. Please refer to concomitant CT chest study from same day for additional findings. The largest hepatic subcapsular mass seen in hepatic segment 7/6 region and measures 8.8 x 7.1 cm on image 38 series 7, previously measured 7.6 x 5.7 cm, associated mass effect on upper aspect of right kidney present. Soft tissue attenuation extends inferior to liver into right paracolic gutter as well. Ovoid left anterior hepatic subcapsular 1.6 x 0.5 cm focus, image 46 series 7, similar to earlier study. Contracted gallbladder. Trace perihepatic ascites. Splenic lesion measuring 2.3 x 1.5 cm on image 41 series 7, suspicious for additional metastatic lesion , previously measured 2 by 1.4 cm. No significant abnormality noted. Right adrenal gland not well seen, particularly lateral limb, and underlying invasion a consideration. Left adrenal nodularity, image 42 series 7, nonspecific and stable to mildly increased. Right greater than left mild hydronephroureter, related to pelvic masses. Numerous peritoneal masses. Extensive peritoneal or omental nodularity is seen, most pronounced in left hemiabdomen, where cakelike omental disease measures up to 3.9 cm in greatest thickness, image 74 series 7, previously measured up to 3.5 cm. Adjacent thickening of colon and small bowel seen, underlying invasion particularly of serosa should be considered. Multiple bilateral pelvic masses with associated marked narrowing of sigmoid colon. Submitted for reference is pelvic mass below aortobiiliac bifurcation, measuring 6.9 x 5.6 cm on image 95 series 7, previously measured 6.1 x 4.8 cm. One of the masses located in right lower abdomen on image 85 series 7 measures 5.2 x 4.8 cm with marked adjacent small bowel luminal narrowing, image 79 series 7, measured approximately 5.4 x 5.2 cm on earlier study. No abnormally dilated small bowel seen to suggest underlying bowel obstruction. Small to moderate abdominopelvic ascites, increased. Mildly prominent retroperitoneal including left paraaortic and aortocaval lymph nodes. Normal uterus not seen, correlate clinically for history of hysterectomy otherwise uterine invasion by patients pelvic masses present. Mass effect exerted on bladder by pelvic masslesions. No significant abnormality noted. No significant abnormality noted.
anatomical entity_fin: {'chest': {}}size_fin: [{'size': '8.8 x 7.1 cm'}, {'size': '7.6 x 5.7 cm'}]anatomical entity_fin: {'right kidney': {}}location descriptor_fin: ['upper']clinical findings_fin: {'largest hepatic subcapsular mass': {'clinical finding': 'largest hepatic subcapsular mass', 'existence': 'pos_dx', 'descriptive_term': 'largest hepatic subcapsular', 'observation': 'mass'}, 'associated mass effect': {'clinical finding': 'associated mass effect', 'existence': 'pos_dx', 'descriptive_term': 'associated mass', 'observation': 'effect'}}anatomical entity_fin: {'liver': {}, 'paracolic gutter': {'location descriptor': 'right'}}location descriptor_fin: ['inferior', 'right']clinical findings_fin: {'soft tissue attenuation': {'clinical finding': 'soft tissue attenuation', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'attenuation'}}size_fin: [{'size': '1.6 x 0.5 cm', 'size_descriptor': 'focus'}]location descriptor_fin: ['left', 'anterior']clinical findings_fin: {'cm focus , image 46 series 7 , similar to earlier study': {'clinical finding': 'cm focus , image 46 series 7 , similar to earlier study'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'contracted gallbladder': {'clinical finding': 'contracted gallbladder'}}clinical findings_fin: {'trace perihepatic ascites': {'clinical finding': 'trace perihepatic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'trace perihepatic', 'observation': 'ascite'}}size_fin: [{'size': '2.3 x 1.5 cm'}, {'size': '2 by 1.4 cm'}]clinical findings_fin: {'splenic lesion': {'clinical finding': 'splenic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'splenic', 'observation': 'lesion'}, 'additional metastatic lesion': {'clinical finding': 'additional metastatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'descriptive_term': 'additional metastatic', 'observation': 'lesion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'right adrenal gland': {}}location descriptor_fin: ['lateral']clinical findings_fin: {'underlying invasion': {'clinical finding': 'underlying invasion', 'existence': 'unc_dx', 'descriptive_term': 'underlying', 'observation': 'invasion'}}location descriptor_fin: ['left']clinical findings_fin: {'left adrenal nodularity': {'clinical finding': 'left adrenal nodularity', 'existence': 'pos_dx', 'descriptive_term': 'left adrenal', 'observation': 'nodularity'}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'right greater than left mild hydronephroureter': {'clinical finding': 'right greater than left mild hydronephroureter', 'existence': 'pos_dx', 'descriptive_term': 'right greater than left mild', 'observation': 'hydronephroureter', 'strength_term': 'mild', 'change_term': 'greater'}, 'pelvic masses': {'clinical finding': 'pelvic masses', 'cf_snomed': {'pelvic mass': 74285003}, 'existence': 'pos_dx', 'descriptive_term': 'pelvic', 'observation': 'mass'}}clinical findings_fin: {'numerous peritoneal masses': {'clinical finding': 'numerous peritoneal masses', 'existence': 'pos_dx', 'descriptive_term': 'numerous peritoneal', 'observation': 'mass', 'quantity_term': 'numerous'}}size_fin: [{'size': '3.9 cm'}, {'size': '3.5 cm'}]location descriptor_fin: ['left']clinical findings_fin: {'extensive peritoneal or omental nodularity': {'clinical finding': 'extensive peritoneal or omental nodularity', 'existence': 'pos_dx', 'descriptive_term': 'extensive peritoneal or omental', 'observation': 'nodularity', 'strength_term': 'extensive'}, 'cakelike omental disease': {'clinical finding': 'cakelike omental disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'cakelike omental', 'observation': 'disease'}}anatomical entity_fin: {'bowel': {}, 'serosa': {}}imaging observation_fin: ['colon']location descriptor_fin: ['adjacent']clinical findings_fin: {'adjacent thickening': {'clinical finding': 'adjacent thickening', 'existence': 'pos_dx', 'descriptive_term': 'adjacent', 'observation': 'thickening'}, 'underlying invasion': {'clinical finding': 'underlying invasion', 'existence': 'unc_dx', 'descriptive_term': 'underlying', 'observation': 'invasion'}}anatomical entity_fin: {'sigmoid colon': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'multiple bilateral pelvic masses': {'clinical finding': 'multiple bilateral pelvic masses', 'cf_snomed': {'pelvic mass': 74285003}, 'existence': 'pos_dx', 'descriptive_term': 'multiple bilateral pelvic', 'observation': 'mass', 'quantity_term': 'multiple'}, 'associated marked narrowing': {'clinical finding': 'associated marked narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'associated marked', 'observation': 'narrowing'}}size_fin: [{'size': '6.9 x 5.6 cm'}, {'size': '6.1 x 4.8 cm'}]clinical findings_fin: {'pelvic mass': {'clinical finding': 'pelvic mass', 'cf_snomed': {'pelvic mass': 74285003}, 'existence': 'pos_dx', 'descriptive_term': 'pelvic', 'observation': 'mass'}}size_fin: [{'size': '5.2 x 4.8 cm'}, {'size': '5.4 x 5.2 cm'}]anatomical entity_fin: {'lower abdomen': {'location descriptor': 'right'}, 'bowel': {}}location descriptor_fin: ['right', 'adjacent']clinical findings_fin: {'masses': {'clinical finding': 'masses', 'existence': 'pos_dx', 'observation': 'mass'}, 'marked adjacent small bowel luminal narrowing': {'clinical finding': 'marked adjacent small bowel luminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'marked adjacent small bowel luminal', 'observation': 'narrowing', 'strength_term': 'small'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'abnormally dilated': {'clinical finding': 'abnormally dilated', 'existence': 'neg_dx', 'descriptive_term': 'abnormally', 'observation': 'dilated'}, 'underlying bowel obstruction': {'clinical finding': 'underlying bowel obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'unc_dx', 'descriptive_term': 'underlying bowel', 'observation': 'obstruction'}}clinical findings_fin: {'small to moderate abdominopelvic ascites': {'clinical finding': 'small to moderate abdominopelvic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'small to moderate abdominopelvic', 'observation': 'ascite', 'strength_term': 'small - moderate'}}location descriptor_fin: ['left']clinical findings_fin: {'mildly prominent retroperitoneal including left paraaortic and aortocaval lymph nodes': {'clinical finding': 'mildly prominent retroperitoneal including left paraaortic and aortocaval lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly prominent retroperitoneal including left paraaortic and aortocaval lymph', 'observation': 'node', 'strength_term': 'mildly - prominent'}}anatomical entity_fin: {'uterus': {}}procedure_fin: ['hysterectomy']clinical findings_fin: {'uterine invasion': {'clinical finding': 'uterine invasion', 'existence': 'pos_dx', 'descriptive_term': 'uterine', 'observation': 'invasion'}, 'pelvic masses': {'clinical finding': 'pelvic masses', 'cf_snomed': {'pelvic mass': 74285003}, 'existence': 'pos_dx', 'descriptive_term': 'pelvic', 'observation': 'mass'}}anatomical entity_fin: {'bladder': {}}clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}, 'pelvic masslesions': {'clinical finding': 'pelvic masslesions', 'existence': 'pos_dx', 'descriptive_term': 'pelvic', 'observation': 'masslesion'}}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: anatomical entity_fin: {'chest': {}}size_fin: [{'size': '8.8 x 7.1 cm'}, {'size': '7.6 x 5.7 cm'}]anatomical entity_fin: {'right kidney': {}}location descriptor_fin: ['upper']clinical findings_fin: {'largest hepatic subcapsular mass': {'clinical finding': 'largest hepatic subcapsular mass', 'existence': 'pos_dx', 'descriptive_term': 'largest hepatic subcapsular', 'observation': 'mass'}, 'associated mass effect': {'clinical finding': 'associated mass effect', 'existence': 'pos_dx', 'descriptive_term': 'associated mass', 'observation': 'effect'}}anatomical entity_fin: {'liver': {}, 'paracolic gutter': {'location descriptor': 'right'}}location descriptor_fin: ['inferior', 'right']clinical findings_fin: {'soft tissue attenuation': {'clinical finding': 'soft tissue attenuation', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'attenuation'}}size_fin: [{'size': '1.6 x 0.5 cm', 'size_descriptor': 'focus'}]location descriptor_fin: ['left', 'anterior']clinical findings_fin: {'cm focus , image 46 series 7 , similar to earlier study': {'clinical finding': 'cm focus , image 46 series 7 , similar to earlier study'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'contracted gallbladder': {'clinical finding': 'contracted gallbladder'}}clinical findings_fin: {'trace perihepatic ascites': {'clinical finding': 'trace perihepatic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'trace perihepatic', 'observation': 'ascite'}}size_fin: [{'size': '2.3 x 1.5 cm'}, {'size': '2 by 1.4 cm'}]clinical findings_fin: {'splenic lesion': {'clinical finding': 'splenic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'splenic', 'observation': 'lesion'}, 'additional metastatic lesion': {'clinical finding': 'additional metastatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'descriptive_term': 'additional metastatic', 'observation': 'lesion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'right adrenal gland': {}}location descriptor_fin: ['lateral']clinical findings_fin: {'underlying invasion': {'clinical finding': 'underlying invasion', 'existence': 'unc_dx', 'descriptive_term': 'underlying', 'observation': 'invasion'}}location descriptor_fin: ['left']clinical findings_fin: {'left adrenal nodularity': {'clinical finding': 'left adrenal nodularity', 'existence': 'pos_dx', 'descriptive_term': 'left adrenal', 'observation': 'nodularity'}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'right greater than left mild hydronephroureter': {'clinical finding': 'right greater than left mild hydronephroureter', 'existence': 'pos_dx', 'descriptive_term': 'right greater than left mild', 'observation': 'hydronephroureter', 'strength_term': 'mild', 'change_term': 'greater'}, 'pelvic masses': {'clinical finding': 'pelvic masses', 'cf_snomed': {'pelvic mass': 74285003}, 'existence': 'pos_dx', 'descriptive_term': 'pelvic', 'observation': 'mass'}}clinical findings_fin: {'numerous peritoneal masses': {'clinical finding': 'numerous peritoneal masses', 'existence': 'pos_dx', 'descriptive_term': 'numerous peritoneal', 'observation': 'mass', 'quantity_term': 'numerous'}}size_fin: [{'size': '3.9 cm'}, {'size': '3.5 cm'}]location descriptor_fin: ['left']clinical findings_fin: {'extensive peritoneal or omental nodularity': {'clinical finding': 'extensive peritoneal or omental nodularity', 'existence': 'pos_dx', 'descriptive_term': 'extensive peritoneal or omental', 'observation': 'nodularity', 'strength_term': 'extensive'}, 'cakelike omental disease': {'clinical finding': 'cakelike omental disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'cakelike omental', 'observation': 'disease'}}anatomical entity_fin: {'bowel': {}, 'serosa': {}}imaging observation_fin: ['colon']location descriptor_fin: ['adjacent']clinical findings_fin: {'adjacent thickening': {'clinical finding': 'adjacent thickening', 'existence': 'pos_dx', 'descriptive_term': 'adjacent', 'observation': 'thickening'}, 'underlying invasion': {'clinical finding': 'underlying invasion', 'existence': 'unc_dx', 'descriptive_term': 'underlying', 'observation': 'invasion'}}anatomical entity_fin: {'sigmoid colon': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'multiple bilateral pelvic masses': {'clinical finding': 'multiple bilateral pelvic masses', 'cf_snomed': {'pelvic mass': 74285003}, 'existence': 'pos_dx', 'descriptive_term': 'multiple bilateral pelvic', 'observation': 'mass', 'quantity_term': 'multiple'}, 'associated marked narrowing': {'clinical finding': 'associated marked narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'associated marked', 'observation': 'narrowing'}}size_fin: [{'size': '6.9 x 5.6 cm'}, {'size': '6.1 x 4.8 cm'}]clinical findings_fin: {'pelvic mass': {'clinical finding': 'pelvic mass', 'cf_snomed': {'pelvic mass': 74285003}, 'existence': 'pos_dx', 'descriptive_term': 'pelvic', 'observation': 'mass'}}size_fin: [{'size': '5.2 x 4.8 cm'}, {'size': '5.4 x 5.2 cm'}]anatomical entity_fin: {'lower abdomen': {'location descriptor': 'right'}, 'bowel': {}}location descriptor_fin: ['right', 'adjacent']clinical findings_fin: {'masses': {'clinical finding': 'masses', 'existence': 'pos_dx', 'observation': 'mass'}, 'marked adjacent small bowel luminal narrowing': {'clinical finding': 'marked adjacent small bowel luminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'marked adjacent small bowel luminal', 'observation': 'narrowing', 'strength_term': 'small'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'abnormally dilated': {'clinical finding': 'abnormally dilated', 'existence': 'neg_dx', 'descriptive_term': 'abnormally', 'observation': 'dilated'}, 'underlying bowel obstruction': {'clinical finding': 'underlying bowel obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'unc_dx', 'descriptive_term': 'underlying bowel', 'observation': 'obstruction'}}clinical findings_fin: {'small to moderate abdominopelvic ascites': {'clinical finding': 'small to moderate abdominopelvic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'small to moderate abdominopelvic', 'observation': 'ascite', 'strength_term': 'small - moderate'}}location descriptor_fin: ['left']clinical findings_fin: {'mildly prominent retroperitoneal including left paraaortic and aortocaval lymph nodes': {'clinical finding': 'mildly prominent retroperitoneal including left paraaortic and aortocaval lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly prominent retroperitoneal including left paraaortic and aortocaval lymph', 'observation': 'node', 'strength_term': 'mildly - prominent'}}anatomical entity_fin: {'uterus': {}}procedure_fin: ['hysterectomy']clinical findings_fin: {'uterine invasion': {'clinical finding': 'uterine invasion', 'existence': 'pos_dx', 'descriptive_term': 'uterine', 'observation': 'invasion'}, 'pelvic masses': {'clinical finding': 'pelvic masses', 'cf_snomed': {'pelvic mass': 74285003}, 'existence': 'pos_dx', 'descriptive_term': 'pelvic', 'observation': 'mass'}}anatomical entity_fin: {'bladder': {}}clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}, 'pelvic masslesions': {'clinical finding': 'pelvic masslesions', 'existence': 'pos_dx', 'descriptive_term': 'pelvic', 'observation': 'masslesion'}}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] . Please refer to concomitant CT chest study from same day for additional findings. The largest hepatic subcapsular mass seen in hepatic segment 7/6 region and measures 8.8 x 7.1 cm on image 38 series 7, previously measured 7.6 x 5.7 cm, associated mass effect on upper aspect of right kidney present. Soft tissue attenuation extends inferior to liver into right paracolic gutter as well. Ovoid left anterior hepatic subcapsular 1.6 x 0.5 cm focus, image 46 series 7, similar to earlier study. Contracted gallbladder. Trace perihepatic ascites. Splenic lesion measuring 2.3 x 1.5 cm on image 41 series 7, suspicious for additional metastatic lesion , previously measured 2 by 1.4 cm. No significant abnormality noted. Right adrenal gland not well seen, particularly lateral limb, and underlying invasion a consideration. Left adrenal nodularity, image 42 series 7, nonspecific and stable to mildly increased. Right greater than left mild hydronephroureter, related to pelvic masses. Numerous peritoneal masses. Extensive peritoneal or omental nodularity is seen, most pronounced in left hemiabdomen, where cakelike omental disease measures up to 3.9 cm in greatest thickness, image 74 series 7, previously measured up to 3.5 cm. Adjacent thickening of colon and small bowel seen, underlying invasion particularly of serosa should be considered. Multiple bilateral pelvic masses with associated marked narrowing of sigmoid colon. Submitted for reference is pelvic mass below aortobiiliac bifurcation, measuring 6.9 x 5.6 cm on image 95 series 7, previously measured 6.1 x 4.8 cm. One of the masses located in right lower abdomen on image 85 series 7 measures 5.2 x 4.8 cm with marked adjacent small bowel luminal narrowing, image 79 series 7, measured approximately 5.4 x 5.2 cm on earlier study. No abnormally dilated small bowel seen to suggest underlying bowel obstruction. Small to moderate abdominopelvic ascites, increased. Mildly prominent retroperitoneal including left paraaortic and aortocaval lymph nodes. Normal uterus not seen, correlate clinically for history of hysterectomy otherwise uterine invasion by patients pelvic masses present. Mass effect exerted on bladder by pelvic masslesions. No significant abnormality noted. No significant abnormality noted. </s>