The absence of intravenous contrast limits evaluation of the solid organs and vasculature. Absence of oral contrast limits evaluation of bowel. Interval increase of left pleural effusion with associated atelectasis or consolidation. Stable right small pleural effusion. Trace pericardial effusion. Redemonstration of vicarious excretion of the contrast into the gallbladder. Distended gallbladder with cholelithiasis again noted. Splenule noted. Interval minimal increase in size of the pancreatic tail fluid collection measuring 5.0 x 3.8 cm , previously 4.9 x 3.2 cm. There is hyperdensity within this fluid collection, which is more pronounced and increased in size from prior study, hemorrhage measures 3.2 x 2.8 cm , previously 2.2 x 1.2 cm. Appearance concerning for hemorrhage and particularly active bleeding, suboptimally assessed on this noncontrast CT. No significant abnormality noted. Left renal hypodensities compatible with cysts. No significant abnormality noted. None. Mild body wall edema, right greater than left. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Scattered bilateral inguinal lymph nodes. Peritoneal dialysis catheter in place. Interval decrease of the pelvic free fluid. No significant abnormality noted. No significant abnormality noted.
anatomical entity_fin: {'solid organs': {}, 'vasculature': {}}clinical findings_fin: {'intravenous contrast': {'clinical finding': 'intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'}}anatomical entity_fin: {'bowel': {}}non-anatomical substance_fin: ['oral contrast']location descriptor_fin: ['left']clinical findings_fin: {'left pleural effusion': {'clinical finding': 'left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'left pleural', 'observation': 'effusion'}, 'associated atelectasis': {'clinical finding': 'associated atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'associated', 'observation': 'atelectasis'}, 'consolidation': {'clinical finding': 'consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'unc_dx', 'observation': 'consolidation'}}location descriptor_fin: ['right']clinical findings_fin: {'stable right small pleural effusion': {'clinical finding': 'stable right small pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'stable right small pleural', 'observation': 'effusion', 'strength_term': 'stable - small', 'change_term': 'stable'}}clinical findings_fin: {'trace pericardial effusion': {'clinical finding': 'trace pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'trace pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'vicarious excretion': {'clinical finding': 'vicarious excretion', 'existence': 'pos_dx', 'descriptive_term': 'vicarious', 'observation': 'excretion'}, 'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'}}size_fin: [{'size': '5.0 x 3.8 cm'}, {'size': '4.9 x 3.2 cm'}]clinical findings_fin: {'pancreatic tail fluid collection': {'clinical finding': 'pancreatic tail fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'pancreatic tail fluid', 'observation': 'collection'}}size_fin: [{'size': '3.2 x 2.8 cm', 'size_descriptor': 'hyperdensity'}, {'size': '2.2 x 1.2 cm', 'size_descriptor': 'hemorrhage'}]clinical findings_fin: {'hyperdensity': {'clinical finding': 'hyperdensity', 'existence': 'pos_dx', 'observation': 'hyperdensity'}, 'this fluid collection': {'clinical finding': 'this fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'this fluid', 'observation': 'collection'}, 'hemorrhage': {'clinical finding': 'hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'pos_dx', 'observation': 'hemorrhage'}}clinical findings_fin: {'hemorrhage': {'clinical finding': 'hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'unc_dx', 'observation': 'hemorrhage'}, 'particularly active bleeding': {'clinical finding': 'particularly active bleeding', 'cf_snomed': {'bleeding': 131148009}, 'existence': 'unc_dx', 'descriptive_term': 'particularly active', 'observation': 'bleed', 'strength_term': 'active'}, 'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['left']clinical findings_fin: {'left renal hypodensities': {'clinical finding': 'left renal hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'left renal', 'observation': 'hypodensity'}, 'cysts': {'clinical finding': 'cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'observation': 'cyst'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'body wall': {}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'mild body wall edema': {'clinical finding': 'mild body wall edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'mild body wall', 'observation': 'edema', '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'}}anatomical entity_fin: {'inguinal lymph nodes': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'scattered bilateral inguinal lymph nodes': {'clinical finding': 'scattered bilateral inguinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered bilateral inguinal lymph', 'observation': 'node'}}object_fin: ['catheter']clinical findings_fin: {'pelvic free fluid': {'clinical finding': 'pelvic free fluid', 'existence': 'pos_dx', 'descriptive_term': 'pelvic free', 'observation': 'fluid'}}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: anatomical entity_fin: {'solid organs': {}, 'vasculature': {}}clinical findings_fin: {'intravenous contrast': {'clinical finding': 'intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'}}anatomical entity_fin: {'bowel': {}}non-anatomical substance_fin: ['oral contrast']location descriptor_fin: ['left']clinical findings_fin: {'left pleural effusion': {'clinical finding': 'left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'left pleural', 'observation': 'effusion'}, 'associated atelectasis': {'clinical finding': 'associated atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'associated', 'observation': 'atelectasis'}, 'consolidation': {'clinical finding': 'consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'unc_dx', 'observation': 'consolidation'}}location descriptor_fin: ['right']clinical findings_fin: {'stable right small pleural effusion': {'clinical finding': 'stable right small pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'stable right small pleural', 'observation': 'effusion', 'strength_term': 'stable - small', 'change_term': 'stable'}}clinical findings_fin: {'trace pericardial effusion': {'clinical finding': 'trace pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'trace pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'vicarious excretion': {'clinical finding': 'vicarious excretion', 'existence': 'pos_dx', 'descriptive_term': 'vicarious', 'observation': 'excretion'}, 'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'}}size_fin: [{'size': '5.0 x 3.8 cm'}, {'size': '4.9 x 3.2 cm'}]clinical findings_fin: {'pancreatic tail fluid collection': {'clinical finding': 'pancreatic tail fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'pancreatic tail fluid', 'observation': 'collection'}}size_fin: [{'size': '3.2 x 2.8 cm', 'size_descriptor': 'hyperdensity'}, {'size': '2.2 x 1.2 cm', 'size_descriptor': 'hemorrhage'}]clinical findings_fin: {'hyperdensity': {'clinical finding': 'hyperdensity', 'existence': 'pos_dx', 'observation': 'hyperdensity'}, 'this fluid collection': {'clinical finding': 'this fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'this fluid', 'observation': 'collection'}, 'hemorrhage': {'clinical finding': 'hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'pos_dx', 'observation': 'hemorrhage'}}clinical findings_fin: {'hemorrhage': {'clinical finding': 'hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'unc_dx', 'observation': 'hemorrhage'}, 'particularly active bleeding': {'clinical finding': 'particularly active bleeding', 'cf_snomed': {'bleeding': 131148009}, 'existence': 'unc_dx', 'descriptive_term': 'particularly active', 'observation': 'bleed', 'strength_term': 'active'}, 'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['left']clinical findings_fin: {'left renal hypodensities': {'clinical finding': 'left renal hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'left renal', 'observation': 'hypodensity'}, 'cysts': {'clinical finding': 'cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'observation': 'cyst'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'body wall': {}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'mild body wall edema': {'clinical finding': 'mild body wall edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'mild body wall', 'observation': 'edema', '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'}}anatomical entity_fin: {'inguinal lymph nodes': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'scattered bilateral inguinal lymph nodes': {'clinical finding': 'scattered bilateral inguinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered bilateral inguinal lymph', 'observation': 'node'}}object_fin: ['catheter']clinical findings_fin: {'pelvic free fluid': {'clinical finding': 'pelvic free fluid', 'existence': 'pos_dx', 'descriptive_term': 'pelvic free', 'observation': 'fluid'}}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] The absence of intravenous contrast limits evaluation of the solid organs and vasculature. Absence of oral contrast limits evaluation of bowel. Interval increase of left pleural effusion with associated atelectasis or consolidation. Stable right small pleural effusion. Trace pericardial effusion. Redemonstration of vicarious excretion of the contrast into the gallbladder. Distended gallbladder with cholelithiasis again noted. Splenule noted. Interval minimal increase in size of the pancreatic tail fluid collection measuring 5.0 x 3.8 cm , previously 4.9 x 3.2 cm. There is hyperdensity within this fluid collection, which is more pronounced and increased in size from prior study, hemorrhage measures 3.2 x 2.8 cm , previously 2.2 x 1.2 cm. Appearance concerning for hemorrhage and particularly active bleeding, suboptimally assessed on this noncontrast CT. No significant abnormality noted. Left renal hypodensities compatible with cysts. No significant abnormality noted. None. Mild body wall edema, right greater than left. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Scattered bilateral inguinal lymph nodes. Peritoneal dialysis catheter in place. Interval decrease of the pelvic free fluid. No significant abnormality noted. No significant abnormality noted. </s>