. Bilateral basilar atelectasis with patchy consolidation on the right. Trace pleural effusions. Calcified granuloma in the left lower lobe. Prominent subcarinal lymph node is partially imaged. Stable curvilinear density in the right hepatic lobe of uncertain etiology. Increasing left-sided pneumobilia. Subhepatic drain in place. There is a smaller caliber percutaneous catheter which enters the right upper quadrant and terminates anterior to a loop of bowel. Loculated fluid collection with a focus of gas adjacent to the left hepatic lobe measures 9.8 x 3.1 cm. Calcified splenic granulomata. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. None. Percutaneous gastrostomy. Postsurgical changes related to Roux-en-Y gastric bypass are noted. Barium from prior swallow study opacifies portions of the small bowel and colon. Compared to 9/23/2015, there is marked increase in dilatation of the alimentary limb proximal to the loop of bowel in the central abdomen which demonstrates thickened bowel wall measuring up to 8 mm. The biliary limb is difficult to evaluate given lack of IV contrast and PO contrast opacification, but favor normal caliber. Left lower quadrant jejunojejunal anastomosis is patent. Left lower quadrant loculated collection measures 8.7 x 3.0 cm. Angulation of several small bowel loops in the central abdomen compatible with adhesive disease. Trace pneumoperitoneum. No pneumatosis intestinalis. Open midline laparotomy with superficial drain is noted. Deep to the wound is a frothy appearing collection along the undersurface of the anterior abdominal wall measuring 4.5 x 1.2 cm, which may represent surgical material although abscess is not excluded. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted.
location descriptor_fin: ['bilateral', 'right']clinical findings_fin: {'bilateral basilar atelectasis': {'clinical finding': 'bilateral basilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral basilar', 'observation': 'atelectasis'}, 'patchy consolidation': {'clinical finding': 'patchy consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'descriptive_term': 'patchy', 'observation': 'consolidation'}}clinical findings_fin: {'trace pleural effusions': {'clinical finding': 'trace pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'trace pleural', 'observation': 'effusion'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'calcified granuloma': {'clinical finding': 'calcified granuloma', 'cf_snomed': {'calcified granuloma': 48391002}, 'existence': 'pos_dx', 'descriptive_term': 'calcified', 'observation': 'granuloma', 'change_term': 'calcified'}}anatomical entity_fin: {'subcarinal lymph node': {}}clinical findings_fin: {'prominent subcarinal lymph node': {'clinical finding': 'prominent subcarinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'prominent subcarinal lymph', 'observation': 'node', 'strength_term': 'prominent'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'stable curvilinear density': {'clinical finding': 'stable curvilinear density', 'existence': 'pos_dx', 'descriptive_term': 'stable curvilinear', 'observation': 'density', 'strength_term': 'stable', 'change_term': 'stable'}}location descriptor_fin: ['left']clinical findings_fin: {'left-sided pneumobilia': {'clinical finding': 'left-sided pneumobilia', 'existence': 'pos_dx', 'descriptive_term': 'left-sided', 'observation': 'pneumobilia'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'right upper'}, 'bowel': {}}location descriptor_fin: ['right', 'upper', 'anterior']object_fin: ['catheter']clinical findings_fin: {'is a smaller caliber percutaneous catheter which enters the right upper quadrant and terminates': {'clinical finding': 'is a smaller caliber percutaneous catheter which enters the right upper quadrant and terminates'}}size_fin: [{'size': '9.8 x 3.1 cm', 'size_descriptor': 'collection'}]anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['adjacent', 'left']clinical findings_fin: {'loculated fluid collection': {'clinical finding': 'loculated fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'loculated fluid', 'observation': 'collection'}, 'gas': {'clinical finding': 'gas', 'existence': 'pos_dx', 'observation': 'gas'}}clinical findings_fin: {'calcified splenic granulomata': {'clinical finding': 'calcified splenic granulomata', 'existence': 'pos_dx', 'descriptive_term': 'calcified splenic', 'observation': 'granulomata', 'change_term': 'calcified'}}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: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}procedure_fin: ['gastrostomy']clinical findings_fin: {'percutaneous gastrostomy': {'clinical finding': 'percutaneous gastrostomy'}}procedure_fin: ['gastric bypass']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}}anatomical entity_fin: {'bowel': {}}imaging observation_fin: ['colon']non-anatomical substance_fin: ['barium']clinical findings_fin: {'portions of the small bowel and colon': {'clinical finding': 'portions of the small bowel and colon'}}size_fin: [{'size': '8 mm', 'size_descriptor': 'increase'}]anatomical entity_fin: {'bowel': {}, 'abdomen': {'location descriptor': 'central'}, 'wall': {}}location descriptor_fin: ['proximal', 'central']clinical findings_fin: {'thickened': {'clinical finding': 'thickened', 'existence': 'unc_dx', 'observation': 'thickened'}}clinical findings_fin: {'iv contrast': {'clinical finding': 'iv contrast', 'existence': 'neg_dx', 'descriptive_term': 'iv', 'observation': 'contrast'}, 'po contrast opacification': {'clinical finding': 'po contrast opacification', 'existence': 'neg_dx', 'descriptive_term': 'po contrast', 'observation': 'opacification'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'left lower'}, 'anastomosis': {}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}size_fin: [{'size': '8.7 x 3.0 cm'}]anatomical entity_fin: {'quadrant': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'left lower quadrant loculated collection measures': {'clinical finding': 'left lower quadrant loculated collection measures'}}anatomical entity_fin: {'bowel': {}, 'abdomen': {'location descriptor': 'central'}}location descriptor_fin: ['central']object_fin: ['adhesive']clinical findings_fin: {'adhesive disease': {'clinical finding': 'adhesive disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'adhesive', 'observation': 'disease'}}clinical findings_fin: {'trace pneumoperitoneum': {'clinical finding': 'trace pneumoperitoneum', 'cf_snomed': {'pneumoperitoneum': 17204006}, 'existence': 'pos_dx', 'descriptive_term': 'trace', 'observation': 'pneumoperitoneum'}}clinical findings_fin: {'pneumatosis intestinalis': {'clinical finding': 'pneumatosis intestinalis', 'existence': 'neg_dx', 'descriptive_term': 'pneumatosis', 'observation': 'intestinalis'}}location descriptor_fin: ['midline', 'superficial']clinical findings_fin: {'open midline laparotomy with superficial drain is noted': {'clinical finding': 'open midline laparotomy with superficial drain is noted'}}size_fin: [{'size': '4.5 x 1.2 cm', 'size_descriptor': 'collection'}]anatomical entity_fin: {'undersurface': {}, 'anterior abdominal wall': {}}clinical findings_fin: {'wound': {'clinical finding': 'wound', 'cf_snomed': {'wound': 416462003}, 'existence': 'pos_dx', 'observation': 'wound'}, 'frothy': {'clinical finding': 'frothy', 'existence': 'pos_dx', 'observation': 'frothy'}, 'surgical material': {'clinical finding': 'surgical material', 'existence': 'unc_dx', 'descriptive_term': 'surgical', 'observation': 'material'}, 'abscess': {'clinical finding': 'abscess', 'cf_snomed': {'abscess': 128477000}, 'existence': 'unc_dx', 'observation': 'abscess'}}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: {'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: ['bilateral', 'right']clinical findings_fin: {'bilateral basilar atelectasis': {'clinical finding': 'bilateral basilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral basilar', 'observation': 'atelectasis'}, 'patchy consolidation': {'clinical finding': 'patchy consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'descriptive_term': 'patchy', 'observation': 'consolidation'}}clinical findings_fin: {'trace pleural effusions': {'clinical finding': 'trace pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'trace pleural', 'observation': 'effusion'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'calcified granuloma': {'clinical finding': 'calcified granuloma', 'cf_snomed': {'calcified granuloma': 48391002}, 'existence': 'pos_dx', 'descriptive_term': 'calcified', 'observation': 'granuloma', 'change_term': 'calcified'}}anatomical entity_fin: {'subcarinal lymph node': {}}clinical findings_fin: {'prominent subcarinal lymph node': {'clinical finding': 'prominent subcarinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'prominent subcarinal lymph', 'observation': 'node', 'strength_term': 'prominent'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'stable curvilinear density': {'clinical finding': 'stable curvilinear density', 'existence': 'pos_dx', 'descriptive_term': 'stable curvilinear', 'observation': 'density', 'strength_term': 'stable', 'change_term': 'stable'}}location descriptor_fin: ['left']clinical findings_fin: {'left-sided pneumobilia': {'clinical finding': 'left-sided pneumobilia', 'existence': 'pos_dx', 'descriptive_term': 'left-sided', 'observation': 'pneumobilia'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'right upper'}, 'bowel': {}}location descriptor_fin: ['right', 'upper', 'anterior']object_fin: ['catheter']clinical findings_fin: {'is a smaller caliber percutaneous catheter which enters the right upper quadrant and terminates': {'clinical finding': 'is a smaller caliber percutaneous catheter which enters the right upper quadrant and terminates'}}size_fin: [{'size': '9.8 x 3.1 cm', 'size_descriptor': 'collection'}]anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['adjacent', 'left']clinical findings_fin: {'loculated fluid collection': {'clinical finding': 'loculated fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'loculated fluid', 'observation': 'collection'}, 'gas': {'clinical finding': 'gas', 'existence': 'pos_dx', 'observation': 'gas'}}clinical findings_fin: {'calcified splenic granulomata': {'clinical finding': 'calcified splenic granulomata', 'existence': 'pos_dx', 'descriptive_term': 'calcified splenic', 'observation': 'granulomata', 'change_term': 'calcified'}}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: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}procedure_fin: ['gastrostomy']clinical findings_fin: {'percutaneous gastrostomy': {'clinical finding': 'percutaneous gastrostomy'}}procedure_fin: ['gastric bypass']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}}anatomical entity_fin: {'bowel': {}}imaging observation_fin: ['colon']non-anatomical substance_fin: ['barium']clinical findings_fin: {'portions of the small bowel and colon': {'clinical finding': 'portions of the small bowel and colon'}}size_fin: [{'size': '8 mm', 'size_descriptor': 'increase'}]anatomical entity_fin: {'bowel': {}, 'abdomen': {'location descriptor': 'central'}, 'wall': {}}location descriptor_fin: ['proximal', 'central']clinical findings_fin: {'thickened': {'clinical finding': 'thickened', 'existence': 'unc_dx', 'observation': 'thickened'}}clinical findings_fin: {'iv contrast': {'clinical finding': 'iv contrast', 'existence': 'neg_dx', 'descriptive_term': 'iv', 'observation': 'contrast'}, 'po contrast opacification': {'clinical finding': 'po contrast opacification', 'existence': 'neg_dx', 'descriptive_term': 'po contrast', 'observation': 'opacification'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'left lower'}, 'anastomosis': {}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}size_fin: [{'size': '8.7 x 3.0 cm'}]anatomical entity_fin: {'quadrant': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'left lower quadrant loculated collection measures': {'clinical finding': 'left lower quadrant loculated collection measures'}}anatomical entity_fin: {'bowel': {}, 'abdomen': {'location descriptor': 'central'}}location descriptor_fin: ['central']object_fin: ['adhesive']clinical findings_fin: {'adhesive disease': {'clinical finding': 'adhesive disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'adhesive', 'observation': 'disease'}}clinical findings_fin: {'trace pneumoperitoneum': {'clinical finding': 'trace pneumoperitoneum', 'cf_snomed': {'pneumoperitoneum': 17204006}, 'existence': 'pos_dx', 'descriptive_term': 'trace', 'observation': 'pneumoperitoneum'}}clinical findings_fin: {'pneumatosis intestinalis': {'clinical finding': 'pneumatosis intestinalis', 'existence': 'neg_dx', 'descriptive_term': 'pneumatosis', 'observation': 'intestinalis'}}location descriptor_fin: ['midline', 'superficial']clinical findings_fin: {'open midline laparotomy with superficial drain is noted': {'clinical finding': 'open midline laparotomy with superficial drain is noted'}}size_fin: [{'size': '4.5 x 1.2 cm', 'size_descriptor': 'collection'}]anatomical entity_fin: {'undersurface': {}, 'anterior abdominal wall': {}}clinical findings_fin: {'wound': {'clinical finding': 'wound', 'cf_snomed': {'wound': 416462003}, 'existence': 'pos_dx', 'observation': 'wound'}, 'frothy': {'clinical finding': 'frothy', 'existence': 'pos_dx', 'observation': 'frothy'}, 'surgical material': {'clinical finding': 'surgical material', 'existence': 'unc_dx', 'descriptive_term': 'surgical', 'observation': 'material'}, 'abscess': {'clinical finding': 'abscess', 'cf_snomed': {'abscess': 128477000}, 'existence': 'unc_dx', 'observation': 'abscess'}}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: {'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] . Bilateral basilar atelectasis with patchy consolidation on the right. Trace pleural effusions. Calcified granuloma in the left lower lobe. Prominent subcarinal lymph node is partially imaged. Stable curvilinear density in the right hepatic lobe of uncertain etiology. Increasing left-sided pneumobilia. Subhepatic drain in place. There is a smaller caliber percutaneous catheter which enters the right upper quadrant and terminates anterior to a loop of bowel. Loculated fluid collection with a focus of gas adjacent to the left hepatic lobe measures 9.8 x 3.1 cm. Calcified splenic granulomata. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. None. Percutaneous gastrostomy. Postsurgical changes related to Roux-en-Y gastric bypass are noted. Barium from prior swallow study opacifies portions of the small bowel and colon. Compared to 9/23/2015, there is marked increase in dilatation of the alimentary limb proximal to the loop of bowel in the central abdomen which demonstrates thickened bowel wall measuring up to 8 mm. The biliary limb is difficult to evaluate given lack of IV contrast and PO contrast opacification, but favor normal caliber. Left lower quadrant jejunojejunal anastomosis is patent. Left lower quadrant loculated collection measures 8.7 x 3.0 cm. Angulation of several small bowel loops in the central abdomen compatible with adhesive disease. Trace pneumoperitoneum. No pneumatosis intestinalis. Open midline laparotomy with superficial drain is noted. Deep to the wound is a frothy appearing collection along the undersurface of the anterior abdominal wall measuring 4.5 x 1.2 cm, which may represent surgical material although abscess is not excluded. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. </s>