The absence of intravenous contrast limits evaluation of the solid organs and vasculature. Small to moderate right pleural effusion. Numerous lung nodules in the visualized lung bases consistent with metastatic disease. There are also granulomata in the hila and lungs. Bibasilar atelectasis or consolidation. For baseline purposes a nodule in the right lower lobe series 4 image 8 measures 1.1 x 1.1 cm. Although limited by lack of IV contrast there is a large hypodense lesion in the dome of the right lobe probable satellite lesions. Given limitation of no IV contrast the baseline measurement is nevertheless provided on series 3 image 46, 9.6 x 8.1 cm. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Small consistent with chronic medical renal disease. Poorly demarcated due to ascites and anasarca but I suspect it may be adenopathy in the region of the porta hepatis or peripancreatic region. Mild atherosclerotic disease. No evidence of aneurysm. Massive generalized ascites. No definite measurable solid carcinomatosis. No evidence of bowel wall thickening or dilatation. Severe anasarca. Osteoporosis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Massive generalized ascites. Severe anasarca. Bilateral inguinal hernias left greater than right containing ascites
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: ['right']clinical findings_fin: {'small to moderate right pleural effusion': {'clinical finding': 'small to moderate right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'small to moderate right pleural', 'observation': 'effusion', 'strength_term': 'small - moderate'}}anatomical entity_fin: {'lung': {}, 'bases': {}}clinical findings_fin: {'numerous lung nodules': {'clinical finding': 'numerous lung nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'numerous lung', 'observation': 'nodule', 'quantity_term': 'numerous'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}anatomical entity_fin: {'lungs': {}}clinical findings_fin: {'granulomata': {'clinical finding': 'granulomata', 'existence': 'pos_dx', 'observation': 'granulomata'}}clinical findings_fin: {'bibasilar atelectasis': {'clinical finding': 'bibasilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'bibasilar', 'observation': 'atelectasis'}, 'consolidation': {'clinical finding': 'consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'unc_dx', 'observation': 'consolidation'}}size_fin: [{'size': '1.1 x 1.1 cm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'nodule': {'clinical finding': 'nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'observation': 'nodule'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'iv contrast': {'clinical finding': 'iv contrast', 'existence': 'neg_dx', 'descriptive_term': 'iv', 'observation': 'contrast'}, 'large hypodense lesion': {'clinical finding': 'large hypodense lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'large hypodense', 'observation': 'lesion', 'strength_term': 'large'}, 'probable satellite lesions': {'clinical finding': 'probable satellite lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'probable satellite', 'observation': 'lesion'}}size_fin: [{'size': '9.6 x 8.1 cm'}]clinical findings_fin: {'iv contrast': {'clinical finding': 'iv contrast', 'existence': 'neg_dx', 'descriptive_term': 'iv', 'observation': 'contrast'}}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: {'chronic medical renal disease': {'clinical finding': 'chronic medical renal disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'chronic medical renal', 'observation': 'disease', 'temporal_term': 'chronic'}}anatomical entity_fin: {'porta hepatis': {}}clinical findings_fin: {'ascites': {'clinical finding': 'ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'observation': 'ascite'}, 'anasarca': {'clinical finding': 'anasarca', 'cf_snomed': {'anasarca': 442433009}, 'existence': 'pos_dx', 'observation': 'anasarca'}, 'adenopathy': {'clinical finding': 'adenopathy', 'existence': 'unc_dx', 'observation': 'adenopathy'}}clinical findings_fin: {'mild atherosclerotic disease': {'clinical finding': 'mild atherosclerotic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'mild atherosclerotic', 'observation': 'disease', 'strength_term': 'mild'}}clinical findings_fin: {'aneurysm': {'clinical finding': 'aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'neg_dx', 'observation': 'aneurysm'}}clinical findings_fin: {'massive generalized ascites': {'clinical finding': 'massive generalized ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'massive generalized', 'observation': 'ascite', 'strength_term': 'massive'}}clinical findings_fin: {'definite measurable solid carcinomatosis': {'clinical finding': 'definite measurable solid carcinomatosis', 'cf_snomed': {'carcinomatosis': 307593001}, 'existence': 'neg_dx', 'descriptive_term': 'definite measurable solid', 'observation': 'carcinomatosis'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'bowel wall thickening': {'clinical finding': 'bowel wall thickening', 'existence': 'neg_dx', 'descriptive_term': 'bowel wall', 'observation': 'thickening'}, 'dilatation': {'clinical finding': 'dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'observation': 'dilatation'}}clinical findings_fin: {'severe anasarca': {'clinical finding': 'severe anasarca', 'cf_snomed': {'anasarca': 442433009}, 'existence': 'pos_dx', 'descriptive_term': 'severe', 'observation': 'anasarca', 'strength_term': 'severe'}}clinical findings_fin: {'osteoporosis': {'clinical finding': 'osteoporosis', 'cf_snomed': {'osteoporosis': 64859006}, 'existence': 'pos_dx', 'observation': 'osteoporosis'}}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: {'massive generalized ascites': {'clinical finding': 'massive generalized ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'massive generalized', 'observation': 'ascite', 'strength_term': 'massive'}}clinical findings_fin: {'severe anasarca': {'clinical finding': 'severe anasarca', 'cf_snomed': {'anasarca': 442433009}, 'existence': 'pos_dx', 'descriptive_term': 'severe', 'observation': 'anasarca', 'strength_term': 'severe'}}location descriptor_fin: ['bilateral', 'left', 'right']clinical findings_fin: {'bilateral inguinal hernias': {'clinical finding': 'bilateral inguinal hernias', 'existence': 'pos_dx', 'descriptive_term': 'bilateral inguinal', 'observation': 'hernias'}, 'ascites': {'clinical finding': 'ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'observation': 'ascite'}}
<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: ['right']clinical findings_fin: {'small to moderate right pleural effusion': {'clinical finding': 'small to moderate right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'small to moderate right pleural', 'observation': 'effusion', 'strength_term': 'small - moderate'}}anatomical entity_fin: {'lung': {}, 'bases': {}}clinical findings_fin: {'numerous lung nodules': {'clinical finding': 'numerous lung nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'numerous lung', 'observation': 'nodule', 'quantity_term': 'numerous'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}anatomical entity_fin: {'lungs': {}}clinical findings_fin: {'granulomata': {'clinical finding': 'granulomata', 'existence': 'pos_dx', 'observation': 'granulomata'}}clinical findings_fin: {'bibasilar atelectasis': {'clinical finding': 'bibasilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'bibasilar', 'observation': 'atelectasis'}, 'consolidation': {'clinical finding': 'consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'unc_dx', 'observation': 'consolidation'}}size_fin: [{'size': '1.1 x 1.1 cm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'nodule': {'clinical finding': 'nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'observation': 'nodule'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'iv contrast': {'clinical finding': 'iv contrast', 'existence': 'neg_dx', 'descriptive_term': 'iv', 'observation': 'contrast'}, 'large hypodense lesion': {'clinical finding': 'large hypodense lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'large hypodense', 'observation': 'lesion', 'strength_term': 'large'}, 'probable satellite lesions': {'clinical finding': 'probable satellite lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'probable satellite', 'observation': 'lesion'}}size_fin: [{'size': '9.6 x 8.1 cm'}]clinical findings_fin: {'iv contrast': {'clinical finding': 'iv contrast', 'existence': 'neg_dx', 'descriptive_term': 'iv', 'observation': 'contrast'}}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: {'chronic medical renal disease': {'clinical finding': 'chronic medical renal disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'chronic medical renal', 'observation': 'disease', 'temporal_term': 'chronic'}}anatomical entity_fin: {'porta hepatis': {}}clinical findings_fin: {'ascites': {'clinical finding': 'ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'observation': 'ascite'}, 'anasarca': {'clinical finding': 'anasarca', 'cf_snomed': {'anasarca': 442433009}, 'existence': 'pos_dx', 'observation': 'anasarca'}, 'adenopathy': {'clinical finding': 'adenopathy', 'existence': 'unc_dx', 'observation': 'adenopathy'}}clinical findings_fin: {'mild atherosclerotic disease': {'clinical finding': 'mild atherosclerotic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'mild atherosclerotic', 'observation': 'disease', 'strength_term': 'mild'}}clinical findings_fin: {'aneurysm': {'clinical finding': 'aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'neg_dx', 'observation': 'aneurysm'}}clinical findings_fin: {'massive generalized ascites': {'clinical finding': 'massive generalized ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'massive generalized', 'observation': 'ascite', 'strength_term': 'massive'}}clinical findings_fin: {'definite measurable solid carcinomatosis': {'clinical finding': 'definite measurable solid carcinomatosis', 'cf_snomed': {'carcinomatosis': 307593001}, 'existence': 'neg_dx', 'descriptive_term': 'definite measurable solid', 'observation': 'carcinomatosis'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'bowel wall thickening': {'clinical finding': 'bowel wall thickening', 'existence': 'neg_dx', 'descriptive_term': 'bowel wall', 'observation': 'thickening'}, 'dilatation': {'clinical finding': 'dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'observation': 'dilatation'}}clinical findings_fin: {'severe anasarca': {'clinical finding': 'severe anasarca', 'cf_snomed': {'anasarca': 442433009}, 'existence': 'pos_dx', 'descriptive_term': 'severe', 'observation': 'anasarca', 'strength_term': 'severe'}}clinical findings_fin: {'osteoporosis': {'clinical finding': 'osteoporosis', 'cf_snomed': {'osteoporosis': 64859006}, 'existence': 'pos_dx', 'observation': 'osteoporosis'}}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: {'massive generalized ascites': {'clinical finding': 'massive generalized ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'massive generalized', 'observation': 'ascite', 'strength_term': 'massive'}}clinical findings_fin: {'severe anasarca': {'clinical finding': 'severe anasarca', 'cf_snomed': {'anasarca': 442433009}, 'existence': 'pos_dx', 'descriptive_term': 'severe', 'observation': 'anasarca', 'strength_term': 'severe'}}location descriptor_fin: ['bilateral', 'left', 'right']clinical findings_fin: {'bilateral inguinal hernias': {'clinical finding': 'bilateral inguinal hernias', 'existence': 'pos_dx', 'descriptive_term': 'bilateral inguinal', 'observation': 'hernias'}, 'ascites': {'clinical finding': 'ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'observation': 'ascite'}} [/INST] The absence of intravenous contrast limits evaluation of the solid organs and vasculature. Small to moderate right pleural effusion. Numerous lung nodules in the visualized lung bases consistent with metastatic disease. There are also granulomata in the hila and lungs. Bibasilar atelectasis or consolidation. For baseline purposes a nodule in the right lower lobe series 4 image 8 measures 1.1 x 1.1 cm. Although limited by lack of IV contrast there is a large hypodense lesion in the dome of the right lobe probable satellite lesions. Given limitation of no IV contrast the baseline measurement is nevertheless provided on series 3 image 46, 9.6 x 8.1 cm. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Small consistent with chronic medical renal disease. Poorly demarcated due to ascites and anasarca but I suspect it may be adenopathy in the region of the porta hepatis or peripancreatic region. Mild atherosclerotic disease. No evidence of aneurysm. Massive generalized ascites. No definite measurable solid carcinomatosis. No evidence of bowel wall thickening or dilatation. Severe anasarca. Osteoporosis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Massive generalized ascites. Severe anasarca. Bilateral inguinal hernias left greater than right containing ascites </s>