48391002}, 'existence': 'pos_dx', 'descriptive_term': 'punctate calcified', 'observation': 'granuloma', 'change_term': 'calcified'}}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'}}location descriptor_fin: ['left']object_fin: ['nephrostomy tube']clinical findings_fin: {'percutaneous left nephrostomy tube': {'clinical finding': 'percutaneous left nephrostomy tube', 'existence': 'pos_dx', 'descriptive_term': 'percutaneous left nephrostomy', 'observation': 'tube'}}anatomical entity_fin: {'left kidney': {}, 'wall': {}}clinical findings_fin: {'atrophic left kidney': {'clinical finding': 'atrophic left kidney', 'existence': 'pos_dx', 'descriptive_term': 'atrophic left', 'observation': 'kidney', 'change_term': 'atrophic'}, 'mild enhancement': {'clinical finding': 'mild enhancement', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'enhancement', 'strength_term': 'mild'}}anatomical entity_fin: {'right kidney': {}}imaging observation_fin: ['foci']clinical findings_fin: {'multiple hypoattenuating foci': {'clinical finding': 'multiple hypoattenuating foci', 'existence': 'pos_dx', 'descriptive_term': 'multiple hypoattenuating', 'observation': 'foci', 'quantity_term': 'multiple'}}anatomical entity_fin: {'ureters': {}, 'quadrant': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'empty': {'clinical finding': 'empty', 'existence': 'pos_dx', 'observation': 'empty'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '2.0 x 0.5 cm'}, {'size': '2.9 x 1.3 cm'}]location descriptor_fin: ['left']clinical findings_fin: {'reference left periaortic lymph node': {'clinical finding': 'reference left periaortic lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference left periaortic lymph', 'observation': 'node'}}location descriptor_fin: ['left']clinical findings_fin: {'reference left peripancreatic lymph node': {'clinical finding': 'reference left peripancreatic lymph node', 'cf_snomed': {'peripancreatic lymph node': 245346008}, 'existence': 'neg_dx', 'descriptive_term': 'reference left peripancreatic lymph', 'observation': 'node'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'left lower'}, 'bowel': {}}location descriptor_fin: ['left', 'lower']procedure_fin: ['colostomy']clinical findings_fin: {'peristomal hernia': {'clinical finding': 'peristomal hernia', 'cf_snomed': {'hernia': 414403008}, 'existence': 'pos_dx', 'descriptive_term': 'peristomal', 'observation': 'hernia'}, 'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}}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: {'sigmoid colon': {}}clinical findings_fin: {'blind-ending sigmoid colon': {'clinical finding': 'blind-ending sigmoid colon', 'existence': 'pos_dx', 'descriptive_term': 'blind-ending sigmoid', 'observation': 'colon'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}anatomical entity_fin: {'mesenteric lymph nodes': {}}clinical findings_fin: {'scattered mesenteric lymph nodes': {'clinical finding': 'scattered mesenteric lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'scattered mesenteric lymph', 'observation': 'node'}, 'enlarged': {'clinical finding': 'enlarged', 'existence': 'neg_dx', 'observation': 'enlarged'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative disease': {'clinical finding': 'degenerative disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'disease'}}clinical findings_fin: {'suspicious osseous lesions': {'clinical finding': 'suspicious osseous lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious osseous', 'observation': 'lesion'}}anatomical entity_fin: {'iliac fossa': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'interval resolution': {'clinical finding': 'interval resolution', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'resolution'}, 'hypoattenuating focus': {'clinical finding': 'hypoattenuating focus', 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating', 'observation': 'focus'}}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: {'quadrant': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']procedure_fin: ['cystectomy', 'ileal conduit']location descriptor_fin: ['left']clinical findings_fin: {'left operator chain lymph nodes': {'clinical finding': 'left operator chain lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'left operator chain lymph', 'observation': 'node'}}size_fin: [{'size': '1.7 x 1.1 cm'}, {'size': '3.3 x 2.6 cm'}]clinical findings_fin: {'lymph nodes': {'clinical finding': 'lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'lymph', 'observation': 'node'}}anatomical entity_fin: {'retroperitoneum': {}}object_fin: ['surgical clips']clinical findings_fin: {'surgical clips': {'clinical finding': 'surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'clip'}, 'retroperitoneal dissection': {'clinical finding': 'retroperitoneal dissection', 'existence': 'pos_dx', 'descriptive_term': 'retroperitoneal', 'observation': 'dissection'}}anatomical entity_fin: {'iliac fossa': {'location descriptor': 'right'}, 'bowel': {}}location descriptor_fin: ['right']object_fin: ['surgical clips']clinical findings_fin: {'numerous surgical clips': {'clinical finding': 'numerous surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'numerous surgical', 'observation': 'clip', 'quantity_term': 'numerous'}, 'soft tissue attenuation': {'clinical finding': 'soft tissue attenuation', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'attenuation'}, 'small bowel obstruction': {'clinical finding': 'small bowel obstruction', 'cf_snomed': {'small bowel obstruction': 281255004}, 'existence': 'neg_dx', 'descriptive_term': 'small bowel', 'observation': 'obstruction', 'strength_term': 'small'}}anatomical entity_fin: {'bowel': {}, 'quadrant': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'mild wall thickening': {'clinical finding': 'mild wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild wall', 'observation': 'thickening', 'strength_term': 'mild'}, 'nonspecific': {'clinical finding': 'nonspecific', 'existence': 'pos_dx', 'observation': 'nonspecific'}, 'posttreatment changes': {'clinical finding': 'posttreatment changes', 'existence': 'unc_dx', 'descriptive_term': 'posttreatment', 'observation': 'change'}}clinical findings_fin: {'suspicious osseous lesions': {'clinical finding': 'suspicious osseous lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious osseous', 'observation': 'lesion'}}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: {'airways': {'location descriptor': 'central'}}location descriptor_fin: ['central']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_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: {'right lung': {}, 'base': {}}clinical findings_fin: {'mild pleural nodularity': {'clinical finding': 'mild pleural nodularity', 'existence': 'pos_dx', 'descriptive_term': 'mild pleural', 'observation': 'nodularity', 'strength_term': 'mild'}}size_fin: [{'size': '2.0 x 1.6 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'reference right upper lobe nodule': {'clinical finding': 'reference right upper lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right upper lobe', 'observation': 'nodule'}}clinical findings_fin: {'new suspicious nodule': {'clinical finding': 'new suspicious nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'new suspicious', 'observation': 'nodule', 'temporal_term': 'new'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port']clinical findings_fin: {'right chest wall port-a-cath': {'clinical finding': 'right chest wall port-a-cath', 'existence': 'pos_dx', 'descriptive_term': 'right chest wall', 'observation': 'port-a-'}}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'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_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'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'focal liver lesions': {'clinical finding': 'focal liver lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal liver', 'observation': 'lesion'}}clinical findings_fin: {'intrahepatic or extrahepatic biliary ductal dilatation': {'clinical finding': 'intrahepatic or extrahepatic biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'descriptive_term': 'intrahepatic or extrahepatic biliary ductal', 'observation': 'dilatation'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'gallbladder is within normal limits': {'clinical finding': 'gallbladder is within normal limits'}}clinical findings_fin: {'punctate calcified granuloma': {'clinical finding': 'punctate calcified granuloma', 'cf_snomed': {'calcified granuloma': 48391002}, 'existence': 'pos_dx', 'descriptive_term': 'punctate calcified', 'observation': 'granuloma', 'change_term': 'calcified'}}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'}}location descriptor_fin: ['left']object_fin: ['nephrostomy tube']clinical findings_fin: {'percutaneous left nephrostomy tube': {'clinical finding': 'percutaneous left nephrostomy tube', 'existence': 'pos_dx', 'descriptive_term': 'percutaneous left nephrostomy', 'observation': 'tube'}}anatomical entity_fin: {'left kidney': {}, 'wall': {}}clinical findings_fin: {'atrophic left kidney': {'clinical finding': 'atrophic left kidney', 'existence': 'pos_dx', 'descriptive_term': 'atrophic left', 'observation': 'kidney', 'change_term': 'atrophic'}, 'mild enhancement': {'clinical finding': 'mild enhancement', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'enhancement', 'strength_term': 'mild'}}anatomical entity_fin: {'right kidney': {}}imaging observation_fin: ['foci']clinical findings_fin: {'multiple hypoattenuating foci': {'clinical finding': 'multiple hypoattenuating foci', 'existence': 'pos_dx', 'descriptive_term': 'multiple hypoattenuating', 'observation': 'foci', 'quantity_term': 'multiple'}}anatomical entity_fin: {'ureters': {}, 'quadrant': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'empty': {'clinical finding': 'empty', 'existence': 'pos_dx', 'observation': 'empty'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '2.0 x 0.5 cm'}, {'size': '2.9 x 1.3 cm'}]location descriptor_fin: ['left']clinical findings_fin: {'reference left periaortic lymph node': {'clinical finding': 'reference left periaortic lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference left periaortic lymph', 'observation': 'node'}}location descriptor_fin: ['left']clinical findings_fin: {'reference left peripancreatic lymph node': {'clinical finding': 'reference left peripancreatic lymph node', 'cf_snomed': {'peripancreatic lymph node': 245346008}, 'existence': 'neg_dx', 'descriptive_term': 'reference left peripancreatic lymph', 'observation': 'node'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'left lower'}, 'bowel': {}}location descriptor_fin: ['left', 'lower']procedure_fin: ['colostomy']clinical findings_fin: {'peristomal hernia': {'clinical finding': 'peristomal hernia', 'cf_snomed': {'hernia': 414403008}, 'existence': 'pos_dx', 'descriptive_term': 'peristomal', 'observation': 'hernia'}, 'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}}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: {'sigmoid colon': {}}clinical findings_fin: {'blind-ending sigmoid colon': {'clinical finding': 'blind-ending sigmoid colon', 'existence': 'pos_dx', 'descriptive_term': 'blind-ending sigmoid', 'observation': 'colon'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}anatomical entity_fin: {'mesenteric lymph nodes': {}}clinical findings_fin: {'scattered mesenteric lymph nodes': {'clinical finding': 'scattered mesenteric lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'scattered mesenteric lymph', 'observation': 'node'}, 'enlarged': {'clinical finding': 'enlarged', 'existence': 'neg_dx', 'observation': 'enlarged'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative disease': {'clinical finding': 'degenerative disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'disease'}}clinical findings_fin: {'suspicious osseous lesions': {'clinical finding': 'suspicious osseous lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious osseous', 'observation': 'lesion'}}anatomical entity_fin: {'iliac fossa': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'interval resolution': {'clinical finding': 'interval resolution', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'resolution'}, 'hypoattenuating focus': {'clinical finding': 'hypoattenuating focus', 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating', 'observation': 'focus'}}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: {'quadrant': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']procedure_fin: ['cystectomy', 'ileal conduit']location descriptor_fin: ['left']clinical findings_fin: {'left operator chain lymph nodes': {'clinical finding': 'left operator chain lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'left operator chain lymph', 'observation': 'node'}}size_fin: [{'size': '1.7 x 1.1 cm'}, {'size': '3.3 x 2.6 cm'}]clinical findings_fin: {'lymph nodes': {'clinical finding': 'lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'lymph', 'observation': 'node'}}anatomical entity_fin: {'retroperitoneum': {}}object_fin: ['surgical clips']clinical findings_fin: {'surgical clips': {'clinical finding': 'surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'clip'}, 'retroperitoneal dissection': {'clinical finding': 'retroperitoneal dissection', 'existence': 'pos_dx', 'descriptive_term': 'retroperitoneal', 'observation': 'dissection'}}anatomical entity_fin: {'iliac fossa': {'location descriptor': 'right'}, 'bowel': {}}location descriptor_fin: ['right']object_fin: ['surgical clips']clinical findings_fin: {'numerous surgical clips': {'clinical finding': 'numerous surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'numerous surgical', 'observation': 'clip', 'quantity_term': 'numerous'}, 'soft tissue attenuation': {'clinical finding': 'soft tissue attenuation', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'attenuation'}, 'small bowel obstruction': {'clinical finding': 'small bowel obstruction', 'cf_snomed': {'small bowel obstruction': 281255004}, 'existence': 'neg_dx', 'descriptive_term': 'small bowel', 'observation': 'obstruction', 'strength_term': 'small'}}anatomical entity_fin: {'bowel': {}, 'quadrant': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'mild wall thickening': {'clinical finding': 'mild wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild wall', 'observation': 'thickening', 'strength_term': 'mild'}, 'nonspecific': {'clinical finding': 'nonspecific', 'existence': 'pos_dx', 'observation': 'nonspecific'}, 'posttreatment changes': {'clinical finding': 'posttreatment changes', 'existence': 'unc_dx', 'descriptive_term': 'posttreatment', 'observation': 'change'}}clinical findings_fin: {'suspicious osseous lesions': {'clinical finding': 'suspicious osseous lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious osseous', 'observation': 'lesion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . The central airways are patent. No pneumothorax or pleural effusion. Mild pleural nodularity in the right lung base, new. Reference right upper lobe nodule measures 2.0 x 1.6 cm. No new suspicious nodule or mass. Right chest wall Port-A-Cath tip is in the SVC. No significant mediastinal or hilar lymphadenopathy. The heart size is normal without pericardial effusion. Mild. No significant lymphadenopathy. No focal liver lesions. No intrahepatic or extrahepatic biliary ductal dilatation. Gallbladder is within normal limits. Punctate calcified granuloma unchanged. No significant abnormality noted. No significant abnormality noted. Percutaneous left nephrostomy tube is unchanged. Atrophic left kidney with mild enhancement of the ureteral wall is unchanged. Multiple hypoattenuating foci in the right kidney are unchanged and too small to further characterize. The ureters empty into a right lower quadrant conduit. Interval decrease in size of lymphadenopathy. Reference left periaortic lymph node measures 2.0 x 0.5 cm, previously 2.9 x 1.3 cm. Reference left peripancreatic lymph node is no longer seen. Moderate. Left lower quadrant colostomy with peristomal hernia containing a loop of contrast opacified small bowel, appearing decreased in size when compared to the prior exam. Diverticulosis without evidence of diverticulitis. Blind-ending sigmoid colon. Small bowel caliber is within normal limits without evidence of obstruction. Scattered mesenteric lymph nodes not pathologically enlarged by size criteria. Degenerative disease of the spine most prominent at the L4-L5 level. No suspicious osseous lesions. Interval resolution of hypoattenuating focus previously seen in the right iliac fossa. No significant abnormality noted. No significant abnormality noted. Status post cystectomy with right lower quadrant ileal conduit. Interval decrease in size of left operator chain lymph nodes. Significant decrease in size of reference conglomerate of lymph nodes now measuring 1.7 x 1.1 cm , previously 3.3 x 2.6 cm. Surgical clips in the retroperitoneum are unchanged reflecting retroperitoneal dissection. Numerous surgical clips in the right iliac fossa with soft tissue attenuation and mild tethering and angulation of small bowel without evidence of small bowel obstruction. Mild wall thickening of these loops of bowel in the right lower quadrant are nonspecific and may be related to posttreatment changes. No suspicious osseous lesions. No significant abnormality noted. </s>