The absence of intravenous and oral contrast limits evaluation of the solid organs and of the bowels. Interval enlargement of left pleural effusion with persistent associated atelectasis. Unchanged position of pleural pigtail catheter at the left lung base. The right pleural effusion has significantly improved, with only trace residual. Although incompletely evaluated in the absence of contrast, there is persistent type B aortic dissection without significant interval change, still measuring approximately 40 x 40 mm in maximum dimension. No evidence of active hemorrhage at this time. The known mildly prominent right hilar node is not well evaluated in the absence contrast. None. No significant abnormality noted. No significant abnormality noted. A 1.4 cm splenule is noted immediately inferior to the spleen. Subcentimeter hypodense splenic nodule is not seen on this study. No significant abnormality noted. No significant abnormality noted. Unchanged right renal cyst. Mildly prominent retroperitoneal lymph nodes are again seen. The referenced left periaortic node measures 8 x 11 mm , previously 14 x 11 mm. None. Duodenal diverticula are again seen. No evidence of bowel obstruction. The appendix is well-visualized and within normal limits. Stool is seen throughout the colon. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted
anatomical entity_fin: {'solid organs': {}, 'bowels': {}}non-anatomical substance_fin: ['oral contrast']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'}, 'persistent associated atelectasis': {'clinical finding': 'persistent associated atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'persistent associated', 'observation': 'atelectasis', 'temporal_term': 'persistent'}}anatomical entity_fin: {'left lung': {}, 'base': {}}object_fin: ['pigtail catheter']clinical findings_fin: {'pleural pigtail catheter': {'clinical finding': 'pleural pigtail catheter', 'existence': 'pos_dx', 'descriptive_term': 'pleural pigtail', 'observation': 'catheter'}}location descriptor_fin: ['right']clinical findings_fin: {'right pleural effusion': {'clinical finding': 'right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'right pleural', 'observation': 'effusion'}, 'trace residual': {'clinical finding': 'trace residual', 'existence': 'pos_dx', 'descriptive_term': 'trace', 'observation': 'residual'}}size_fin: [{'size': '40 x 40 mm', 'size_descriptor': 'dissection'}]clinical findings_fin: {'contrast': {'clinical finding': 'contrast', 'existence': 'neg_dx', 'observation': 'contrast'}, 'persistent type b aortic dissection': {'clinical finding': 'persistent type b aortic dissection', 'existence': 'pos_dx', 'descriptive_term': 'persistent type b aortic', 'observation': 'dissection', 'temporal_term': 'persistent'}, 'significant interval change': {'clinical finding': 'significant interval change', 'existence': 'neg_dx', 'descriptive_term': 'significant interval', 'observation': 'change'}}clinical findings_fin: {'active hemorrhage': {'clinical finding': 'active hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'neg_dx', 'descriptive_term': 'active', 'observation': 'hemorrhage', 'strength_term': 'active'}}location descriptor_fin: ['right']clinical findings_fin: {'known mildly prominent right hilar node': {'clinical finding': 'known mildly prominent right hilar node', 'existence': 'neg_dx', 'descriptive_term': 'known mildly prominent right hilar', 'observation': 'node', 'strength_term': 'mildly - prominent'}, 'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', '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'}}size_fin: [{'size': '1.4 cm', 'size_descriptor': 'splenule'}]anatomical entity_fin: {'spleen': {}}location descriptor_fin: ['inferior']clinical findings_fin: {'cm splenule is noted': {'clinical finding': 'cm splenule is noted'}}clinical findings_fin: {'subcentimeter hypodense splenic nodule': {'clinical finding': 'subcentimeter hypodense splenic nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'subcentimeter hypodense splenic', 'observation': 'nodule'}}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: ['right']clinical findings_fin: {'unchanged right renal cyst': {'clinical finding': 'unchanged right renal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged right renal', 'observation': 'cyst', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}clinical findings_fin: {'mildly prominent retroperitoneal lymph nodes': {'clinical finding': 'mildly prominent retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly prominent retroperitoneal lymph', 'observation': 'node', 'strength_term': 'mildly - prominent'}}size_fin: [{'size': '8 x 11 mm'}, {'size': '14 x 11 mm'}]location descriptor_fin: ['left']clinical findings_fin: {'referenced left periaortic node': {'clinical finding': 'referenced left periaortic node', 'existence': 'pos_dx', 'descriptive_term': 'referenced left periaortic', 'observation': 'node'}}clinical findings_fin: {'duodenal diverticula are again seen': {'clinical finding': 'duodenal diverticula are again seen'}}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'}}anatomical entity_fin: {'appendix': {}}clinical findings_fin: {'well - visualized and within normal limits': {'clinical finding': 'well - visualized and within normal limits'}}imaging observation_fin: ['colon']clinical findings_fin: {'stool is seen throughout the colon': {'clinical finding': 'stool is seen throughout the colon'}}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: anatomical entity_fin: {'solid organs': {}, 'bowels': {}}non-anatomical substance_fin: ['oral contrast']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'}, 'persistent associated atelectasis': {'clinical finding': 'persistent associated atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'persistent associated', 'observation': 'atelectasis', 'temporal_term': 'persistent'}}anatomical entity_fin: {'left lung': {}, 'base': {}}object_fin: ['pigtail catheter']clinical findings_fin: {'pleural pigtail catheter': {'clinical finding': 'pleural pigtail catheter', 'existence': 'pos_dx', 'descriptive_term': 'pleural pigtail', 'observation': 'catheter'}}location descriptor_fin: ['right']clinical findings_fin: {'right pleural effusion': {'clinical finding': 'right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'right pleural', 'observation': 'effusion'}, 'trace residual': {'clinical finding': 'trace residual', 'existence': 'pos_dx', 'descriptive_term': 'trace', 'observation': 'residual'}}size_fin: [{'size': '40 x 40 mm', 'size_descriptor': 'dissection'}]clinical findings_fin: {'contrast': {'clinical finding': 'contrast', 'existence': 'neg_dx', 'observation': 'contrast'}, 'persistent type b aortic dissection': {'clinical finding': 'persistent type b aortic dissection', 'existence': 'pos_dx', 'descriptive_term': 'persistent type b aortic', 'observation': 'dissection', 'temporal_term': 'persistent'}, 'significant interval change': {'clinical finding': 'significant interval change', 'existence': 'neg_dx', 'descriptive_term': 'significant interval', 'observation': 'change'}}clinical findings_fin: {'active hemorrhage': {'clinical finding': 'active hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'neg_dx', 'descriptive_term': 'active', 'observation': 'hemorrhage', 'strength_term': 'active'}}location descriptor_fin: ['right']clinical findings_fin: {'known mildly prominent right hilar node': {'clinical finding': 'known mildly prominent right hilar node', 'existence': 'neg_dx', 'descriptive_term': 'known mildly prominent right hilar', 'observation': 'node', 'strength_term': 'mildly - prominent'}, 'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', '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'}}size_fin: [{'size': '1.4 cm', 'size_descriptor': 'splenule'}]anatomical entity_fin: {'spleen': {}}location descriptor_fin: ['inferior']clinical findings_fin: {'cm splenule is noted': {'clinical finding': 'cm splenule is noted'}}clinical findings_fin: {'subcentimeter hypodense splenic nodule': {'clinical finding': 'subcentimeter hypodense splenic nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'subcentimeter hypodense splenic', 'observation': 'nodule'}}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: ['right']clinical findings_fin: {'unchanged right renal cyst': {'clinical finding': 'unchanged right renal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged right renal', 'observation': 'cyst', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}clinical findings_fin: {'mildly prominent retroperitoneal lymph nodes': {'clinical finding': 'mildly prominent retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly prominent retroperitoneal lymph', 'observation': 'node', 'strength_term': 'mildly - prominent'}}size_fin: [{'size': '8 x 11 mm'}, {'size': '14 x 11 mm'}]location descriptor_fin: ['left']clinical findings_fin: {'referenced left periaortic node': {'clinical finding': 'referenced left periaortic node', 'existence': 'pos_dx', 'descriptive_term': 'referenced left periaortic', 'observation': 'node'}}clinical findings_fin: {'duodenal diverticula are again seen': {'clinical finding': 'duodenal diverticula are again seen'}}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'}}anatomical entity_fin: {'appendix': {}}clinical findings_fin: {'well - visualized and within normal limits': {'clinical finding': 'well - visualized and within normal limits'}}imaging observation_fin: ['colon']clinical findings_fin: {'stool is seen throughout the colon': {'clinical finding': 'stool is seen throughout the colon'}}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] The absence of intravenous and oral contrast limits evaluation of the solid organs and of the bowels. Interval enlargement of left pleural effusion with persistent associated atelectasis. Unchanged position of pleural pigtail catheter at the left lung base. The right pleural effusion has significantly improved, with only trace residual. Although incompletely evaluated in the absence of contrast, there is persistent type B aortic dissection without significant interval change, still measuring approximately 40 x 40 mm in maximum dimension. No evidence of active hemorrhage at this time. The known mildly prominent right hilar node is not well evaluated in the absence contrast. None. No significant abnormality noted. No significant abnormality noted. A 1.4 cm splenule is noted immediately inferior to the spleen. Subcentimeter hypodense splenic nodule is not seen on this study. No significant abnormality noted. No significant abnormality noted. Unchanged right renal cyst. Mildly prominent retroperitoneal lymph nodes are again seen. The referenced left periaortic node measures 8 x 11 mm , previously 14 x 11 mm. None. Duodenal diverticula are again seen. No evidence of bowel obstruction. The appendix is well-visualized and within normal limits. Stool is seen throughout the colon. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted </s>