. Left posterolateral eighth rib deformity suggestive of nondisplaced fracture, age indeterminate. Underlying left lower lobe patchy opacities may represent contusion or atelectasis. Liver enhances homogenously without focal lesion. Status post cholecystectomy. No evidence of splenic laceration. Pancreas is atrophic. No adrenal nodularity or thickening. Kidneys are atrophic without focal lesion. No hydronephrosis or ureteronephrosis. A right iliac fossa transplant contains a simple cyst and other stable subcentimeter hypoattenuating lesions too small to further characterize, though is otherwise unremarkable. No significant retroperitoneal lymphadenopathy. Mild. The bowel is normal in caliber without evidence of obstruction or ileus. Atrophic right rectus abdominis muscle. Bilateral psoas muscle atrophy is again noted. Moderate to severe degenerative changes affect the lumbar spine. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No inguinal, iliac chain, or pelvic lymphadenopathy. No significant abnormality noted. No significant abnormality noted. Calcified vas deferens redemonstrated. Mild prostatic enlargement is again noted.
anatomical entity_fin: {'rib': {}}location descriptor_fin: ['left']clinical findings_fin: {'left posterolateral eighth rib deformity': {'clinical finding': 'left posterolateral eighth rib deformity', 'cf_snomed': {'deformity': 417893002}, 'existence': 'pos_dx', 'descriptive_term': 'left posterolateral eighth rib', 'observation': 'deformity'}, 'nondisplaced fracture': {'clinical finding': 'nondisplaced fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'unc_dx', 'descriptive_term': 'nondisplaced', 'observation': 'fracture'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'left lower lobe patchy opacities': {'clinical finding': 'left lower lobe patchy opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'left lower lobe patchy', 'observation': 'opacity'}, 'contusion': {'clinical finding': 'contusion', 'cf_snomed': {'contusion': 125667009}, 'existence': 'unc_dx', 'observation': 'contusion'}, 'atelectasis': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'observation': 'atelectasis'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'focal lesion': {'clinical finding': 'focal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}procedure_fin: ['cholecystectomy']clinical findings_fin: {'splenic laceration': {'clinical finding': 'splenic laceration', 'cf_snomed': {'laceration': 35933005}, 'existence': 'neg_dx', 'descriptive_term': 'splenic', 'observation': 'laceration'}}anatomical entity_fin: {'pancreas': {}}clinical findings_fin: {'atrophic': {'clinical finding': 'atrophic', 'existence': 'pos_dx', 'observation': 'atrophic'}}clinical findings_fin: {'adrenal nodularity': {'clinical finding': 'adrenal nodularity', 'existence': 'neg_dx', 'descriptive_term': 'adrenal', 'observation': 'nodularity'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'neg_dx', 'observation': 'thickening'}}anatomical entity_fin: {'kidneys': {}}clinical findings_fin: {'atrophic': {'clinical finding': 'atrophic', 'existence': 'pos_dx', 'observation': 'atrophic'}, 'focal lesion': {'clinical finding': 'focal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}, 'ureteronephrosis': {'clinical finding': 'ureteronephrosis', 'existence': 'neg_dx', 'observation': 'ureteronephrosis'}}anatomical entity_fin: {'iliac fossa': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'simple cyst': {'clinical finding': 'simple cyst', 'cf_snomed': {'simple cyst': 367644007}, 'existence': 'pos_dx', 'descriptive_term': 'simple', 'observation': 'cyst'}, 'other stable subcentimeter hypoattenuating lesions': {'clinical finding': 'other stable subcentimeter hypoattenuating lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'other stable subcentimeter hypoattenuating', 'observation': 'lesion', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'significant retroperitoneal lymphadenopathy': {'clinical finding': 'significant retroperitoneal lymphadenopathy', 'cf_snomed': {'retroperitoneal lymphadenopathy': 127154008}, 'existence': 'neg_dx', 'descriptive_term': 'significant retroperitoneal', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}, 'ileus': {'clinical finding': 'ileus', 'existence': 'neg_dx', 'observation': 'ileus'}}anatomical entity_fin: {'right rectus abdominis': {}}clinical findings_fin: {'atrophic right rectus abdominis muscle': {'clinical finding': 'atrophic right rectus abdominis muscle', 'existence': 'pos_dx', 'descriptive_term': 'atrophic right rectus abdominis', 'observation': 'muscle', 'change_term': 'atrophic'}}anatomical entity_fin: {'psoas muscle': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral psoas muscle atrophy': {'clinical finding': 'bilateral psoas muscle atrophy', 'cf_snomed': {'muscle atrophy': 88092000}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral psoas muscle', 'observation': 'atrophy'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'moderate to severe degenerative changes': {'clinical finding': 'moderate to severe degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'moderate to severe degenerative', 'observation': 'change', 'strength_term': 'moderate - severe'}}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: {'pelvic lymphadenopathy': {'clinical finding': 'pelvic lymphadenopathy', 'cf_snomed': {'pelvic lymphadenopathy': 127158006}, 'existence': 'neg_dx', 'descriptive_term': 'pelvic', 'observation': 'lymphadenopathy'}}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: {'vas deferens': {}}clinical findings_fin: {'calcified vas deferens redemonstrated': {'clinical finding': 'calcified vas deferens redemonstrated', 'change_term': 'calcified'}}clinical findings_fin: {'mild prostatic enlargement': {'clinical finding': 'mild prostatic enlargement', 'cf_snomed': {'enlargement': 442021009}, 'existence': 'pos_dx', 'descriptive_term': 'mild prostatic', 'observation': 'enlargement', 'strength_term': 'mild'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'rib': {}}location descriptor_fin: ['left']clinical findings_fin: {'left posterolateral eighth rib deformity': {'clinical finding': 'left posterolateral eighth rib deformity', 'cf_snomed': {'deformity': 417893002}, 'existence': 'pos_dx', 'descriptive_term': 'left posterolateral eighth rib', 'observation': 'deformity'}, 'nondisplaced fracture': {'clinical finding': 'nondisplaced fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'unc_dx', 'descriptive_term': 'nondisplaced', 'observation': 'fracture'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'left lower lobe patchy opacities': {'clinical finding': 'left lower lobe patchy opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'left lower lobe patchy', 'observation': 'opacity'}, 'contusion': {'clinical finding': 'contusion', 'cf_snomed': {'contusion': 125667009}, 'existence': 'unc_dx', 'observation': 'contusion'}, 'atelectasis': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'observation': 'atelectasis'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'focal lesion': {'clinical finding': 'focal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}procedure_fin: ['cholecystectomy']clinical findings_fin: {'splenic laceration': {'clinical finding': 'splenic laceration', 'cf_snomed': {'laceration': 35933005}, 'existence': 'neg_dx', 'descriptive_term': 'splenic', 'observation': 'laceration'}}anatomical entity_fin: {'pancreas': {}}clinical findings_fin: {'atrophic': {'clinical finding': 'atrophic', 'existence': 'pos_dx', 'observation': 'atrophic'}}clinical findings_fin: {'adrenal nodularity': {'clinical finding': 'adrenal nodularity', 'existence': 'neg_dx', 'descriptive_term': 'adrenal', 'observation': 'nodularity'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'neg_dx', 'observation': 'thickening'}}anatomical entity_fin: {'kidneys': {}}clinical findings_fin: {'atrophic': {'clinical finding': 'atrophic', 'existence': 'pos_dx', 'observation': 'atrophic'}, 'focal lesion': {'clinical finding': 'focal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}, 'ureteronephrosis': {'clinical finding': 'ureteronephrosis', 'existence': 'neg_dx', 'observation': 'ureteronephrosis'}}anatomical entity_fin: {'iliac fossa': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'simple cyst': {'clinical finding': 'simple cyst', 'cf_snomed': {'simple cyst': 367644007}, 'existence': 'pos_dx', 'descriptive_term': 'simple', 'observation': 'cyst'}, 'other stable subcentimeter hypoattenuating lesions': {'clinical finding': 'other stable subcentimeter hypoattenuating lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'other stable subcentimeter hypoattenuating', 'observation': 'lesion', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'significant retroperitoneal lymphadenopathy': {'clinical finding': 'significant retroperitoneal lymphadenopathy', 'cf_snomed': {'retroperitoneal lymphadenopathy': 127154008}, 'existence': 'neg_dx', 'descriptive_term': 'significant retroperitoneal', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}, 'ileus': {'clinical finding': 'ileus', 'existence': 'neg_dx', 'observation': 'ileus'}}anatomical entity_fin: {'right rectus abdominis': {}}clinical findings_fin: {'atrophic right rectus abdominis muscle': {'clinical finding': 'atrophic right rectus abdominis muscle', 'existence': 'pos_dx', 'descriptive_term': 'atrophic right rectus abdominis', 'observation': 'muscle', 'change_term': 'atrophic'}}anatomical entity_fin: {'psoas muscle': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral psoas muscle atrophy': {'clinical finding': 'bilateral psoas muscle atrophy', 'cf_snomed': {'muscle atrophy': 88092000}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral psoas muscle', 'observation': 'atrophy'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'moderate to severe degenerative changes': {'clinical finding': 'moderate to severe degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'moderate to severe degenerative', 'observation': 'change', 'strength_term': 'moderate - severe'}}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: {'pelvic lymphadenopathy': {'clinical finding': 'pelvic lymphadenopathy', 'cf_snomed': {'pelvic lymphadenopathy': 127158006}, 'existence': 'neg_dx', 'descriptive_term': 'pelvic', 'observation': 'lymphadenopathy'}}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: {'vas deferens': {}}clinical findings_fin: {'calcified vas deferens redemonstrated': {'clinical finding': 'calcified vas deferens redemonstrated', 'change_term': 'calcified'}}clinical findings_fin: {'mild prostatic enlargement': {'clinical finding': 'mild prostatic enlargement', 'cf_snomed': {'enlargement': 442021009}, 'existence': 'pos_dx', 'descriptive_term': 'mild prostatic', 'observation': 'enlargement', 'strength_term': 'mild'}} [/INST] . Left posterolateral eighth rib deformity suggestive of nondisplaced fracture, age indeterminate. Underlying left lower lobe patchy opacities may represent contusion or atelectasis. Liver enhances homogenously without focal lesion. Status post cholecystectomy. No evidence of splenic laceration. Pancreas is atrophic. No adrenal nodularity or thickening. Kidneys are atrophic without focal lesion. No hydronephrosis or ureteronephrosis. A right iliac fossa transplant contains a simple cyst and other stable subcentimeter hypoattenuating lesions too small to further characterize, though is otherwise unremarkable. No significant retroperitoneal lymphadenopathy. Mild. The bowel is normal in caliber without evidence of obstruction or ileus. Atrophic right rectus abdominis muscle. Bilateral psoas muscle atrophy is again noted. Moderate to severe degenerative changes affect the lumbar spine. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No inguinal, iliac chain, or pelvic lymphadenopathy. No significant abnormality noted. No significant abnormality noted. Calcified vas deferens redemonstrated. Mild prostatic enlargement is again noted. </s>