. Bilateral pleural effusions, right greater than left. No suspicious pulmonary nodules or masses. Status post cholecystectomy. Mild biliary ductal dilatation, likely postoperative in etiology. Portal and hepatic veins appear patent. Several nonspecific hypodense foci in the spleen are again seen with the previously described referenced lesion again measuring 1.5 cm. No significant abnormality noted. No significant abnormality noted. Nonobstructing right renal calculus, unchanged. A subcentimeter hypodensity in the left renal cortex appears similar to the prior. No significant abnormality noted. Mild. Midline abdominal wall defect is again seen now with multiple loops of bowel protruding through it, with no evidence of obstruction or incarceration. No significant abnormality noted. Bilateral abdominal fluid collections are again seen with percutaneous drains positioned in both. The collection in the right hemiabdomen measures 17.3 x 5.2 cm , previously 18.9 x 4.7 cm. This collection extends along the subhepatic space. This collection contains a small amount of contrast in a dependent position which is likely from the patients recent IR drain placement. There is no definite evidence of communication between this fluid collection and the bowel. The collection in the left hemiabdomen measures 6.9 x 2.9 cm , previously 17.9 x 9.9 cm. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted
location descriptor_fin: ['bilateral', 'right', 'left']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'}}clinical findings_fin: {'suspicious pulmonary nodules': {'clinical finding': 'suspicious pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}procedure_fin: ['cholecystectomy']clinical findings_fin: {'mild biliary ductal dilatation': {'clinical finding': 'mild biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'pos_dx', 'descriptive_term': 'mild biliary ductal', 'observation': 'dilatation', 'strength_term': 'mild'}}anatomical entity_fin: {'hepatic veins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}size_fin: [{'size': '1.5 cm'}]anatomical entity_fin: {'spleen': {}}imaging observation_fin: ['foci']clinical findings_fin: {'several nonspecific hypodense foci': {'clinical finding': 'several nonspecific hypodense foci', 'existence': 'pos_dx', 'descriptive_term': 'several nonspecific hypodense', 'observation': 'foci', 'quantity_term': 'several'}, 'previously described referenced lesion': {'clinical finding': 'previously described referenced lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'previously described referenced', 'observation': 'lesion'}}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: ['right']clinical findings_fin: {'right renal calculus': {'clinical finding': 'right renal calculus', 'cf_snomed': {'calculus': 56381008}, 'existence': 'pos_dx', 'descriptive_term': 'right renal', 'observation': 'calculus'}}anatomical entity_fin: {'cortex': {}}location descriptor_fin: ['left']clinical findings_fin: {'subcentimeter hypodensity': {'clinical finding': 'subcentimeter hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter', 'observation': 'hypodensity'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {'location descriptor': 'midline'}, 'wall': {}, 'bowel': {}}location descriptor_fin: ['midline']clinical findings_fin: {'midline abdominal wall defect': {'clinical finding': 'midline abdominal wall defect', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'descriptive_term': 'midline abdominal wall', 'observation': 'defect'}, 'multiple loops': {'clinical finding': 'multiple loops', 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'loop', 'quantity_term': 'multiple'}, 'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}, 'incarceration': {'clinical finding': 'incarceration', 'existence': 'neg_dx', 'observation': 'incarceration'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {'location descriptor': 'bilateral'}, 'fluid': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'again seen with percutaneous drains positioned': {'clinical finding': 'again seen with percutaneous drains positioned'}}size_fin: [{'size': '17.3 x 5.2 cm'}, {'size': '18.9 x 4.7 cm'}]location descriptor_fin: ['right']anatomical entity_fin: {'subhepatic space': {}}clinical findings_fin: {'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'communication': {'clinical finding': 'communication', 'existence': 'neg_dx', 'observation': 'communication'}, 'this fluid collection': {'clinical finding': 'this fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'this fluid', 'observation': 'collection'}}size_fin: [{'size': '6.9 x 2.9 cm'}, {'size': '17.9 x 9.9 cm'}]location descriptor_fin: ['left']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'}}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', 'right', 'left']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'}}clinical findings_fin: {'suspicious pulmonary nodules': {'clinical finding': 'suspicious pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}procedure_fin: ['cholecystectomy']clinical findings_fin: {'mild biliary ductal dilatation': {'clinical finding': 'mild biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'pos_dx', 'descriptive_term': 'mild biliary ductal', 'observation': 'dilatation', 'strength_term': 'mild'}}anatomical entity_fin: {'hepatic veins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}size_fin: [{'size': '1.5 cm'}]anatomical entity_fin: {'spleen': {}}imaging observation_fin: ['foci']clinical findings_fin: {'several nonspecific hypodense foci': {'clinical finding': 'several nonspecific hypodense foci', 'existence': 'pos_dx', 'descriptive_term': 'several nonspecific hypodense', 'observation': 'foci', 'quantity_term': 'several'}, 'previously described referenced lesion': {'clinical finding': 'previously described referenced lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'previously described referenced', 'observation': 'lesion'}}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: ['right']clinical findings_fin: {'right renal calculus': {'clinical finding': 'right renal calculus', 'cf_snomed': {'calculus': 56381008}, 'existence': 'pos_dx', 'descriptive_term': 'right renal', 'observation': 'calculus'}}anatomical entity_fin: {'cortex': {}}location descriptor_fin: ['left']clinical findings_fin: {'subcentimeter hypodensity': {'clinical finding': 'subcentimeter hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter', 'observation': 'hypodensity'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {'location descriptor': 'midline'}, 'wall': {}, 'bowel': {}}location descriptor_fin: ['midline']clinical findings_fin: {'midline abdominal wall defect': {'clinical finding': 'midline abdominal wall defect', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'descriptive_term': 'midline abdominal wall', 'observation': 'defect'}, 'multiple loops': {'clinical finding': 'multiple loops', 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'loop', 'quantity_term': 'multiple'}, 'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}, 'incarceration': {'clinical finding': 'incarceration', 'existence': 'neg_dx', 'observation': 'incarceration'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {'location descriptor': 'bilateral'}, 'fluid': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'again seen with percutaneous drains positioned': {'clinical finding': 'again seen with percutaneous drains positioned'}}size_fin: [{'size': '17.3 x 5.2 cm'}, {'size': '18.9 x 4.7 cm'}]location descriptor_fin: ['right']anatomical entity_fin: {'subhepatic space': {}}clinical findings_fin: {'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'communication': {'clinical finding': 'communication', 'existence': 'neg_dx', 'observation': 'communication'}, 'this fluid collection': {'clinical finding': 'this fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'this fluid', 'observation': 'collection'}}size_fin: [{'size': '6.9 x 2.9 cm'}, {'size': '17.9 x 9.9 cm'}]location descriptor_fin: ['left']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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Bilateral pleural effusions, right greater than left. No suspicious pulmonary nodules or masses. Status post cholecystectomy. Mild biliary ductal dilatation, likely postoperative in etiology. Portal and hepatic veins appear patent. Several nonspecific hypodense foci in the spleen are again seen with the previously described referenced lesion again measuring 1.5 cm. No significant abnormality noted. No significant abnormality noted. Nonobstructing right renal calculus, unchanged. A subcentimeter hypodensity in the left renal cortex appears similar to the prior. No significant abnormality noted. Mild. Midline abdominal wall defect is again seen now with multiple loops of bowel protruding through it, with no evidence of obstruction or incarceration. No significant abnormality noted. Bilateral abdominal fluid collections are again seen with percutaneous drains positioned in both. The collection in the right hemiabdomen measures 17.3 x 5.2 cm , previously 18.9 x 4.7 cm. This collection extends along the subhepatic space. This collection contains a small amount of contrast in a dependent position which is likely from the patients recent IR drain placement. There is no definite evidence of communication between this fluid collection and the bowel. The collection in the left hemiabdomen measures 6.9 x 2.9 cm , previously 17.9 x 9.9 cm. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted </s>