. Moderate to large right and trace left pleural effusion and underlying atelectasis. Partially visualized cardiomegaly without significant pericardial effusion. The hepatic veins and intrahepatic IVC are engorged, which may be secondary to heart failure. Subcapsular right hepatic lobe hypodensity likely represents a cyst. No specific evidence of acute cholecystitis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. The kidneys are atrophic, consistent with chronic end-stage renal disease. No hydronephrosis or nephrolithiasis. No discrete renal lesions are identified. Prominent retroperitoneal lymph nodes are seen. A left para-aortic node measures 17 x 22 mm. Mild. No evidence of bowel obstruction. Contrast reaches the rectum. Mild, nonspecific bowel wall thickening involving the proximal jejunum, which can be seen in the setting of enteritis. No pneumatosis intestinalis, pneumoperitoneum, or portal venous gas is identified. Fluid is present in the right scrotum or inguinal canal. Moderate abdominopelvic ascites, measuring simple fluid density. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted
location descriptor_fin: ['right', 'left']clinical findings_fin: {'trace left pleural effusion': {'clinical finding': 'trace left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'trace left pleural', 'observation': 'effusion'}, 'underlying atelectasis': {'clinical finding': 'underlying atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'underlying', 'observation': 'atelectasis'}}clinical findings_fin: {'partially visualized cardiomegaly': {'clinical finding': 'partially visualized cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'descriptive_term': 'partially visualized', 'observation': 'cardiomegaly', 'strength_term': 'partially'}, 'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'hepatic veins': {}}clinical findings_fin: {'engorged': {'clinical finding': 'engorged', 'existence': 'pos_dx', 'observation': 'engorge'}, 'heart failure': {'clinical finding': 'heart failure', 'cf_snomed': {'heart failure': 84114007}, 'existence': 'unc_dx', 'descriptive_term': 'heart', 'observation': 'failure'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'subcapsular right hepatic lobe hypodensity': {'clinical finding': 'subcapsular right hepatic lobe hypodensity', 'existence': 'unc_dx', 'descriptive_term': 'subcapsular right hepatic lobe', 'observation': 'hypodensity'}, 'cyst': {'clinical finding': 'cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'unc_dx', 'observation': 'cyst'}}clinical findings_fin: {'acute cholecystitis': {'clinical finding': 'acute cholecystitis', 'cf_snomed': {'acute cholecystitis': 65275009}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'cholecystitis', 'strength_term': 'acute', 'temporal_term': 'acute'}}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: {'kidneys': {}}clinical findings_fin: {'atrophic': {'clinical finding': 'atrophic', 'existence': 'pos_dx', 'observation': 'atrophic'}, 'chronic end-stage renal disease': {'clinical finding': 'chronic end-stage renal disease', 'cf_snomed': {'end-stage renal disease': 46177005}, 'existence': 'pos_dx', 'descriptive_term': 'chronic end-stage renal', 'observation': 'disease', 'temporal_term': 'chronic'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}, 'nephrolithiasis': {'clinical finding': 'nephrolithiasis', 'existence': 'neg_dx', 'observation': 'nephrolithiasis'}}clinical findings_fin: {'discrete renal lesions': {'clinical finding': 'discrete renal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'discrete renal', 'observation': 'lesion'}}clinical findings_fin: {'prominent retroperitoneal lymph nodes': {'clinical finding': 'prominent retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'prominent retroperitoneal lymph', 'observation': 'node', 'strength_term': 'prominent'}}size_fin: [{'size': '17 x 22 mm', 'size_descriptor': 'node'}]location descriptor_fin: ['left']clinical findings_fin: {'left para-aortic node': {'clinical finding': 'left para-aortic node', 'existence': 'pos_dx', 'descriptive_term': 'left para-aortic', 'observation': 'node'}}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'}}anatomical entity_fin: {'rectum': {}}clinical findings_fin: {'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}}anatomical entity_fin: {'bowel': {}, 'jejunum': {'location descriptor': 'proximal'}}location descriptor_fin: ['proximal']clinical findings_fin: {'nonspecific bowel wall thickening': {'clinical finding': 'nonspecific bowel wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific bowel wall', 'observation': 'thickening'}, 'enteritis': {'clinical finding': 'enteritis', 'existence': 'unc_dx', 'observation': 'enteritis'}}clinical findings_fin: {'pneumatosis intestinalis': {'clinical finding': 'pneumatosis intestinalis', 'existence': 'neg_dx', 'descriptive_term': 'pneumatosis', 'observation': 'intestinalis'}, 'pneumoperitoneum': {'clinical finding': 'pneumoperitoneum', 'cf_snomed': {'pneumoperitoneum': 17204006}, 'existence': 'neg_dx', 'observation': 'pneumoperitoneum'}, 'portal venous gas': {'clinical finding': 'portal venous gas', 'existence': 'neg_dx', 'descriptive_term': 'portal venous', 'observation': 'gas'}}anatomical entity_fin: {'fluid': {}, 'scrotum': {'location descriptor': 'right'}, 'inguinal canal': {}}location descriptor_fin: ['right']clinical findings_fin: {'fluid is present in the right scrotum or inguinal canal': {'clinical finding': 'fluid is present in the right scrotum or inguinal canal'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'moderate abdominopelvic ascites': {'clinical finding': 'moderate abdominopelvic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'moderate abdominopelvic', 'observation': 'ascite', 'strength_term': 'moderate'}}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: location descriptor_fin: ['right', 'left']clinical findings_fin: {'trace left pleural effusion': {'clinical finding': 'trace left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'trace left pleural', 'observation': 'effusion'}, 'underlying atelectasis': {'clinical finding': 'underlying atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'underlying', 'observation': 'atelectasis'}}clinical findings_fin: {'partially visualized cardiomegaly': {'clinical finding': 'partially visualized cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'descriptive_term': 'partially visualized', 'observation': 'cardiomegaly', 'strength_term': 'partially'}, 'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'hepatic veins': {}}clinical findings_fin: {'engorged': {'clinical finding': 'engorged', 'existence': 'pos_dx', 'observation': 'engorge'}, 'heart failure': {'clinical finding': 'heart failure', 'cf_snomed': {'heart failure': 84114007}, 'existence': 'unc_dx', 'descriptive_term': 'heart', 'observation': 'failure'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'subcapsular right hepatic lobe hypodensity': {'clinical finding': 'subcapsular right hepatic lobe hypodensity', 'existence': 'unc_dx', 'descriptive_term': 'subcapsular right hepatic lobe', 'observation': 'hypodensity'}, 'cyst': {'clinical finding': 'cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'unc_dx', 'observation': 'cyst'}}clinical findings_fin: {'acute cholecystitis': {'clinical finding': 'acute cholecystitis', 'cf_snomed': {'acute cholecystitis': 65275009}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'cholecystitis', 'strength_term': 'acute', 'temporal_term': 'acute'}}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: {'kidneys': {}}clinical findings_fin: {'atrophic': {'clinical finding': 'atrophic', 'existence': 'pos_dx', 'observation': 'atrophic'}, 'chronic end-stage renal disease': {'clinical finding': 'chronic end-stage renal disease', 'cf_snomed': {'end-stage renal disease': 46177005}, 'existence': 'pos_dx', 'descriptive_term': 'chronic end-stage renal', 'observation': 'disease', 'temporal_term': 'chronic'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}, 'nephrolithiasis': {'clinical finding': 'nephrolithiasis', 'existence': 'neg_dx', 'observation': 'nephrolithiasis'}}clinical findings_fin: {'discrete renal lesions': {'clinical finding': 'discrete renal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'discrete renal', 'observation': 'lesion'}}clinical findings_fin: {'prominent retroperitoneal lymph nodes': {'clinical finding': 'prominent retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'prominent retroperitoneal lymph', 'observation': 'node', 'strength_term': 'prominent'}}size_fin: [{'size': '17 x 22 mm', 'size_descriptor': 'node'}]location descriptor_fin: ['left']clinical findings_fin: {'left para-aortic node': {'clinical finding': 'left para-aortic node', 'existence': 'pos_dx', 'descriptive_term': 'left para-aortic', 'observation': 'node'}}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'}}anatomical entity_fin: {'rectum': {}}clinical findings_fin: {'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}}anatomical entity_fin: {'bowel': {}, 'jejunum': {'location descriptor': 'proximal'}}location descriptor_fin: ['proximal']clinical findings_fin: {'nonspecific bowel wall thickening': {'clinical finding': 'nonspecific bowel wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific bowel wall', 'observation': 'thickening'}, 'enteritis': {'clinical finding': 'enteritis', 'existence': 'unc_dx', 'observation': 'enteritis'}}clinical findings_fin: {'pneumatosis intestinalis': {'clinical finding': 'pneumatosis intestinalis', 'existence': 'neg_dx', 'descriptive_term': 'pneumatosis', 'observation': 'intestinalis'}, 'pneumoperitoneum': {'clinical finding': 'pneumoperitoneum', 'cf_snomed': {'pneumoperitoneum': 17204006}, 'existence': 'neg_dx', 'observation': 'pneumoperitoneum'}, 'portal venous gas': {'clinical finding': 'portal venous gas', 'existence': 'neg_dx', 'descriptive_term': 'portal venous', 'observation': 'gas'}}anatomical entity_fin: {'fluid': {}, 'scrotum': {'location descriptor': 'right'}, 'inguinal canal': {}}location descriptor_fin: ['right']clinical findings_fin: {'fluid is present in the right scrotum or inguinal canal': {'clinical finding': 'fluid is present in the right scrotum or inguinal canal'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'moderate abdominopelvic ascites': {'clinical finding': 'moderate abdominopelvic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'moderate abdominopelvic', 'observation': 'ascite', 'strength_term': 'moderate'}}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] . Moderate to large right and trace left pleural effusion and underlying atelectasis. Partially visualized cardiomegaly without significant pericardial effusion. The hepatic veins and intrahepatic IVC are engorged, which may be secondary to heart failure. Subcapsular right hepatic lobe hypodensity likely represents a cyst. No specific evidence of acute cholecystitis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. The kidneys are atrophic, consistent with chronic end-stage renal disease. No hydronephrosis or nephrolithiasis. No discrete renal lesions are identified. Prominent retroperitoneal lymph nodes are seen. A left para-aortic node measures 17 x 22 mm. Mild. No evidence of bowel obstruction. Contrast reaches the rectum. Mild, nonspecific bowel wall thickening involving the proximal jejunum, which can be seen in the setting of enteritis. No pneumatosis intestinalis, pneumoperitoneum, or portal venous gas is identified. Fluid is present in the right scrotum or inguinal canal. Moderate abdominopelvic ascites, measuring simple fluid density. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted </s>