. No focal consolidation or pleural effusion. No suspicious pulmonary nodules. Liver enhances homogenously without focal lesion. Gallbladder is unremarkable. No significant abnormality noted. Pancreas is unremarkable. No adrenal nodularity or thickening. The kidneys enhance symmetrically without focal lesion. There is asymmetric right renal cortical thinning. 6 mm nonobstructing right inferior pole renal stone measures approximately 734 Hounsfield units. No hydronephrosis or ureteronephrosis. Prominent retroperitoneal lymph nodes are not significantly changed in size. A left para-aortic node measures 1.4 x 1.2 cm , previously 1.5 x 1.4 cm. None. Interval postsurgical findings related to right lower quadrant loop ileostomy and likely partial small bowel resection are noted. Injected enteric contrast into the afferent and efferent loops is seen. The bowel loops are now decompressed and normal in caliber without evidence of obstruction or ileus. There are multiple foci of tract-like soft tissue thickening in the midline anterior subcutaneous soft tissues at the level of the ostomy extending from the skin surface to the anterior abdominal wall. Thickening at the skin surface with few gas foci are noted, which may represent packing material clinical correlation is recommended. Enteric contrast does not fill these tracts. Superiorly, there is also thin linear hyperattenuating material which likely represents suture , though enteric contrast filling a sinus tract or fistula in this location cannot be excluded. However please note that optimal evaluation for fistulae is performed by fluoroscopy. No significant abnormality noted. Large heterogeneous pelvic mass is redemonstrated, measuring approximately 9.6 x 8.7 cm , previously 8.7 x 8.5 cm. Origin cannot be definitively discerned, however given the pathology results on record and appearance of extensive bladder invasion, is favored to arise from the bladder. Several small bowel loops are displaced and attenuated by the mass. Uterine fibroids are noted distinct from this mass. Probable bladder dome invasion by the large pelvic mass, as above. Small focus of air in the bladder correlate for recent instrumentation. No inguinal, iliac chain, or pelvic lymphadenopathy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted.
clinical findings_fin: {'focal consolidation': {'clinical finding': 'focal consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'consolidation'}, 'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': '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'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'focal lesion': {'clinical finding': 'focal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'gallbladder is unremarkable': {'clinical finding': 'gallbladder is unremarkable'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'pancreas': {}}clinical findings_fin: {'pancreas is unremarkable': {'clinical finding': 'pancreas is unremarkable'}}clinical findings_fin: {'adrenal nodularity': {'clinical finding': 'adrenal nodularity', 'existence': 'neg_dx', 'descriptive_term': 'adrenal', 'observation': 'nodularity'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'neg_dx', 'observation': 'thickening'}}anatomical entity_fin: {'kidneys': {}}clinical findings_fin: {'focal lesion': {'clinical finding': 'focal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}location descriptor_fin: ['right']clinical findings_fin: {'asymmetric right renal cortical thinning': {'clinical finding': 'asymmetric right renal cortical thinning', 'existence': 'pos_dx', 'descriptive_term': 'asymmetric right renal cortical', 'observation': 'thinning'}}size_fin: [{'size': '6 mm', 'size_descriptor': 'stone'}]anatomical entity_fin: {'pole': {'location descriptor': 'right inferior'}}location descriptor_fin: ['right', 'inferior']clinical findings_fin: {'6 mm nonobstructing right inferior pole renal stone': {'clinical finding': '6 mm nonobstructing right inferior pole renal stone', 'existence': 'pos_dx', 'descriptive_term': '6 mm nonobstructing right inferior pole renal', 'observation': 'stone'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}, 'ureteronephrosis': {'clinical finding': 'ureteronephrosis', 'existence': 'neg_dx', 'observation': 'ureteronephrosis'}}clinical findings_fin: {'prominent retroperitoneal lymph nodes': {'clinical finding': 'prominent retroperitoneal lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'prominent retroperitoneal lymph', 'observation': 'node', 'strength_term': 'prominent'}}size_fin: [{'size': '1.4 x 1.2 cm'}, {'size': '1.5 x 1.4 cm'}]location descriptor_fin: ['left']clinical findings_fin: {'left para-aortic node': {'clinical finding': 'left para-aortic node', 'existence': 'pos_dx', 'descriptive_term': 'left para-aortic', 'observation': 'node'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'right lower'}, 'bowel': {}}location descriptor_fin: ['right', 'lower']procedure_fin: ['ileostomy']clinical findings_fin: {'right lower quadrant loop ileostomy and likely partial small bowel resection': {'clinical finding': 'right lower quadrant loop ileostomy and likely partial small bowel resection'}}clinical findings_fin: {'injected enteric contrast': {'clinical finding': 'injected enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'injected enteric', 'observation': 'contrast'}, 'afferent and efferent loops': {'clinical finding': 'afferent and efferent loops', 'existence': 'pos_dx', 'descriptive_term': 'afferent and efferent', 'observation': 'loop'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'decompressed': {'clinical finding': 'decompressed', 'existence': 'pos_dx', 'observation': 'decompressed'}, 'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}, 'ileus': {'clinical finding': 'ileus', 'existence': 'neg_dx', 'observation': 'ileus'}}anatomical entity_fin: {'skin': {}, 'anterior abdominal wall': {}}imaging observation_fin: ['foci']location descriptor_fin: ['midline', 'anterior']clinical findings_fin: {'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}}anatomical entity_fin: {'skin': {}}imaging observation_fin: ['foci']clinical findings_fin: {'few gas foci': {'clinical finding': 'few gas foci', 'existence': 'pos_dx', 'descriptive_term': 'few gas', 'observation': 'foci', 'quantity_term': 'few'}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}object_fin: ['suture']clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'unc_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}, 'fistula': {'clinical finding': 'fistula', 'cf_snomed': {'fistula': 428794004}, 'existence': 'unc_dx', 'observation': 'fistula'}}imaging modality_fin: ['fluoroscopy']clinical findings_fin: {'fistulae': {'clinical finding': 'fistulae', 'existence': 'unc_dx', 'observation': 'fistulae'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '9.6 x 8.7 cm'}, {'size': '8.7 x 8.5 cm'}]clinical findings_fin: {'large heterogeneous pelvic mass': {'clinical finding': 'large heterogeneous pelvic mass', 'cf_snomed': {'pelvic mass': 74285003}, 'existence': 'pos_dx', 'descriptive_term': 'large heterogeneous pelvic', 'observation': 'mass', 'strength_term': 'large'}}anatomical entity_fin: {'origin': {}, 'bladder': {}}clinical findings_fin: {'extensive bladder invasion': {'clinical finding': 'extensive bladder invasion', 'existence': 'unc_dx', 'descriptive_term': 'extensive bladder', 'observation': 'invasion', 'strength_term': 'extensive'}}anatomical entity_fin: {'bowel': {}}location descriptor_fin: ['displaced']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}}clinical findings_fin: {'this mass': {'clinical finding': 'this mass', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'mass'}}anatomical entity_fin: {'bladder': {}}clinical findings_fin: {'probable bladder dome invasion': {'clinical finding': 'probable bladder dome invasion', 'existence': 'pos_dx', 'descriptive_term': 'probable bladder dome', 'observation': 'invasion'}, 'large pelvic mass': {'clinical finding': 'large pelvic mass', 'cf_snomed': {'pelvic mass': 74285003}, 'existence': 'unc_dx', 'descriptive_term': 'large pelvic', 'observation': 'mass', 'strength_term': 'large'}}anatomical entity_fin: {'bladder': {}}clinical findings_fin: {'small focus of air in the bladder correlate for recent instrumentation': {'clinical finding': 'small focus of air in the bladder correlate for recent instrumentation'}}clinical findings_fin: {'pelvic lymphadenopathy': {'clinical finding': 'pelvic lymphadenopathy', 'cf_snomed': {'pelvic lymphadenopathy': 127158006}, 'existence': 'neg_dx', 'descriptive_term': 'pelvic', 'observation': 'lymphadenopathy'}}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: clinical findings_fin: {'focal consolidation': {'clinical finding': 'focal consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'consolidation'}, 'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': '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'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'focal lesion': {'clinical finding': 'focal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'gallbladder is unremarkable': {'clinical finding': 'gallbladder is unremarkable'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'pancreas': {}}clinical findings_fin: {'pancreas is unremarkable': {'clinical finding': 'pancreas is unremarkable'}}clinical findings_fin: {'adrenal nodularity': {'clinical finding': 'adrenal nodularity', 'existence': 'neg_dx', 'descriptive_term': 'adrenal', 'observation': 'nodularity'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'neg_dx', 'observation': 'thickening'}}anatomical entity_fin: {'kidneys': {}}clinical findings_fin: {'focal lesion': {'clinical finding': 'focal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}location descriptor_fin: ['right']clinical findings_fin: {'asymmetric right renal cortical thinning': {'clinical finding': 'asymmetric right renal cortical thinning', 'existence': 'pos_dx', 'descriptive_term': 'asymmetric right renal cortical', 'observation': 'thinning'}}size_fin: [{'size': '6 mm', 'size_descriptor': 'stone'}]anatomical entity_fin: {'pole': {'location descriptor': 'right inferior'}}location descriptor_fin: ['right', 'inferior']clinical findings_fin: {'6 mm nonobstructing right inferior pole renal stone': {'clinical finding': '6 mm nonobstructing right inferior pole renal stone', 'existence': 'pos_dx', 'descriptive_term': '6 mm nonobstructing right inferior pole renal', 'observation': 'stone'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}, 'ureteronephrosis': {'clinical finding': 'ureteronephrosis', 'existence': 'neg_dx', 'observation': 'ureteronephrosis'}}clinical findings_fin: {'prominent retroperitoneal lymph nodes': {'clinical finding': 'prominent retroperitoneal lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'prominent retroperitoneal lymph', 'observation': 'node', 'strength_term': 'prominent'}}size_fin: [{'size': '1.4 x 1.2 cm'}, {'size': '1.5 x 1.4 cm'}]location descriptor_fin: ['left']clinical findings_fin: {'left para-aortic node': {'clinical finding': 'left para-aortic node', 'existence': 'pos_dx', 'descriptive_term': 'left para-aortic', 'observation': 'node'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'right lower'}, 'bowel': {}}location descriptor_fin: ['right', 'lower']procedure_fin: ['ileostomy']clinical findings_fin: {'right lower quadrant loop ileostomy and likely partial small bowel resection': {'clinical finding': 'right lower quadrant loop ileostomy and likely partial small bowel resection'}}clinical findings_fin: {'injected enteric contrast': {'clinical finding': 'injected enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'injected enteric', 'observation': 'contrast'}, 'afferent and efferent loops': {'clinical finding': 'afferent and efferent loops', 'existence': 'pos_dx', 'descriptive_term': 'afferent and efferent', 'observation': 'loop'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'decompressed': {'clinical finding': 'decompressed', 'existence': 'pos_dx', 'observation': 'decompressed'}, 'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}, 'ileus': {'clinical finding': 'ileus', 'existence': 'neg_dx', 'observation': 'ileus'}}anatomical entity_fin: {'skin': {}, 'anterior abdominal wall': {}}imaging observation_fin: ['foci']location descriptor_fin: ['midline', 'anterior']clinical findings_fin: {'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}}anatomical entity_fin: {'skin': {}}imaging observation_fin: ['foci']clinical findings_fin: {'few gas foci': {'clinical finding': 'few gas foci', 'existence': 'pos_dx', 'descriptive_term': 'few gas', 'observation': 'foci', 'quantity_term': 'few'}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}object_fin: ['suture']clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'unc_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}, 'fistula': {'clinical finding': 'fistula', 'cf_snomed': {'fistula': 428794004}, 'existence': 'unc_dx', 'observation': 'fistula'}}imaging modality_fin: ['fluoroscopy']clinical findings_fin: {'fistulae': {'clinical finding': 'fistulae', 'existence': 'unc_dx', 'observation': 'fistulae'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '9.6 x 8.7 cm'}, {'size': '8.7 x 8.5 cm'}]clinical findings_fin: {'large heterogeneous pelvic mass': {'clinical finding': 'large heterogeneous pelvic mass', 'cf_snomed': {'pelvic mass': 74285003}, 'existence': 'pos_dx', 'descriptive_term': 'large heterogeneous pelvic', 'observation': 'mass', 'strength_term': 'large'}}anatomical entity_fin: {'origin': {}, 'bladder': {}}clinical findings_fin: {'extensive bladder invasion': {'clinical finding': 'extensive bladder invasion', 'existence': 'unc_dx', 'descriptive_term': 'extensive bladder', 'observation': 'invasion', 'strength_term': 'extensive'}}anatomical entity_fin: {'bowel': {}}location descriptor_fin: ['displaced']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}}clinical findings_fin: {'this mass': {'clinical finding': 'this mass', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'mass'}}anatomical entity_fin: {'bladder': {}}clinical findings_fin: {'probable bladder dome invasion': {'clinical finding': 'probable bladder dome invasion', 'existence': 'pos_dx', 'descriptive_term': 'probable bladder dome', 'observation': 'invasion'}, 'large pelvic mass': {'clinical finding': 'large pelvic mass', 'cf_snomed': {'pelvic mass': 74285003}, 'existence': 'unc_dx', 'descriptive_term': 'large pelvic', 'observation': 'mass', 'strength_term': 'large'}}anatomical entity_fin: {'bladder': {}}clinical findings_fin: {'small focus of air in the bladder correlate for recent instrumentation': {'clinical finding': 'small focus of air in the bladder correlate for recent instrumentation'}}clinical findings_fin: {'pelvic lymphadenopathy': {'clinical finding': 'pelvic lymphadenopathy', 'cf_snomed': {'pelvic lymphadenopathy': 127158006}, 'existence': 'neg_dx', 'descriptive_term': 'pelvic', 'observation': 'lymphadenopathy'}}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] . No focal consolidation or pleural effusion. No suspicious pulmonary nodules. Liver enhances homogenously without focal lesion. Gallbladder is unremarkable. No significant abnormality noted. Pancreas is unremarkable. No adrenal nodularity or thickening. The kidneys enhance symmetrically without focal lesion. There is asymmetric right renal cortical thinning. 6 mm nonobstructing right inferior pole renal stone measures approximately 734 Hounsfield units. No hydronephrosis or ureteronephrosis. Prominent retroperitoneal lymph nodes are not significantly changed in size. A left para-aortic node measures 1.4 x 1.2 cm , previously 1.5 x 1.4 cm. None. Interval postsurgical findings related to right lower quadrant loop ileostomy and likely partial small bowel resection are noted. Injected enteric contrast into the afferent and efferent loops is seen. The bowel loops are now decompressed and normal in caliber without evidence of obstruction or ileus. There are multiple foci of tract-like soft tissue thickening in the midline anterior subcutaneous soft tissues at the level of the ostomy extending from the skin surface to the anterior abdominal wall. Thickening at the skin surface with few gas foci are noted, which may represent packing material clinical correlation is recommended. Enteric contrast does not fill these tracts. Superiorly, there is also thin linear hyperattenuating material which likely represents suture , though enteric contrast filling a sinus tract or fistula in this location cannot be excluded. However please note that optimal evaluation for fistulae is performed by fluoroscopy. No significant abnormality noted. Large heterogeneous pelvic mass is redemonstrated, measuring approximately 9.6 x 8.7 cm , previously 8.7 x 8.5 cm. Origin cannot be definitively discerned, however given the pathology results on record and appearance of extensive bladder invasion, is favored to arise from the bladder. Several small bowel loops are displaced and attenuated by the mass. Uterine fibroids are noted distinct from this mass. Probable bladder dome invasion by the large pelvic mass, as above. Small focus of air in the bladder correlate for recent instrumentation. No inguinal, iliac chain, or pelvic lymphadenopathy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. </s>