. Small bilateral pleural effusions with adjacent atelectasis. Patchy basilar groundglass and nodular opacity suggesting aspiration. Central venous catheter tip terminates at the cavoatrial junction. Pneumobilia. Air in the gallbladder with layering sludge and or or cholelithiasis. The gallbladder is normally distended. Numerous liver hypodensities compatible with metastatic lesions. The reference segment VII lesion measures approximately 1.9 x 1.5 cm. Calcified splenic artery pseudoaneurysm again noted measuring approximately 7 mm. No discrete splenic lesion. Markedly atrophic pancreatic parenchyma with markedly irregularly dilated pancreatic duct. The ill-defined mass at the pancreatic head invading the duodenum is difficult to measure. No significant abnormality noted. No significant abnormality noted. Moderate atherosclerotic calcification of the abdominal aorta without aneurysmal dilatation. Moderate. Compared to the recent prior study the stomach is less distended. There is contrast progressing through the duodenal stent, small bowel and continuing into the colon. There is mild small bowel dilatation, suggesting a mild ileus without obstruction. There is no evidence of extraluminal contrast to suggest a perforation. Large volume ascites. Anasarca. Soft tissue thickening in the anterior wall the level of the abdominal wall may represent sites of metastatic disease deposits at presumed endoscopic port sites. No significant abnormality noted. The uterus is atrophic or surgically removed. No significant abnormality noted. No significant abnormality noted. Large volume ascites. Anasarca. No significant abnormality noted
location descriptor_fin: ['bilateral', 'adjacent']clinical findings_fin: {'small bilateral pleural effusions': {'clinical finding': 'small bilateral pleural effusions', 'cf_snomed': {'bilateral pleural effusion': 425802001}, 'existence': 'pos_dx', 'descriptive_term': 'small bilateral pleural', 'observation': 'effusion', 'strength_term': 'small'}, 'adjacent atelectasis': {'clinical finding': 'adjacent atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'adjacent', 'observation': 'atelectasis'}}clinical findings_fin: {'patchy basilar groundglass': {'clinical finding': 'patchy basilar groundglass', 'existence': 'pos_dx', 'descriptive_term': 'patchy basilar', 'observation': 'groundglass'}, 'nodular opacity': {'clinical finding': 'nodular opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'nodular', 'observation': 'opacity'}, 'aspiration': {'clinical finding': 'aspiration', 'existence': 'unc_dx', 'observation': 'aspiration'}}object_fin: ['central venous catheter']clinical findings_fin: {'central venous catheter': {'clinical finding': 'central venous catheter', 'existence': 'pos_dx', 'descriptive_term': 'central venous', 'observation': 'catheter'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'layering sludge': {'clinical finding': 'layering sludge', 'cf_snomed': {'sludge': 44901006}, 'existence': 'pos_dx', 'descriptive_term': 'layering', 'observation': 'sludge'}, 'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'unc_dx', 'observation': 'cholelithiasis'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'distended': {'clinical finding': 'distended', 'existence': 'pos_dx', 'observation': 'distended'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'numerous liver hypodensities': {'clinical finding': 'numerous liver hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'numerous liver', 'observation': 'hypodensity', 'quantity_term': 'numerous'}, 'metastatic lesions': {'clinical finding': 'metastatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'lesion'}}size_fin: [{'size': '1.9 x 1.5 cm', 'size_descriptor': 'lesion'}]clinical findings_fin: {'reference segment vii lesion': {'clinical finding': 'reference segment vii lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference segment vii', 'observation': 'lesion'}}size_fin: [{'size': '7 mm', 'size_descriptor': 'pseudoaneurysm'}]anatomical entity_fin: {'splenic artery': {}}clinical findings_fin: {'calcified splenic artery pseudoaneurysm': {'clinical finding': 'calcified splenic artery pseudoaneurysm', 'cf_snomed': {'pseudoaneurysm': 443089001}, 'existence': 'pos_dx', 'descriptive_term': 'calcified splenic artery', 'observation': 'pseudoaneurysm', 'change_term': 'calcified'}}clinical findings_fin: {'discrete splenic lesion': {'clinical finding': 'discrete splenic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'discrete splenic', 'observation': 'lesion'}}anatomical entity_fin: {'parenchyma': {}, 'pancreatic duct': {}}clinical findings_fin: {'markedly atrophic': {'clinical finding': 'markedly atrophic', 'existence': 'pos_dx', 'descriptive_term': 'markedly', 'observation': 'atrophic'}, 'markedly irregularly dilated': {'clinical finding': 'markedly irregularly dilated', 'existence': 'pos_dx', 'descriptive_term': 'markedly irregularly', 'observation': 'dilated'}}anatomical entity_fin: {'head': {}, 'duodenum': {}}clinical findings_fin: {'ill-defined mass': {'clinical finding': 'ill-defined mass', 'existence': 'pos_dx', 'descriptive_term': 'ill-defined', 'observation': 'mass', 'strength_term': 'ill-defined'}}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: {'abdominal aorta': {}}clinical findings_fin: {'moderate atherosclerotic calcification': {'clinical finding': 'moderate atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'moderate atherosclerotic', 'observation': 'calcification', 'strength_term': 'moderate'}}anatomical entity_fin: {'stomach': {}}clinical findings_fin: {'distended': {'clinical finding': 'distended', 'existence': 'pos_dx', 'observation': 'distended'}}anatomical entity_fin: {'bowel': {}}imaging observation_fin: ['colon']clinical findings_fin: {'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}, 'duodenal stent': {'clinical finding': 'duodenal stent', 'existence': 'pos_dx', 'descriptive_term': 'duodenal', 'observation': 'stent'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'mild ileus': {'clinical finding': 'mild ileus', 'existence': 'unc_dx', 'descriptive_term': 'mild', 'observation': 'ileus', 'strength_term': 'mild'}, 'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}clinical findings_fin: {'extraluminal contrast': {'clinical finding': 'extraluminal contrast', 'existence': 'neg_dx', 'descriptive_term': 'extraluminal', 'observation': 'contrast'}, 'perforation': {'clinical finding': 'perforation', 'cf_snomed': {'perforation': 36191001}, 'existence': 'neg_dx', 'observation': 'perforation'}}clinical findings_fin: {'large volume ascites': {'clinical finding': 'large volume ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'large volume', 'observation': 'ascite', 'strength_term': 'large'}}anatomical entity_fin: {'wall': {}, 'abdominal': {}}location descriptor_fin: ['anterior']object_fin: ['port']clinical findings_fin: {'soft tissue thickening': {'clinical finding': 'soft tissue thickening', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'thickening'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'uterus': {}}clinical findings_fin: {'atrophic': {'clinical finding': 'atrophic', 'existence': 'unc_dx', 'observation': 'atrophic'}, 'surgically': {'clinical finding': 'surgically', 'existence': 'unc_dx', 'observation': 'surgically'}}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: {'large volume ascites': {'clinical finding': 'large volume ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'large volume', 'observation': 'ascite', 'strength_term': 'large'}}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', 'adjacent']clinical findings_fin: {'small bilateral pleural effusions': {'clinical finding': 'small bilateral pleural effusions', 'cf_snomed': {'bilateral pleural effusion': 425802001}, 'existence': 'pos_dx', 'descriptive_term': 'small bilateral pleural', 'observation': 'effusion', 'strength_term': 'small'}, 'adjacent atelectasis': {'clinical finding': 'adjacent atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'adjacent', 'observation': 'atelectasis'}}clinical findings_fin: {'patchy basilar groundglass': {'clinical finding': 'patchy basilar groundglass', 'existence': 'pos_dx', 'descriptive_term': 'patchy basilar', 'observation': 'groundglass'}, 'nodular opacity': {'clinical finding': 'nodular opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'nodular', 'observation': 'opacity'}, 'aspiration': {'clinical finding': 'aspiration', 'existence': 'unc_dx', 'observation': 'aspiration'}}object_fin: ['central venous catheter']clinical findings_fin: {'central venous catheter': {'clinical finding': 'central venous catheter', 'existence': 'pos_dx', 'descriptive_term': 'central venous', 'observation': 'catheter'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'layering sludge': {'clinical finding': 'layering sludge', 'cf_snomed': {'sludge': 44901006}, 'existence': 'pos_dx', 'descriptive_term': 'layering', 'observation': 'sludge'}, 'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'unc_dx', 'observation': 'cholelithiasis'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'distended': {'clinical finding': 'distended', 'existence': 'pos_dx', 'observation': 'distended'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'numerous liver hypodensities': {'clinical finding': 'numerous liver hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'numerous liver', 'observation': 'hypodensity', 'quantity_term': 'numerous'}, 'metastatic lesions': {'clinical finding': 'metastatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'lesion'}}size_fin: [{'size': '1.9 x 1.5 cm', 'size_descriptor': 'lesion'}]clinical findings_fin: {'reference segment vii lesion': {'clinical finding': 'reference segment vii lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference segment vii', 'observation': 'lesion'}}size_fin: [{'size': '7 mm', 'size_descriptor': 'pseudoaneurysm'}]anatomical entity_fin: {'splenic artery': {}}clinical findings_fin: {'calcified splenic artery pseudoaneurysm': {'clinical finding': 'calcified splenic artery pseudoaneurysm', 'cf_snomed': {'pseudoaneurysm': 443089001}, 'existence': 'pos_dx', 'descriptive_term': 'calcified splenic artery', 'observation': 'pseudoaneurysm', 'change_term': 'calcified'}}clinical findings_fin: {'discrete splenic lesion': {'clinical finding': 'discrete splenic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'discrete splenic', 'observation': 'lesion'}}anatomical entity_fin: {'parenchyma': {}, 'pancreatic duct': {}}clinical findings_fin: {'markedly atrophic': {'clinical finding': 'markedly atrophic', 'existence': 'pos_dx', 'descriptive_term': 'markedly', 'observation': 'atrophic'}, 'markedly irregularly dilated': {'clinical finding': 'markedly irregularly dilated', 'existence': 'pos_dx', 'descriptive_term': 'markedly irregularly', 'observation': 'dilated'}}anatomical entity_fin: {'head': {}, 'duodenum': {}}clinical findings_fin: {'ill-defined mass': {'clinical finding': 'ill-defined mass', 'existence': 'pos_dx', 'descriptive_term': 'ill-defined', 'observation': 'mass', 'strength_term': 'ill-defined'}}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: {'abdominal aorta': {}}clinical findings_fin: {'moderate atherosclerotic calcification': {'clinical finding': 'moderate atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'moderate atherosclerotic', 'observation': 'calcification', 'strength_term': 'moderate'}}anatomical entity_fin: {'stomach': {}}clinical findings_fin: {'distended': {'clinical finding': 'distended', 'existence': 'pos_dx', 'observation': 'distended'}}anatomical entity_fin: {'bowel': {}}imaging observation_fin: ['colon']clinical findings_fin: {'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}, 'duodenal stent': {'clinical finding': 'duodenal stent', 'existence': 'pos_dx', 'descriptive_term': 'duodenal', 'observation': 'stent'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'mild ileus': {'clinical finding': 'mild ileus', 'existence': 'unc_dx', 'descriptive_term': 'mild', 'observation': 'ileus', 'strength_term': 'mild'}, 'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}clinical findings_fin: {'extraluminal contrast': {'clinical finding': 'extraluminal contrast', 'existence': 'neg_dx', 'descriptive_term': 'extraluminal', 'observation': 'contrast'}, 'perforation': {'clinical finding': 'perforation', 'cf_snomed': {'perforation': 36191001}, 'existence': 'neg_dx', 'observation': 'perforation'}}clinical findings_fin: {'large volume ascites': {'clinical finding': 'large volume ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'large volume', 'observation': 'ascite', 'strength_term': 'large'}}anatomical entity_fin: {'wall': {}, 'abdominal': {}}location descriptor_fin: ['anterior']object_fin: ['port']clinical findings_fin: {'soft tissue thickening': {'clinical finding': 'soft tissue thickening', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'thickening'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'uterus': {}}clinical findings_fin: {'atrophic': {'clinical finding': 'atrophic', 'existence': 'unc_dx', 'observation': 'atrophic'}, 'surgically': {'clinical finding': 'surgically', 'existence': 'unc_dx', 'observation': 'surgically'}}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: {'large volume ascites': {'clinical finding': 'large volume ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'large volume', 'observation': 'ascite', 'strength_term': 'large'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Small bilateral pleural effusions with adjacent atelectasis. Patchy basilar groundglass and nodular opacity suggesting aspiration. Central venous catheter tip terminates at the cavoatrial junction. Pneumobilia. Air in the gallbladder with layering sludge and or or cholelithiasis. The gallbladder is normally distended. Numerous liver hypodensities compatible with metastatic lesions. The reference segment VII lesion measures approximately 1.9 x 1.5 cm. Calcified splenic artery pseudoaneurysm again noted measuring approximately 7 mm. No discrete splenic lesion. Markedly atrophic pancreatic parenchyma with markedly irregularly dilated pancreatic duct. The ill-defined mass at the pancreatic head invading the duodenum is difficult to measure. No significant abnormality noted. No significant abnormality noted. Moderate atherosclerotic calcification of the abdominal aorta without aneurysmal dilatation. Moderate. Compared to the recent prior study the stomach is less distended. There is contrast progressing through the duodenal stent, small bowel and continuing into the colon. There is mild small bowel dilatation, suggesting a mild ileus without obstruction. There is no evidence of extraluminal contrast to suggest a perforation. Large volume ascites. Anasarca. Soft tissue thickening in the anterior wall the level of the abdominal wall may represent sites of metastatic disease deposits at presumed endoscopic port sites. No significant abnormality noted. The uterus is atrophic or surgically removed. No significant abnormality noted. No significant abnormality noted. Large volume ascites. Anasarca. No significant abnormality noted </s>