. Large bilateral pleural effusions and extensive bibasilar atelectasis or consolidation unchanged. Pre-IV contrast no evidence of fatty liver. Postcontrast no focal lesions. Cholecystectomy. No biliary dilatation. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Extrinsic ventral deviation of the right kidney by the retroperitoneal hematoma. Persistent hydronephrosis and proximal hydroureter due to extrinsic compression by the retroperitoneal hematoma. Left kidney is somewhat small. Residual contrast is seen in the collecting system from the prior embolization procedure. Several small hypodensities too small to characterize likely cysts. Persistent large retroperitoneal hematoma roughly unchanged compared to the prior exam. There is some central foci of gas within at the pelvic inlet series 12 image 99 possibly related to the prior embolization procedure. For baseline purposes the hematoma is estimated at 12.1 x 5.7 cm on series 12 image 99. Note that the previous measurement on 8/12/2015 series 3 image 76 is taken just above the level of the aortic bifurcation and reproducing AP and lateral dimensions as measured previously on current study series 13 image 89 measurements are 12.7 x 9.3 cm. There is no evidence of active contrast extravasation. Heavy atherosclerosis no evidence of aneurysm. Inferior vena cava extrinsically compressed by retroperitoneal hematoma. NG tube in place. Extrinsic deviation of bowel by retroperitoneal hematoma. No evidence of bowel obstruction. Mild generalized ascites. Small sliding hiatal hernia. Large diverticulum third portion of duodenum. Anasarca. Rotatory scoliosis and degenerative changes unchanged. Evidence of prior vertebral prior vertebral plasty and lytic areas are unchanged. Erosions superior endplate L2, unchanged. No significant abnormality noted. Atrophic or surgically absent. Collapsed with Foley catheter in place. Deviated to the left by the large pelvic hematoma. No significant abnormality noted. No evidence of obstruction but the bowel is deviated by the large retroperitoneal hematoma extending into the right iliac fossa. Colonic diverticulosis. Trace ascites. Pessary. Anasarca. Retroperitoneal hematoma continues into the right iliac fossa and is dominant bowel-shaped large more caudal component extending down to the most inferior recess of the pelvis the level of the pubic symphysis and this component is measured on series 13 image 134 as 15.8 x 10.8 cm. Previously 16.7 x 10.4 cm.
location descriptor_fin: ['bilateral']clinical findings_fin: {'large bilateral pleural effusions': {'clinical finding': 'large bilateral pleural effusions', 'cf_snomed': {'bilateral pleural effusion': 425802001}, 'existence': 'pos_dx', 'descriptive_term': 'large bilateral pleural', 'observation': 'effusion', 'strength_term': 'large'}, 'extensive bibasilar atelectasis': {'clinical finding': 'extensive bibasilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'descriptive_term': 'extensive bibasilar', 'observation': 'atelectasis', 'strength_term': 'extensive'}, 'consolidation': {'clinical finding': 'consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'unc_dx', 'observation': 'consolidation'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'pre-iv contrast': {'clinical finding': 'pre-iv contrast', 'existence': 'neg_dx', 'descriptive_term': 'pre-iv', 'observation': 'contrast'}, 'fatty': {'clinical finding': 'fatty', 'existence': 'neg_dx', 'observation': 'fatty'}}clinical findings_fin: {'postcontrast no focal lesions': {'clinical finding': 'postcontrast no focal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'postcontrast no focal', 'observation': 'lesion', 'quantity_term': 'no'}}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: {'right kidney': {}}imaging observation_fin: ['hematoma']clinical findings_fin: {'retroperitoneal hematoma': {'clinical finding': 'retroperitoneal hematoma', 'cf_snomed': {'retroperitoneal hematoma': 236002003}, 'existence': 'pos_dx', 'descriptive_term': 'retroperitoneal', 'observation': 'hematoma'}}imaging observation_fin: ['hematoma']location descriptor_fin: ['proximal']clinical findings_fin: {'persistent hydronephrosis': {'clinical finding': 'persistent hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'pos_dx', 'descriptive_term': 'persistent', 'observation': 'hydronephrosis', 'temporal_term': 'persistent'}, 'proximal hydroureter': {'clinical finding': 'proximal hydroureter', 'cf_snomed': {'hydroureter': 69758005}, 'existence': 'pos_dx', 'descriptive_term': 'proximal', 'observation': 'hydroureter'}, 'extrinsic compression': {'clinical finding': 'extrinsic compression', 'cf_snomed': {'compression': 71173004}, 'existence': 'pos_dx', 'descriptive_term': 'extrinsic', 'observation': 'compression'}, 'retroperitoneal hematoma': {'clinical finding': 'retroperitoneal hematoma', 'cf_snomed': {'retroperitoneal hematoma': 236002003}, 'existence': 'pos_dx', 'descriptive_term': 'retroperitoneal', 'observation': 'hematoma'}}anatomical entity_fin: {'left kidney': {}}clinical findings_fin: {'small': {'clinical finding': 'small', 'existence': 'pos_dx', 'observation': 'small'}}procedure_fin: ['embolization']clinical findings_fin: {'residual contrast': {'clinical finding': 'residual contrast', 'existence': 'pos_dx', 'descriptive_term': 'residual', 'observation': 'contrast', 'temporal_term': 'residual'}}clinical findings_fin: {'several small hypodensities': {'clinical finding': 'several small hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'several small', 'observation': 'hypodensity', 'strength_term': 'small', 'quantity_term': 'several'}, 'likely cysts': {'clinical finding': 'likely cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'likely', 'observation': 'cyst'}}imaging observation_fin: ['hematoma']clinical findings_fin: {'persistent large retroperitoneal hematoma': {'clinical finding': 'persistent large retroperitoneal hematoma', 'cf_snomed': {'retroperitoneal hematoma': 236002003}, 'existence': 'pos_dx', 'descriptive_term': 'persistent large retroperitoneal', 'observation': 'hematoma', 'strength_term': 'large', 'temporal_term': 'persistent'}}anatomical entity_fin: {'pelvic inlet': {}}imaging observation_fin: ['foci']location descriptor_fin: ['central']procedure_fin: ['embolization']clinical findings_fin: {'gas': {'clinical finding': 'gas', 'existence': 'pos_dx', 'observation': 'gas'}}size_fin: [{'size': '12.1 x 5.7 cm'}]imaging observation_fin: ['hematoma']clinical findings_fin: {'hematoma': {'clinical finding': 'hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'unc_dx', 'observation': 'hematoma'}}size_fin: [{'size': '12.7 x 9.3 cm', 'size_descriptor': 'measurements'}]location descriptor_fin: ['lateral']clinical findings_fin: {'active contrast extravasation': {'clinical finding': 'active contrast extravasation', 'cf_snomed': {'extravasation': 76676007}, 'existence': 'neg_dx', 'descriptive_term': 'active contrast', 'observation': 'extravasation', 'strength_term': 'active'}}clinical findings_fin: {'heavy atherosclerosis': {'clinical finding': 'heavy atherosclerosis', 'cf_snomed': {'atherosclerosis': 38716007}, 'existence': 'neg_dx', 'descriptive_term': 'heavy', 'observation': 'atherosclerosis', 'strength_term': 'heavy'}, 'aneurysm': {'clinical finding': 'aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'neg_dx', 'observation': 'aneurysm'}}anatomical entity_fin: {'inferior vena cava': {}}imaging observation_fin: ['hematoma']clinical findings_fin: {'retroperitoneal hematoma': {'clinical finding': 'retroperitoneal hematoma', 'cf_snomed': {'retroperitoneal hematoma': 236002003}, 'existence': 'pos_dx', 'descriptive_term': 'retroperitoneal', 'observation': 'hematoma'}}object_fin: ['tube']anatomical entity_fin: {'bowel': {}}imaging observation_fin: ['hematoma']clinical findings_fin: {'retroperitoneal hematoma': {'clinical finding': 'retroperitoneal hematoma', 'cf_snomed': {'retroperitoneal hematoma': 236002003}, 'existence': 'pos_dx', 'descriptive_term': 'retroperitoneal', 'observation': 'hematoma'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'bowel obstruction': {'clinical finding': 'bowel obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'}}clinical findings_fin: {'mild generalized ascites': {'clinical finding': 'mild generalized ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'mild generalized', 'observation': 'ascite', 'strength_term': 'mild'}}clinical findings_fin: {'small sliding hiatal hernia': {'clinical finding': 'small sliding hiatal hernia', 'cf_snomed': {'hiatal hernia': 84089009}, 'existence': 'pos_dx', 'descriptive_term': 'small sliding hiatal', 'observation': 'hernia', 'strength_term': 'small'}}anatomical entity_fin: {'duodenum': {}}clinical findings_fin: {'large diverticulum': {'clinical finding': 'large diverticulum', 'cf_snomed': {'diverticulum': 31113003}, 'existence': 'pos_dx', 'descriptive_term': 'large', 'observation': 'diverticulum', 'strength_term': 'large'}}clinical findings_fin: {'rotatory scoliosis': {'clinical finding': 'rotatory scoliosis', 'existence': 'pos_dx', 'descriptive_term': 'rotatory', 'observation': 'scoliosis'}, 'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}clinical findings_fin: {'prior vertebral prior vertebral plasty': {'clinical finding': 'prior vertebral prior vertebral plasty', 'existence': 'pos_dx', 'descriptive_term': 'prior vertebral prior vertebral', 'observation': 'plasty'}}anatomical entity_fin: {'endplate': {'location descriptor': 'superior'}}location descriptor_fin: ['superior']clinical findings_fin: {'erosions': {'clinical finding': 'erosions', 'existence': 'pos_dx', 'observation': 'erosion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'surgically': {'clinical finding': 'surgically', 'existence': 'unc_dx', 'observation': 'surgically'}}object_fin: ['catheter']clinical findings_fin: {'collapsed with foley catheter in place': {'clinical finding': 'collapsed with foley catheter in place', 'change_term': 'collapsed'}}imaging observation_fin: ['hematoma']location descriptor_fin: ['deviated', 'left']clinical findings_fin: {'large pelvic hematoma': {'clinical finding': 'large pelvic hematoma', 'cf_snomed': {'pelvic hematoma': 264558008}, 'existence': 'pos_dx', 'descriptive_term': 'large pelvic', 'observation': 'hematoma', 'strength_term': 'large'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'bowel': {}, 'iliac fossa': {'location descriptor': 'right'}}imaging observation_fin: ['hematoma']location descriptor_fin: ['deviated', 'right']clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}, 'deviated': {'clinical finding': 'deviated', 'existence': 'neg_dx', 'observation': 'deviated'}, 'large retroperitoneal hematoma': {'clinical finding': 'large retroperitoneal hematoma', 'cf_snomed': {'retroperitoneal hematoma': 236002003}, 'existence': 'pos_dx', 'descriptive_term': 'large retroperitoneal', 'observation': 'hematoma', 'strength_term': 'large'}}clinical findings_fin: {'colonic diverticulosis': {'clinical finding': 'colonic diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'colonic', 'observation': 'diverticulosis'}}clinical findings_fin: {'trace ascites': {'clinical finding': 'trace ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'trace', 'observation': 'ascite'}}size_fin: [{'size': '15.8 x 10.8 cm', 'size_descriptor': 'hematoma'}]anatomical entity_fin: {'iliac fossa': {'location descriptor': 'right'}, 'bowel': {}, 'pelvis': {}, 'symphysis': {}}imaging observation_fin: ['hematoma']location descriptor_fin: ['right', 'caudal', 'inferior']clinical findings_fin: {'retroperitoneal hematoma': {'clinical finding': 'retroperitoneal hematoma', 'cf_snomed': {'retroperitoneal hematoma': 236002003}, 'existence': 'pos_dx', 'descriptive_term': 'retroperitoneal', 'observation': 'hematoma'}}size_fin: [{'size': '16.7 x 10.4 cm'}]
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['bilateral']clinical findings_fin: {'large bilateral pleural effusions': {'clinical finding': 'large bilateral pleural effusions', 'cf_snomed': {'bilateral pleural effusion': 425802001}, 'existence': 'pos_dx', 'descriptive_term': 'large bilateral pleural', 'observation': 'effusion', 'strength_term': 'large'}, 'extensive bibasilar atelectasis': {'clinical finding': 'extensive bibasilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'descriptive_term': 'extensive bibasilar', 'observation': 'atelectasis', 'strength_term': 'extensive'}, 'consolidation': {'clinical finding': 'consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'unc_dx', 'observation': 'consolidation'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'pre-iv contrast': {'clinical finding': 'pre-iv contrast', 'existence': 'neg_dx', 'descriptive_term': 'pre-iv', 'observation': 'contrast'}, 'fatty': {'clinical finding': 'fatty', 'existence': 'neg_dx', 'observation': 'fatty'}}clinical findings_fin: {'postcontrast no focal lesions': {'clinical finding': 'postcontrast no focal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'postcontrast no focal', 'observation': 'lesion', 'quantity_term': 'no'}}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: {'right kidney': {}}imaging observation_fin: ['hematoma']clinical findings_fin: {'retroperitoneal hematoma': {'clinical finding': 'retroperitoneal hematoma', 'cf_snomed': {'retroperitoneal hematoma': 236002003}, 'existence': 'pos_dx', 'descriptive_term': 'retroperitoneal', 'observation': 'hematoma'}}imaging observation_fin: ['hematoma']location descriptor_fin: ['proximal']clinical findings_fin: {'persistent hydronephrosis': {'clinical finding': 'persistent hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'pos_dx', 'descriptive_term': 'persistent', 'observation': 'hydronephrosis', 'temporal_term': 'persistent'}, 'proximal hydroureter': {'clinical finding': 'proximal hydroureter', 'cf_snomed': {'hydroureter': 69758005}, 'existence': 'pos_dx', 'descriptive_term': 'proximal', 'observation': 'hydroureter'}, 'extrinsic compression': {'clinical finding': 'extrinsic compression', 'cf_snomed': {'compression': 71173004}, 'existence': 'pos_dx', 'descriptive_term': 'extrinsic', 'observation': 'compression'}, 'retroperitoneal hematoma': {'clinical finding': 'retroperitoneal hematoma', 'cf_snomed': {'retroperitoneal hematoma': 236002003}, 'existence': 'pos_dx', 'descriptive_term': 'retroperitoneal', 'observation': 'hematoma'}}anatomical entity_fin: {'left kidney': {}}clinical findings_fin: {'small': {'clinical finding': 'small', 'existence': 'pos_dx', 'observation': 'small'}}procedure_fin: ['embolization']clinical findings_fin: {'residual contrast': {'clinical finding': 'residual contrast', 'existence': 'pos_dx', 'descriptive_term': 'residual', 'observation': 'contrast', 'temporal_term': 'residual'}}clinical findings_fin: {'several small hypodensities': {'clinical finding': 'several small hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'several small', 'observation': 'hypodensity', 'strength_term': 'small', 'quantity_term': 'several'}, 'likely cysts': {'clinical finding': 'likely cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'likely', 'observation': 'cyst'}}imaging observation_fin: ['hematoma']clinical findings_fin: {'persistent large retroperitoneal hematoma': {'clinical finding': 'persistent large retroperitoneal hematoma', 'cf_snomed': {'retroperitoneal hematoma': 236002003}, 'existence': 'pos_dx', 'descriptive_term': 'persistent large retroperitoneal', 'observation': 'hematoma', 'strength_term': 'large', 'temporal_term': 'persistent'}}anatomical entity_fin: {'pelvic inlet': {}}imaging observation_fin: ['foci']location descriptor_fin: ['central']procedure_fin: ['embolization']clinical findings_fin: {'gas': {'clinical finding': 'gas', 'existence': 'pos_dx', 'observation': 'gas'}}size_fin: [{'size': '12.1 x 5.7 cm'}]imaging observation_fin: ['hematoma']clinical findings_fin: {'hematoma': {'clinical finding': 'hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'unc_dx', 'observation': 'hematoma'}}size_fin: [{'size': '12.7 x 9.3 cm', 'size_descriptor': 'measurements'}]location descriptor_fin: ['lateral']clinical findings_fin: {'active contrast extravasation': {'clinical finding': 'active contrast extravasation', 'cf_snomed': {'extravasation': 76676007}, 'existence': 'neg_dx', 'descriptive_term': 'active contrast', 'observation': 'extravasation', 'strength_term': 'active'}}clinical findings_fin: {'heavy atherosclerosis': {'clinical finding': 'heavy atherosclerosis', 'cf_snomed': {'atherosclerosis': 38716007}, 'existence': 'neg_dx', 'descriptive_term': 'heavy', 'observation': 'atherosclerosis', 'strength_term': 'heavy'}, 'aneurysm': {'clinical finding': 'aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'neg_dx', 'observation': 'aneurysm'}}anatomical entity_fin: {'inferior vena cava': {}}imaging observation_fin: ['hematoma']clinical findings_fin: {'retroperitoneal hematoma': {'clinical finding': 'retroperitoneal hematoma', 'cf_snomed': {'retroperitoneal hematoma': 236002003}, 'existence': 'pos_dx', 'descriptive_term': 'retroperitoneal', 'observation': 'hematoma'}}object_fin: ['tube']anatomical entity_fin: {'bowel': {}}imaging observation_fin: ['hematoma']clinical findings_fin: {'retroperitoneal hematoma': {'clinical finding': 'retroperitoneal hematoma', 'cf_snomed': {'retroperitoneal hematoma': 236002003}, 'existence': 'pos_dx', 'descriptive_term': 'retroperitoneal', 'observation': 'hematoma'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'bowel obstruction': {'clinical finding': 'bowel obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'}}clinical findings_fin: {'mild generalized ascites': {'clinical finding': 'mild generalized ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'mild generalized', 'observation': 'ascite', 'strength_term': 'mild'}}clinical findings_fin: {'small sliding hiatal hernia': {'clinical finding': 'small sliding hiatal hernia', 'cf_snomed': {'hiatal hernia': 84089009}, 'existence': 'pos_dx', 'descriptive_term': 'small sliding hiatal', 'observation': 'hernia', 'strength_term': 'small'}}anatomical entity_fin: {'duodenum': {}}clinical findings_fin: {'large diverticulum': {'clinical finding': 'large diverticulum', 'cf_snomed': {'diverticulum': 31113003}, 'existence': 'pos_dx', 'descriptive_term': 'large', 'observation': 'diverticulum', 'strength_term': 'large'}}clinical findings_fin: {'rotatory scoliosis': {'clinical finding': 'rotatory scoliosis', 'existence': 'pos_dx', 'descriptive_term': 'rotatory', 'observation': 'scoliosis'}, 'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}clinical findings_fin: {'prior vertebral prior vertebral plasty': {'clinical finding': 'prior vertebral prior vertebral plasty', 'existence': 'pos_dx', 'descriptive_term': 'prior vertebral prior vertebral', 'observation': 'plasty'}}anatomical entity_fin: {'endplate': {'location descriptor': 'superior'}}location descriptor_fin: ['superior']clinical findings_fin: {'erosions': {'clinical finding': 'erosions', 'existence': 'pos_dx', 'observation': 'erosion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'surgically': {'clinical finding': 'surgically', 'existence': 'unc_dx', 'observation': 'surgically'}}object_fin: ['catheter']clinical findings_fin: {'collapsed with foley catheter in place': {'clinical finding': 'collapsed with foley catheter in place', 'change_term': 'collapsed'}}imaging observation_fin: ['hematoma']location descriptor_fin: ['deviated', 'left']clinical findings_fin: {'large pelvic hematoma': {'clinical finding': 'large pelvic hematoma', 'cf_snomed': {'pelvic hematoma': 264558008}, 'existence': 'pos_dx', 'descriptive_term': 'large pelvic', 'observation': 'hematoma', 'strength_term': 'large'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'bowel': {}, 'iliac fossa': {'location descriptor': 'right'}}imaging observation_fin: ['hematoma']location descriptor_fin: ['deviated', 'right']clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}, 'deviated': {'clinical finding': 'deviated', 'existence': 'neg_dx', 'observation': 'deviated'}, 'large retroperitoneal hematoma': {'clinical finding': 'large retroperitoneal hematoma', 'cf_snomed': {'retroperitoneal hematoma': 236002003}, 'existence': 'pos_dx', 'descriptive_term': 'large retroperitoneal', 'observation': 'hematoma', 'strength_term': 'large'}}clinical findings_fin: {'colonic diverticulosis': {'clinical finding': 'colonic diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'colonic', 'observation': 'diverticulosis'}}clinical findings_fin: {'trace ascites': {'clinical finding': 'trace ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'trace', 'observation': 'ascite'}}size_fin: [{'size': '15.8 x 10.8 cm', 'size_descriptor': 'hematoma'}]anatomical entity_fin: {'iliac fossa': {'location descriptor': 'right'}, 'bowel': {}, 'pelvis': {}, 'symphysis': {}}imaging observation_fin: ['hematoma']location descriptor_fin: ['right', 'caudal', 'inferior']clinical findings_fin: {'retroperitoneal hematoma': {'clinical finding': 'retroperitoneal hematoma', 'cf_snomed': {'retroperitoneal hematoma': 236002003}, 'existence': 'pos_dx', 'descriptive_term': 'retroperitoneal', 'observation': 'hematoma'}}size_fin: [{'size': '16.7 x 10.4 cm'}] [/INST] . Large bilateral pleural effusions and extensive bibasilar atelectasis or consolidation unchanged. Pre-IV contrast no evidence of fatty liver. Postcontrast no focal lesions. Cholecystectomy. No biliary dilatation. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Extrinsic ventral deviation of the right kidney by the retroperitoneal hematoma. Persistent hydronephrosis and proximal hydroureter due to extrinsic compression by the retroperitoneal hematoma. Left kidney is somewhat small. Residual contrast is seen in the collecting system from the prior embolization procedure. Several small hypodensities too small to characterize likely cysts. Persistent large retroperitoneal hematoma roughly unchanged compared to the prior exam. There is some central foci of gas within at the pelvic inlet series 12 image 99 possibly related to the prior embolization procedure. For baseline purposes the hematoma is estimated at 12.1 x 5.7 cm on series 12 image 99. Note that the previous measurement on 8/12/2015 series 3 image 76 is taken just above the level of the aortic bifurcation and reproducing AP and lateral dimensions as measured previously on current study series 13 image 89 measurements are 12.7 x 9.3 cm. There is no evidence of active contrast extravasation. Heavy atherosclerosis no evidence of aneurysm. Inferior vena cava extrinsically compressed by retroperitoneal hematoma. NG tube in place. Extrinsic deviation of bowel by retroperitoneal hematoma. No evidence of bowel obstruction. Mild generalized ascites. Small sliding hiatal hernia. Large diverticulum third portion of duodenum. Anasarca. Rotatory scoliosis and degenerative changes unchanged. Evidence of prior vertebral prior vertebral plasty and lytic areas are unchanged. Erosions superior endplate L2, unchanged. No significant abnormality noted. Atrophic or surgically absent. Collapsed with Foley catheter in place. Deviated to the left by the large pelvic hematoma. No significant abnormality noted. No evidence of obstruction but the bowel is deviated by the large retroperitoneal hematoma extending into the right iliac fossa. Colonic diverticulosis. Trace ascites. Pessary. Anasarca. Retroperitoneal hematoma continues into the right iliac fossa and is dominant bowel-shaped large more caudal component extending down to the most inferior recess of the pelvis the level of the pubic symphysis and this component is measured on series 13 image 134 as 15.8 x 10.8 cm. Previously 16.7 x 10.4 cm. </s>