. Significant interval enlargement of left pleural effusion and associated atelectasis. No suspicious pulmonary nodule or mass. No focal consolidation. Stable upper lobe predominant mild centrilobular emphysema. The heart size is within normal limits, no significant pericardial effusion. The main pulmonary arteries normal caliber. No significant hilar or mediastinal lymphadenopathy. Severe. No significant abnormality noted. Status post chemoembolization of the known HCC in the right hepatic lobe, with expected posttreatment changes including extensive patchy hypoattenuation extending to the liver capsule, affecting an area measuring approximately 84 x 59 mm. There is mild peripheral nodular enhancement of the treatment area, which is favored to represent post treatment inflammatory changes although recurrent or residual tumor cannot be completely excluded. Stable appearance of severe cirrhotic morphology of the liver, as well as sequela of portal hypertension including splenomegaly, multiple portosystemic collateral vessels, and significant intra-abdominal ascites. Interval increase in nonocclusive thrombus within the extrahepatic main portal vein. The main, right, and left hepatic arteries are patent. The anterior division of the right portal vein is also occluded. The left and intrahepatic main portal veins are patent. The gastroduodenal artery has been embolized. Cholelithiasis, similar to prior. Gallbladder wall thickening and pericholecystic fluid is likely sequela of cirrhosis. Significant splenomegaly, unchanged. Small splenule posterior to the spleen, unchanged. Persistent coarse calcifications in the pancreatic head, suggestive of chronic pancreatitis. No significant abnormality noted. Symmetric enhancement of the kidneys, without focal mass or lesion. No nephrolithiasis or hydronephrosis. Prompt and symmetric excretion of contrast bilaterally. Scattered retroperitoneal lymph nodes, which are not significantly enlarged, and similar to prior study. Moderate. The bowel is of normal caliber, without evidence of obstruction. Small ventral hernia partially containing a loop of transverse colon, without evidence of obstruction or incarceration. Diverticulosis without evidence of acute diverticulitis. Unchanged degenerative changes affecting the spine. Moderate ascites, slightly increased when compared to prior. 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: ['left']clinical findings_fin: {'left pleural effusion': {'clinical finding': 'left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'left pleural', 'observation': 'effusion'}, 'associated atelectasis': {'clinical finding': 'associated atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'associated', 'observation': 'atelectasis'}}clinical findings_fin: {'suspicious pulmonary nodule': {'clinical finding': 'suspicious pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'focal consolidation': {'clinical finding': 'focal consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'consolidation'}}anatomical entity_fin: {'lobe': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'stable upper lobe predominant mild centrilobular emphysema': {'clinical finding': 'stable upper lobe predominant mild centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'stable upper lobe predominant mild centrilobular', 'observation': 'emphysema', 'strength_term': 'stable - mild', 'change_term': 'stable'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'main pulmonary arteries': {}}clinical findings_fin: {'normal caliber': {'clinical finding': 'normal caliber'}}clinical findings_fin: {'significant hilar or mediastinal lymphadenopathy': {'clinical finding': 'significant hilar or mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'significant hilar or mediastinal', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '84 x 59 mm', 'size_descriptor': 'chemoembolization'}]anatomical entity_fin: {'lobe': {}, 'liver': {}, 'capsule': {}}location descriptor_fin: ['right']procedure_fin: ['chemoembolization']clinical findings_fin: {'known hcc': {'clinical finding': 'known hcc', 'existence': 'pos_dx', 'descriptive_term': 'known', 'observation': 'hcc'}, 'expected posttreatment changes': {'clinical finding': 'expected posttreatment changes', 'existence': 'pos_dx', 'descriptive_term': 'expected posttreatment', 'observation': 'change'}, 'extensive patchy hypoattenuation': {'clinical finding': 'extensive patchy hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'extensive patchy', 'observation': 'hypoattenuation', 'strength_term': 'extensive'}}location descriptor_fin: ['peripheral']procedure_fin: ['treatment']clinical findings_fin: {'mild peripheral nodular enhancement': {'clinical finding': 'mild peripheral nodular enhancement', 'existence': 'pos_dx', 'descriptive_term': 'mild peripheral nodular', 'observation': 'enhancement', 'strength_term': 'mild'}, 'post treatment inflammatory changes': {'clinical finding': 'post treatment inflammatory changes', 'existence': 'unc_dx', 'descriptive_term': 'post treatment inflammatory', 'observation': 'change'}, 'recurrent or residual tumor': {'clinical finding': 'recurrent or residual tumor', 'existence': 'unc_dx', 'descriptive_term': 'recurrent or residual', 'observation': 'tumor', 'temporal_term': 'residual'}}anatomical entity_fin: {'liver': {}, 'abdominal': {}}clinical findings_fin: {'portal hypertension': {'clinical finding': 'portal hypertension', 'cf_snomed': {'portal hypertension': 34742003}, 'existence': 'pos_dx', 'descriptive_term': 'portal', 'observation': 'hypertension'}, 'splenomegaly': {'clinical finding': 'splenomegaly', 'cf_snomed': {'splenomegaly': 16294009}, 'existence': 'pos_dx', 'observation': 'splenomegaly'}, 'multiple portosystemic collateral vessels': {'clinical finding': 'multiple portosystemic collateral vessels', 'existence': 'pos_dx', 'descriptive_term': 'multiple portosystemic collateral', 'observation': 'vessel', 'quantity_term': 'multiple'}, 'significant intra-abdominal ascites': {'clinical finding': 'significant intra-abdominal ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'significant intra-abdominal', 'observation': 'ascite'}}anatomical entity_fin: {'portal vein': {}}clinical findings_fin: {'nonocclusive thrombus': {'clinical finding': 'nonocclusive thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'pos_dx', 'descriptive_term': 'nonocclusive', 'observation': 'thrombus'}}anatomical entity_fin: {'left hepatic arteries': {}}location descriptor_fin: ['right']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'right portal vein': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'occluded': {'clinical finding': 'occluded', 'existence': 'pos_dx', 'observation': 'occlude'}}anatomical entity_fin: {'portal veins': {}}location descriptor_fin: ['left']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'gastroduodenal artery': {}}clinical findings_fin: {'embolized': {'clinical finding': 'embolized', 'existence': 'pos_dx', 'observation': 'embolized'}}clinical findings_fin: {'gallbladder wall thickening': {'clinical finding': 'gallbladder wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'gallbladder wall', 'observation': 'thickening'}, 'pericholecystic fluid': {'clinical finding': 'pericholecystic fluid', 'existence': 'unc_dx', 'descriptive_term': 'pericholecystic', 'observation': 'fluid'}, 'cirrhosis': {'clinical finding': 'cirrhosis', 'existence': 'unc_dx', 'observation': 'cirrhosis'}}clinical findings_fin: {'significant splenomegaly': {'clinical finding': 'significant splenomegaly', 'cf_snomed': {'splenomegaly': 16294009}, 'existence': 'pos_dx', 'descriptive_term': 'significant', 'observation': 'splenomegaly'}}anatomical entity_fin: {'spleen': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'small splenule posterior to the spleen': {'clinical finding': 'small splenule posterior to the spleen'}}anatomical entity_fin: {'head': {}}clinical findings_fin: {'persistent coarse calcifications': {'clinical finding': 'persistent coarse calcifications', 'existence': 'pos_dx', 'descriptive_term': 'persistent coarse', 'observation': 'calcification', 'temporal_term': 'persistent'}, 'chronic pancreatitis': {'clinical finding': 'chronic pancreatitis', 'cf_snomed': {'chronic pancreatitis': 235494005}, 'existence': 'unc_dx', 'descriptive_term': 'chronic', 'observation': 'pancreatitis', 'temporal_term': 'chronic'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'kidneys': {}}imaging observation_fin: ['symmetric enhancement']clinical findings_fin: {'symmetric enhancement': {'clinical finding': 'symmetric enhancement', 'existence': 'pos_dx', 'descriptive_term': 'symmetric', 'observation': 'enhancement'}, 'focal mass': {'clinical finding': 'focal mass', 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'mass'}, 'lesion': {'clinical finding': 'lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'observation': 'lesion'}}clinical findings_fin: {'nephrolithiasis': {'clinical finding': 'nephrolithiasis', 'existence': 'neg_dx', 'observation': 'nephrolithiasis'}, 'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}clinical findings_fin: {'prompt and symmetric excretion': {'clinical finding': 'prompt and symmetric excretion', 'existence': 'pos_dx', 'descriptive_term': 'prompt and symmetric', 'observation': 'excretion'}, 'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}}clinical findings_fin: {'scattered retroperitoneal lymph nodes': {'clinical finding': 'scattered retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered retroperitoneal lymph', 'observation': 'node'}, 'enlarged': {'clinical finding': 'enlarged', 'existence': 'neg_dx', 'observation': 'enlarged'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}anatomical entity_fin: {'transverse colon': {}}clinical findings_fin: {'small ventral hernia': {'clinical finding': 'small ventral hernia', 'cf_snomed': {'hernia': 414403008}, 'existence': 'pos_dx', 'descriptive_term': 'small ventral', 'observation': 'hernia', 'strength_term': 'small'}, '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: {'diverticulosis': {'clinical finding': 'diverticulosis', 'existence': 'pos_dx', 'observation': 'diverticulosis'}, 'acute diverticulitis': {'clinical finding': 'acute diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'diverticulitis', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'unchanged degenerative changes': {'clinical finding': 'unchanged degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'unchanged degenerative', 'observation': 'change', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}clinical findings_fin: {'moderate ascites': {'clinical finding': 'moderate ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'ascite', 'strength_term': 'moderate'}}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: ['left']clinical findings_fin: {'left pleural effusion': {'clinical finding': 'left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'left pleural', 'observation': 'effusion'}, 'associated atelectasis': {'clinical finding': 'associated atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'associated', 'observation': 'atelectasis'}}clinical findings_fin: {'suspicious pulmonary nodule': {'clinical finding': 'suspicious pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'focal consolidation': {'clinical finding': 'focal consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'consolidation'}}anatomical entity_fin: {'lobe': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'stable upper lobe predominant mild centrilobular emphysema': {'clinical finding': 'stable upper lobe predominant mild centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'stable upper lobe predominant mild centrilobular', 'observation': 'emphysema', 'strength_term': 'stable - mild', 'change_term': 'stable'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'main pulmonary arteries': {}}clinical findings_fin: {'normal caliber': {'clinical finding': 'normal caliber'}}clinical findings_fin: {'significant hilar or mediastinal lymphadenopathy': {'clinical finding': 'significant hilar or mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'significant hilar or mediastinal', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '84 x 59 mm', 'size_descriptor': 'chemoembolization'}]anatomical entity_fin: {'lobe': {}, 'liver': {}, 'capsule': {}}location descriptor_fin: ['right']procedure_fin: ['chemoembolization']clinical findings_fin: {'known hcc': {'clinical finding': 'known hcc', 'existence': 'pos_dx', 'descriptive_term': 'known', 'observation': 'hcc'}, 'expected posttreatment changes': {'clinical finding': 'expected posttreatment changes', 'existence': 'pos_dx', 'descriptive_term': 'expected posttreatment', 'observation': 'change'}, 'extensive patchy hypoattenuation': {'clinical finding': 'extensive patchy hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'extensive patchy', 'observation': 'hypoattenuation', 'strength_term': 'extensive'}}location descriptor_fin: ['peripheral']procedure_fin: ['treatment']clinical findings_fin: {'mild peripheral nodular enhancement': {'clinical finding': 'mild peripheral nodular enhancement', 'existence': 'pos_dx', 'descriptive_term': 'mild peripheral nodular', 'observation': 'enhancement', 'strength_term': 'mild'}, 'post treatment inflammatory changes': {'clinical finding': 'post treatment inflammatory changes', 'existence': 'unc_dx', 'descriptive_term': 'post treatment inflammatory', 'observation': 'change'}, 'recurrent or residual tumor': {'clinical finding': 'recurrent or residual tumor', 'existence': 'unc_dx', 'descriptive_term': 'recurrent or residual', 'observation': 'tumor', 'temporal_term': 'residual'}}anatomical entity_fin: {'liver': {}, 'abdominal': {}}clinical findings_fin: {'portal hypertension': {'clinical finding': 'portal hypertension', 'cf_snomed': {'portal hypertension': 34742003}, 'existence': 'pos_dx', 'descriptive_term': 'portal', 'observation': 'hypertension'}, 'splenomegaly': {'clinical finding': 'splenomegaly', 'cf_snomed': {'splenomegaly': 16294009}, 'existence': 'pos_dx', 'observation': 'splenomegaly'}, 'multiple portosystemic collateral vessels': {'clinical finding': 'multiple portosystemic collateral vessels', 'existence': 'pos_dx', 'descriptive_term': 'multiple portosystemic collateral', 'observation': 'vessel', 'quantity_term': 'multiple'}, 'significant intra-abdominal ascites': {'clinical finding': 'significant intra-abdominal ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'significant intra-abdominal', 'observation': 'ascite'}}anatomical entity_fin: {'portal vein': {}}clinical findings_fin: {'nonocclusive thrombus': {'clinical finding': 'nonocclusive thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'pos_dx', 'descriptive_term': 'nonocclusive', 'observation': 'thrombus'}}anatomical entity_fin: {'left hepatic arteries': {}}location descriptor_fin: ['right']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'right portal vein': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'occluded': {'clinical finding': 'occluded', 'existence': 'pos_dx', 'observation': 'occlude'}}anatomical entity_fin: {'portal veins': {}}location descriptor_fin: ['left']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'gastroduodenal artery': {}}clinical findings_fin: {'embolized': {'clinical finding': 'embolized', 'existence': 'pos_dx', 'observation': 'embolized'}}clinical findings_fin: {'gallbladder wall thickening': {'clinical finding': 'gallbladder wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'gallbladder wall', 'observation': 'thickening'}, 'pericholecystic fluid': {'clinical finding': 'pericholecystic fluid', 'existence': 'unc_dx', 'descriptive_term': 'pericholecystic', 'observation': 'fluid'}, 'cirrhosis': {'clinical finding': 'cirrhosis', 'existence': 'unc_dx', 'observation': 'cirrhosis'}}clinical findings_fin: {'significant splenomegaly': {'clinical finding': 'significant splenomegaly', 'cf_snomed': {'splenomegaly': 16294009}, 'existence': 'pos_dx', 'descriptive_term': 'significant', 'observation': 'splenomegaly'}}anatomical entity_fin: {'spleen': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'small splenule posterior to the spleen': {'clinical finding': 'small splenule posterior to the spleen'}}anatomical entity_fin: {'head': {}}clinical findings_fin: {'persistent coarse calcifications': {'clinical finding': 'persistent coarse calcifications', 'existence': 'pos_dx', 'descriptive_term': 'persistent coarse', 'observation': 'calcification', 'temporal_term': 'persistent'}, 'chronic pancreatitis': {'clinical finding': 'chronic pancreatitis', 'cf_snomed': {'chronic pancreatitis': 235494005}, 'existence': 'unc_dx', 'descriptive_term': 'chronic', 'observation': 'pancreatitis', 'temporal_term': 'chronic'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'kidneys': {}}imaging observation_fin: ['symmetric enhancement']clinical findings_fin: {'symmetric enhancement': {'clinical finding': 'symmetric enhancement', 'existence': 'pos_dx', 'descriptive_term': 'symmetric', 'observation': 'enhancement'}, 'focal mass': {'clinical finding': 'focal mass', 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'mass'}, 'lesion': {'clinical finding': 'lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'observation': 'lesion'}}clinical findings_fin: {'nephrolithiasis': {'clinical finding': 'nephrolithiasis', 'existence': 'neg_dx', 'observation': 'nephrolithiasis'}, 'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}clinical findings_fin: {'prompt and symmetric excretion': {'clinical finding': 'prompt and symmetric excretion', 'existence': 'pos_dx', 'descriptive_term': 'prompt and symmetric', 'observation': 'excretion'}, 'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}}clinical findings_fin: {'scattered retroperitoneal lymph nodes': {'clinical finding': 'scattered retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered retroperitoneal lymph', 'observation': 'node'}, 'enlarged': {'clinical finding': 'enlarged', 'existence': 'neg_dx', 'observation': 'enlarged'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}anatomical entity_fin: {'transverse colon': {}}clinical findings_fin: {'small ventral hernia': {'clinical finding': 'small ventral hernia', 'cf_snomed': {'hernia': 414403008}, 'existence': 'pos_dx', 'descriptive_term': 'small ventral', 'observation': 'hernia', 'strength_term': 'small'}, '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: {'diverticulosis': {'clinical finding': 'diverticulosis', 'existence': 'pos_dx', 'observation': 'diverticulosis'}, 'acute diverticulitis': {'clinical finding': 'acute diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'diverticulitis', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'unchanged degenerative changes': {'clinical finding': 'unchanged degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'unchanged degenerative', 'observation': 'change', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}clinical findings_fin: {'moderate ascites': {'clinical finding': 'moderate ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'ascite', 'strength_term': 'moderate'}}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] . Significant interval enlargement of left pleural effusion and associated atelectasis. No suspicious pulmonary nodule or mass. No focal consolidation. Stable upper lobe predominant mild centrilobular emphysema. The heart size is within normal limits, no significant pericardial effusion. The main pulmonary arteries normal caliber. No significant hilar or mediastinal lymphadenopathy. Severe. No significant abnormality noted. Status post chemoembolization of the known HCC in the right hepatic lobe, with expected posttreatment changes including extensive patchy hypoattenuation extending to the liver capsule, affecting an area measuring approximately 84 x 59 mm. There is mild peripheral nodular enhancement of the treatment area, which is favored to represent post treatment inflammatory changes although recurrent or residual tumor cannot be completely excluded. Stable appearance of severe cirrhotic morphology of the liver, as well as sequela of portal hypertension including splenomegaly, multiple portosystemic collateral vessels, and significant intra-abdominal ascites. Interval increase in nonocclusive thrombus within the extrahepatic main portal vein. The main, right, and left hepatic arteries are patent. The anterior division of the right portal vein is also occluded. The left and intrahepatic main portal veins are patent. The gastroduodenal artery has been embolized. Cholelithiasis, similar to prior. Gallbladder wall thickening and pericholecystic fluid is likely sequela of cirrhosis. Significant splenomegaly, unchanged. Small splenule posterior to the spleen, unchanged. Persistent coarse calcifications in the pancreatic head, suggestive of chronic pancreatitis. No significant abnormality noted. Symmetric enhancement of the kidneys, without focal mass or lesion. No nephrolithiasis or hydronephrosis. Prompt and symmetric excretion of contrast bilaterally. Scattered retroperitoneal lymph nodes, which are not significantly enlarged, and similar to prior study. Moderate. The bowel is of normal caliber, without evidence of obstruction. Small ventral hernia partially containing a loop of transverse colon, without evidence of obstruction or incarceration. Diverticulosis without evidence of acute diverticulitis. Unchanged degenerative changes affecting the spine. Moderate ascites, slightly increased when compared to prior. 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>