. Mild centrilobular emphysema. No significant pleural effusion or lower lung consolidation. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Moderate right hydronephrosis to the distal one third of the ureter. The ureter cannot be traced completely to its insertion on the bladder. No hyperattenuating stones are seen. Left kidney within normal limits. RETROPERITONEUM/. Small retroperitoneal lymph nodes are seen. Several loops of dilated distal small bowel are seen in the right lower quadrant, up to approximately 3.8 cm. These dilated loops of small bowel are proximal to a several centimeter segment of distal ileum that demonstrates bowel wall thickening , and this is likely a transition point. The appendix appears normal. No pneumatosis or free air. No significant abnormality noted. No significant abnormality noted. UTERUS/. There is an approximately 3 x 1.8-cm cystic structure at the right adnexa which may represent a physiologic cyst if the patient is premenopausal, however cannot completely exclude the possibility of ovarian neoplasm, particularly if the patient is postmenopausal. No significant abnormality noted. Several loops of distended distal small bowel in the right lower quadrant proximal to a segment of distal ileum with bowel wall thickening. This is likely partial obstruction proximal to an inflamed loop of distal ileum. Bilateral inguinal lymphadenopathy.
clinical findings_fin: {'mild centrilobular emphysema': {'clinical finding': 'mild centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'mild centrilobular', 'observation': 'emphysema', 'strength_term': 'mild'}}anatomical entity_fin: {'lung': {'location descriptor': 'lower'}}location descriptor_fin: ['lower']clinical findings_fin: {'significant pleural effusion': {'clinical finding': 'significant pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'significant pleural', 'observation': 'effusion'}, 'lower lung consolidation': {'clinical finding': 'lower lung consolidation', 'cf_snomed': {'lung consolidation': 95436008}, 'existence': 'neg_dx', 'descriptive_term': 'lower lung', 'observation': 'consolidation'}}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'}}anatomical entity_fin: {'ureter': {}}location descriptor_fin: ['right', 'distal']clinical findings_fin: {'moderate right hydronephrosis': {'clinical finding': 'moderate right hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate right', 'observation': 'hydronephrosis', 'strength_term': 'moderate'}}anatomical entity_fin: {'ureter': {}, 'insertion': {}, 'bladder': {}}clinical findings_fin: {'hyperattenuating stones': {'clinical finding': 'hyperattenuating stones', 'existence': 'neg_dx', 'descriptive_term': 'hyperattenuating', 'observation': 'stone'}}anatomical entity_fin: {'left kidney': {}}clinical findings_fin: {'left kidney within normal limits': {'clinical finding': 'left kidney within normal limits'}}clinical findings_fin: {'small retroperitoneal lymph nodes': {'clinical finding': 'small retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small retroperitoneal lymph', 'observation': 'node', 'strength_term': 'small'}}size_fin: [{'size': '3.8 cm'}]anatomical entity_fin: {'bowel': {}, 'quadrant': {'location descriptor': 'right lower'}}location descriptor_fin: ['distal', 'right', 'lower']clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}}anatomical entity_fin: {'bowel': {}, 'ileum': {'location descriptor': 'distal'}}location descriptor_fin: ['proximal', 'distal']clinical findings_fin: {'these dilated': {'clinical finding': 'these dilated', 'existence': 'pos_dx', 'descriptive_term': 'these', 'observation': 'dilated'}, 'bowel wall thickening': {'clinical finding': 'bowel wall thickening', 'existence': 'unc_dx', 'descriptive_term': 'bowel wall', 'observation': 'thickening'}}anatomical entity_fin: {'appendix': {}}clinical findings_fin: {'appendix appears normal': {'clinical finding': 'appendix appears normal'}}clinical findings_fin: {'pneumatosis': {'clinical finding': 'pneumatosis', 'existence': 'neg_dx', 'observation': 'pneumatosis'}, 'free air': {'clinical finding': 'free air', 'existence': 'neg_dx', 'descriptive_term': 'free', 'observation': 'air'}}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': '3 x 1.8', 'size_descriptor': 'structure'}]location descriptor_fin: ['right']clinical findings_fin: {'approximately 3 x 1.8-cm cystic structure': {'clinical finding': 'approximately 3 x 1.8-cm cystic structure', 'existence': 'pos_dx', 'descriptive_term': 'approximately 3 x 1 8-cm cystic', 'observation': 'structure'}, 'physiologic cyst': {'clinical finding': 'physiologic cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'unc_dx', 'descriptive_term': 'physiologic', 'observation': 'cyst'}, 'ovarian neoplasm': {'clinical finding': 'ovarian neoplasm', 'cf_snomed': {'neoplasm': 108369006}, 'existence': 'unc_dx', 'descriptive_term': 'ovarian', 'observation': 'neoplasm'}, 'postmenopausal': {'clinical finding': 'postmenopausal', 'existence': 'unc_dx', 'observation': 'postmenopausal'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'bowel': {}, 'quadrant': {'location descriptor': 'right lower'}, 'ileum': {'location descriptor': 'distal'}}location descriptor_fin: ['distal', 'right', 'lower', 'proximal']clinical findings_fin: {'distended': {'clinical finding': 'distended', 'existence': 'pos_dx', 'observation': 'distended'}, 'bowel wall thickening': {'clinical finding': 'bowel wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'bowel wall', 'observation': 'thickening'}}anatomical entity_fin: {'ileum': {'location descriptor': 'distal'}}location descriptor_fin: ['proximal', 'distal']clinical findings_fin: {'partial obstruction': {'clinical finding': 'partial obstruction', 'cf_snomed': {'partial obstruction': 13705009}, 'existence': 'unc_dx', 'descriptive_term': 'partial', 'observation': 'obstruction', 'strength_term': 'partial'}, 'inflamed': {'clinical finding': 'inflamed', 'existence': 'unc_dx', 'observation': 'inflamed'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral inguinal lymphadenopathy': {'clinical finding': 'bilateral inguinal lymphadenopathy', 'cf_snomed': {'inguinal lymphadenopathy': 127199000}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral inguinal', 'observation': 'lymphadenopathy'}}
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'mild centrilobular emphysema': {'clinical finding': 'mild centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'mild centrilobular', 'observation': 'emphysema', 'strength_term': 'mild'}}anatomical entity_fin: {'lung': {'location descriptor': 'lower'}}location descriptor_fin: ['lower']clinical findings_fin: {'significant pleural effusion': {'clinical finding': 'significant pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'significant pleural', 'observation': 'effusion'}, 'lower lung consolidation': {'clinical finding': 'lower lung consolidation', 'cf_snomed': {'lung consolidation': 95436008}, 'existence': 'neg_dx', 'descriptive_term': 'lower lung', 'observation': 'consolidation'}}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'}}anatomical entity_fin: {'ureter': {}}location descriptor_fin: ['right', 'distal']clinical findings_fin: {'moderate right hydronephrosis': {'clinical finding': 'moderate right hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate right', 'observation': 'hydronephrosis', 'strength_term': 'moderate'}}anatomical entity_fin: {'ureter': {}, 'insertion': {}, 'bladder': {}}clinical findings_fin: {'hyperattenuating stones': {'clinical finding': 'hyperattenuating stones', 'existence': 'neg_dx', 'descriptive_term': 'hyperattenuating', 'observation': 'stone'}}anatomical entity_fin: {'left kidney': {}}clinical findings_fin: {'left kidney within normal limits': {'clinical finding': 'left kidney within normal limits'}}clinical findings_fin: {'small retroperitoneal lymph nodes': {'clinical finding': 'small retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small retroperitoneal lymph', 'observation': 'node', 'strength_term': 'small'}}size_fin: [{'size': '3.8 cm'}]anatomical entity_fin: {'bowel': {}, 'quadrant': {'location descriptor': 'right lower'}}location descriptor_fin: ['distal', 'right', 'lower']clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}}anatomical entity_fin: {'bowel': {}, 'ileum': {'location descriptor': 'distal'}}location descriptor_fin: ['proximal', 'distal']clinical findings_fin: {'these dilated': {'clinical finding': 'these dilated', 'existence': 'pos_dx', 'descriptive_term': 'these', 'observation': 'dilated'}, 'bowel wall thickening': {'clinical finding': 'bowel wall thickening', 'existence': 'unc_dx', 'descriptive_term': 'bowel wall', 'observation': 'thickening'}}anatomical entity_fin: {'appendix': {}}clinical findings_fin: {'appendix appears normal': {'clinical finding': 'appendix appears normal'}}clinical findings_fin: {'pneumatosis': {'clinical finding': 'pneumatosis', 'existence': 'neg_dx', 'observation': 'pneumatosis'}, 'free air': {'clinical finding': 'free air', 'existence': 'neg_dx', 'descriptive_term': 'free', 'observation': 'air'}}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': '3 x 1.8', 'size_descriptor': 'structure'}]location descriptor_fin: ['right']clinical findings_fin: {'approximately 3 x 1.8-cm cystic structure': {'clinical finding': 'approximately 3 x 1.8-cm cystic structure', 'existence': 'pos_dx', 'descriptive_term': 'approximately 3 x 1 8-cm cystic', 'observation': 'structure'}, 'physiologic cyst': {'clinical finding': 'physiologic cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'unc_dx', 'descriptive_term': 'physiologic', 'observation': 'cyst'}, 'ovarian neoplasm': {'clinical finding': 'ovarian neoplasm', 'cf_snomed': {'neoplasm': 108369006}, 'existence': 'unc_dx', 'descriptive_term': 'ovarian', 'observation': 'neoplasm'}, 'postmenopausal': {'clinical finding': 'postmenopausal', 'existence': 'unc_dx', 'observation': 'postmenopausal'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'bowel': {}, 'quadrant': {'location descriptor': 'right lower'}, 'ileum': {'location descriptor': 'distal'}}location descriptor_fin: ['distal', 'right', 'lower', 'proximal']clinical findings_fin: {'distended': {'clinical finding': 'distended', 'existence': 'pos_dx', 'observation': 'distended'}, 'bowel wall thickening': {'clinical finding': 'bowel wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'bowel wall', 'observation': 'thickening'}}anatomical entity_fin: {'ileum': {'location descriptor': 'distal'}}location descriptor_fin: ['proximal', 'distal']clinical findings_fin: {'partial obstruction': {'clinical finding': 'partial obstruction', 'cf_snomed': {'partial obstruction': 13705009}, 'existence': 'unc_dx', 'descriptive_term': 'partial', 'observation': 'obstruction', 'strength_term': 'partial'}, 'inflamed': {'clinical finding': 'inflamed', 'existence': 'unc_dx', 'observation': 'inflamed'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral inguinal lymphadenopathy': {'clinical finding': 'bilateral inguinal lymphadenopathy', 'cf_snomed': {'inguinal lymphadenopathy': 127199000}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral inguinal', 'observation': 'lymphadenopathy'}} [/INST] . Mild centrilobular emphysema. No significant pleural effusion or lower lung consolidation. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Moderate right hydronephrosis to the distal one third of the ureter. The ureter cannot be traced completely to its insertion on the bladder. No hyperattenuating stones are seen. Left kidney within normal limits. RETROPERITONEUM/. Small retroperitoneal lymph nodes are seen. Several loops of dilated distal small bowel are seen in the right lower quadrant, up to approximately 3.8 cm. These dilated loops of small bowel are proximal to a several centimeter segment of distal ileum that demonstrates bowel wall thickening , and this is likely a transition point. The appendix appears normal. No pneumatosis or free air. No significant abnormality noted. No significant abnormality noted. UTERUS/. There is an approximately 3 x 1.8-cm cystic structure at the right adnexa which may represent a physiologic cyst if the patient is premenopausal, however cannot completely exclude the possibility of ovarian neoplasm, particularly if the patient is postmenopausal. No significant abnormality noted. Several loops of distended distal small bowel in the right lower quadrant proximal to a segment of distal ileum with bowel wall thickening. This is likely partial obstruction proximal to an inflamed loop of distal ileum. Bilateral inguinal lymphadenopathy. </s>