.Kindly refer to CT PE chest accession 15502660 for full report. New mild bilateral pleural effusion with underlying atelectasis. Small pericardial effusion. Segment 4A lesion has reduced in size from prior study, now measures 0.7 x 0.6 cm , previously measured 1.4 x 1.9 cm. The second hypodense lesion in segment 7 of the liver is not well appreciated on todays imaging. No new lesions noted. Hepatic vessels are patent. No significant abnormality noted. No significant abnormality noted. Right adrenal nodule measures 15 x 13 mm, previously measured 14 x 12 mm. No significant abnormality noted. No significant abnormality noted. Mild. Interval segmental colectomy with the blind-ending pouch of the proximal sigmoid colon. Right lower quadrant colostomy noted from the mid descending colon. Mildly distended jejunal loops in the left mid abdomen without bowel wall thickening or obstruction. No evidence of loculated fluid collection or free air. No evidence of abscess. Open mid abdomen abdominal wound noted. Innumerable lytic lesions throughout the skeleton, including vertebral bodies, ileum, sacrum, left femoral neck and multiple ribs mostly unchanged from prior study. Atrophic or surgically absent. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Innumerable lytic lesions throughout the skeleton, including vertebral bodies, ileum, sacrum, left femoral neck and multiple ribs mostly unchanged from prior studyNo ascites free air.
anatomical entity_fin: {'chest': {}}clinical findings_fin: {'ct pe': {'clinical finding': 'ct pe', 'existence': 'pos_dx', 'descriptive_term': 'ct', 'observation': 'pe'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'new mild bilateral pleural effusion': {'clinical finding': 'new mild bilateral pleural effusion', 'cf_snomed': {'bilateral pleural effusion': 425802001}, 'existence': 'pos_dx', 'descriptive_term': 'new mild bilateral pleural', 'observation': 'effusion', 'strength_term': 'mild', 'temporal_term': 'new'}, 'underlying atelectasis': {'clinical finding': 'underlying atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'underlying', 'observation': 'atelectasis'}}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'}}size_fin: [{'size': '0.7 x 0.6 cm'}, {'size': '1.4 x 1.9 cm'}]clinical findings_fin: {'segment 4a lesion': {'clinical finding': 'segment 4a lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'segment 4a', 'observation': 'lesion'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'second hypodense lesion': {'clinical finding': 'second hypodense lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'second hypodense', 'observation': 'lesion'}}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: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}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': '15 x 13 mm'}, {'size': '14 x 12 mm'}]location descriptor_fin: ['right']clinical findings_fin: {'right adrenal nodule': {'clinical finding': 'right adrenal nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'right adrenal', 'observation': 'nodule'}}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: {'sigmoid colon': {'location descriptor': 'proximal'}}location descriptor_fin: ['proximal']clinical findings_fin: {'blind-ending pouch': {'clinical finding': 'blind-ending pouch', 'existence': 'pos_dx', 'descriptive_term': 'blind-ending', 'observation': 'pouch'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'right lower'}, 'descending colon': {}}location descriptor_fin: ['right', 'lower']procedure_fin: ['colostomy']clinical findings_fin: {'right lower quadrant colostomy noted from the mid descending colon': {'clinical finding': 'right lower quadrant colostomy noted from the mid descending colon'}}anatomical entity_fin: {'abdomen': {}, 'bowel': {}}location descriptor_fin: ['left']clinical findings_fin: {'mildly distended': {'clinical finding': 'mildly distended', 'existence': 'pos_dx', 'descriptive_term': 'mildly', 'observation': 'distended', 'strength_term': 'mildly'}, 'bowel wall thickening': {'clinical finding': 'bowel wall thickening', 'existence': 'neg_dx', 'descriptive_term': 'bowel wall', 'observation': 'thickening'}, 'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}clinical findings_fin: {'loculated fluid collection': {'clinical finding': 'loculated fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'loculated fluid', 'observation': 'collection'}, 'free air': {'clinical finding': 'free air', 'existence': 'neg_dx', 'descriptive_term': 'free', 'observation': 'air'}}clinical findings_fin: {'abscess': {'clinical finding': 'abscess', 'cf_snomed': {'abscess': 128477000}, 'existence': 'neg_dx', 'observation': 'abscess'}}anatomical entity_fin: {'abdomen': {}, 'abdominal': {}}clinical findings_fin: {'open mid abdomen abdominal wound': {'clinical finding': 'open mid abdomen abdominal wound', 'cf_snomed': {'abdomen': 818983003, 'wound': 416462003}, 'existence': 'pos_dx', 'descriptive_term': 'open mid abdomen abdominal', 'observation': 'wound'}}anatomical entity_fin: {'skeleton': {}, 'vertebral bodies': {}, 'ileum': {}, 'sacrum': {}, 'femoral neck': {'location descriptor': 'left'}, 'ribs': {}}location descriptor_fin: ['left']clinical findings_fin: {'innumerable lytic lesions': {'clinical finding': 'innumerable lytic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'innumerable lytic', 'observation': 'lesion'}}clinical findings_fin: {'surgically': {'clinical finding': 'surgically', 'existence': 'unc_dx', 'observation': 'surgically'}}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: {'skeleton': {}, 'vertebral bodies': {}, 'ileum': {}, 'sacrum': {}, 'femoral neck': {'location descriptor': 'left'}, 'ribs': {}}location descriptor_fin: ['left']clinical findings_fin: {'innumerable lytic lesions': {'clinical finding': 'innumerable lytic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'innumerable lytic', 'observation': 'lesion'}, 'prior studyno ascites free air': {'clinical finding': 'prior studyno ascites free air', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'prior studyno ascites free', 'observation': 'air'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'chest': {}}clinical findings_fin: {'ct pe': {'clinical finding': 'ct pe', 'existence': 'pos_dx', 'descriptive_term': 'ct', 'observation': 'pe'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'new mild bilateral pleural effusion': {'clinical finding': 'new mild bilateral pleural effusion', 'cf_snomed': {'bilateral pleural effusion': 425802001}, 'existence': 'pos_dx', 'descriptive_term': 'new mild bilateral pleural', 'observation': 'effusion', 'strength_term': 'mild', 'temporal_term': 'new'}, 'underlying atelectasis': {'clinical finding': 'underlying atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'underlying', 'observation': 'atelectasis'}}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'}}size_fin: [{'size': '0.7 x 0.6 cm'}, {'size': '1.4 x 1.9 cm'}]clinical findings_fin: {'segment 4a lesion': {'clinical finding': 'segment 4a lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'segment 4a', 'observation': 'lesion'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'second hypodense lesion': {'clinical finding': 'second hypodense lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'second hypodense', 'observation': 'lesion'}}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: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}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': '15 x 13 mm'}, {'size': '14 x 12 mm'}]location descriptor_fin: ['right']clinical findings_fin: {'right adrenal nodule': {'clinical finding': 'right adrenal nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'right adrenal', 'observation': 'nodule'}}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: {'sigmoid colon': {'location descriptor': 'proximal'}}location descriptor_fin: ['proximal']clinical findings_fin: {'blind-ending pouch': {'clinical finding': 'blind-ending pouch', 'existence': 'pos_dx', 'descriptive_term': 'blind-ending', 'observation': 'pouch'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'right lower'}, 'descending colon': {}}location descriptor_fin: ['right', 'lower']procedure_fin: ['colostomy']clinical findings_fin: {'right lower quadrant colostomy noted from the mid descending colon': {'clinical finding': 'right lower quadrant colostomy noted from the mid descending colon'}}anatomical entity_fin: {'abdomen': {}, 'bowel': {}}location descriptor_fin: ['left']clinical findings_fin: {'mildly distended': {'clinical finding': 'mildly distended', 'existence': 'pos_dx', 'descriptive_term': 'mildly', 'observation': 'distended', 'strength_term': 'mildly'}, 'bowel wall thickening': {'clinical finding': 'bowel wall thickening', 'existence': 'neg_dx', 'descriptive_term': 'bowel wall', 'observation': 'thickening'}, 'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}clinical findings_fin: {'loculated fluid collection': {'clinical finding': 'loculated fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'loculated fluid', 'observation': 'collection'}, 'free air': {'clinical finding': 'free air', 'existence': 'neg_dx', 'descriptive_term': 'free', 'observation': 'air'}}clinical findings_fin: {'abscess': {'clinical finding': 'abscess', 'cf_snomed': {'abscess': 128477000}, 'existence': 'neg_dx', 'observation': 'abscess'}}anatomical entity_fin: {'abdomen': {}, 'abdominal': {}}clinical findings_fin: {'open mid abdomen abdominal wound': {'clinical finding': 'open mid abdomen abdominal wound', 'cf_snomed': {'abdomen': 818983003, 'wound': 416462003}, 'existence': 'pos_dx', 'descriptive_term': 'open mid abdomen abdominal', 'observation': 'wound'}}anatomical entity_fin: {'skeleton': {}, 'vertebral bodies': {}, 'ileum': {}, 'sacrum': {}, 'femoral neck': {'location descriptor': 'left'}, 'ribs': {}}location descriptor_fin: ['left']clinical findings_fin: {'innumerable lytic lesions': {'clinical finding': 'innumerable lytic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'innumerable lytic', 'observation': 'lesion'}}clinical findings_fin: {'surgically': {'clinical finding': 'surgically', 'existence': 'unc_dx', 'observation': 'surgically'}}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: {'skeleton': {}, 'vertebral bodies': {}, 'ileum': {}, 'sacrum': {}, 'femoral neck': {'location descriptor': 'left'}, 'ribs': {}}location descriptor_fin: ['left']clinical findings_fin: {'innumerable lytic lesions': {'clinical finding': 'innumerable lytic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'innumerable lytic', 'observation': 'lesion'}, 'prior studyno ascites free air': {'clinical finding': 'prior studyno ascites free air', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'prior studyno ascites free', 'observation': 'air'}} [/INST] .Kindly refer to CT PE chest accession 15502660 for full report. New mild bilateral pleural effusion with underlying atelectasis. Small pericardial effusion. Segment 4A lesion has reduced in size from prior study, now measures 0.7 x 0.6 cm , previously measured 1.4 x 1.9 cm. The second hypodense lesion in segment 7 of the liver is not well appreciated on todays imaging. No new lesions noted. Hepatic vessels are patent. No significant abnormality noted. No significant abnormality noted. Right adrenal nodule measures 15 x 13 mm, previously measured 14 x 12 mm. No significant abnormality noted. No significant abnormality noted. Mild. Interval segmental colectomy with the blind-ending pouch of the proximal sigmoid colon. Right lower quadrant colostomy noted from the mid descending colon. Mildly distended jejunal loops in the left mid abdomen without bowel wall thickening or obstruction. No evidence of loculated fluid collection or free air. No evidence of abscess. Open mid abdomen abdominal wound noted. Innumerable lytic lesions throughout the skeleton, including vertebral bodies, ileum, sacrum, left femoral neck and multiple ribs mostly unchanged from prior study. Atrophic or surgically absent. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Innumerable lytic lesions throughout the skeleton, including vertebral bodies, ileum, sacrum, left femoral neck and multiple ribs mostly unchanged from prior studyNo ascites free air. </s>