. Bibasilar atelectasis. Granuloma in the right lung base. No focal hepatic lesions. No intrahepatic biliary ductal dilatation. The proximal common bile duct measures up to 7 mm in caliber is appropriate for patients age however the distal common bile duct is not visualized due to the known duodenal mass as described below. No evidence of biliary obstruction is noted at this time however. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. None. Status post gastrojejunostomy and right hemicolectomy. Within the descending duodenum there is a heterogeneous mass measuring 3.2 cm x 2.6 cm compatible with patients known duodenal adenocarcinoma. No bowel obstruction or free air. Along the anterior abdominal wall there is a peritoneal nodule measuring 1.3 cm x 1.1 cm which as solitary nodule is nonspecific but worrisome for metastatic disease. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Status post gastrojejunostomy and right hemicolectomy. Within the descending duodenum there is a heterogeneous mass measuring 3.2 cm x 2.6 cm compatible with patients known duodenal adenocarcinoma. No bowel obstruction or free air. No significant abnormality noted. No significant abnormality noted
clinical findings_fin: {'bibasilar atelectasis': {'clinical finding': 'bibasilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'bibasilar', 'observation': 'atelectasis'}}anatomical entity_fin: {'right lung': {}, 'base': {}}clinical findings_fin: {'granuloma': {'clinical finding': 'granuloma', 'cf_snomed': {'granuloma': 45647009}, 'existence': 'pos_dx', 'observation': 'granuloma'}}clinical findings_fin: {'focal hepatic lesions': {'clinical finding': 'focal hepatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal hepatic', 'observation': 'lesion'}}clinical findings_fin: {'intrahepatic biliary ductal dilatation': {'clinical finding': 'intrahepatic biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'descriptive_term': 'intrahepatic biliary ductal', 'observation': 'dilatation'}}size_fin: [{'size': '7 mm', 'size_descriptor': 'duct'}]anatomical entity_fin: {'common bile duct': {'location descriptor': 'distal'}}location descriptor_fin: ['proximal', 'distal']clinical findings_fin: {'known duodenal mass': {'clinical finding': 'known duodenal mass', 'existence': 'neg_dx', 'descriptive_term': 'known duodenal', 'observation': 'mass'}}clinical findings_fin: {'biliary obstruction': {'clinical finding': 'biliary obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'descriptive_term': 'biliary', 'observation': 'obstruction'}}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'}}procedure_fin: ['gastrojejunostomy', 'right hemicolectomy']size_fin: [{'size': '3.2 cm x 2.6 cm', 'size_descriptor': 'mass'}]anatomical entity_fin: {'duodenum': {}}clinical findings_fin: {'heterogeneous mass': {'clinical finding': 'heterogeneous mass', 'existence': 'pos_dx', 'descriptive_term': 'heterogeneous', 'observation': 'mass'}, 'duodenal adenocarcinoma': {'clinical finding': 'duodenal adenocarcinoma', 'cf_snomed': {'adenocarcinoma': 1187332001}, 'existence': 'pos_dx', 'descriptive_term': 'duodenal', 'observation': 'adenocarcinoma'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'bowel obstruction': {'clinical finding': 'bowel obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'}, 'free air': {'clinical finding': 'free air', 'existence': 'neg_dx', 'descriptive_term': 'free', 'observation': 'air'}}size_fin: [{'size': '1.3 cm x 1.1 cm'}]anatomical entity_fin: {'anterior abdominal wall': {}}clinical findings_fin: {'peritoneal nodule': {'clinical finding': 'peritoneal nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'peritoneal', 'observation': 'nodule'}, 'solitary nodule': {'clinical finding': 'solitary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'solitary', 'observation': 'nodule'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': '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'}}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: ['gastrojejunostomy', 'right hemicolectomy']size_fin: [{'size': '3.2 cm x 2.6 cm', 'size_descriptor': 'mass'}]anatomical entity_fin: {'duodenum': {}}clinical findings_fin: {'heterogeneous mass': {'clinical finding': 'heterogeneous mass', 'existence': 'pos_dx', 'descriptive_term': 'heterogeneous', 'observation': 'mass'}, 'duodenal adenocarcinoma': {'clinical finding': 'duodenal adenocarcinoma', 'cf_snomed': {'adenocarcinoma': 1187332001}, 'existence': 'pos_dx', 'descriptive_term': 'duodenal', 'observation': 'adenocarcinoma'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'bowel obstruction': {'clinical finding': 'bowel obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'}, 'free air': {'clinical finding': 'free air', 'existence': 'neg_dx', 'descriptive_term': 'free', 'observation': 'air'}}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: clinical findings_fin: {'bibasilar atelectasis': {'clinical finding': 'bibasilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'bibasilar', 'observation': 'atelectasis'}}anatomical entity_fin: {'right lung': {}, 'base': {}}clinical findings_fin: {'granuloma': {'clinical finding': 'granuloma', 'cf_snomed': {'granuloma': 45647009}, 'existence': 'pos_dx', 'observation': 'granuloma'}}clinical findings_fin: {'focal hepatic lesions': {'clinical finding': 'focal hepatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal hepatic', 'observation': 'lesion'}}clinical findings_fin: {'intrahepatic biliary ductal dilatation': {'clinical finding': 'intrahepatic biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'descriptive_term': 'intrahepatic biliary ductal', 'observation': 'dilatation'}}size_fin: [{'size': '7 mm', 'size_descriptor': 'duct'}]anatomical entity_fin: {'common bile duct': {'location descriptor': 'distal'}}location descriptor_fin: ['proximal', 'distal']clinical findings_fin: {'known duodenal mass': {'clinical finding': 'known duodenal mass', 'existence': 'neg_dx', 'descriptive_term': 'known duodenal', 'observation': 'mass'}}clinical findings_fin: {'biliary obstruction': {'clinical finding': 'biliary obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'descriptive_term': 'biliary', 'observation': 'obstruction'}}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'}}procedure_fin: ['gastrojejunostomy', 'right hemicolectomy']size_fin: [{'size': '3.2 cm x 2.6 cm', 'size_descriptor': 'mass'}]anatomical entity_fin: {'duodenum': {}}clinical findings_fin: {'heterogeneous mass': {'clinical finding': 'heterogeneous mass', 'existence': 'pos_dx', 'descriptive_term': 'heterogeneous', 'observation': 'mass'}, 'duodenal adenocarcinoma': {'clinical finding': 'duodenal adenocarcinoma', 'cf_snomed': {'adenocarcinoma': 1187332001}, 'existence': 'pos_dx', 'descriptive_term': 'duodenal', 'observation': 'adenocarcinoma'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'bowel obstruction': {'clinical finding': 'bowel obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'}, 'free air': {'clinical finding': 'free air', 'existence': 'neg_dx', 'descriptive_term': 'free', 'observation': 'air'}}size_fin: [{'size': '1.3 cm x 1.1 cm'}]anatomical entity_fin: {'anterior abdominal wall': {}}clinical findings_fin: {'peritoneal nodule': {'clinical finding': 'peritoneal nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'peritoneal', 'observation': 'nodule'}, 'solitary nodule': {'clinical finding': 'solitary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'solitary', 'observation': 'nodule'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': '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'}}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: ['gastrojejunostomy', 'right hemicolectomy']size_fin: [{'size': '3.2 cm x 2.6 cm', 'size_descriptor': 'mass'}]anatomical entity_fin: {'duodenum': {}}clinical findings_fin: {'heterogeneous mass': {'clinical finding': 'heterogeneous mass', 'existence': 'pos_dx', 'descriptive_term': 'heterogeneous', 'observation': 'mass'}, 'duodenal adenocarcinoma': {'clinical finding': 'duodenal adenocarcinoma', 'cf_snomed': {'adenocarcinoma': 1187332001}, 'existence': 'pos_dx', 'descriptive_term': 'duodenal', 'observation': 'adenocarcinoma'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'bowel obstruction': {'clinical finding': 'bowel obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'}, 'free air': {'clinical finding': 'free air', 'existence': 'neg_dx', 'descriptive_term': 'free', 'observation': 'air'}}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] . Bibasilar atelectasis. Granuloma in the right lung base. No focal hepatic lesions. No intrahepatic biliary ductal dilatation. The proximal common bile duct measures up to 7 mm in caliber is appropriate for patients age however the distal common bile duct is not visualized due to the known duodenal mass as described below. No evidence of biliary obstruction is noted at this time however. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. None. Status post gastrojejunostomy and right hemicolectomy. Within the descending duodenum there is a heterogeneous mass measuring 3.2 cm x 2.6 cm compatible with patients known duodenal adenocarcinoma. No bowel obstruction or free air. Along the anterior abdominal wall there is a peritoneal nodule measuring 1.3 cm x 1.1 cm which as solitary nodule is nonspecific but worrisome for metastatic disease. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Status post gastrojejunostomy and right hemicolectomy. Within the descending duodenum there is a heterogeneous mass measuring 3.2 cm x 2.6 cm compatible with patients known duodenal adenocarcinoma. No bowel obstruction or free air. No significant abnormality noted. No significant abnormality noted </s>