. New small left pleural effusion. Basilar atelectasis. No lung nodules. Small mediastinal nodes are unchanged. Nonpathologic in size. Some calcified granulomata. Port-A-Cath right chest wall. Multifocal hypodensities unchanged likely cysts. No significant abnormality noted. Postsurgical changes consistent with Whipple procedure. Soft tissue mass in the pancreatic bed invading the left upper pole of the kidney with soft tissue and fluid density areas in some bubbles of gas concerning for tumor necrosis less likely communication to bowel. Loss of fat plane to bowel loops in the left upper quadrant. No significant abnormality noted. No significant abnormality noted. Stable small retroperitoneal nodes index node left periaortic area series 3 image 120, 21.7 x 0.9 cm previously 1.6 x 1.3 cm. No high-grade mechanical small bowel obstruction dilated small bowel measuring up to 5.2 cm. Transition zone is probably in the left upper quadrant near the pancreatic mass best seen on coronal image 55. No evidence of carcinomatosis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Dilated small bowel loops extend into the pelvis. See abdominal section above. No significant abnormality noted. No significant abnormality noted
location descriptor_fin: ['left']clinical findings_fin: {'new small left pleural effusion': {'clinical finding': 'new small left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'new small left pleural', 'observation': 'effusion', 'strength_term': 'small', 'temporal_term': 'new'}}clinical findings_fin: {'basilar atelectasis': {'clinical finding': 'basilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'basilar', 'observation': 'atelectasis'}}anatomical entity_fin: {'lung': {}}clinical findings_fin: {'lung nodules': {'clinical finding': 'lung nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'lung', 'observation': 'nodule'}}clinical findings_fin: {'small mediastinal nodes': {'clinical finding': 'small mediastinal nodes', 'existence': 'pos_dx', 'descriptive_term': 'small mediastinal', 'observation': 'node', 'strength_term': 'small'}}clinical findings_fin: {'some calcified granulomata': {'clinical finding': 'some calcified granulomata', 'existence': 'pos_dx', 'descriptive_term': 'some calcified', 'observation': 'granulomata', 'quantity_term': 'some', 'change_term': 'calcified'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port']clinical findings_fin: {'multifocal hypodensities unchanged likely cysts': {'clinical finding': 'multifocal hypodensities unchanged likely cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'multifocal hypodensities unchanged likely', 'observation': 'cyst', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'whipple': {'clinical finding': 'whipple', 'existence': 'pos_dx', 'observation': 'whipple'}}anatomical entity_fin: {'pole': {'location descriptor': 'left upper'}, 'kidney': {}, 'fluid': {}, 'bowel': {}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'soft tissue mass': {'clinical finding': 'soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'mass'}, 'some bubbles': {'clinical finding': 'some bubbles', 'existence': 'pos_dx', 'descriptive_term': 'some', 'observation': 'bubbles', 'quantity_term': 'some'}, 'gas': {'clinical finding': 'gas', 'existence': 'pos_dx', 'observation': 'gas'}, 'tumor necrosis': {'clinical finding': 'tumor necrosis', 'cf_snomed': {'tumor necrosis': 34823008}, 'existence': 'unc_dx', 'descriptive_term': 'tumor', 'observation': 'necrosis'}}anatomical entity_fin: {'bowel': {}, 'quadrant': {'location descriptor': 'left upper'}}imaging observation_fin: ['fat']location descriptor_fin: ['left', 'upper']clinical findings_fin: {'fat plane': {'clinical finding': 'fat plane', 'existence': 'pos_dx', 'descriptive_term': 'fat', 'observation': 'plane'}}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'}}size_fin: [{'size': '21.7 x 0.9 cm'}, {'size': '1.6 x 1.3 cm'}]location descriptor_fin: ['left']clinical findings_fin: {'stable small retroperitoneal nodes': {'clinical finding': 'stable small retroperitoneal nodes', 'existence': 'pos_dx', 'descriptive_term': 'stable small retroperitoneal', 'observation': 'node', 'strength_term': 'stable - small', 'change_term': 'stable'}, 'index node': {'clinical finding': 'index node', 'existence': 'pos_dx', 'descriptive_term': 'index', 'observation': 'node'}}size_fin: [{'size': '5.2 cm', 'size_descriptor': 'obstruction'}]anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'high-grade mechanical small bowel obstruction': {'clinical finding': 'high-grade mechanical small bowel obstruction', 'cf_snomed': {'small bowel obstruction': 281255004}, 'existence': 'neg_dx', 'descriptive_term': 'high-grade mechanical small bowel', 'observation': 'obstruction', 'strength_term': 'small'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'pancreatic mass': {'clinical finding': 'pancreatic mass', 'existence': 'unc_dx', 'descriptive_term': 'pancreatic', 'observation': 'mass'}}clinical findings_fin: {'carcinomatosis': {'clinical finding': 'carcinomatosis', 'cf_snomed': {'carcinomatosis': 307593001}, 'existence': 'neg_dx', 'observation': 'carcinomatosis'}}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: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'bowel': {}, 'pelvis': {}}clinical findings_fin: {'dilated small bowel loops extend into the pelvis': {'clinical finding': 'dilated small bowel loops extend into the pelvis', 'change_term': 'dilated'}}anatomical entity_fin: {'abdominal': {}}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: ['left']clinical findings_fin: {'new small left pleural effusion': {'clinical finding': 'new small left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'new small left pleural', 'observation': 'effusion', 'strength_term': 'small', 'temporal_term': 'new'}}clinical findings_fin: {'basilar atelectasis': {'clinical finding': 'basilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'basilar', 'observation': 'atelectasis'}}anatomical entity_fin: {'lung': {}}clinical findings_fin: {'lung nodules': {'clinical finding': 'lung nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'lung', 'observation': 'nodule'}}clinical findings_fin: {'small mediastinal nodes': {'clinical finding': 'small mediastinal nodes', 'existence': 'pos_dx', 'descriptive_term': 'small mediastinal', 'observation': 'node', 'strength_term': 'small'}}clinical findings_fin: {'some calcified granulomata': {'clinical finding': 'some calcified granulomata', 'existence': 'pos_dx', 'descriptive_term': 'some calcified', 'observation': 'granulomata', 'quantity_term': 'some', 'change_term': 'calcified'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port']clinical findings_fin: {'multifocal hypodensities unchanged likely cysts': {'clinical finding': 'multifocal hypodensities unchanged likely cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'multifocal hypodensities unchanged likely', 'observation': 'cyst', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'whipple': {'clinical finding': 'whipple', 'existence': 'pos_dx', 'observation': 'whipple'}}anatomical entity_fin: {'pole': {'location descriptor': 'left upper'}, 'kidney': {}, 'fluid': {}, 'bowel': {}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'soft tissue mass': {'clinical finding': 'soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'mass'}, 'some bubbles': {'clinical finding': 'some bubbles', 'existence': 'pos_dx', 'descriptive_term': 'some', 'observation': 'bubbles', 'quantity_term': 'some'}, 'gas': {'clinical finding': 'gas', 'existence': 'pos_dx', 'observation': 'gas'}, 'tumor necrosis': {'clinical finding': 'tumor necrosis', 'cf_snomed': {'tumor necrosis': 34823008}, 'existence': 'unc_dx', 'descriptive_term': 'tumor', 'observation': 'necrosis'}}anatomical entity_fin: {'bowel': {}, 'quadrant': {'location descriptor': 'left upper'}}imaging observation_fin: ['fat']location descriptor_fin: ['left', 'upper']clinical findings_fin: {'fat plane': {'clinical finding': 'fat plane', 'existence': 'pos_dx', 'descriptive_term': 'fat', 'observation': 'plane'}}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'}}size_fin: [{'size': '21.7 x 0.9 cm'}, {'size': '1.6 x 1.3 cm'}]location descriptor_fin: ['left']clinical findings_fin: {'stable small retroperitoneal nodes': {'clinical finding': 'stable small retroperitoneal nodes', 'existence': 'pos_dx', 'descriptive_term': 'stable small retroperitoneal', 'observation': 'node', 'strength_term': 'stable - small', 'change_term': 'stable'}, 'index node': {'clinical finding': 'index node', 'existence': 'pos_dx', 'descriptive_term': 'index', 'observation': 'node'}}size_fin: [{'size': '5.2 cm', 'size_descriptor': 'obstruction'}]anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'high-grade mechanical small bowel obstruction': {'clinical finding': 'high-grade mechanical small bowel obstruction', 'cf_snomed': {'small bowel obstruction': 281255004}, 'existence': 'neg_dx', 'descriptive_term': 'high-grade mechanical small bowel', 'observation': 'obstruction', 'strength_term': 'small'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'pancreatic mass': {'clinical finding': 'pancreatic mass', 'existence': 'unc_dx', 'descriptive_term': 'pancreatic', 'observation': 'mass'}}clinical findings_fin: {'carcinomatosis': {'clinical finding': 'carcinomatosis', 'cf_snomed': {'carcinomatosis': 307593001}, 'existence': 'neg_dx', 'observation': 'carcinomatosis'}}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: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'bowel': {}, 'pelvis': {}}clinical findings_fin: {'dilated small bowel loops extend into the pelvis': {'clinical finding': 'dilated small bowel loops extend into the pelvis', 'change_term': 'dilated'}}anatomical entity_fin: {'abdominal': {}}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] . New small left pleural effusion. Basilar atelectasis. No lung nodules. Small mediastinal nodes are unchanged. Nonpathologic in size. Some calcified granulomata. Port-A-Cath right chest wall. Multifocal hypodensities unchanged likely cysts. No significant abnormality noted. Postsurgical changes consistent with Whipple procedure. Soft tissue mass in the pancreatic bed invading the left upper pole of the kidney with soft tissue and fluid density areas in some bubbles of gas concerning for tumor necrosis less likely communication to bowel. Loss of fat plane to bowel loops in the left upper quadrant. No significant abnormality noted. No significant abnormality noted. Stable small retroperitoneal nodes index node left periaortic area series 3 image 120, 21.7 x 0.9 cm previously 1.6 x 1.3 cm. No high-grade mechanical small bowel obstruction dilated small bowel measuring up to 5.2 cm. Transition zone is probably in the left upper quadrant near the pancreatic mass best seen on coronal image 55. No evidence of carcinomatosis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Dilated small bowel loops extend into the pelvis. See abdominal section above. No significant abnormality noted. No significant abnormality noted </s>