The absence of intravenous contrast limits evaluation of the solid organs and vasculature. Increasing bilateral pleural effusions with adjacent compressive atelectasis. Unchanged basilar tree-in-bud opacities compatible with aspiration. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. IVC filter in place. Mild. Postsurgical changes of right hemicolectomy and partial small bowel resection. Redemonstration of two sites of probable enterocutaneous fistulae within the lower anterior abdomen not significantly changed. There is similar degree of dilatation of the proximal small bowel. Increased thickening of the colonic bowel wall is noted. There has been interval reaccumulation of the loculated fluid collection in the left mid abdomen measuring 3.7 cm x 2.8 cm extending inferiorly and appears stable since study dated 8/26/2015 however is increased from the most recent study dated 9/14/2015. Additional small amount of free peritoneal fluid is identified. Anasarca. Midline surgical defect and multiple pockets of air within the anterior abdominal wall similar to prior. No significant abnormality noted. No significant abnormality noted. Foley catheter within an air-containing bladder, likely related to instrumentation. No significant abnormality noted. No significant abnormality noted. Anasarca. 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'}}location descriptor_fin: ['bilateral', 'adjacent']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'}, 'adjacent compressive atelectasis': {'clinical finding': 'adjacent compressive atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'adjacent compressive', 'observation': 'atelectasis'}}imaging observation_fin: ['tree-in-bud']clinical findings_fin: {'tree-in-bud opacities': {'clinical finding': 'tree-in-bud opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'tree-in-bud', 'observation': 'opacity'}, 'aspiration': {'clinical finding': 'aspiration', 'existence': 'pos_dx', 'observation': 'aspiration'}}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'}}object_fin: ['filter']anatomical entity_fin: {'bowel': {}}procedure_fin: ['right hemicolectomy']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}}anatomical entity_fin: {'abdomen': {'location descriptor': 'lower anterior'}}location descriptor_fin: ['lower', 'anterior']clinical findings_fin: {'probable enterocutaneous fistulae': {'clinical finding': 'probable enterocutaneous fistulae', 'existence': 'pos_dx', 'descriptive_term': 'probable enterocutaneous', 'observation': 'fistulae'}, 'changed': {'clinical finding': 'changed', 'existence': 'pos_dx', 'observation': 'change'}}anatomical entity_fin: {'bowel': {}}location descriptor_fin: ['proximal']clinical findings_fin: {'dilatation': {'clinical finding': 'dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'pos_dx', 'observation': 'dilatation'}}anatomical entity_fin: {'bowel': {}, 'wall': {}}clinical findings_fin: {'increased thickening': {'clinical finding': 'increased thickening', 'existence': 'pos_dx', 'descriptive_term': 'increased', 'observation': 'thickening', 'strength_term': 'increased', 'change_term': 'increased'}}size_fin: [{'size': '3.7 cm x 2.8 cm', 'size_descriptor': 'reaccumulation'}]anatomical entity_fin: {'abdomen': {}}location descriptor_fin: ['left']clinical findings_fin: {'loculated fluid collection': {'clinical finding': 'loculated fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'loculated fluid', 'observation': 'collection'}}anatomical entity_fin: {'peritoneal fluid': {}}clinical findings_fin: {'free peritoneal fluid': {'clinical finding': 'free peritoneal fluid', 'existence': 'pos_dx', 'descriptive_term': 'free peritoneal', 'observation': 'fluid'}}clinical findings_fin: {'anasarca': {'clinical finding': 'anasarca', 'cf_snomed': {'anasarca': 442433009}, 'existence': 'pos_dx', 'observation': 'anasarca'}}anatomical entity_fin: {'anterior abdominal wall': {}}location descriptor_fin: ['midline']clinical findings_fin: {'midline surgical defect': {'clinical finding': 'midline surgical defect', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'descriptive_term': 'midline surgical', 'observation': 'defect'}}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: {'bladder': {}}object_fin: ['catheter']clinical findings_fin: {'likely related to instrumentation': {'clinical finding': 'likely related to instrumentation', 'cf_snomed': {'related': 262094002}}}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: {'anasarca': {'clinical finding': 'anasarca', 'cf_snomed': {'anasarca': 442433009}, 'existence': 'pos_dx', 'observation': 'anasarca'}}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'}}location descriptor_fin: ['bilateral', 'adjacent']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'}, 'adjacent compressive atelectasis': {'clinical finding': 'adjacent compressive atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'adjacent compressive', 'observation': 'atelectasis'}}imaging observation_fin: ['tree-in-bud']clinical findings_fin: {'tree-in-bud opacities': {'clinical finding': 'tree-in-bud opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'tree-in-bud', 'observation': 'opacity'}, 'aspiration': {'clinical finding': 'aspiration', 'existence': 'pos_dx', 'observation': 'aspiration'}}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'}}object_fin: ['filter']anatomical entity_fin: {'bowel': {}}procedure_fin: ['right hemicolectomy']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}}anatomical entity_fin: {'abdomen': {'location descriptor': 'lower anterior'}}location descriptor_fin: ['lower', 'anterior']clinical findings_fin: {'probable enterocutaneous fistulae': {'clinical finding': 'probable enterocutaneous fistulae', 'existence': 'pos_dx', 'descriptive_term': 'probable enterocutaneous', 'observation': 'fistulae'}, 'changed': {'clinical finding': 'changed', 'existence': 'pos_dx', 'observation': 'change'}}anatomical entity_fin: {'bowel': {}}location descriptor_fin: ['proximal']clinical findings_fin: {'dilatation': {'clinical finding': 'dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'pos_dx', 'observation': 'dilatation'}}anatomical entity_fin: {'bowel': {}, 'wall': {}}clinical findings_fin: {'increased thickening': {'clinical finding': 'increased thickening', 'existence': 'pos_dx', 'descriptive_term': 'increased', 'observation': 'thickening', 'strength_term': 'increased', 'change_term': 'increased'}}size_fin: [{'size': '3.7 cm x 2.8 cm', 'size_descriptor': 'reaccumulation'}]anatomical entity_fin: {'abdomen': {}}location descriptor_fin: ['left']clinical findings_fin: {'loculated fluid collection': {'clinical finding': 'loculated fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'loculated fluid', 'observation': 'collection'}}anatomical entity_fin: {'peritoneal fluid': {}}clinical findings_fin: {'free peritoneal fluid': {'clinical finding': 'free peritoneal fluid', 'existence': 'pos_dx', 'descriptive_term': 'free peritoneal', 'observation': 'fluid'}}clinical findings_fin: {'anasarca': {'clinical finding': 'anasarca', 'cf_snomed': {'anasarca': 442433009}, 'existence': 'pos_dx', 'observation': 'anasarca'}}anatomical entity_fin: {'anterior abdominal wall': {}}location descriptor_fin: ['midline']clinical findings_fin: {'midline surgical defect': {'clinical finding': 'midline surgical defect', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'descriptive_term': 'midline surgical', 'observation': 'defect'}}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: {'bladder': {}}object_fin: ['catheter']clinical findings_fin: {'likely related to instrumentation': {'clinical finding': 'likely related to instrumentation', 'cf_snomed': {'related': 262094002}}}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: {'anasarca': {'clinical finding': 'anasarca', 'cf_snomed': {'anasarca': 442433009}, 'existence': 'pos_dx', 'observation': 'anasarca'}}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. Increasing bilateral pleural effusions with adjacent compressive atelectasis. Unchanged basilar tree-in-bud opacities compatible with aspiration. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. IVC filter in place. Mild. Postsurgical changes of right hemicolectomy and partial small bowel resection. Redemonstration of two sites of probable enterocutaneous fistulae within the lower anterior abdomen not significantly changed. There is similar degree of dilatation of the proximal small bowel. Increased thickening of the colonic bowel wall is noted. There has been interval reaccumulation of the loculated fluid collection in the left mid abdomen measuring 3.7 cm x 2.8 cm extending inferiorly and appears stable since study dated 8/26/2015 however is increased from the most recent study dated 9/14/2015. Additional small amount of free peritoneal fluid is identified. Anasarca. Midline surgical defect and multiple pockets of air within the anterior abdominal wall similar to prior. No significant abnormality noted. No significant abnormality noted. Foley catheter within an air-containing bladder, likely related to instrumentation. No significant abnormality noted. No significant abnormality noted. Anasarca. No significant abnormality noted </s>