. Interval resolution of previously seen small left pleural effusion. Cirrhotic liver morphology. No definite enhancement seen with respect to ablation cavities. Stable to mild interval decrease in size of index ablation cavity, measuring 3 x 2.1 cm on image 39 series 9, remeasured on earlier study as 3.1 x 2.3 cm. Another ablation cavity seen in inferior right hepatic lobe without significant change, measuring 2.6 x 2.1 cm on image 48 series 11, previously measured 2.7 x 2 cm. Several arterially enhancing lesions seen with at least one demonstrating washout on subsequent delayed imaging, for example, see peripheral left hepatic lesion measuring 2 x 1.5 cm on image 26 series 9 , see hepatic dome lesion located in hepatic segment 4 measuring 1.2 x 0.9 cm on image 19 series Additional index lesion seen measuring up to 1.6 cm without significant change, image 27 series Associated contour lobulation seen with respect to a couple of these lesions. Also seen are more pronounced and new arterially enhancing lesions. For instance, 6 x 5 mm focus located medial to the initially described ablation cavity, image 39 series 9, with associated contralateral abnormality and washout seen. Again dedicated liver MRI recommended for improved characterization of these lesions. Gastroesophageal and upper abdominal variceal formation. Cholelithiasis in contracted gallbladder. Prominent spleen. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Mild retroperitoneal including left para-aortic and aortocaval adenopathy, similar to earlier study. Mild abdominal aortic atherosclerotic calcifications. Enlarged gastrohepatic and periportal lymphadenopathy, similar to earlier study and most likely reactive in etiology. Visualized osseous structures stable in appearance including incompletely imaged small sclerotic focus in right iliac wing, image 82 series 3.
location descriptor_fin: ['left']clinical findings_fin: {'interval resolution': {'clinical finding': 'interval resolution', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'resolution'}, 'previously seen small left pleural effusion': {'clinical finding': 'previously seen small left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'previously seen small left pleural', 'observation': 'effusion', 'strength_term': 'small'}}anatomical entity_fin: {'liver': {}}procedure_fin: ['ablation']clinical findings_fin: {'definite enhancement': {'clinical finding': 'definite enhancement', 'existence': 'neg_dx', 'descriptive_term': 'definite', 'observation': 'enhancement'}}size_fin: [{'size': '3 x 2.1 cm'}, {'size': '3.1 x 2.3 cm'}]procedure_fin: ['ablation']clinical findings_fin: {'stable to mild interval decrease in size of index ablation cavity , measuring': {'clinical finding': 'stable to mild interval decrease in size of index ablation cavity , measuring', 'cf_snomed': {'cavity': 2483006}, 'change_term': 'stable'}}size_fin: [{'size': '2.6 x 2.1 cm'}, {'size': '2.7 x 2 cm'}]anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['inferior', 'right']procedure_fin: ['ablation']clinical findings_fin: {'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}}size_fin: [{'size': '2 x 1.5 cm'}, {'size': '1.2 x 0.9 cm'}, {'size': '1.6 cm'}]imaging observation_fin: ['enhancing']location descriptor_fin: ['peripheral', 'left']clinical findings_fin: {'several arterially enhancing lesions': {'clinical finding': 'several arterially enhancing lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'several arterially enhancing', 'observation': 'lesion', 'quantity_term': 'several'}, 'peripheral left hepatic lesion': {'clinical finding': 'peripheral left hepatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'peripheral left hepatic', 'observation': 'lesion'}, 'hepatic dome lesion': {'clinical finding': 'hepatic dome lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'hepatic dome', 'observation': 'lesion'}, 'additional index lesion': {'clinical finding': 'additional index lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'additional index', 'observation': 'lesion'}, 'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}, 'associated contour lobulation': {'clinical finding': 'associated contour lobulation', 'descriptive_term': 'associated contour', 'observation': 'lobulation'}, 'these lesions': {'clinical finding': 'these lesions', 'cf_snomed': {'lesion': 52988006}, 'descriptive_term': 'these', 'observation': 'lesion'}}imaging observation_fin: ['enhancing']clinical findings_fin: {'new arterially enhancing lesions': {'clinical finding': 'new arterially enhancing lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'new arterially enhancing', 'observation': 'lesion', 'temporal_term': 'new'}}size_fin: [{'size': '6 x 5 mm', 'size_descriptor': 'focus'}]location descriptor_fin: ['medial', 'contralateral']procedure_fin: ['ablation']clinical findings_fin: {'associated contralateral abnormality': {'clinical finding': 'associated contralateral abnormality', 'existence': 'pos_dx', 'descriptive_term': 'associated contralateral', 'observation': 'abnormality'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'these lesions': {'clinical finding': 'these lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'these', 'observation': 'lesion'}}anatomical entity_fin: {'abdominal': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'}, 'contracted': {'clinical finding': 'contracted', 'existence': 'pos_dx', 'observation': 'contract'}}anatomical entity_fin: {'spleen': {}}clinical findings_fin: {'prominent spleen': {'clinical finding': 'prominent spleen'}}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'}}location descriptor_fin: ['left']clinical findings_fin: {'left para-aortic and aortocaval adenopathy': {'clinical finding': 'left para-aortic and aortocaval adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'left para-aortic and aortocaval', 'observation': 'adenopathy'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'mild abdominal aortic atherosclerotic calcifications': {'clinical finding': 'mild abdominal aortic atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'mild abdominal aortic atherosclerotic', 'observation': 'calcification', 'strength_term': 'mild'}}clinical findings_fin: {'enlarged gastrohepatic and periportal lymphadenopathy': {'clinical finding': 'enlarged gastrohepatic and periportal lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'descriptive_term': 'enlarged gastrohepatic and periportal', 'observation': 'lymphadenopathy', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}anatomical entity_fin: {'iliac wing': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'incompletely imaged small sclerotic focus': {'clinical finding': 'incompletely imaged small sclerotic focus', 'existence': 'pos_dx', 'descriptive_term': 'incompletely imaged small sclerotic', 'observation': 'focus', 'strength_term': 'small'}}
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['left']clinical findings_fin: {'interval resolution': {'clinical finding': 'interval resolution', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'resolution'}, 'previously seen small left pleural effusion': {'clinical finding': 'previously seen small left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'previously seen small left pleural', 'observation': 'effusion', 'strength_term': 'small'}}anatomical entity_fin: {'liver': {}}procedure_fin: ['ablation']clinical findings_fin: {'definite enhancement': {'clinical finding': 'definite enhancement', 'existence': 'neg_dx', 'descriptive_term': 'definite', 'observation': 'enhancement'}}size_fin: [{'size': '3 x 2.1 cm'}, {'size': '3.1 x 2.3 cm'}]procedure_fin: ['ablation']clinical findings_fin: {'stable to mild interval decrease in size of index ablation cavity , measuring': {'clinical finding': 'stable to mild interval decrease in size of index ablation cavity , measuring', 'cf_snomed': {'cavity': 2483006}, 'change_term': 'stable'}}size_fin: [{'size': '2.6 x 2.1 cm'}, {'size': '2.7 x 2 cm'}]anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['inferior', 'right']procedure_fin: ['ablation']clinical findings_fin: {'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}}size_fin: [{'size': '2 x 1.5 cm'}, {'size': '1.2 x 0.9 cm'}, {'size': '1.6 cm'}]imaging observation_fin: ['enhancing']location descriptor_fin: ['peripheral', 'left']clinical findings_fin: {'several arterially enhancing lesions': {'clinical finding': 'several arterially enhancing lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'several arterially enhancing', 'observation': 'lesion', 'quantity_term': 'several'}, 'peripheral left hepatic lesion': {'clinical finding': 'peripheral left hepatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'peripheral left hepatic', 'observation': 'lesion'}, 'hepatic dome lesion': {'clinical finding': 'hepatic dome lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'hepatic dome', 'observation': 'lesion'}, 'additional index lesion': {'clinical finding': 'additional index lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'additional index', 'observation': 'lesion'}, 'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}, 'associated contour lobulation': {'clinical finding': 'associated contour lobulation', 'descriptive_term': 'associated contour', 'observation': 'lobulation'}, 'these lesions': {'clinical finding': 'these lesions', 'cf_snomed': {'lesion': 52988006}, 'descriptive_term': 'these', 'observation': 'lesion'}}imaging observation_fin: ['enhancing']clinical findings_fin: {'new arterially enhancing lesions': {'clinical finding': 'new arterially enhancing lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'new arterially enhancing', 'observation': 'lesion', 'temporal_term': 'new'}}size_fin: [{'size': '6 x 5 mm', 'size_descriptor': 'focus'}]location descriptor_fin: ['medial', 'contralateral']procedure_fin: ['ablation']clinical findings_fin: {'associated contralateral abnormality': {'clinical finding': 'associated contralateral abnormality', 'existence': 'pos_dx', 'descriptive_term': 'associated contralateral', 'observation': 'abnormality'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'these lesions': {'clinical finding': 'these lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'these', 'observation': 'lesion'}}anatomical entity_fin: {'abdominal': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'}, 'contracted': {'clinical finding': 'contracted', 'existence': 'pos_dx', 'observation': 'contract'}}anatomical entity_fin: {'spleen': {}}clinical findings_fin: {'prominent spleen': {'clinical finding': 'prominent spleen'}}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'}}location descriptor_fin: ['left']clinical findings_fin: {'left para-aortic and aortocaval adenopathy': {'clinical finding': 'left para-aortic and aortocaval adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'left para-aortic and aortocaval', 'observation': 'adenopathy'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'mild abdominal aortic atherosclerotic calcifications': {'clinical finding': 'mild abdominal aortic atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'mild abdominal aortic atherosclerotic', 'observation': 'calcification', 'strength_term': 'mild'}}clinical findings_fin: {'enlarged gastrohepatic and periportal lymphadenopathy': {'clinical finding': 'enlarged gastrohepatic and periportal lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'descriptive_term': 'enlarged gastrohepatic and periportal', 'observation': 'lymphadenopathy', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}anatomical entity_fin: {'iliac wing': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'incompletely imaged small sclerotic focus': {'clinical finding': 'incompletely imaged small sclerotic focus', 'existence': 'pos_dx', 'descriptive_term': 'incompletely imaged small sclerotic', 'observation': 'focus', 'strength_term': 'small'}} [/INST] . Interval resolution of previously seen small left pleural effusion. Cirrhotic liver morphology. No definite enhancement seen with respect to ablation cavities. Stable to mild interval decrease in size of index ablation cavity, measuring 3 x 2.1 cm on image 39 series 9, remeasured on earlier study as 3.1 x 2.3 cm. Another ablation cavity seen in inferior right hepatic lobe without significant change, measuring 2.6 x 2.1 cm on image 48 series 11, previously measured 2.7 x 2 cm. Several arterially enhancing lesions seen with at least one demonstrating washout on subsequent delayed imaging, for example, see peripheral left hepatic lesion measuring 2 x 1.5 cm on image 26 series 9 , see hepatic dome lesion located in hepatic segment 4 measuring 1.2 x 0.9 cm on image 19 series Additional index lesion seen measuring up to 1.6 cm without significant change, image 27 series Associated contour lobulation seen with respect to a couple of these lesions. Also seen are more pronounced and new arterially enhancing lesions. For instance, 6 x 5 mm focus located medial to the initially described ablation cavity, image 39 series 9, with associated contralateral abnormality and washout seen. Again dedicated liver MRI recommended for improved characterization of these lesions. Gastroesophageal and upper abdominal variceal formation. Cholelithiasis in contracted gallbladder. Prominent spleen. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Mild retroperitoneal including left para-aortic and aortocaval adenopathy, similar to earlier study. Mild abdominal aortic atherosclerotic calcifications. Enlarged gastrohepatic and periportal lymphadenopathy, similar to earlier study and most likely reactive in etiology. Visualized osseous structures stable in appearance including incompletely imaged small sclerotic focus in right iliac wing, image 82 series 3. </s>