. Left basilar atelectasis. Cirrhotic liver morphology with multiple venous portosystemic collaterals and varices again noted. Slightly increasing perihepatic fluid. No focal hepatic lesions. No intra or extra hepatic biliary ductal dilatation. New gallbladder wall thickening and surrounding induration. Splenomegaly with no perisplenic free fluid. New mild mesenteric haziness surrounds the pancreas. The pancreatic parenchyma enhances normally. No discrete fluid collection. No pseudoaneurysm or thrombus. No significant abnormality noted. Punctate left hypodense lesion too small to characterize unchanged. Reference left para-aortic lymph node measures 1.4 cm x 1.1 cm unchanged. Additional small retroperitoneal lymph nodes not significantly changed. Mild. Increasing size of mesenteric and peritoneal nodularity, for reference a perisplenic soft tissue nodule measures 2.9 cm. 2.1 cm previously 1.8 cm x 1.6 cm when measured in a similar fashion. Additional mesenteric nodularity also appears increased. Diverticulosis without evidence of diverticulitis. Fat density lesion abutting the right superior posterior femur is partially imaged and not grossly changed. No significant abnormality noted. No significant abnormality noted. Heterogeneous soft tissue mass involving the right posterolateral wall with internal calcifications extending posteriorly to the vaginal cuff not significantly changed from prior study. No significant abnormality noted. Diverticulosis without evidence of diverticulitis. No significant abnormality noted. No significant abnormality noted
location descriptor_fin: ['left']clinical findings_fin: {'left basilar atelectasis': {'clinical finding': 'left basilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'left basilar', 'observation': 'atelectasis'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'multiple venous portosystemic collaterals': {'clinical finding': 'multiple venous portosystemic collaterals', 'existence': 'pos_dx', 'descriptive_term': 'multiple venous portosystemic', 'observation': 'collateral', 'quantity_term': 'multiple'}, 'varices': {'clinical finding': 'varices', 'existence': 'pos_dx', 'observation': 'varice'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'slightly increasing': {'clinical finding': 'slightly increasing', 'change_term': 'increasing'}}clinical findings_fin: {'focal hepatic lesions': {'clinical finding': 'focal hepatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal hepatic', 'observation': 'lesion'}}clinical findings_fin: {'intra or extra hepatic biliary ductal dilatation': {'clinical finding': 'intra or extra hepatic biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'descriptive_term': 'intra or extra hepatic biliary ductal', 'observation': 'dilatation'}}clinical findings_fin: {'gallbladder wall thickening': {'clinical finding': 'gallbladder wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'gallbladder wall', 'observation': 'thickening'}}clinical findings_fin: {'splenomegaly': {'clinical finding': 'splenomegaly', 'cf_snomed': {'splenomegaly': 16294009}, 'existence': 'pos_dx', 'observation': 'splenomegaly'}, 'perisplenic free fluid': {'clinical finding': 'perisplenic free fluid', 'existence': 'neg_dx', 'descriptive_term': 'perisplenic free', 'observation': 'fluid'}}anatomical entity_fin: {'pancreas': {}}clinical findings_fin: {'new mild mesenteric haziness': {'clinical finding': 'new mild mesenteric haziness', 'existence': 'pos_dx', 'descriptive_term': 'new mild mesenteric', 'observation': 'haziness', 'strength_term': 'mild', 'temporal_term': 'new'}}anatomical entity_fin: {'parenchyma': {}}clinical findings_fin: {'discrete fluid collection': {'clinical finding': 'discrete fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'discrete fluid', 'observation': 'collection'}}clinical findings_fin: {'pseudoaneurysm': {'clinical finding': 'pseudoaneurysm', 'cf_snomed': {'pseudoaneurysm': 443089001}, 'existence': 'neg_dx', 'observation': 'pseudoaneurysm'}, 'thrombus': {'clinical finding': 'thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'neg_dx', 'observation': 'thrombus'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['left']clinical findings_fin: {'punctate left hypodense lesion': {'clinical finding': 'punctate left hypodense lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'punctate left hypodense', 'observation': 'lesion'}}size_fin: [{'size': '1.4 cm x 1.1 cm'}]location descriptor_fin: ['left']clinical findings_fin: {'reference left para-aortic lymph node': {'clinical finding': 'reference left para-aortic lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference left para-aortic lymph', 'observation': 'node'}}clinical findings_fin: {'additional small retroperitoneal lymph nodes': {'clinical finding': 'additional small retroperitoneal lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'additional small retroperitoneal lymph', 'observation': 'node', 'strength_term': 'small'}}size_fin: [{'size': '2.9 cm', 'size_descriptor': 'nodule'}]clinical findings_fin: {'mesenteric and peritoneal nodularity': {'clinical finding': 'mesenteric and peritoneal nodularity', 'existence': 'pos_dx', 'descriptive_term': 'mesenteric and peritoneal', 'observation': 'nodularity'}, 'perisplenic soft tissue nodule': {'clinical finding': 'perisplenic soft tissue nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'perisplenic soft tissue', 'observation': 'nodule'}}size_fin: [{'size': '2.1 cm'}, {'size': '1.8 cm x 1.6 cm'}]clinical findings_fin: {'cm previously 1.8 cm x 1.6 cm when measured in a similar fashion': {'clinical finding': 'cm previously 1.8 cm x 1.6 cm when measured in a similar fashion'}}clinical findings_fin: {'additional mesenteric nodularity': {'clinical finding': 'additional mesenteric nodularity', 'existence': 'pos_dx', 'descriptive_term': 'additional mesenteric', 'observation': 'nodularity'}}clinical findings_fin: {'diverticulosis': {'clinical finding': 'diverticulosis', 'existence': 'pos_dx', 'observation': 'diverticulosis'}, 'diverticulitis': {'clinical finding': 'diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'observation': 'diverticulitis'}}anatomical entity_fin: {'femur': {'location descriptor': 'superior posterior'}}imaging observation_fin: ['fat']location descriptor_fin: ['right', 'superior', 'posterior']clinical findings_fin: {'fat density lesion': {'clinical finding': 'fat density lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'fat density', 'observation': 'lesion'}, 'changed': {'clinical finding': 'changed', 'existence': 'pos_dx', 'observation': 'change'}}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: {'wall': {}}location descriptor_fin: ['right']clinical findings_fin: {'heterogeneous soft tissue mass': {'clinical finding': 'heterogeneous soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'pos_dx', 'descriptive_term': 'heterogeneous soft tissue', 'observation': 'mass'}, 'internal calcifications': {'clinical finding': 'internal calcifications', 'existence': 'pos_dx', 'descriptive_term': 'internal', 'observation': 'calcification'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'diverticulosis': {'clinical finding': 'diverticulosis', 'existence': 'pos_dx', 'observation': 'diverticulosis'}, 'diverticulitis': {'clinical finding': 'diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'observation': 'diverticulitis'}}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: ['left']clinical findings_fin: {'left basilar atelectasis': {'clinical finding': 'left basilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'left basilar', 'observation': 'atelectasis'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'multiple venous portosystemic collaterals': {'clinical finding': 'multiple venous portosystemic collaterals', 'existence': 'pos_dx', 'descriptive_term': 'multiple venous portosystemic', 'observation': 'collateral', 'quantity_term': 'multiple'}, 'varices': {'clinical finding': 'varices', 'existence': 'pos_dx', 'observation': 'varice'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'slightly increasing': {'clinical finding': 'slightly increasing', 'change_term': 'increasing'}}clinical findings_fin: {'focal hepatic lesions': {'clinical finding': 'focal hepatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal hepatic', 'observation': 'lesion'}}clinical findings_fin: {'intra or extra hepatic biliary ductal dilatation': {'clinical finding': 'intra or extra hepatic biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'descriptive_term': 'intra or extra hepatic biliary ductal', 'observation': 'dilatation'}}clinical findings_fin: {'gallbladder wall thickening': {'clinical finding': 'gallbladder wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'gallbladder wall', 'observation': 'thickening'}}clinical findings_fin: {'splenomegaly': {'clinical finding': 'splenomegaly', 'cf_snomed': {'splenomegaly': 16294009}, 'existence': 'pos_dx', 'observation': 'splenomegaly'}, 'perisplenic free fluid': {'clinical finding': 'perisplenic free fluid', 'existence': 'neg_dx', 'descriptive_term': 'perisplenic free', 'observation': 'fluid'}}anatomical entity_fin: {'pancreas': {}}clinical findings_fin: {'new mild mesenteric haziness': {'clinical finding': 'new mild mesenteric haziness', 'existence': 'pos_dx', 'descriptive_term': 'new mild mesenteric', 'observation': 'haziness', 'strength_term': 'mild', 'temporal_term': 'new'}}anatomical entity_fin: {'parenchyma': {}}clinical findings_fin: {'discrete fluid collection': {'clinical finding': 'discrete fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'discrete fluid', 'observation': 'collection'}}clinical findings_fin: {'pseudoaneurysm': {'clinical finding': 'pseudoaneurysm', 'cf_snomed': {'pseudoaneurysm': 443089001}, 'existence': 'neg_dx', 'observation': 'pseudoaneurysm'}, 'thrombus': {'clinical finding': 'thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'neg_dx', 'observation': 'thrombus'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['left']clinical findings_fin: {'punctate left hypodense lesion': {'clinical finding': 'punctate left hypodense lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'punctate left hypodense', 'observation': 'lesion'}}size_fin: [{'size': '1.4 cm x 1.1 cm'}]location descriptor_fin: ['left']clinical findings_fin: {'reference left para-aortic lymph node': {'clinical finding': 'reference left para-aortic lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference left para-aortic lymph', 'observation': 'node'}}clinical findings_fin: {'additional small retroperitoneal lymph nodes': {'clinical finding': 'additional small retroperitoneal lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'additional small retroperitoneal lymph', 'observation': 'node', 'strength_term': 'small'}}size_fin: [{'size': '2.9 cm', 'size_descriptor': 'nodule'}]clinical findings_fin: {'mesenteric and peritoneal nodularity': {'clinical finding': 'mesenteric and peritoneal nodularity', 'existence': 'pos_dx', 'descriptive_term': 'mesenteric and peritoneal', 'observation': 'nodularity'}, 'perisplenic soft tissue nodule': {'clinical finding': 'perisplenic soft tissue nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'perisplenic soft tissue', 'observation': 'nodule'}}size_fin: [{'size': '2.1 cm'}, {'size': '1.8 cm x 1.6 cm'}]clinical findings_fin: {'cm previously 1.8 cm x 1.6 cm when measured in a similar fashion': {'clinical finding': 'cm previously 1.8 cm x 1.6 cm when measured in a similar fashion'}}clinical findings_fin: {'additional mesenteric nodularity': {'clinical finding': 'additional mesenteric nodularity', 'existence': 'pos_dx', 'descriptive_term': 'additional mesenteric', 'observation': 'nodularity'}}clinical findings_fin: {'diverticulosis': {'clinical finding': 'diverticulosis', 'existence': 'pos_dx', 'observation': 'diverticulosis'}, 'diverticulitis': {'clinical finding': 'diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'observation': 'diverticulitis'}}anatomical entity_fin: {'femur': {'location descriptor': 'superior posterior'}}imaging observation_fin: ['fat']location descriptor_fin: ['right', 'superior', 'posterior']clinical findings_fin: {'fat density lesion': {'clinical finding': 'fat density lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'fat density', 'observation': 'lesion'}, 'changed': {'clinical finding': 'changed', 'existence': 'pos_dx', 'observation': 'change'}}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: {'wall': {}}location descriptor_fin: ['right']clinical findings_fin: {'heterogeneous soft tissue mass': {'clinical finding': 'heterogeneous soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'pos_dx', 'descriptive_term': 'heterogeneous soft tissue', 'observation': 'mass'}, 'internal calcifications': {'clinical finding': 'internal calcifications', 'existence': 'pos_dx', 'descriptive_term': 'internal', 'observation': 'calcification'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'diverticulosis': {'clinical finding': 'diverticulosis', 'existence': 'pos_dx', 'observation': 'diverticulosis'}, 'diverticulitis': {'clinical finding': 'diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'observation': 'diverticulitis'}}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] . Left basilar atelectasis. Cirrhotic liver morphology with multiple venous portosystemic collaterals and varices again noted. Slightly increasing perihepatic fluid. No focal hepatic lesions. No intra or extra hepatic biliary ductal dilatation. New gallbladder wall thickening and surrounding induration. Splenomegaly with no perisplenic free fluid. New mild mesenteric haziness surrounds the pancreas. The pancreatic parenchyma enhances normally. No discrete fluid collection. No pseudoaneurysm or thrombus. No significant abnormality noted. Punctate left hypodense lesion too small to characterize unchanged. Reference left para-aortic lymph node measures 1.4 cm x 1.1 cm unchanged. Additional small retroperitoneal lymph nodes not significantly changed. Mild. Increasing size of mesenteric and peritoneal nodularity, for reference a perisplenic soft tissue nodule measures 2.9 cm. 2.1 cm previously 1.8 cm x 1.6 cm when measured in a similar fashion. Additional mesenteric nodularity also appears increased. Diverticulosis without evidence of diverticulitis. Fat density lesion abutting the right superior posterior femur is partially imaged and not grossly changed. No significant abnormality noted. No significant abnormality noted. Heterogeneous soft tissue mass involving the right posterolateral wall with internal calcifications extending posteriorly to the vaginal cuff not significantly changed from prior study. No significant abnormality noted. Diverticulosis without evidence of diverticulitis. No significant abnormality noted. No significant abnormality noted </s>