. No significant abnormality noted. No significant abnormality noted. There is a small, round, soft tissue nodule medial to the spleen, and likely represents an accessory splenule. No significant abnormality noted. No significant abnormality noted. Punctate hyper-attenuating lesion in the right inferior minor calyx, representing nonobstructive punctate nephrolithiasis. No hydronephrosis. No significant abnormality noted. None. Exam is limited by lack of oral contrast. There are multiple dilated loops of small bowel with air-fluid levels starting at the the proximal jejunum, measuring up to 4.5 cm on image #31, series #8032. The distal bowel loops are decompressed, indicating small bowel obstruction with transition mid ileum. There is no pneumatosis or findings to indicate bowel ischemia. The left lower quadrant percutaneous pelvic drain is again visualized, with interval decrease in size of the previously seen presacral fluid collection, measuring 2.2 x 4.0 cm. Status post proctocolectomy, with suture line visible along the rectal stump. Unchanged peritoneal scattered foci of gas, postsurgical. Postsurgical changes around ostomy site. Oral contrast injected at the ostomy site is seen within adjacent small bowel loops. Midline postsurgical material noted within the anterior abdominal wall. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. 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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'spleen': {}}location descriptor_fin: ['medial']clinical findings_fin: {'small, round, soft tissue nodule': {'clinical finding': 'small, round, soft tissue nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'small round soft tissue', 'observation': 'nodule', 'strength_term': 'small'}}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: ['right', 'inferior']clinical findings_fin: {'punctate hyper-attenuating lesion': {'clinical finding': 'punctate hyper-attenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'punctate hyper-attenuating', 'observation': 'lesion'}, 'nonobstructive punctate nephrolithiasis': {'clinical finding': 'nonobstructive punctate nephrolithiasis', 'existence': 'pos_dx', 'descriptive_term': 'nonobstructive punctate', 'observation': 'nephrolithiasis'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '4.5 cm', 'size_descriptor': 'loops'}]anatomical entity_fin: {'bowel': {}, 'fluid': {}, 'jejunum': {'location descriptor': 'proximal'}}location descriptor_fin: ['proximal']clinical findings_fin: {'multiple dilated': {'clinical finding': 'multiple dilated', 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'dilated', 'quantity_term': 'multiple'}, 'air-fluid levels': {'clinical finding': 'air-fluid levels', 'existence': 'pos_dx', 'descriptive_term': 'air-fluid', 'observation': 'level'}}anatomical entity_fin: {'bowel': {}, 'ileum': {}}location descriptor_fin: ['distal']clinical findings_fin: {'decompressed': {'clinical finding': 'decompressed', 'existence': 'pos_dx', 'observation': 'decompressed'}, 'small bowel obstruction': {'clinical finding': 'small bowel obstruction', 'cf_snomed': {'small bowel obstruction': 281255004}, 'existence': 'unc_dx', 'descriptive_term': 'small bowel', 'observation': 'obstruction', 'strength_term': 'small'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'pneumatosis': {'clinical finding': 'pneumatosis', 'existence': 'neg_dx', 'observation': 'pneumatosis'}, 'bowel ischemia': {'clinical finding': 'bowel ischemia', 'cf_snomed': {'ischemia': 52674009}, 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'ischemia'}}size_fin: [{'size': '2.2 x 4.0 cm'}]anatomical entity_fin: {'quadrant': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'left lower quadrant percutaneous': {'clinical finding': 'left lower quadrant percutaneous', 'existence': 'pos_dx', 'descriptive_term': 'left lower quadrant', 'observation': 'percutaneous'}, 'previously seen presacral fluid collection': {'clinical finding': 'previously seen presacral fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'previously seen presacral fluid', 'observation': 'collection'}}object_fin: ['suture']imaging observation_fin: ['foci']clinical findings_fin: {'unchanged peritoneal scattered foci': {'clinical finding': 'unchanged peritoneal scattered foci', 'existence': 'pos_dx', 'descriptive_term': 'unchanged peritoneal scattered', 'observation': 'foci', 'strength_term': 'unchanged', 'change_term': 'unchanged'}, 'gas': {'clinical finding': 'gas', 'existence': 'pos_dx', 'observation': 'gas'}}clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'ostomy site': {'clinical finding': 'ostomy site', 'existence': 'pos_dx', 'descriptive_term': 'ostomy', 'observation': 'site'}}anatomical entity_fin: {'bowel': {}}location descriptor_fin: ['adjacent']non-anatomical substance_fin: ['oral contrast']clinical findings_fin: {'oral contrast injected at the ostomy site is seen within adjacent small bowel loops': {'clinical finding': 'oral contrast injected at the ostomy site is seen within adjacent small bowel loops'}}anatomical entity_fin: {'anterior abdominal wall': {}}location descriptor_fin: ['midline']clinical findings_fin: {'midline postsurgical material': {'clinical finding': 'midline postsurgical material', 'existence': 'pos_dx', 'descriptive_term': 'midline postsurgical', 'observation': 'material'}}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'}}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'}}
<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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'spleen': {}}location descriptor_fin: ['medial']clinical findings_fin: {'small, round, soft tissue nodule': {'clinical finding': 'small, round, soft tissue nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'small round soft tissue', 'observation': 'nodule', 'strength_term': 'small'}}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: ['right', 'inferior']clinical findings_fin: {'punctate hyper-attenuating lesion': {'clinical finding': 'punctate hyper-attenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'punctate hyper-attenuating', 'observation': 'lesion'}, 'nonobstructive punctate nephrolithiasis': {'clinical finding': 'nonobstructive punctate nephrolithiasis', 'existence': 'pos_dx', 'descriptive_term': 'nonobstructive punctate', 'observation': 'nephrolithiasis'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '4.5 cm', 'size_descriptor': 'loops'}]anatomical entity_fin: {'bowel': {}, 'fluid': {}, 'jejunum': {'location descriptor': 'proximal'}}location descriptor_fin: ['proximal']clinical findings_fin: {'multiple dilated': {'clinical finding': 'multiple dilated', 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'dilated', 'quantity_term': 'multiple'}, 'air-fluid levels': {'clinical finding': 'air-fluid levels', 'existence': 'pos_dx', 'descriptive_term': 'air-fluid', 'observation': 'level'}}anatomical entity_fin: {'bowel': {}, 'ileum': {}}location descriptor_fin: ['distal']clinical findings_fin: {'decompressed': {'clinical finding': 'decompressed', 'existence': 'pos_dx', 'observation': 'decompressed'}, 'small bowel obstruction': {'clinical finding': 'small bowel obstruction', 'cf_snomed': {'small bowel obstruction': 281255004}, 'existence': 'unc_dx', 'descriptive_term': 'small bowel', 'observation': 'obstruction', 'strength_term': 'small'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'pneumatosis': {'clinical finding': 'pneumatosis', 'existence': 'neg_dx', 'observation': 'pneumatosis'}, 'bowel ischemia': {'clinical finding': 'bowel ischemia', 'cf_snomed': {'ischemia': 52674009}, 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'ischemia'}}size_fin: [{'size': '2.2 x 4.0 cm'}]anatomical entity_fin: {'quadrant': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'left lower quadrant percutaneous': {'clinical finding': 'left lower quadrant percutaneous', 'existence': 'pos_dx', 'descriptive_term': 'left lower quadrant', 'observation': 'percutaneous'}, 'previously seen presacral fluid collection': {'clinical finding': 'previously seen presacral fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'previously seen presacral fluid', 'observation': 'collection'}}object_fin: ['suture']imaging observation_fin: ['foci']clinical findings_fin: {'unchanged peritoneal scattered foci': {'clinical finding': 'unchanged peritoneal scattered foci', 'existence': 'pos_dx', 'descriptive_term': 'unchanged peritoneal scattered', 'observation': 'foci', 'strength_term': 'unchanged', 'change_term': 'unchanged'}, 'gas': {'clinical finding': 'gas', 'existence': 'pos_dx', 'observation': 'gas'}}clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'ostomy site': {'clinical finding': 'ostomy site', 'existence': 'pos_dx', 'descriptive_term': 'ostomy', 'observation': 'site'}}anatomical entity_fin: {'bowel': {}}location descriptor_fin: ['adjacent']non-anatomical substance_fin: ['oral contrast']clinical findings_fin: {'oral contrast injected at the ostomy site is seen within adjacent small bowel loops': {'clinical finding': 'oral contrast injected at the ostomy site is seen within adjacent small bowel loops'}}anatomical entity_fin: {'anterior abdominal wall': {}}location descriptor_fin: ['midline']clinical findings_fin: {'midline postsurgical material': {'clinical finding': 'midline postsurgical material', 'existence': 'pos_dx', 'descriptive_term': 'midline postsurgical', 'observation': 'material'}}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'}}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'}} [/INST] . No significant abnormality noted. No significant abnormality noted. There is a small, round, soft tissue nodule medial to the spleen, and likely represents an accessory splenule. No significant abnormality noted. No significant abnormality noted. Punctate hyper-attenuating lesion in the right inferior minor calyx, representing nonobstructive punctate nephrolithiasis. No hydronephrosis. No significant abnormality noted. None. Exam is limited by lack of oral contrast. There are multiple dilated loops of small bowel with air-fluid levels starting at the the proximal jejunum, measuring up to 4.5 cm on image #31, series #8032. The distal bowel loops are decompressed, indicating small bowel obstruction with transition mid ileum. There is no pneumatosis or findings to indicate bowel ischemia. The left lower quadrant percutaneous pelvic drain is again visualized, with interval decrease in size of the previously seen presacral fluid collection, measuring 2.2 x 4.0 cm. Status post proctocolectomy, with suture line visible along the rectal stump. Unchanged peritoneal scattered foci of gas, postsurgical. Postsurgical changes around ostomy site. Oral contrast injected at the ostomy site is seen within adjacent small bowel loops. Midline postsurgical material noted within the anterior abdominal wall. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted </s>