. No significant abnormality noted. There is one simple cyst in the liver and one small nonspecific hypodensity, both of which are stable. No new lesions. Cholelithiasis, no evidence of biliary dilatation. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Status post left nephrectomy. Right kidney is normal. Previously seen index precaval node is no longer present may have been resected. There is a new index retrocaval node which is slightly larger seen on series 3 image 50 measuring 1.2 x 0.9 cm. On the 10/16 exam it measured 0.8 x 0.8 cm on series 3 image 58. Note is made of a duplicated infrarenal inferior vena cava. Atherosclerosis, no evidence of aneurysm. Left hemicolectomy with colostomy seen in left abdomen. No evidence of dilated bowel in the upper abdomen. No free or loculated intraperitoneal fluid. Colostomy left anterior abdominal wall. No significant abnormality noted. PROSTATE/. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. APR and left hemicolectomy. Extensive fluid in the presacral space consistent with postoperative change. Oral contrast the small bowel it is not reached the right colon. There is dilated small bowel in the pelvis and in the rectal fossa with a transition zone seen in the left lower quadrant, series 2 image 83, concerning for adhesions with early or incomplete small bowel obstruction. No evidence of ascites or carcinomatosis. No significant abnormality noted. No significant abnormality noted.
clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'one simple cyst': {'clinical finding': 'one simple cyst', 'cf_snomed': {'simple cyst': 367644007}, 'existence': 'pos_dx', 'descriptive_term': 'one simple', 'observation': 'cyst'}, 'one small nonspecific hypodensity': {'clinical finding': 'one small nonspecific hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'one small nonspecific', 'observation': 'hypodensity', 'strength_term': 'small'}}clinical findings_fin: {'new lesions': {'clinical finding': 'new lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'lesion', 'temporal_term': 'new'}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'neg_dx', 'observation': 'cholelithiasis'}}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: ['left']procedure_fin: ['nephrectomy']anatomical entity_fin: {'right kidney': {}}clinical findings_fin: {'right kidney is normal': {'clinical finding': 'right kidney is normal'}}clinical findings_fin: {'previously seen index precaval node': {'clinical finding': 'previously seen index precaval node', 'existence': 'neg_dx', 'descriptive_term': 'previously seen index precaval', 'observation': 'node'}}size_fin: [{'size': '1.2 x 0.9 cm', 'size_descriptor': 'node'}]clinical findings_fin: {'new index retrocaval node': {'clinical finding': 'new index retrocaval node', 'existence': 'pos_dx', 'descriptive_term': 'new index retrocaval', 'observation': 'node', 'temporal_term': 'new'}}size_fin: [{'size': '0.8 x 0.8 cm'}]anatomical entity_fin: {'inferior vena cava': {}}clinical findings_fin: {'note is made of a duplicated infrarenal inferior vena cava': {'clinical finding': 'note is made of a duplicated infrarenal inferior vena cava'}}clinical findings_fin: {'atherosclerosis': {'clinical finding': 'atherosclerosis', 'cf_snomed': {'atherosclerosis': 38716007}, 'existence': 'neg_dx', 'observation': 'atherosclerosis'}, 'aneurysm': {'clinical finding': 'aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'neg_dx', 'observation': 'aneurysm'}}anatomical entity_fin: {'abdomen': {'location descriptor': 'left'}}location descriptor_fin: ['left']procedure_fin: ['left hemicolectomy', 'colostomy']clinical findings_fin: {'colostomy seen in left abdomen': {'clinical finding': 'colostomy seen in left abdomen', 'cf_snomed': {'abdomen': 818983003}}}anatomical entity_fin: {'bowel': {}, 'upper abdomen': {}}clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'neg_dx', 'observation': 'dilated'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'free or loculated intraperitoneal fluid': {'clinical finding': 'free or loculated intraperitoneal fluid'}}anatomical entity_fin: {'anterior abdominal wall': {'location descriptor': 'left'}}location descriptor_fin: ['left']procedure_fin: ['colostomy']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'}}procedure_fin: ['left hemicolectomy']anatomical entity_fin: {'fluid': {}, 'presacral space': {}}clinical findings_fin: {'postoperative change': {'clinical finding': 'postoperative change', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}}anatomical entity_fin: {'bowel': {}}imaging observation_fin: ['colon']location descriptor_fin: ['right']non-anatomical substance_fin: ['oral contrast']clinical findings_fin: {'small bowel': {'clinical finding': 'small bowel'}}anatomical entity_fin: {'bowel': {}, 'pelvis': {}, 'quadrant': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}, 'transition zone': {'clinical finding': 'transition zone', 'existence': 'pos_dx', 'descriptive_term': 'transition', 'observation': 'zone'}, 'adhesions': {'clinical finding': 'adhesions', 'cf_snomed': {'adhesion': 42685002}, 'existence': 'unc_dx', 'observation': 'adhesion'}, 'early or incomplete small bowel obstruction': {'clinical finding': 'early or incomplete small bowel obstruction', 'cf_snomed': {'small bowel obstruction': 281255004}, 'existence': 'unc_dx', 'descriptive_term': 'early or incomplete small bowel', 'observation': 'obstruction', 'strength_term': 'small'}}clinical findings_fin: {'ascites': {'clinical finding': 'ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'neg_dx', 'observation': 'ascite'}, 'carcinomatosis': {'clinical finding': 'carcinomatosis', 'cf_snomed': {'carcinomatosis': 307593001}, 'existence': 'neg_dx', 'observation': 'carcinomatosis'}}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: clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'one simple cyst': {'clinical finding': 'one simple cyst', 'cf_snomed': {'simple cyst': 367644007}, 'existence': 'pos_dx', 'descriptive_term': 'one simple', 'observation': 'cyst'}, 'one small nonspecific hypodensity': {'clinical finding': 'one small nonspecific hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'one small nonspecific', 'observation': 'hypodensity', 'strength_term': 'small'}}clinical findings_fin: {'new lesions': {'clinical finding': 'new lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'lesion', 'temporal_term': 'new'}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'neg_dx', 'observation': 'cholelithiasis'}}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: ['left']procedure_fin: ['nephrectomy']anatomical entity_fin: {'right kidney': {}}clinical findings_fin: {'right kidney is normal': {'clinical finding': 'right kidney is normal'}}clinical findings_fin: {'previously seen index precaval node': {'clinical finding': 'previously seen index precaval node', 'existence': 'neg_dx', 'descriptive_term': 'previously seen index precaval', 'observation': 'node'}}size_fin: [{'size': '1.2 x 0.9 cm', 'size_descriptor': 'node'}]clinical findings_fin: {'new index retrocaval node': {'clinical finding': 'new index retrocaval node', 'existence': 'pos_dx', 'descriptive_term': 'new index retrocaval', 'observation': 'node', 'temporal_term': 'new'}}size_fin: [{'size': '0.8 x 0.8 cm'}]anatomical entity_fin: {'inferior vena cava': {}}clinical findings_fin: {'note is made of a duplicated infrarenal inferior vena cava': {'clinical finding': 'note is made of a duplicated infrarenal inferior vena cava'}}clinical findings_fin: {'atherosclerosis': {'clinical finding': 'atherosclerosis', 'cf_snomed': {'atherosclerosis': 38716007}, 'existence': 'neg_dx', 'observation': 'atherosclerosis'}, 'aneurysm': {'clinical finding': 'aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'neg_dx', 'observation': 'aneurysm'}}anatomical entity_fin: {'abdomen': {'location descriptor': 'left'}}location descriptor_fin: ['left']procedure_fin: ['left hemicolectomy', 'colostomy']clinical findings_fin: {'colostomy seen in left abdomen': {'clinical finding': 'colostomy seen in left abdomen', 'cf_snomed': {'abdomen': 818983003}}}anatomical entity_fin: {'bowel': {}, 'upper abdomen': {}}clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'neg_dx', 'observation': 'dilated'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'free or loculated intraperitoneal fluid': {'clinical finding': 'free or loculated intraperitoneal fluid'}}anatomical entity_fin: {'anterior abdominal wall': {'location descriptor': 'left'}}location descriptor_fin: ['left']procedure_fin: ['colostomy']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'}}procedure_fin: ['left hemicolectomy']anatomical entity_fin: {'fluid': {}, 'presacral space': {}}clinical findings_fin: {'postoperative change': {'clinical finding': 'postoperative change', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}}anatomical entity_fin: {'bowel': {}}imaging observation_fin: ['colon']location descriptor_fin: ['right']non-anatomical substance_fin: ['oral contrast']clinical findings_fin: {'small bowel': {'clinical finding': 'small bowel'}}anatomical entity_fin: {'bowel': {}, 'pelvis': {}, 'quadrant': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}, 'transition zone': {'clinical finding': 'transition zone', 'existence': 'pos_dx', 'descriptive_term': 'transition', 'observation': 'zone'}, 'adhesions': {'clinical finding': 'adhesions', 'cf_snomed': {'adhesion': 42685002}, 'existence': 'unc_dx', 'observation': 'adhesion'}, 'early or incomplete small bowel obstruction': {'clinical finding': 'early or incomplete small bowel obstruction', 'cf_snomed': {'small bowel obstruction': 281255004}, 'existence': 'unc_dx', 'descriptive_term': 'early or incomplete small bowel', 'observation': 'obstruction', 'strength_term': 'small'}}clinical findings_fin: {'ascites': {'clinical finding': 'ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'neg_dx', 'observation': 'ascite'}, 'carcinomatosis': {'clinical finding': 'carcinomatosis', 'cf_snomed': {'carcinomatosis': 307593001}, 'existence': 'neg_dx', 'observation': 'carcinomatosis'}}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] . No significant abnormality noted. There is one simple cyst in the liver and one small nonspecific hypodensity, both of which are stable. No new lesions. Cholelithiasis, no evidence of biliary dilatation. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Status post left nephrectomy. Right kidney is normal. Previously seen index precaval node is no longer present may have been resected. There is a new index retrocaval node which is slightly larger seen on series 3 image 50 measuring 1.2 x 0.9 cm. On the 10/16 exam it measured 0.8 x 0.8 cm on series 3 image 58. Note is made of a duplicated infrarenal inferior vena cava. Atherosclerosis, no evidence of aneurysm. Left hemicolectomy with colostomy seen in left abdomen. No evidence of dilated bowel in the upper abdomen. No free or loculated intraperitoneal fluid. Colostomy left anterior abdominal wall. No significant abnormality noted. PROSTATE/. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. APR and left hemicolectomy. Extensive fluid in the presacral space consistent with postoperative change. Oral contrast the small bowel it is not reached the right colon. There is dilated small bowel in the pelvis and in the rectal fossa with a transition zone seen in the left lower quadrant, series 2 image 83, concerning for adhesions with early or incomplete small bowel obstruction. No evidence of ascites or carcinomatosis. No significant abnormality noted. No significant abnormality noted. </s>