Todays CT portion grossly demonstrates cirrhotic liver morphology. There is a hypodense lesion in the right lobe of the liver at segment 5/8 with central embolizing material consistent with posttherapy changes as noted on recent CT. Previously noted enhancing subcentimeter foci in the liver are not very well defined on current nondiagnostic CT study. Cholelithiasis without evidence of cholecystitis. Splenomegaly with an accessory splenule. Bilateral atrophic kidneys. Calcification of the SMA origin is unchanged. Left chest wall pacemaker with leads in appropriate position. Todays PET examination demonstrates decreased FDG activity in the hypodense lesion in the right lobe of the liver in comparison to the liver parenchyma consistent with posttherapy changes. The accessory splenic contains FDG activity similar to the adjacent spleen. There are no suspicious FDG avid foci identified.
anatomical entity_fin: {'liver': {}}anatomical entity_fin: {'lobe': {'location descriptor': 'right'}, 'liver': {}}location descriptor_fin: ['right', 'central']clinical findings_fin: {'hypodense lesion': {'clinical finding': 'hypodense lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'hypodense', 'observation': 'lesion'}, 'central embolizing': {'clinical finding': 'central embolizing', 'existence': 'pos_dx', 'descriptive_term': 'central', 'observation': 'embolizing'}, 'posttherapy changes': {'clinical finding': 'posttherapy changes', 'existence': 'pos_dx', 'descriptive_term': 'posttherapy', 'observation': 'change'}}anatomical entity_fin: {'liver': {}}imaging observation_fin: ['enhancing', 'foci']clinical findings_fin: {'previously noted enhancing subcentimeter foci': {'clinical finding': 'previously noted enhancing subcentimeter foci', 'existence': 'neg_dx', 'descriptive_term': 'previously noted enhancing subcentimeter', 'observation': 'foci'}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'}, 'cholecystitis': {'clinical finding': 'cholecystitis', 'cf_snomed': {'cholecystitis': 76581006}, 'existence': 'neg_dx', 'observation': 'cholecystitis'}}clinical findings_fin: {'splenomegaly': {'clinical finding': 'splenomegaly', 'cf_snomed': {'splenomegaly': 16294009}, 'existence': 'pos_dx', 'observation': 'splenomegaly'}}anatomical entity_fin: {'kidneys': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral atrophic': {'clinical finding': 'bilateral atrophic', 'existence': 'pos_dx', 'descriptive_term': 'bilateral', 'observation': 'atrophic'}}anatomical entity_fin: {'origin': {}}clinical findings_fin: {'calcification': {'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'left'}}location descriptor_fin: ['left']non-anatomical substance_fin: ['leads']object_fin: ['pacemaker']clinical findings_fin: {'left chest wall pacemaker with leads in appropriate position': {'clinical finding': 'left chest wall pacemaker with leads in appropriate position'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right'}, 'liver': {}, 'liver parenchyma': {}}location descriptor_fin: ['right']clinical findings_fin: {'hypodense lesion': {'clinical finding': 'hypodense lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'hypodense', 'observation': 'lesion'}, 'posttherapy changes': {'clinical finding': 'posttherapy changes', 'existence': 'pos_dx', 'descriptive_term': 'posttherapy', 'observation': 'change'}}anatomical entity_fin: {'spleen': {'location descriptor': 'adjacent'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'fdg activity similar to the adjacent spleen': {'clinical finding': 'fdg activity similar to the adjacent spleen'}}imaging observation_fin: ['foci']clinical findings_fin: {'suspicious fdg avid foci': {'clinical finding': 'suspicious fdg avid foci', 'existence': 'neg_dx', 'descriptive_term': 'suspicious fdg avid', 'observation': 'foci'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'liver': {}}anatomical entity_fin: {'lobe': {'location descriptor': 'right'}, 'liver': {}}location descriptor_fin: ['right', 'central']clinical findings_fin: {'hypodense lesion': {'clinical finding': 'hypodense lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'hypodense', 'observation': 'lesion'}, 'central embolizing': {'clinical finding': 'central embolizing', 'existence': 'pos_dx', 'descriptive_term': 'central', 'observation': 'embolizing'}, 'posttherapy changes': {'clinical finding': 'posttherapy changes', 'existence': 'pos_dx', 'descriptive_term': 'posttherapy', 'observation': 'change'}}anatomical entity_fin: {'liver': {}}imaging observation_fin: ['enhancing', 'foci']clinical findings_fin: {'previously noted enhancing subcentimeter foci': {'clinical finding': 'previously noted enhancing subcentimeter foci', 'existence': 'neg_dx', 'descriptive_term': 'previously noted enhancing subcentimeter', 'observation': 'foci'}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'}, 'cholecystitis': {'clinical finding': 'cholecystitis', 'cf_snomed': {'cholecystitis': 76581006}, 'existence': 'neg_dx', 'observation': 'cholecystitis'}}clinical findings_fin: {'splenomegaly': {'clinical finding': 'splenomegaly', 'cf_snomed': {'splenomegaly': 16294009}, 'existence': 'pos_dx', 'observation': 'splenomegaly'}}anatomical entity_fin: {'kidneys': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral atrophic': {'clinical finding': 'bilateral atrophic', 'existence': 'pos_dx', 'descriptive_term': 'bilateral', 'observation': 'atrophic'}}anatomical entity_fin: {'origin': {}}clinical findings_fin: {'calcification': {'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'left'}}location descriptor_fin: ['left']non-anatomical substance_fin: ['leads']object_fin: ['pacemaker']clinical findings_fin: {'left chest wall pacemaker with leads in appropriate position': {'clinical finding': 'left chest wall pacemaker with leads in appropriate position'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right'}, 'liver': {}, 'liver parenchyma': {}}location descriptor_fin: ['right']clinical findings_fin: {'hypodense lesion': {'clinical finding': 'hypodense lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'hypodense', 'observation': 'lesion'}, 'posttherapy changes': {'clinical finding': 'posttherapy changes', 'existence': 'pos_dx', 'descriptive_term': 'posttherapy', 'observation': 'change'}}anatomical entity_fin: {'spleen': {'location descriptor': 'adjacent'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'fdg activity similar to the adjacent spleen': {'clinical finding': 'fdg activity similar to the adjacent spleen'}}imaging observation_fin: ['foci']clinical findings_fin: {'suspicious fdg avid foci': {'clinical finding': 'suspicious fdg avid foci', 'existence': 'neg_dx', 'descriptive_term': 'suspicious fdg avid', 'observation': 'foci'}} [/INST] Todays CT portion grossly demonstrates cirrhotic liver morphology. There is a hypodense lesion in the right lobe of the liver at segment 5/8 with central embolizing material consistent with posttherapy changes as noted on recent CT. Previously noted enhancing subcentimeter foci in the liver are not very well defined on current nondiagnostic CT study. Cholelithiasis without evidence of cholecystitis. Splenomegaly with an accessory splenule. Bilateral atrophic kidneys. Calcification of the SMA origin is unchanged. Left chest wall pacemaker with leads in appropriate position. Todays PET examination demonstrates decreased FDG activity in the hypodense lesion in the right lobe of the liver in comparison to the liver parenchyma consistent with posttherapy changes. The accessory splenic contains FDG activity similar to the adjacent spleen. There are no suspicious FDG avid foci identified. </s>