. Streaky bibasilar atelectasis. No focal lesions. No pleural effusions. The liver lesion seen on prior exam has slightly decreased in size however there is now an area of clear focal nodular enhancement within the wall of the lesion suggesting active disease. The gallbladder is unremarkable. There is no intrahepatic or extrahepatic ductal dilatation. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Stable retrocrural and porta hepatis and lymph nodes. Moderate. There is a small lipoma in the third portion the duodenum. There is no evidence of obstruction. There are no inflammatory changes noted. No significant abnormality noted. No significant abnormality noted. The prostate is mildly enlarged. There is mild bladder distention without wall thickening. No significant abnormality noted. There is no evidence of obstruction. There are no inflammatory changes noted. Multilevel degenerative changes of the lumbar spine. Stable sclerotic focus in the proximal right femur is again seen. No significant abnormality notedwall of the lesion, nonspecific.
clinical findings_fin: {'streaky bibasilar atelectasis': {'clinical finding': 'streaky bibasilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'streaky bibasilar', 'observation': 'atelectasis'}}clinical findings_fin: {'focal lesions': {'clinical finding': 'focal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}clinical findings_fin: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}anatomical entity_fin: {'liver': {}, 'wall': {}}clinical findings_fin: {'liver lesion': {'clinical finding': 'liver lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'liver', 'observation': 'lesion'}, 'clear focal nodular enhancement': {'clinical finding': 'clear focal nodular enhancement', 'existence': 'pos_dx', 'descriptive_term': 'clear focal nodular', 'observation': 'enhancement'}, 'lesion': {'clinical finding': 'lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'observation': 'lesion'}, 'active disease': {'clinical finding': 'active disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'active', 'observation': 'disease', 'strength_term': 'active'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'gallbladder is unremarkable': {'clinical finding': 'gallbladder is unremarkable'}}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'}}anatomical entity_fin: {'porta hepatis': {}}clinical findings_fin: {'lymph nodes': {'clinical finding': 'lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'lymph', 'observation': 'node'}}anatomical entity_fin: {'duodenum': {}}clinical findings_fin: {'small lipoma': {'clinical finding': 'small lipoma', 'cf_snomed': {'lipoma': 134328007}, 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'lipoma', 'strength_term': 'small'}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}clinical findings_fin: {'inflammatory changes': {'clinical finding': 'inflammatory changes', 'existence': 'neg_dx', 'descriptive_term': 'inflammatory', 'observation': 'change'}}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'}}anatomical entity_fin: {'prostate': {}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}anatomical entity_fin: {'bladder': {}}clinical findings_fin: {'mild bladder distention': {'clinical finding': 'mild bladder distention', 'cf_snomed': {'bladder distention': 54768000}, 'existence': 'pos_dx', 'descriptive_term': 'mild bladder', 'observation': 'distention', 'strength_term': 'mild'}, 'wall thickening': {'clinical finding': 'wall thickening', 'existence': 'neg_dx', 'descriptive_term': 'wall', 'observation': 'thickening'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}clinical findings_fin: {'inflammatory changes': {'clinical finding': 'inflammatory changes', 'existence': 'neg_dx', 'descriptive_term': 'inflammatory', 'observation': 'change'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'multilevel degenerative changes': {'clinical finding': 'multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative', 'observation': 'change'}}anatomical entity_fin: {'right femur': {'location descriptor': 'proximal'}}location descriptor_fin: ['proximal']clinical findings_fin: {'stable sclerotic focus': {'clinical finding': 'stable sclerotic focus', 'existence': 'pos_dx', 'descriptive_term': 'stable sclerotic', 'observation': 'focus', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}, 'lesion': {'clinical finding': 'lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'observation': 'lesion'}}
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'streaky bibasilar atelectasis': {'clinical finding': 'streaky bibasilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'streaky bibasilar', 'observation': 'atelectasis'}}clinical findings_fin: {'focal lesions': {'clinical finding': 'focal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}clinical findings_fin: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}anatomical entity_fin: {'liver': {}, 'wall': {}}clinical findings_fin: {'liver lesion': {'clinical finding': 'liver lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'liver', 'observation': 'lesion'}, 'clear focal nodular enhancement': {'clinical finding': 'clear focal nodular enhancement', 'existence': 'pos_dx', 'descriptive_term': 'clear focal nodular', 'observation': 'enhancement'}, 'lesion': {'clinical finding': 'lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'observation': 'lesion'}, 'active disease': {'clinical finding': 'active disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'active', 'observation': 'disease', 'strength_term': 'active'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'gallbladder is unremarkable': {'clinical finding': 'gallbladder is unremarkable'}}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'}}anatomical entity_fin: {'porta hepatis': {}}clinical findings_fin: {'lymph nodes': {'clinical finding': 'lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'lymph', 'observation': 'node'}}anatomical entity_fin: {'duodenum': {}}clinical findings_fin: {'small lipoma': {'clinical finding': 'small lipoma', 'cf_snomed': {'lipoma': 134328007}, 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'lipoma', 'strength_term': 'small'}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}clinical findings_fin: {'inflammatory changes': {'clinical finding': 'inflammatory changes', 'existence': 'neg_dx', 'descriptive_term': 'inflammatory', 'observation': 'change'}}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'}}anatomical entity_fin: {'prostate': {}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}anatomical entity_fin: {'bladder': {}}clinical findings_fin: {'mild bladder distention': {'clinical finding': 'mild bladder distention', 'cf_snomed': {'bladder distention': 54768000}, 'existence': 'pos_dx', 'descriptive_term': 'mild bladder', 'observation': 'distention', 'strength_term': 'mild'}, 'wall thickening': {'clinical finding': 'wall thickening', 'existence': 'neg_dx', 'descriptive_term': 'wall', 'observation': 'thickening'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}clinical findings_fin: {'inflammatory changes': {'clinical finding': 'inflammatory changes', 'existence': 'neg_dx', 'descriptive_term': 'inflammatory', 'observation': 'change'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'multilevel degenerative changes': {'clinical finding': 'multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative', 'observation': 'change'}}anatomical entity_fin: {'right femur': {'location descriptor': 'proximal'}}location descriptor_fin: ['proximal']clinical findings_fin: {'stable sclerotic focus': {'clinical finding': 'stable sclerotic focus', 'existence': 'pos_dx', 'descriptive_term': 'stable sclerotic', 'observation': 'focus', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}, 'lesion': {'clinical finding': 'lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'observation': 'lesion'}} [/INST] . Streaky bibasilar atelectasis. No focal lesions. No pleural effusions. The liver lesion seen on prior exam has slightly decreased in size however there is now an area of clear focal nodular enhancement within the wall of the lesion suggesting active disease. The gallbladder is unremarkable. There is no intrahepatic or extrahepatic ductal dilatation. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Stable retrocrural and porta hepatis and lymph nodes. Moderate. There is a small lipoma in the third portion the duodenum. There is no evidence of obstruction. There are no inflammatory changes noted. No significant abnormality noted. No significant abnormality noted. The prostate is mildly enlarged. There is mild bladder distention without wall thickening. No significant abnormality noted. There is no evidence of obstruction. There are no inflammatory changes noted. Multilevel degenerative changes of the lumbar spine. Stable sclerotic focus in the proximal right femur is again seen. No significant abnormality notedwall of the lesion, nonspecific. </s>