. Previously described large left hydropneumothorax appears similar to prior. Cholelithiasis without evidence of cholecystitis as noted previously. No significant abnormality noted. No significant abnormality noted. Left adrenal thickening or nodularity unchanged. No significant abnormality noted. No significant abnormality noted. None. NG tube terminates in the stomach. Previously described edema of small bowel loops has resolved. Some small bowel loops are more dilated on todays exam compared to prior and measure up to 4.7 cm in diameter. There does appear to be differential distention suggesting an evolving obstruction although I cannot identify discrete transition point on todays exam. No significant abnormality noted. Small amount of abdominal and pelvic ascites has increased since the prior. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Multiple sclerotic foci in the lower thoracic, lumbar and sacral spine unchanged. Small amount of abdominal and pelvic ascites.
location descriptor_fin: ['left']clinical findings_fin: {'previously described large left hydropneumothorax': {'clinical finding': 'previously described large left hydropneumothorax', 'cf_snomed': {'hydropneumothorax': 65933003}, 'existence': 'pos_dx', 'descriptive_term': 'previously described large left', 'observation': 'hydropneumothorax', 'strength_term': 'large'}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'}, 'cholecystitis': {'clinical finding': 'cholecystitis', 'cf_snomed': {'cholecystitis': 76581006}, 'existence': 'neg_dx', 'observation': 'cholecystitis'}}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']clinical findings_fin: {'adrenal thickening': {'clinical finding': 'adrenal thickening', 'existence': 'pos_dx', 'descriptive_term': 'adrenal', 'observation': 'thickening'}, 'nodularity': {'clinical finding': 'nodularity', 'existence': 'unc_dx', 'observation': 'nodularity'}}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: {'stomach': {}}object_fin: ['tube']anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'previously described edema': {'clinical finding': 'previously described edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'previously described', 'observation': 'edema'}}size_fin: [{'size': '4.7 cm', 'size_descriptor': 'loops'}]anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}}clinical findings_fin: {'differential distention': {'clinical finding': 'differential distention', 'existence': 'pos_dx', 'descriptive_term': 'differential', 'observation': 'distention'}, 'evolving obstruction': {'clinical finding': 'evolving obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'unc_dx', 'descriptive_term': 'evolving', 'observation': 'obstruction'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'abdominal and pelvic ascites': {'clinical finding': 'abdominal and pelvic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'abdominal and pelvic', 'observation': 'ascite'}}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: {'spine': {}}imaging observation_fin: ['foci']location descriptor_fin: ['lower']clinical findings_fin: {'multiple sclerotic foci': {'clinical finding': 'multiple sclerotic foci', 'existence': 'pos_dx', 'descriptive_term': 'multiple sclerotic', 'observation': 'foci', 'quantity_term': 'multiple'}, 'unchanged': {'clinical finding': 'unchanged', 'existence': 'pos_dx', 'observation': 'unchanged'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'abdominal and pelvic ascites': {'clinical finding': 'abdominal and pelvic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'abdominal and pelvic', 'observation': 'ascite'}}
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['left']clinical findings_fin: {'previously described large left hydropneumothorax': {'clinical finding': 'previously described large left hydropneumothorax', 'cf_snomed': {'hydropneumothorax': 65933003}, 'existence': 'pos_dx', 'descriptive_term': 'previously described large left', 'observation': 'hydropneumothorax', 'strength_term': 'large'}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'}, 'cholecystitis': {'clinical finding': 'cholecystitis', 'cf_snomed': {'cholecystitis': 76581006}, 'existence': 'neg_dx', 'observation': 'cholecystitis'}}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']clinical findings_fin: {'adrenal thickening': {'clinical finding': 'adrenal thickening', 'existence': 'pos_dx', 'descriptive_term': 'adrenal', 'observation': 'thickening'}, 'nodularity': {'clinical finding': 'nodularity', 'existence': 'unc_dx', 'observation': 'nodularity'}}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: {'stomach': {}}object_fin: ['tube']anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'previously described edema': {'clinical finding': 'previously described edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'previously described', 'observation': 'edema'}}size_fin: [{'size': '4.7 cm', 'size_descriptor': 'loops'}]anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}}clinical findings_fin: {'differential distention': {'clinical finding': 'differential distention', 'existence': 'pos_dx', 'descriptive_term': 'differential', 'observation': 'distention'}, 'evolving obstruction': {'clinical finding': 'evolving obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'unc_dx', 'descriptive_term': 'evolving', 'observation': 'obstruction'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'abdominal and pelvic ascites': {'clinical finding': 'abdominal and pelvic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'abdominal and pelvic', 'observation': 'ascite'}}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: {'spine': {}}imaging observation_fin: ['foci']location descriptor_fin: ['lower']clinical findings_fin: {'multiple sclerotic foci': {'clinical finding': 'multiple sclerotic foci', 'existence': 'pos_dx', 'descriptive_term': 'multiple sclerotic', 'observation': 'foci', 'quantity_term': 'multiple'}, 'unchanged': {'clinical finding': 'unchanged', 'existence': 'pos_dx', 'observation': 'unchanged'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'abdominal and pelvic ascites': {'clinical finding': 'abdominal and pelvic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'abdominal and pelvic', 'observation': 'ascite'}} [/INST] . Previously described large left hydropneumothorax appears similar to prior. Cholelithiasis without evidence of cholecystitis as noted previously. No significant abnormality noted. No significant abnormality noted. Left adrenal thickening or nodularity unchanged. No significant abnormality noted. No significant abnormality noted. None. NG tube terminates in the stomach. Previously described edema of small bowel loops has resolved. Some small bowel loops are more dilated on todays exam compared to prior and measure up to 4.7 cm in diameter. There does appear to be differential distention suggesting an evolving obstruction although I cannot identify discrete transition point on todays exam. No significant abnormality noted. Small amount of abdominal and pelvic ascites has increased since the prior. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Multiple sclerotic foci in the lower thoracic, lumbar and sacral spine unchanged. Small amount of abdominal and pelvic ascites. </s>