. Left lower lobe calcified granuloma. Punctate breast calcifications. Postoperative changes related to liver transplant. Interval placement of right abdominal approach percutaneous drainage catheter, located in right upper quadrant and improvement in previously seen perihepatic fluid collection, now measuring approximately 6.3 x 4.2 cm, image 16 series 4, previously measured 8.2 x 6 cm. Curvilinear air in liver, image 24 series 4, may reflect trace pneumobilia but portal venous gas not entirely excluded. Indeterminant subcentimeter right hepatic hypoattenuating lesion, image 24 series Unchanged mild splenomegaly. Unchanged subcentimeter hypoattenuating focus at level of pancreatic neck, may be a lipoma. No significant abnormality noted. No significant abnormality noted. Unchanged prominent retroperitoneal or left para-aortic lymph nodes. IVC filter. Stable to mildly increased left upper quadrant and pelvic ascites. Persistent mild small bowel thickening, nonspecific in setting of ascites. Trace pneumoperitoneum. No significant abnormality noted. No significant abnormality noted. Multilevel spinal degenerative disease and scoliosis.
anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'left lower lobe calcified granuloma': {'clinical finding': 'left lower lobe calcified granuloma', 'cf_snomed': {'calcified granuloma': 48391002}, 'existence': 'pos_dx', 'descriptive_term': 'left lower lobe calcified', 'observation': 'granuloma', 'change_term': 'calcified'}}anatomical entity_fin: {'breast': {}}clinical findings_fin: {'punctate breast calcifications': {'clinical finding': 'punctate breast calcifications', 'existence': 'pos_dx', 'descriptive_term': 'punctate breast', 'observation': 'calcification'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}}size_fin: [{'size': '6.3 x 4.2 cm'}, {'size': '8.2 x 6 cm'}]anatomical entity_fin: {'abdominal': {'location descriptor': 'right'}, 'quadrant': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']object_fin: ['drainage catheter']clinical findings_fin: {'right abdominal approach percutaneous drainage catheter': {'clinical finding': 'right abdominal approach percutaneous drainage catheter', 'existence': 'pos_dx', 'descriptive_term': 'right abdominal approach percutaneous drainage', 'observation': 'catheter'}, 'previously seen perihepatic fluid collection': {'clinical finding': 'previously seen perihepatic fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'previously seen perihepatic fluid', 'observation': 'collection'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'trace pneumobilia': {'clinical finding': 'trace pneumobilia', 'existence': 'unc_dx', 'descriptive_term': 'trace', 'observation': 'pneumobilia'}, 'portal venous gas': {'clinical finding': 'portal venous gas', 'existence': 'unc_dx', 'descriptive_term': 'portal venous', 'observation': 'gas'}}location descriptor_fin: ['right']clinical findings_fin: {'hepatic hypoattenuating lesion': {'clinical finding': 'hepatic hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'hepatic hypoattenuating', 'observation': 'lesion'}, 'unchanged mild splenomegaly': {'clinical finding': 'unchanged mild splenomegaly', 'cf_snomed': {'splenomegaly': 16294009}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged mild', 'observation': 'splenomegaly', 'strength_term': 'unchanged - mild', 'change_term': 'unchanged'}}anatomical entity_fin: {'neck': {}}clinical findings_fin: {'unchanged subcentimeter hypoattenuating focus': {'clinical finding': 'unchanged subcentimeter hypoattenuating focus', 'existence': 'pos_dx', 'descriptive_term': 'unchanged subcentimeter hypoattenuating', 'observation': 'focus', 'strength_term': 'unchanged', 'change_term': 'unchanged'}, 'lipoma': {'clinical finding': 'lipoma', 'cf_snomed': {'lipoma': 134328007}, 'existence': 'unc_dx', 'observation': 'lipoma'}}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: {'unchanged prominent retroperitoneal or left para-aortic lymph nodes': {'clinical finding': 'unchanged prominent retroperitoneal or left para-aortic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'unchanged prominent retroperitoneal or left para-aortic lymph', 'observation': 'node', 'strength_term': 'unchanged - prominent', 'change_term': 'unchanged'}}object_fin: ['filter']clinical findings_fin: {'ivc filter': {'clinical finding': 'ivc filter'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'pelvic ascites': {'clinical finding': 'pelvic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'pelvic', 'observation': 'ascite'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'persistent mild small bowel thickening': {'clinical finding': 'persistent mild small bowel thickening', 'existence': 'pos_dx', 'descriptive_term': 'persistent mild small bowel', 'observation': 'thickening', 'strength_term': 'mild - small', 'temporal_term': 'persistent'}, 'ascites': {'clinical finding': 'ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'observation': 'ascite'}}clinical findings_fin: {'trace pneumoperitoneum': {'clinical finding': 'trace pneumoperitoneum', 'cf_snomed': {'pneumoperitoneum': 17204006}, 'existence': 'pos_dx', 'descriptive_term': 'trace', 'observation': 'pneumoperitoneum'}}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: {'multilevel spinal degenerative disease': {'clinical finding': 'multilevel spinal degenerative disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'multilevel spinal degenerative', 'observation': 'disease'}, 'scoliosis': {'clinical finding': 'scoliosis', 'existence': 'pos_dx', 'observation': 'scoliosis'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'left lower lobe calcified granuloma': {'clinical finding': 'left lower lobe calcified granuloma', 'cf_snomed': {'calcified granuloma': 48391002}, 'existence': 'pos_dx', 'descriptive_term': 'left lower lobe calcified', 'observation': 'granuloma', 'change_term': 'calcified'}}anatomical entity_fin: {'breast': {}}clinical findings_fin: {'punctate breast calcifications': {'clinical finding': 'punctate breast calcifications', 'existence': 'pos_dx', 'descriptive_term': 'punctate breast', 'observation': 'calcification'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}}size_fin: [{'size': '6.3 x 4.2 cm'}, {'size': '8.2 x 6 cm'}]anatomical entity_fin: {'abdominal': {'location descriptor': 'right'}, 'quadrant': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']object_fin: ['drainage catheter']clinical findings_fin: {'right abdominal approach percutaneous drainage catheter': {'clinical finding': 'right abdominal approach percutaneous drainage catheter', 'existence': 'pos_dx', 'descriptive_term': 'right abdominal approach percutaneous drainage', 'observation': 'catheter'}, 'previously seen perihepatic fluid collection': {'clinical finding': 'previously seen perihepatic fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'previously seen perihepatic fluid', 'observation': 'collection'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'trace pneumobilia': {'clinical finding': 'trace pneumobilia', 'existence': 'unc_dx', 'descriptive_term': 'trace', 'observation': 'pneumobilia'}, 'portal venous gas': {'clinical finding': 'portal venous gas', 'existence': 'unc_dx', 'descriptive_term': 'portal venous', 'observation': 'gas'}}location descriptor_fin: ['right']clinical findings_fin: {'hepatic hypoattenuating lesion': {'clinical finding': 'hepatic hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'hepatic hypoattenuating', 'observation': 'lesion'}, 'unchanged mild splenomegaly': {'clinical finding': 'unchanged mild splenomegaly', 'cf_snomed': {'splenomegaly': 16294009}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged mild', 'observation': 'splenomegaly', 'strength_term': 'unchanged - mild', 'change_term': 'unchanged'}}anatomical entity_fin: {'neck': {}}clinical findings_fin: {'unchanged subcentimeter hypoattenuating focus': {'clinical finding': 'unchanged subcentimeter hypoattenuating focus', 'existence': 'pos_dx', 'descriptive_term': 'unchanged subcentimeter hypoattenuating', 'observation': 'focus', 'strength_term': 'unchanged', 'change_term': 'unchanged'}, 'lipoma': {'clinical finding': 'lipoma', 'cf_snomed': {'lipoma': 134328007}, 'existence': 'unc_dx', 'observation': 'lipoma'}}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: {'unchanged prominent retroperitoneal or left para-aortic lymph nodes': {'clinical finding': 'unchanged prominent retroperitoneal or left para-aortic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'unchanged prominent retroperitoneal or left para-aortic lymph', 'observation': 'node', 'strength_term': 'unchanged - prominent', 'change_term': 'unchanged'}}object_fin: ['filter']clinical findings_fin: {'ivc filter': {'clinical finding': 'ivc filter'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'pelvic ascites': {'clinical finding': 'pelvic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'pelvic', 'observation': 'ascite'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'persistent mild small bowel thickening': {'clinical finding': 'persistent mild small bowel thickening', 'existence': 'pos_dx', 'descriptive_term': 'persistent mild small bowel', 'observation': 'thickening', 'strength_term': 'mild - small', 'temporal_term': 'persistent'}, 'ascites': {'clinical finding': 'ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'observation': 'ascite'}}clinical findings_fin: {'trace pneumoperitoneum': {'clinical finding': 'trace pneumoperitoneum', 'cf_snomed': {'pneumoperitoneum': 17204006}, 'existence': 'pos_dx', 'descriptive_term': 'trace', 'observation': 'pneumoperitoneum'}}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: {'multilevel spinal degenerative disease': {'clinical finding': 'multilevel spinal degenerative disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'multilevel spinal degenerative', 'observation': 'disease'}, 'scoliosis': {'clinical finding': 'scoliosis', 'existence': 'pos_dx', 'observation': 'scoliosis'}} [/INST] . Left lower lobe calcified granuloma. Punctate breast calcifications. Postoperative changes related to liver transplant. Interval placement of right abdominal approach percutaneous drainage catheter, located in right upper quadrant and improvement in previously seen perihepatic fluid collection, now measuring approximately 6.3 x 4.2 cm, image 16 series 4, previously measured 8.2 x 6 cm. Curvilinear air in liver, image 24 series 4, may reflect trace pneumobilia but portal venous gas not entirely excluded. Indeterminant subcentimeter right hepatic hypoattenuating lesion, image 24 series Unchanged mild splenomegaly. Unchanged subcentimeter hypoattenuating focus at level of pancreatic neck, may be a lipoma. No significant abnormality noted. No significant abnormality noted. Unchanged prominent retroperitoneal or left para-aortic lymph nodes. IVC filter. Stable to mildly increased left upper quadrant and pelvic ascites. Persistent mild small bowel thickening, nonspecific in setting of ascites. Trace pneumoperitoneum. No significant abnormality noted. No significant abnormality noted. Multilevel spinal degenerative disease and scoliosis. </s>