The absence of sufficient intravenous contrast limits evaluation of the solid organs and vasculature. Small pericardial effusion. Intra and extra hepatic biliary ductal dilatation unchanged from prior exam. Gallbladder is surgically absent. Small posterior segments with higher retrohepatic colon abutting the diaphragm. Unchanged is a small ill-defined hypoattenuating lesion in the dome of the right lobe of the liver. Prior exam suggested this might be hemangioma. No significant abnormality noted. Mild pancreatic ductal prominence unchanged. Large left adrenal mass unchanged about 4.3 cm in longest dimension series 4 image 30. No significant abnormality noted. Caval filter in place. Mild tortuosity aorta. Mild atherosclerotic calcifications. No evidence of aneurysm. No significant abnormality noted. Scoliosis and degenerative changes, unchanged. No significant abnormality noted. Surgically absent. Fungating mass on clinical exam not appreciated by CT. Clinically indicated this could be evaluated with pelvic MRI. No significant abnormality noted. No significant abnormality noted. Probable appendectomy clip. No bowel wall thickening or dilatation. No free or loculated intraperitoneal fluid. Surgical clip in the dependent pelvis, unchanged. No significant abnormality noted. No significant abnormality noted.
anatomical entity_fin: {'solid organs': {}, 'vasculature': {}}clinical findings_fin: {'sufficient intravenous contrast': {'clinical finding': 'sufficient intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'sufficient intravenous', 'observation': 'contrast', 'quantity_term': 'sufficient'}}clinical findings_fin: {'small pericardial effusion': {'clinical finding': 'small pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'small pericardial', 'observation': 'effusion', 'strength_term': 'small'}}clinical findings_fin: {'intra and extra hepatic biliary ductal dilatation': {'clinical finding': 'intra and extra hepatic biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'pos_dx', 'descriptive_term': 'intra and extra hepatic biliary ductal', 'observation': 'dilatation'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'surgically': {'clinical finding': 'surgically', 'existence': 'pos_dx', 'observation': 'surgically'}}anatomical entity_fin: {'diaphragm': {}}imaging observation_fin: ['colon']location descriptor_fin: ['posterior']clinical findings_fin: {'small posterior segments with higher retrohepatic colon abutting': {'clinical finding': 'small posterior segments with higher retrohepatic colon abutting'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right'}, 'liver': {}}location descriptor_fin: ['right']clinical findings_fin: {'small ill-defined hypoattenuating lesion': {'clinical finding': 'small ill-defined hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'small ill-defined hypoattenuating', 'observation': 'lesion', 'strength_term': 'small - ill-defined'}}clinical findings_fin: {'hemangioma': {'clinical finding': 'hemangioma', 'cf_snomed': {'hemangioma': 400210000}, 'existence': 'unc_dx', 'observation': 'hemangioma'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'mild pancreatic ductal prominence unchanged': {'clinical finding': 'mild pancreatic ductal prominence unchanged', 'change_term': 'unchanged'}}size_fin: [{'size': '4.3 cm', 'size_descriptor': 'mass'}]location descriptor_fin: ['left']clinical findings_fin: {'large left adrenal mass': {'clinical finding': 'large left adrenal mass', 'cf_snomed': {'adrenal mass': 237783006}, 'existence': 'pos_dx', 'descriptive_term': 'large left adrenal', 'observation': 'mass', 'strength_term': 'large'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}object_fin: ['filter']anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'mild tortuosity aorta': {'clinical finding': 'mild tortuosity aorta', 'cf_snomed': {'tortuosity': 15690004}}}clinical findings_fin: {'mild atherosclerotic calcifications': {'clinical finding': 'mild atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'mild atherosclerotic', 'observation': 'calcification', 'strength_term': 'mild'}}clinical findings_fin: {'aneurysm': {'clinical finding': 'aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'neg_dx', 'observation': 'aneurysm'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'scoliosis': {'clinical finding': 'scoliosis', 'existence': 'pos_dx', 'observation': 'scoliosis'}, 'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'fungating mass': {'clinical finding': 'fungating mass', 'existence': 'unc_dx', 'descriptive_term': 'fungating', 'observation': 'mass'}}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'}}object_fin: ['clip']procedure_fin: ['appendectomy']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'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'free or loculated intraperitoneal fluid': {'clinical finding': 'free or loculated intraperitoneal fluid'}}anatomical entity_fin: {'pelvis': {}}object_fin: ['surgical clip']clinical findings_fin: {'surgical clip': {'clinical finding': 'surgical clip', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'clip'}}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': {}, 'vasculature': {}}clinical findings_fin: {'sufficient intravenous contrast': {'clinical finding': 'sufficient intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'sufficient intravenous', 'observation': 'contrast', 'quantity_term': 'sufficient'}}clinical findings_fin: {'small pericardial effusion': {'clinical finding': 'small pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'small pericardial', 'observation': 'effusion', 'strength_term': 'small'}}clinical findings_fin: {'intra and extra hepatic biliary ductal dilatation': {'clinical finding': 'intra and extra hepatic biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'pos_dx', 'descriptive_term': 'intra and extra hepatic biliary ductal', 'observation': 'dilatation'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'surgically': {'clinical finding': 'surgically', 'existence': 'pos_dx', 'observation': 'surgically'}}anatomical entity_fin: {'diaphragm': {}}imaging observation_fin: ['colon']location descriptor_fin: ['posterior']clinical findings_fin: {'small posterior segments with higher retrohepatic colon abutting': {'clinical finding': 'small posterior segments with higher retrohepatic colon abutting'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right'}, 'liver': {}}location descriptor_fin: ['right']clinical findings_fin: {'small ill-defined hypoattenuating lesion': {'clinical finding': 'small ill-defined hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'small ill-defined hypoattenuating', 'observation': 'lesion', 'strength_term': 'small - ill-defined'}}clinical findings_fin: {'hemangioma': {'clinical finding': 'hemangioma', 'cf_snomed': {'hemangioma': 400210000}, 'existence': 'unc_dx', 'observation': 'hemangioma'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'mild pancreatic ductal prominence unchanged': {'clinical finding': 'mild pancreatic ductal prominence unchanged', 'change_term': 'unchanged'}}size_fin: [{'size': '4.3 cm', 'size_descriptor': 'mass'}]location descriptor_fin: ['left']clinical findings_fin: {'large left adrenal mass': {'clinical finding': 'large left adrenal mass', 'cf_snomed': {'adrenal mass': 237783006}, 'existence': 'pos_dx', 'descriptive_term': 'large left adrenal', 'observation': 'mass', 'strength_term': 'large'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}object_fin: ['filter']anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'mild tortuosity aorta': {'clinical finding': 'mild tortuosity aorta', 'cf_snomed': {'tortuosity': 15690004}}}clinical findings_fin: {'mild atherosclerotic calcifications': {'clinical finding': 'mild atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'mild atherosclerotic', 'observation': 'calcification', 'strength_term': 'mild'}}clinical findings_fin: {'aneurysm': {'clinical finding': 'aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'neg_dx', 'observation': 'aneurysm'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'scoliosis': {'clinical finding': 'scoliosis', 'existence': 'pos_dx', 'observation': 'scoliosis'}, 'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'fungating mass': {'clinical finding': 'fungating mass', 'existence': 'unc_dx', 'descriptive_term': 'fungating', 'observation': 'mass'}}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'}}object_fin: ['clip']procedure_fin: ['appendectomy']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'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'free or loculated intraperitoneal fluid': {'clinical finding': 'free or loculated intraperitoneal fluid'}}anatomical entity_fin: {'pelvis': {}}object_fin: ['surgical clip']clinical findings_fin: {'surgical clip': {'clinical finding': 'surgical clip', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'clip'}}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 sufficient intravenous contrast limits evaluation of the solid organs and vasculature. Small pericardial effusion. Intra and extra hepatic biliary ductal dilatation unchanged from prior exam. Gallbladder is surgically absent. Small posterior segments with higher retrohepatic colon abutting the diaphragm. Unchanged is a small ill-defined hypoattenuating lesion in the dome of the right lobe of the liver. Prior exam suggested this might be hemangioma. No significant abnormality noted. Mild pancreatic ductal prominence unchanged. Large left adrenal mass unchanged about 4.3 cm in longest dimension series 4 image 30. No significant abnormality noted. Caval filter in place. Mild tortuosity aorta. Mild atherosclerotic calcifications. No evidence of aneurysm. No significant abnormality noted. Scoliosis and degenerative changes, unchanged. No significant abnormality noted. Surgically absent. Fungating mass on clinical exam not appreciated by CT. Clinically indicated this could be evaluated with pelvic MRI. No significant abnormality noted. No significant abnormality noted. Probable appendectomy clip. No bowel wall thickening or dilatation. No free or loculated intraperitoneal fluid. Surgical clip in the dependent pelvis, unchanged. No significant abnormality noted. No significant abnormality noted. </s>