. Subcentimeter peripheral and subpleural nodules not significantly changed from prior exam. Reference right upper lobe subpleural nodule measures 7 mm, slightly increased from prior 4 mm. New reference right basilar nodule measures 7 x 10 mm. No significant abnormality noted. None. No significant abnormality noted. Hepatic and portal veins are patent without evidence of intrahepatic biliary ductal dilatation. Scattered subcentimeter hypodense lesions stable in appearance from prior exam. Marked perihepatic ascites decreased from prior exam. Splenectomy post-surgical changes noted. Distal pancreatectomy post-surgical changes noted. No significant abnormality noted. New moderate to severe right hydroureteronephrosis to the level of the proximal ureter, where there is compression from a large adnexal cyst, with asymmetric renal cortical attenuation suggestive of right-sided obstruction. Mildly enlarged retroperitoneal lymph nodes appearing similar to prior exam. Mild. Marked loculated abdominal ascites decreased from prior exam. No evidence of obstruction. No significant abnormality noted. No significant abnormality noted. Significant interval enlargement of bilateral adnexal cysts with the right cyst now measuring up to 11.9 x 11.5 cm and the left cyst now measuring up to 5.2 x 6.5 cm. No significant abnormality noted. No significant abnormality noted. Marked loculated abdominal ascites decreased from prior exam. No evidence of obstruction. No significant abnormality noted. No significant abnormality noted.
location descriptor_fin: ['peripheral']clinical findings_fin: {'subcentimeter peripheral and subpleural nodules': {'clinical finding': 'subcentimeter peripheral and subpleural nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'subcentimeter peripheral and subpleural', 'observation': 'nodule'}}size_fin: [{'size': '7 mm'}, {'size': '4 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'reference right upper lobe subpleural nodule': {'clinical finding': 'reference right upper lobe subpleural nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right upper lobe subpleural', 'observation': 'nodule'}}size_fin: [{'size': '7 x 10 mm'}]location descriptor_fin: ['right']clinical findings_fin: {'new reference right basilar nodule': {'clinical finding': 'new reference right basilar nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'new reference right basilar', 'observation': 'nodule', 'temporal_term': 'new'}}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: {'portal veins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}, 'intrahepatic biliary ductal dilatation': {'clinical finding': 'intrahepatic biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'descriptive_term': 'intrahepatic biliary ductal', 'observation': 'dilatation'}}clinical findings_fin: {'scattered subcentimeter hypodense lesions': {'clinical finding': 'scattered subcentimeter hypodense lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'scattered subcentimeter hypodense', 'observation': 'lesion'}}clinical findings_fin: {'marked perihepatic ascites': {'clinical finding': 'marked perihepatic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'marked perihepatic', 'observation': 'ascite'}}procedure_fin: ['splenectomy']clinical findings_fin: {'splenectomy post-surgical changes': {'clinical finding': 'splenectomy post-surgical changes', 'existence': 'pos_dx', 'descriptive_term': 'splenectomy post-surgical', 'observation': 'change'}}location descriptor_fin: ['distal']procedure_fin: ['pancreatectomy']clinical findings_fin: {'distal pancreatectomy post-surgical changes': {'clinical finding': 'distal pancreatectomy post-surgical changes', 'existence': 'pos_dx', 'descriptive_term': 'distal pancreatectomy post-surgical', 'observation': 'change'}}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', 'proximal']clinical findings_fin: {'new moderate to severe right hydroureteronephrosis': {'clinical finding': 'new moderate to severe right hydroureteronephrosis', 'cf_snomed': {'hydroureteronephrosis': 40068008}, 'existence': 'pos_dx', 'descriptive_term': 'new moderate to severe right', 'observation': 'hydroureteronephrosis', 'strength_term': 'moderate - severe', 'temporal_term': 'new'}, 'compression': {'clinical finding': 'compression', 'cf_snomed': {'compression': 71173004}, 'existence': 'pos_dx', 'observation': 'compression'}, 'large adnexal cyst': {'clinical finding': 'large adnexal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'large adnexal', 'observation': 'cyst', 'strength_term': 'large'}, 'asymmetric renal cortical attenuation': {'clinical finding': 'asymmetric renal cortical attenuation', 'existence': 'pos_dx', 'descriptive_term': 'asymmetric renal cortical', 'observation': 'attenuation'}, 'right-sided obstruction': {'clinical finding': 'right-sided obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'pos_dx', 'descriptive_term': 'right-sided', 'observation': 'obstruction'}}clinical findings_fin: {'mildly enlarged retroperitoneal lymph nodes': {'clinical finding': 'mildly enlarged retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly enlarged retroperitoneal lymph', 'observation': 'node', 'strength_term': 'mildly - enlarged', 'change_term': 'enlarged'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'marked loculated abdominal ascites': {'clinical finding': 'marked loculated abdominal ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'marked loculated abdominal', 'observation': 'ascite'}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}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': '11.9 x 11.5 cm'}, {'size': '5.2 x 6.5 cm'}]location descriptor_fin: ['bilateral', 'right', 'left']clinical findings_fin: {'bilateral adnexal cysts': {'clinical finding': 'bilateral adnexal cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral adnexal', 'observation': 'cyst'}, 'right cyst': {'clinical finding': 'right cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'right', 'observation': 'cyst'}, 'left cyst': {'clinical finding': 'left cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'left', 'observation': 'cyst'}}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: {'abdominal': {}}clinical findings_fin: {'marked loculated abdominal ascites': {'clinical finding': 'marked loculated abdominal ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'marked loculated abdominal', 'observation': 'ascite'}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}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: location descriptor_fin: ['peripheral']clinical findings_fin: {'subcentimeter peripheral and subpleural nodules': {'clinical finding': 'subcentimeter peripheral and subpleural nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'subcentimeter peripheral and subpleural', 'observation': 'nodule'}}size_fin: [{'size': '7 mm'}, {'size': '4 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'reference right upper lobe subpleural nodule': {'clinical finding': 'reference right upper lobe subpleural nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right upper lobe subpleural', 'observation': 'nodule'}}size_fin: [{'size': '7 x 10 mm'}]location descriptor_fin: ['right']clinical findings_fin: {'new reference right basilar nodule': {'clinical finding': 'new reference right basilar nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'new reference right basilar', 'observation': 'nodule', 'temporal_term': 'new'}}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: {'portal veins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}, 'intrahepatic biliary ductal dilatation': {'clinical finding': 'intrahepatic biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'descriptive_term': 'intrahepatic biliary ductal', 'observation': 'dilatation'}}clinical findings_fin: {'scattered subcentimeter hypodense lesions': {'clinical finding': 'scattered subcentimeter hypodense lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'scattered subcentimeter hypodense', 'observation': 'lesion'}}clinical findings_fin: {'marked perihepatic ascites': {'clinical finding': 'marked perihepatic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'marked perihepatic', 'observation': 'ascite'}}procedure_fin: ['splenectomy']clinical findings_fin: {'splenectomy post-surgical changes': {'clinical finding': 'splenectomy post-surgical changes', 'existence': 'pos_dx', 'descriptive_term': 'splenectomy post-surgical', 'observation': 'change'}}location descriptor_fin: ['distal']procedure_fin: ['pancreatectomy']clinical findings_fin: {'distal pancreatectomy post-surgical changes': {'clinical finding': 'distal pancreatectomy post-surgical changes', 'existence': 'pos_dx', 'descriptive_term': 'distal pancreatectomy post-surgical', 'observation': 'change'}}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', 'proximal']clinical findings_fin: {'new moderate to severe right hydroureteronephrosis': {'clinical finding': 'new moderate to severe right hydroureteronephrosis', 'cf_snomed': {'hydroureteronephrosis': 40068008}, 'existence': 'pos_dx', 'descriptive_term': 'new moderate to severe right', 'observation': 'hydroureteronephrosis', 'strength_term': 'moderate - severe', 'temporal_term': 'new'}, 'compression': {'clinical finding': 'compression', 'cf_snomed': {'compression': 71173004}, 'existence': 'pos_dx', 'observation': 'compression'}, 'large adnexal cyst': {'clinical finding': 'large adnexal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'large adnexal', 'observation': 'cyst', 'strength_term': 'large'}, 'asymmetric renal cortical attenuation': {'clinical finding': 'asymmetric renal cortical attenuation', 'existence': 'pos_dx', 'descriptive_term': 'asymmetric renal cortical', 'observation': 'attenuation'}, 'right-sided obstruction': {'clinical finding': 'right-sided obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'pos_dx', 'descriptive_term': 'right-sided', 'observation': 'obstruction'}}clinical findings_fin: {'mildly enlarged retroperitoneal lymph nodes': {'clinical finding': 'mildly enlarged retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly enlarged retroperitoneal lymph', 'observation': 'node', 'strength_term': 'mildly - enlarged', 'change_term': 'enlarged'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'marked loculated abdominal ascites': {'clinical finding': 'marked loculated abdominal ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'marked loculated abdominal', 'observation': 'ascite'}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}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': '11.9 x 11.5 cm'}, {'size': '5.2 x 6.5 cm'}]location descriptor_fin: ['bilateral', 'right', 'left']clinical findings_fin: {'bilateral adnexal cysts': {'clinical finding': 'bilateral adnexal cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral adnexal', 'observation': 'cyst'}, 'right cyst': {'clinical finding': 'right cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'right', 'observation': 'cyst'}, 'left cyst': {'clinical finding': 'left cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'left', 'observation': 'cyst'}}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: {'abdominal': {}}clinical findings_fin: {'marked loculated abdominal ascites': {'clinical finding': 'marked loculated abdominal ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'marked loculated abdominal', 'observation': 'ascite'}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}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] . Subcentimeter peripheral and subpleural nodules not significantly changed from prior exam. Reference right upper lobe subpleural nodule measures 7 mm, slightly increased from prior 4 mm. New reference right basilar nodule measures 7 x 10 mm. No significant abnormality noted. None. No significant abnormality noted. Hepatic and portal veins are patent without evidence of intrahepatic biliary ductal dilatation. Scattered subcentimeter hypodense lesions stable in appearance from prior exam. Marked perihepatic ascites decreased from prior exam. Splenectomy post-surgical changes noted. Distal pancreatectomy post-surgical changes noted. No significant abnormality noted. New moderate to severe right hydroureteronephrosis to the level of the proximal ureter, where there is compression from a large adnexal cyst, with asymmetric renal cortical attenuation suggestive of right-sided obstruction. Mildly enlarged retroperitoneal lymph nodes appearing similar to prior exam. Mild. Marked loculated abdominal ascites decreased from prior exam. No evidence of obstruction. No significant abnormality noted. No significant abnormality noted. Significant interval enlargement of bilateral adnexal cysts with the right cyst now measuring up to 11.9 x 11.5 cm and the left cyst now measuring up to 5.2 x 6.5 cm. No significant abnormality noted. No significant abnormality noted. Marked loculated abdominal ascites decreased from prior exam. No evidence of obstruction. No significant abnormality noted. No significant abnormality noted. </s>