. There is dense, patchy airspace consolidation affecting the right lower lobe, concerning for consolidative pneumonia. Patchy atelectatic changes along the dependent portions of the left lower lobe. There is a moderate amount of perihepatic free air. There is no portal venous gas. There is a minimal amount of pericholecystic fluid in the setting of intra-abdominal ascites. No intrahepatic or extrahepatic biliary dilation. No significant abnormality noted. No significant abnormality noted. No hydronephrosis. Scattered foci of free air within the retroperitoneum and the pararenal space. None. An enteric tube is visualized extending from the distal esophagus into the lumen of the body of the stomach. Patient is status-post colectomy with end ileostomy and Hartmans pouch. Small bowel loops are not overtly dilated, measuring a maximum of 2.5 cm. There is bowel wall thickening affecting a long segment of proximal jejunal loops, with distal bowel loops unaffected. There is significant peritoneal ascites and free air. No evidence of oral contrast extravasation to suggest focal bowel perforation or injury. No evidence of focal fluid collections or abscess. There is some left-sided posterior peritoneal thickening and enhancement, suggesting an inflammatory process. Midline subcutaneous tissue defect within the anterior abdominal wall, consistent with postoperative changes. No significant abnormality noted. No significant abnormality noted. There is a mild amount of intraluminal free air, please correlate with history of recent Foley catheter insertion. No significant abnormality noted. Status post colectomy with Hartmans pouch, suture line visible within the pelvis. There is no evidence of decreased since or adjacent fluid collections. No significant abnormality noted. There is a moderate volume of free fluid in the pelvis.
anatomical entity_fin: {'airspace': {}, 'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'dense, patchy airspace consolidation': {'clinical finding': 'dense, patchy airspace consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'descriptive_term': 'dense patchy airspace', 'observation': 'consolidation'}, 'consolidative pneumonia': {'clinical finding': 'consolidative pneumonia', 'cf_snomed': {'pneumonia': 233604007}, 'existence': 'unc_dx', 'descriptive_term': 'consolidative', 'observation': 'pneumonia'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'patchy atelectatic changes': {'clinical finding': 'patchy atelectatic changes', 'existence': 'pos_dx', 'descriptive_term': 'patchy atelectatic', 'observation': 'change'}}clinical findings_fin: {'perihepatic free air': {'clinical finding': 'perihepatic free air', 'existence': 'pos_dx', 'descriptive_term': 'perihepatic free', 'observation': 'air'}}clinical findings_fin: {'portal venous gas': {'clinical finding': 'portal venous gas', 'existence': 'neg_dx', 'descriptive_term': 'portal venous', 'observation': 'gas'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'pericholecystic fluid': {'clinical finding': 'pericholecystic fluid', 'existence': 'pos_dx', 'descriptive_term': 'pericholecystic', 'observation': 'fluid'}, 'intra-abdominal ascites': {'clinical finding': 'intra-abdominal ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'intra-abdominal', 'observation': 'ascite'}}clinical findings_fin: {'intrahepatic or extrahepatic biliary dilation': {'clinical finding': 'intrahepatic or extrahepatic biliary dilation', 'existence': 'neg_dx', 'descriptive_term': 'intrahepatic or extrahepatic biliary', 'observation': 'dilation'}}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: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}anatomical entity_fin: {'retroperitoneum': {}}imaging observation_fin: ['foci']clinical findings_fin: {'scattered foci': {'clinical finding': 'scattered foci', 'existence': 'pos_dx', 'descriptive_term': 'scattered', 'observation': 'foci'}, 'free air': {'clinical finding': 'free air', 'existence': 'pos_dx', 'descriptive_term': 'free', 'observation': 'air'}}anatomical entity_fin: {'esophagus': {'location descriptor': 'distal'}, 'lumen': {}, 'body': {}, 'stomach': {}}location descriptor_fin: ['distal']object_fin: ['tube']clinical findings_fin: {'enteric tube is visualized': {'clinical finding': 'enteric tube is visualized'}}procedure_fin: ['ileostomy']size_fin: [{'size': '2.5 cm', 'size_descriptor': 'loops'}]anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'neg_dx', 'observation': 'dilated'}}anatomical entity_fin: {'bowel': {'location descriptor': 'distal'}}location descriptor_fin: ['proximal', 'distal']clinical findings_fin: {'bowel wall thickening': {'clinical finding': 'bowel wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'bowel wall', 'observation': 'thickening'}}clinical findings_fin: {'significant peritoneal ascites': {'clinical finding': 'significant peritoneal ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'significant peritoneal', 'observation': 'ascite'}, 'free air': {'clinical finding': 'free air', 'existence': 'pos_dx', 'descriptive_term': 'free', 'observation': 'air'}}anatomical entity_fin: {'bowel': {}}non-anatomical substance_fin: ['oral contrast']clinical findings_fin: {'oral contrast extravasation': {'clinical finding': 'oral contrast extravasation', 'cf_snomed': {'extravasation': 76676007}, 'existence': 'neg_dx', 'descriptive_term': 'oral contrast', 'observation': 'extravasation'}, 'focal bowel perforation': {'clinical finding': 'focal bowel perforation', 'cf_snomed': {'perforation': 36191001}, 'existence': 'neg_dx', 'descriptive_term': 'focal bowel', 'observation': 'perforation'}, 'injury': {'clinical finding': 'injury', 'existence': 'neg_dx', 'observation': 'injury'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'abscess': {'clinical finding': 'abscess', 'cf_snomed': {'abscess': 128477000}, 'existence': 'neg_dx', 'observation': 'abscess'}}location descriptor_fin: ['left', 'posterior']clinical findings_fin: {'some left-sided posterior peritoneal thickening': {'clinical finding': 'some left-sided posterior peritoneal thickening', 'existence': 'pos_dx', 'descriptive_term': 'some left-sided posterior peritoneal', 'observation': 'thickening', 'quantity_term': 'some'}, 'enhancement': {'clinical finding': 'enhancement', 'existence': 'pos_dx', 'observation': 'enhancement'}, 'inflammatory process': {'clinical finding': 'inflammatory process', 'existence': 'unc_dx', 'descriptive_term': 'inflammatory', 'observation': 'process'}}anatomical entity_fin: {'anterior abdominal wall': {}}location descriptor_fin: ['midline']clinical findings_fin: {'midline subcutaneous tissue defect': {'clinical finding': 'midline subcutaneous tissue defect', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'descriptive_term': 'midline subcutaneous tissue', 'observation': 'defect'}, 'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', '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'}}procedure_fin: ['catheter insertion']clinical findings_fin: {'intraluminal free air': {'clinical finding': 'intraluminal free air', 'existence': 'pos_dx', 'descriptive_term': 'intraluminal free', 'observation': 'air'}, 'recent foley catheter insertion': {'clinical finding': 'recent foley catheter insertion', 'existence': 'pos_dx', 'descriptive_term': 'recent foley catheter', 'observation': 'insertion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'pelvis': {}}object_fin: ['suture']clinical findings_fin: {'hartmans pouch': {'clinical finding': 'hartmans pouch', 'existence': 'pos_dx', 'descriptive_term': 'hartmans', 'observation': 'pouch'}}anatomical entity_fin: {'fluid': {'location descriptor': 'adjacent'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'is no evidence of decreased since or adjacent fluid collections': {'clinical finding': 'is no evidence of decreased since or adjacent fluid collections', 'change_term': 'decreased'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'pelvis': {}}clinical findings_fin: {'free fluid': {'clinical finding': 'free fluid', 'existence': 'pos_dx', 'descriptive_term': 'free', 'observation': 'fluid'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'airspace': {}, 'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'dense, patchy airspace consolidation': {'clinical finding': 'dense, patchy airspace consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'descriptive_term': 'dense patchy airspace', 'observation': 'consolidation'}, 'consolidative pneumonia': {'clinical finding': 'consolidative pneumonia', 'cf_snomed': {'pneumonia': 233604007}, 'existence': 'unc_dx', 'descriptive_term': 'consolidative', 'observation': 'pneumonia'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'patchy atelectatic changes': {'clinical finding': 'patchy atelectatic changes', 'existence': 'pos_dx', 'descriptive_term': 'patchy atelectatic', 'observation': 'change'}}clinical findings_fin: {'perihepatic free air': {'clinical finding': 'perihepatic free air', 'existence': 'pos_dx', 'descriptive_term': 'perihepatic free', 'observation': 'air'}}clinical findings_fin: {'portal venous gas': {'clinical finding': 'portal venous gas', 'existence': 'neg_dx', 'descriptive_term': 'portal venous', 'observation': 'gas'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'pericholecystic fluid': {'clinical finding': 'pericholecystic fluid', 'existence': 'pos_dx', 'descriptive_term': 'pericholecystic', 'observation': 'fluid'}, 'intra-abdominal ascites': {'clinical finding': 'intra-abdominal ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'intra-abdominal', 'observation': 'ascite'}}clinical findings_fin: {'intrahepatic or extrahepatic biliary dilation': {'clinical finding': 'intrahepatic or extrahepatic biliary dilation', 'existence': 'neg_dx', 'descriptive_term': 'intrahepatic or extrahepatic biliary', 'observation': 'dilation'}}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: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}anatomical entity_fin: {'retroperitoneum': {}}imaging observation_fin: ['foci']clinical findings_fin: {'scattered foci': {'clinical finding': 'scattered foci', 'existence': 'pos_dx', 'descriptive_term': 'scattered', 'observation': 'foci'}, 'free air': {'clinical finding': 'free air', 'existence': 'pos_dx', 'descriptive_term': 'free', 'observation': 'air'}}anatomical entity_fin: {'esophagus': {'location descriptor': 'distal'}, 'lumen': {}, 'body': {}, 'stomach': {}}location descriptor_fin: ['distal']object_fin: ['tube']clinical findings_fin: {'enteric tube is visualized': {'clinical finding': 'enteric tube is visualized'}}procedure_fin: ['ileostomy']size_fin: [{'size': '2.5 cm', 'size_descriptor': 'loops'}]anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'neg_dx', 'observation': 'dilated'}}anatomical entity_fin: {'bowel': {'location descriptor': 'distal'}}location descriptor_fin: ['proximal', 'distal']clinical findings_fin: {'bowel wall thickening': {'clinical finding': 'bowel wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'bowel wall', 'observation': 'thickening'}}clinical findings_fin: {'significant peritoneal ascites': {'clinical finding': 'significant peritoneal ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'significant peritoneal', 'observation': 'ascite'}, 'free air': {'clinical finding': 'free air', 'existence': 'pos_dx', 'descriptive_term': 'free', 'observation': 'air'}}anatomical entity_fin: {'bowel': {}}non-anatomical substance_fin: ['oral contrast']clinical findings_fin: {'oral contrast extravasation': {'clinical finding': 'oral contrast extravasation', 'cf_snomed': {'extravasation': 76676007}, 'existence': 'neg_dx', 'descriptive_term': 'oral contrast', 'observation': 'extravasation'}, 'focal bowel perforation': {'clinical finding': 'focal bowel perforation', 'cf_snomed': {'perforation': 36191001}, 'existence': 'neg_dx', 'descriptive_term': 'focal bowel', 'observation': 'perforation'}, 'injury': {'clinical finding': 'injury', 'existence': 'neg_dx', 'observation': 'injury'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'abscess': {'clinical finding': 'abscess', 'cf_snomed': {'abscess': 128477000}, 'existence': 'neg_dx', 'observation': 'abscess'}}location descriptor_fin: ['left', 'posterior']clinical findings_fin: {'some left-sided posterior peritoneal thickening': {'clinical finding': 'some left-sided posterior peritoneal thickening', 'existence': 'pos_dx', 'descriptive_term': 'some left-sided posterior peritoneal', 'observation': 'thickening', 'quantity_term': 'some'}, 'enhancement': {'clinical finding': 'enhancement', 'existence': 'pos_dx', 'observation': 'enhancement'}, 'inflammatory process': {'clinical finding': 'inflammatory process', 'existence': 'unc_dx', 'descriptive_term': 'inflammatory', 'observation': 'process'}}anatomical entity_fin: {'anterior abdominal wall': {}}location descriptor_fin: ['midline']clinical findings_fin: {'midline subcutaneous tissue defect': {'clinical finding': 'midline subcutaneous tissue defect', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'descriptive_term': 'midline subcutaneous tissue', 'observation': 'defect'}, 'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', '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'}}procedure_fin: ['catheter insertion']clinical findings_fin: {'intraluminal free air': {'clinical finding': 'intraluminal free air', 'existence': 'pos_dx', 'descriptive_term': 'intraluminal free', 'observation': 'air'}, 'recent foley catheter insertion': {'clinical finding': 'recent foley catheter insertion', 'existence': 'pos_dx', 'descriptive_term': 'recent foley catheter', 'observation': 'insertion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'pelvis': {}}object_fin: ['suture']clinical findings_fin: {'hartmans pouch': {'clinical finding': 'hartmans pouch', 'existence': 'pos_dx', 'descriptive_term': 'hartmans', 'observation': 'pouch'}}anatomical entity_fin: {'fluid': {'location descriptor': 'adjacent'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'is no evidence of decreased since or adjacent fluid collections': {'clinical finding': 'is no evidence of decreased since or adjacent fluid collections', 'change_term': 'decreased'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'pelvis': {}}clinical findings_fin: {'free fluid': {'clinical finding': 'free fluid', 'existence': 'pos_dx', 'descriptive_term': 'free', 'observation': 'fluid'}} [/INST] . There is dense, patchy airspace consolidation affecting the right lower lobe, concerning for consolidative pneumonia. Patchy atelectatic changes along the dependent portions of the left lower lobe. There is a moderate amount of perihepatic free air. There is no portal venous gas. There is a minimal amount of pericholecystic fluid in the setting of intra-abdominal ascites. No intrahepatic or extrahepatic biliary dilation. No significant abnormality noted. No significant abnormality noted. No hydronephrosis. Scattered foci of free air within the retroperitoneum and the pararenal space. None. An enteric tube is visualized extending from the distal esophagus into the lumen of the body of the stomach. Patient is status-post colectomy with end ileostomy and Hartmans pouch. Small bowel loops are not overtly dilated, measuring a maximum of 2.5 cm. There is bowel wall thickening affecting a long segment of proximal jejunal loops, with distal bowel loops unaffected. There is significant peritoneal ascites and free air. No evidence of oral contrast extravasation to suggest focal bowel perforation or injury. No evidence of focal fluid collections or abscess. There is some left-sided posterior peritoneal thickening and enhancement, suggesting an inflammatory process. Midline subcutaneous tissue defect within the anterior abdominal wall, consistent with postoperative changes. No significant abnormality noted. No significant abnormality noted. There is a mild amount of intraluminal free air, please correlate with history of recent Foley catheter insertion. No significant abnormality noted. Status post colectomy with Hartmans pouch, suture line visible within the pelvis. There is no evidence of decreased since or adjacent fluid collections. No significant abnormality noted. There is a moderate volume of free fluid in the pelvis. </s>