. No significant abnormality noted. Stable aneurysmal dilatation of the ascending aorta, measuring 4.5 cm. Unchanged small mediastinal and hilar lymph nodes. No significant abnormality noted. Stable hepatomegaly, liver measures 23 cm in longitudinal dimension. Atrophic left lobe, correlate with patients postsurgical history as well. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Multiple bilateral renal lesions, majority unchanged in size and appearance. Right-sided partially exophytic posterior lesion mildly increased in size, measuring 1.5 x 1.5 cm on image 124 series 3, previously measured 1.3 x 1.3 cm. Mild interval decrease in size of partially exophytic lesion extending from left kidney more superiorly, measures up to 1.2 cm on image 100 series 3, previously measured 1.6 cm. Subcentimeter pelvic and retroperitoneal lymph nodes. Status post right hemicolectomy with ileocolonic anastomosis present. No bowel obstruction. No significant abnormality noted. No significant abnormality noted. Visualized osseous structures stable in appearance, including punctate right femoral head sclerotic focus, most likely a bone island.
clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '4.5 cm', 'size_descriptor': 'dilatation'}]anatomical entity_fin: {'ascending aorta': {}}clinical findings_fin: {'stable aneurysmal dilatation of the ascending aorta': {'clinical finding': 'stable aneurysmal dilatation of the ascending aorta', 'cf_snomed': {'dilatation': 25322007}, 'change_term': 'stable'}}clinical findings_fin: {'unchanged small mediastinal and hilar lymph nodes': {'clinical finding': 'unchanged small mediastinal and hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'unchanged small mediastinal and hilar lymph', 'observation': 'node', 'strength_term': 'unchanged - small', 'change_term': 'unchanged'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '23 cm', 'size_descriptor': 'liver'}]anatomical entity_fin: {'liver': {}}clinical findings_fin: {'stable hepatomegaly': {'clinical finding': 'stable hepatomegaly', 'existence': 'pos_dx', 'descriptive_term': 'stable', 'observation': 'hepatomegaly', 'strength_term': 'stable', 'change_term': 'stable'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'atrophic left lobe , correlate': {'clinical finding': 'atrophic left lobe , correlate', 'change_term': 'atrophic'}}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'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'multiple bilateral renal lesions': {'clinical finding': 'multiple bilateral renal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple bilateral renal', 'observation': 'lesion', 'quantity_term': 'multiple'}}size_fin: [{'size': '1.5 x 1.5 cm'}, {'size': '1.3 x 1.3 cm'}]location descriptor_fin: ['right', 'posterior']clinical findings_fin: {'right-sided partially exophytic posterior lesion': {'clinical finding': 'right-sided partially exophytic posterior lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right-sided partially exophytic posterior', 'observation': 'lesion', 'strength_term': 'partially'}}size_fin: [{'size': '1.2 cm'}, {'size': '1.6 cm'}]anatomical entity_fin: {'left kidney': {}}clinical findings_fin: {'partially exophytic lesion': {'clinical finding': 'partially exophytic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'partially exophytic', 'observation': 'lesion', 'strength_term': 'partially'}}clinical findings_fin: {'subcentimeter pelvic and retroperitoneal lymph nodes': {'clinical finding': 'subcentimeter pelvic and retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter pelvic and retroperitoneal lymph', 'observation': 'node'}}anatomical entity_fin: {'anastomosis': {}}procedure_fin: ['right hemicolectomy']clinical findings_fin: {'status post right hemicolectomy with ileocolonic anastomosis present': {'clinical finding': 'status post right hemicolectomy with ileocolonic anastomosis present', 'cf_snomed': {'anastomosis': 41796003}}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'bowel obstruction': {'clinical finding': 'bowel obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'}}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: {'head': {}}location descriptor_fin: ['right']clinical findings_fin: {'punctate right femoral head sclerotic': {'clinical finding': 'punctate right femoral head sclerotic', 'existence': 'pos_dx', 'descriptive_term': 'punctate right femoral head', 'observation': 'sclerotic'}}
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '4.5 cm', 'size_descriptor': 'dilatation'}]anatomical entity_fin: {'ascending aorta': {}}clinical findings_fin: {'stable aneurysmal dilatation of the ascending aorta': {'clinical finding': 'stable aneurysmal dilatation of the ascending aorta', 'cf_snomed': {'dilatation': 25322007}, 'change_term': 'stable'}}clinical findings_fin: {'unchanged small mediastinal and hilar lymph nodes': {'clinical finding': 'unchanged small mediastinal and hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'unchanged small mediastinal and hilar lymph', 'observation': 'node', 'strength_term': 'unchanged - small', 'change_term': 'unchanged'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '23 cm', 'size_descriptor': 'liver'}]anatomical entity_fin: {'liver': {}}clinical findings_fin: {'stable hepatomegaly': {'clinical finding': 'stable hepatomegaly', 'existence': 'pos_dx', 'descriptive_term': 'stable', 'observation': 'hepatomegaly', 'strength_term': 'stable', 'change_term': 'stable'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'atrophic left lobe , correlate': {'clinical finding': 'atrophic left lobe , correlate', 'change_term': 'atrophic'}}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'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'multiple bilateral renal lesions': {'clinical finding': 'multiple bilateral renal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple bilateral renal', 'observation': 'lesion', 'quantity_term': 'multiple'}}size_fin: [{'size': '1.5 x 1.5 cm'}, {'size': '1.3 x 1.3 cm'}]location descriptor_fin: ['right', 'posterior']clinical findings_fin: {'right-sided partially exophytic posterior lesion': {'clinical finding': 'right-sided partially exophytic posterior lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right-sided partially exophytic posterior', 'observation': 'lesion', 'strength_term': 'partially'}}size_fin: [{'size': '1.2 cm'}, {'size': '1.6 cm'}]anatomical entity_fin: {'left kidney': {}}clinical findings_fin: {'partially exophytic lesion': {'clinical finding': 'partially exophytic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'partially exophytic', 'observation': 'lesion', 'strength_term': 'partially'}}clinical findings_fin: {'subcentimeter pelvic and retroperitoneal lymph nodes': {'clinical finding': 'subcentimeter pelvic and retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter pelvic and retroperitoneal lymph', 'observation': 'node'}}anatomical entity_fin: {'anastomosis': {}}procedure_fin: ['right hemicolectomy']clinical findings_fin: {'status post right hemicolectomy with ileocolonic anastomosis present': {'clinical finding': 'status post right hemicolectomy with ileocolonic anastomosis present', 'cf_snomed': {'anastomosis': 41796003}}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'bowel obstruction': {'clinical finding': 'bowel obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'}}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: {'head': {}}location descriptor_fin: ['right']clinical findings_fin: {'punctate right femoral head sclerotic': {'clinical finding': 'punctate right femoral head sclerotic', 'existence': 'pos_dx', 'descriptive_term': 'punctate right femoral head', 'observation': 'sclerotic'}} [/INST] . No significant abnormality noted. Stable aneurysmal dilatation of the ascending aorta, measuring 4.5 cm. Unchanged small mediastinal and hilar lymph nodes. No significant abnormality noted. Stable hepatomegaly, liver measures 23 cm in longitudinal dimension. Atrophic left lobe, correlate with patients postsurgical history as well. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Multiple bilateral renal lesions, majority unchanged in size and appearance. Right-sided partially exophytic posterior lesion mildly increased in size, measuring 1.5 x 1.5 cm on image 124 series 3, previously measured 1.3 x 1.3 cm. Mild interval decrease in size of partially exophytic lesion extending from left kidney more superiorly, measures up to 1.2 cm on image 100 series 3, previously measured 1.6 cm. Subcentimeter pelvic and retroperitoneal lymph nodes. Status post right hemicolectomy with ileocolonic anastomosis present. No bowel obstruction. No significant abnormality noted. No significant abnormality noted. Visualized osseous structures stable in appearance, including punctate right femoral head sclerotic focus, most likely a bone island. </s>