The absence of intravenous contrast limits evaluation of the solid organs and vasculature. Absence of oral contrast limits evaluation of bowel. Bilateral small to moderate pleural effusions with associated atelectasis or consolidation have increased slightly in size compared to prior. Since the prior examination, there is been interval decrease in size of large fluid collection in the right lobe of the liver which currently measures approximately 6.6 x 5.0 cm if fluid continues to drain, suggest sinogram in interventional radiology to assess possibility of a biliary leak. TIPS in place. Splenomegaly. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Moderate. Nasojejunal tube. 1.5 cm nodule in the small bowel in the right lower quadrant could represent food bolus but is atypical given uniform filling of the remainder of the small bowel visualized. Severe abdominal and pelvic ascites is unchanged. No significant abnormality noted. Foley catheter has been removed. Bladder is collapsed. No significant abnormality noted. Interval placement of nasojejunal tube with decompression of bowel loops. Degenerative changes of the lower lumbar spine most severe at L4/5 as noted previously. Anasarca. Severe abdominal and pelvic ascites.
anatomical entity_fin: {'solid organs': {}, 'vasculature': {}}clinical findings_fin: {'intravenous contrast': {'clinical finding': 'intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'}}anatomical entity_fin: {'bowel': {}}non-anatomical substance_fin: ['oral contrast']location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral small to moderate pleural effusions': {'clinical finding': 'bilateral small to moderate pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral small to moderate pleural', 'observation': 'effusion', 'strength_term': 'small - moderate'}, 'associated atelectasis': {'clinical finding': 'associated atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'associated', 'observation': 'atelectasis'}, 'consolidation': {'clinical finding': 'consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'unc_dx', 'observation': 'consolidation'}}size_fin: [{'size': '6.6 x 5.0 cm'}]anatomical entity_fin: {'fluid': {}, 'lobe': {'location descriptor': 'right'}, 'liver': {}}location descriptor_fin: ['right']clinical findings_fin: {'large fluid collection': {'clinical finding': 'large fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'large fluid', 'observation': 'collection', 'strength_term': 'large'}, 'biliary leak': {'clinical finding': 'biliary leak', 'existence': 'unc_dx', 'descriptive_term': 'biliary', 'observation': 'leak'}}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'}}object_fin: ['tube']clinical findings_fin: {'nasojejunal tube': {'clinical finding': 'nasojejunal tube'}}size_fin: [{'size': '1.5 cm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'bowel': {}, 'quadrant': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'1.5 cm nodule': {'clinical finding': '1.5 cm nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': '1 5 cm', 'observation': 'nodule'}, 'food bolus': {'clinical finding': 'food bolus', 'existence': 'unc_dx', 'descriptive_term': 'food', 'observation': 'bolus'}, 'uniform filling': {'clinical finding': 'uniform filling', 'existence': 'unc_dx', 'descriptive_term': 'uniform', 'observation': 'fill'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'severe abdominal and pelvic ascites': {'clinical finding': 'severe abdominal and pelvic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'severe abdominal and pelvic', 'observation': 'ascite', 'strength_term': 'severe'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}object_fin: ['catheter']clinical findings_fin: {'foley catheter has been removed': {'clinical finding': 'foley catheter has been removed'}}anatomical entity_fin: {'bladder': {}}clinical findings_fin: {'collapsed': {'clinical finding': 'collapsed', 'cf_snomed': {'collapse': 271787007}, 'existence': 'pos_dx', 'observation': 'collapse'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'bowel': {}}object_fin: ['tube']clinical findings_fin: {'decompression': {'clinical finding': 'decompression', 'existence': 'pos_dx', 'observation': 'decompression'}}anatomical entity_fin: {'lumbar spine': {'location descriptor': 'lower'}}location descriptor_fin: ['lower']clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'severe abdominal and pelvic ascites': {'clinical finding': 'severe abdominal and pelvic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'severe abdominal and pelvic', 'observation': 'ascite', 'strength_term': 'severe'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'solid organs': {}, 'vasculature': {}}clinical findings_fin: {'intravenous contrast': {'clinical finding': 'intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'}}anatomical entity_fin: {'bowel': {}}non-anatomical substance_fin: ['oral contrast']location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral small to moderate pleural effusions': {'clinical finding': 'bilateral small to moderate pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral small to moderate pleural', 'observation': 'effusion', 'strength_term': 'small - moderate'}, 'associated atelectasis': {'clinical finding': 'associated atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'associated', 'observation': 'atelectasis'}, 'consolidation': {'clinical finding': 'consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'unc_dx', 'observation': 'consolidation'}}size_fin: [{'size': '6.6 x 5.0 cm'}]anatomical entity_fin: {'fluid': {}, 'lobe': {'location descriptor': 'right'}, 'liver': {}}location descriptor_fin: ['right']clinical findings_fin: {'large fluid collection': {'clinical finding': 'large fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'large fluid', 'observation': 'collection', 'strength_term': 'large'}, 'biliary leak': {'clinical finding': 'biliary leak', 'existence': 'unc_dx', 'descriptive_term': 'biliary', 'observation': 'leak'}}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'}}object_fin: ['tube']clinical findings_fin: {'nasojejunal tube': {'clinical finding': 'nasojejunal tube'}}size_fin: [{'size': '1.5 cm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'bowel': {}, 'quadrant': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'1.5 cm nodule': {'clinical finding': '1.5 cm nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': '1 5 cm', 'observation': 'nodule'}, 'food bolus': {'clinical finding': 'food bolus', 'existence': 'unc_dx', 'descriptive_term': 'food', 'observation': 'bolus'}, 'uniform filling': {'clinical finding': 'uniform filling', 'existence': 'unc_dx', 'descriptive_term': 'uniform', 'observation': 'fill'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'severe abdominal and pelvic ascites': {'clinical finding': 'severe abdominal and pelvic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'severe abdominal and pelvic', 'observation': 'ascite', 'strength_term': 'severe'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}object_fin: ['catheter']clinical findings_fin: {'foley catheter has been removed': {'clinical finding': 'foley catheter has been removed'}}anatomical entity_fin: {'bladder': {}}clinical findings_fin: {'collapsed': {'clinical finding': 'collapsed', 'cf_snomed': {'collapse': 271787007}, 'existence': 'pos_dx', 'observation': 'collapse'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'bowel': {}}object_fin: ['tube']clinical findings_fin: {'decompression': {'clinical finding': 'decompression', 'existence': 'pos_dx', 'observation': 'decompression'}}anatomical entity_fin: {'lumbar spine': {'location descriptor': 'lower'}}location descriptor_fin: ['lower']clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'severe abdominal and pelvic ascites': {'clinical finding': 'severe abdominal and pelvic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'severe abdominal and pelvic', 'observation': 'ascite', 'strength_term': 'severe'}} [/INST] The absence of intravenous contrast limits evaluation of the solid organs and vasculature. Absence of oral contrast limits evaluation of bowel. Bilateral small to moderate pleural effusions with associated atelectasis or consolidation have increased slightly in size compared to prior. Since the prior examination, there is been interval decrease in size of large fluid collection in the right lobe of the liver which currently measures approximately 6.6 x 5.0 cm if fluid continues to drain, suggest sinogram in interventional radiology to assess possibility of a biliary leak. TIPS in place. Splenomegaly. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Moderate. Nasojejunal tube. 1.5 cm nodule in the small bowel in the right lower quadrant could represent food bolus but is atypical given uniform filling of the remainder of the small bowel visualized. Severe abdominal and pelvic ascites is unchanged. No significant abnormality noted. Foley catheter has been removed. Bladder is collapsed. No significant abnormality noted. Interval placement of nasojejunal tube with decompression of bowel loops. Degenerative changes of the lower lumbar spine most severe at L4/5 as noted previously. Anasarca. Severe abdominal and pelvic ascites. </s>