. No significant abnormality noted. No significant abnormality noted. Bilateral gynecomastia. Indeterminate 9 mm right upper chest subcutaneous nodular focus, image 10 series Right posterior punctate hepatic parenchymal calcification, likely sequela of prior granulomatous disease. Hypoattenuating liver foci, too small to characterize. Without significant change accounting for differences in technique is thickening at level of gallbladder fundus, may reflect adenomyomatosis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No hydronephrosis. Bilateral mild ureteral wall thickening, may be chronic but nonspecific. Nodular renal contours. Subcentimeter retroperitoneal or left para-aortic lymph nodes. Large sliding-type hiatal hernia with greater than 50% of stomach located intrathoracically. Small calcified periportal lymph nodes. Descending and sigmoid colon diverticulosis without evidence of acute diverticulitis, additional scattered colonic diverticula seen more proximally. Normal appendix. No significant abnormality noted. Thickened and trabeculated bladder, likely reflecting chronic cystitis or bladder outlet obstruction. No significant abnormality noted. Please refer to concomitant nuclear medicine bone scan from same day for additional findings. Multiple healed left-sided rib fractures. Spinal degenerative disease.
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'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral gynecomastia': {'clinical finding': 'bilateral gynecomastia', 'cf_snomed': {'gynecomastia': 4754008}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral', 'observation': 'gynecomastia'}}size_fin: [{'size': '9 mm', 'size_descriptor': 'focus'}]anatomical entity_fin: {'chest': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper', 'posterior']clinical findings_fin: {'right upper chest subcutaneous nodular': {'clinical finding': 'right upper chest subcutaneous nodular', 'existence': 'pos_dx', 'descriptive_term': 'right upper chest subcutaneous', 'observation': 'nodular'}, 'right posterior punctate hepatic parenchymal calcification': {'clinical finding': 'right posterior punctate hepatic parenchymal calcification', 'existence': 'pos_dx', 'descriptive_term': 'right posterior punctate hepatic parenchymal', 'observation': 'calcification'}, 'prior granulomatous disease': {'clinical finding': 'prior granulomatous disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'disease'}}anatomical entity_fin: {'liver': {}}imaging observation_fin: ['foci']clinical findings_fin: {'hypoattenuating liver foci': {'clinical finding': 'hypoattenuating liver foci', 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating liver', 'observation': 'foci'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}, 'adenomyomatosis': {'clinical finding': 'adenomyomatosis', 'cf_snomed': {'adenomyomatosis': 699661003}, 'existence': 'unc_dx', 'observation': 'adenomyomatosis'}}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: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral mild ureteral wall thickening': {'clinical finding': 'bilateral mild ureteral wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'bilateral mild ureteral wall', 'observation': 'thickening', 'strength_term': 'mild'}}clinical findings_fin: {'nodular renal contours': {'clinical finding': 'nodular renal contours', 'existence': 'pos_dx', 'descriptive_term': 'nodular renal', 'observation': 'contour'}}location descriptor_fin: ['left']clinical findings_fin: {'subcentimeter retroperitoneal or left para-aortic lymph nodes': {'clinical finding': 'subcentimeter retroperitoneal or left para-aortic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter retroperitoneal or left para-aortic lymph', 'observation': 'node'}}anatomical entity_fin: {'stomach': {}}clinical findings_fin: {'large sliding-type hiatal hernia': {'clinical finding': 'large sliding-type hiatal hernia', 'cf_snomed': {'hiatal hernia': 84089009}, 'existence': 'pos_dx', 'descriptive_term': 'large sliding-type hiatal', 'observation': 'hernia', 'strength_term': 'large'}}clinical findings_fin: {'small calcified periportal lymph nodes': {'clinical finding': 'small calcified periportal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small calcified periportal lymph', 'observation': 'node', 'strength_term': 'small', 'change_term': 'calcified'}}anatomical entity_fin: {'sigmoid colon': {}}clinical findings_fin: {'descending and sigmoid colon diverticulosis': {'clinical finding': 'descending and sigmoid colon diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'descending and sigmoid colon', 'observation': 'diverticulosis'}, 'acute diverticulitis': {'clinical finding': 'acute diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'diverticulitis', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'appendix': {}}clinical findings_fin: {'normal appendix': {'clinical finding': 'normal appendix'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'bladder': {}}clinical findings_fin: {'thickened and trabeculated': {'clinical finding': 'thickened and trabeculated', 'existence': 'pos_dx', 'descriptive_term': 'thickened and', 'observation': 'trabeculated', 'change_term': 'thickened'}, 'chronic cystitis': {'clinical finding': 'chronic cystitis', 'cf_snomed': {'chronic cystitis': 33655002}, 'existence': 'unc_dx', 'descriptive_term': 'chronic', 'observation': 'cystitis', 'temporal_term': 'chronic'}, 'bladder outlet obstruction': {'clinical finding': 'bladder outlet obstruction', 'cf_snomed': {'bladder outlet obstruction': 416991005}, 'existence': 'unc_dx', 'descriptive_term': 'bladder outlet', 'observation': 'obstruction'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'rib': {}}location descriptor_fin: ['left']clinical findings_fin: {'multiple healed left-sided rib fractures': {'clinical finding': 'multiple healed left-sided rib fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'multiple healed left-sided rib', 'observation': 'fracture', 'strength_term': 'healed', 'quantity_term': 'multiple', 'change_term': 'healed'}}clinical findings_fin: {'spinal degenerative disease': {'clinical finding': 'spinal degenerative disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'spinal degenerative', 'observation': 'disease'}}
<s>[INST] Write the finding section for a radiology report based on the following information: 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'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral gynecomastia': {'clinical finding': 'bilateral gynecomastia', 'cf_snomed': {'gynecomastia': 4754008}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral', 'observation': 'gynecomastia'}}size_fin: [{'size': '9 mm', 'size_descriptor': 'focus'}]anatomical entity_fin: {'chest': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper', 'posterior']clinical findings_fin: {'right upper chest subcutaneous nodular': {'clinical finding': 'right upper chest subcutaneous nodular', 'existence': 'pos_dx', 'descriptive_term': 'right upper chest subcutaneous', 'observation': 'nodular'}, 'right posterior punctate hepatic parenchymal calcification': {'clinical finding': 'right posterior punctate hepatic parenchymal calcification', 'existence': 'pos_dx', 'descriptive_term': 'right posterior punctate hepatic parenchymal', 'observation': 'calcification'}, 'prior granulomatous disease': {'clinical finding': 'prior granulomatous disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'disease'}}anatomical entity_fin: {'liver': {}}imaging observation_fin: ['foci']clinical findings_fin: {'hypoattenuating liver foci': {'clinical finding': 'hypoattenuating liver foci', 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating liver', 'observation': 'foci'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}, 'adenomyomatosis': {'clinical finding': 'adenomyomatosis', 'cf_snomed': {'adenomyomatosis': 699661003}, 'existence': 'unc_dx', 'observation': 'adenomyomatosis'}}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: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral mild ureteral wall thickening': {'clinical finding': 'bilateral mild ureteral wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'bilateral mild ureteral wall', 'observation': 'thickening', 'strength_term': 'mild'}}clinical findings_fin: {'nodular renal contours': {'clinical finding': 'nodular renal contours', 'existence': 'pos_dx', 'descriptive_term': 'nodular renal', 'observation': 'contour'}}location descriptor_fin: ['left']clinical findings_fin: {'subcentimeter retroperitoneal or left para-aortic lymph nodes': {'clinical finding': 'subcentimeter retroperitoneal or left para-aortic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter retroperitoneal or left para-aortic lymph', 'observation': 'node'}}anatomical entity_fin: {'stomach': {}}clinical findings_fin: {'large sliding-type hiatal hernia': {'clinical finding': 'large sliding-type hiatal hernia', 'cf_snomed': {'hiatal hernia': 84089009}, 'existence': 'pos_dx', 'descriptive_term': 'large sliding-type hiatal', 'observation': 'hernia', 'strength_term': 'large'}}clinical findings_fin: {'small calcified periportal lymph nodes': {'clinical finding': 'small calcified periportal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small calcified periportal lymph', 'observation': 'node', 'strength_term': 'small', 'change_term': 'calcified'}}anatomical entity_fin: {'sigmoid colon': {}}clinical findings_fin: {'descending and sigmoid colon diverticulosis': {'clinical finding': 'descending and sigmoid colon diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'descending and sigmoid colon', 'observation': 'diverticulosis'}, 'acute diverticulitis': {'clinical finding': 'acute diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'diverticulitis', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'appendix': {}}clinical findings_fin: {'normal appendix': {'clinical finding': 'normal appendix'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'bladder': {}}clinical findings_fin: {'thickened and trabeculated': {'clinical finding': 'thickened and trabeculated', 'existence': 'pos_dx', 'descriptive_term': 'thickened and', 'observation': 'trabeculated', 'change_term': 'thickened'}, 'chronic cystitis': {'clinical finding': 'chronic cystitis', 'cf_snomed': {'chronic cystitis': 33655002}, 'existence': 'unc_dx', 'descriptive_term': 'chronic', 'observation': 'cystitis', 'temporal_term': 'chronic'}, 'bladder outlet obstruction': {'clinical finding': 'bladder outlet obstruction', 'cf_snomed': {'bladder outlet obstruction': 416991005}, 'existence': 'unc_dx', 'descriptive_term': 'bladder outlet', 'observation': 'obstruction'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'rib': {}}location descriptor_fin: ['left']clinical findings_fin: {'multiple healed left-sided rib fractures': {'clinical finding': 'multiple healed left-sided rib fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'multiple healed left-sided rib', 'observation': 'fracture', 'strength_term': 'healed', 'quantity_term': 'multiple', 'change_term': 'healed'}}clinical findings_fin: {'spinal degenerative disease': {'clinical finding': 'spinal degenerative disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'spinal degenerative', 'observation': 'disease'}} [/INST] . No significant abnormality noted. No significant abnormality noted. Bilateral gynecomastia. Indeterminate 9 mm right upper chest subcutaneous nodular focus, image 10 series Right posterior punctate hepatic parenchymal calcification, likely sequela of prior granulomatous disease. Hypoattenuating liver foci, too small to characterize. Without significant change accounting for differences in technique is thickening at level of gallbladder fundus, may reflect adenomyomatosis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No hydronephrosis. Bilateral mild ureteral wall thickening, may be chronic but nonspecific. Nodular renal contours. Subcentimeter retroperitoneal or left para-aortic lymph nodes. Large sliding-type hiatal hernia with greater than 50% of stomach located intrathoracically. Small calcified periportal lymph nodes. Descending and sigmoid colon diverticulosis without evidence of acute diverticulitis, additional scattered colonic diverticula seen more proximally. Normal appendix. No significant abnormality noted. Thickened and trabeculated bladder, likely reflecting chronic cystitis or bladder outlet obstruction. No significant abnormality noted. Please refer to concomitant nuclear medicine bone scan from same day for additional findings. Multiple healed left-sided rib fractures. Spinal degenerative disease. </s>