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. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Normal morphology kidneys are seen bilaterally without abnormal calcifications or hydronephrosis. No parenchymal mass lesions are seen. Cortical and medullary enhancement appears normal. No perinephric fluid collections. No significant abnormality noted. None. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Status post cesarean section changes with minimal inflammatory changes streaking in the periuterine fat. Uterus remains enlarged to a degree expected from recent pregnancy. Low density fluid remains in the endometrial cavity with peripheral enhancement. This is nonspecific postdelivery and may represent retained blood, retained placental products, or represent endometritis with infection. No adnexal fluid collections are seen. Mild thickening of the bladder wall is seen but the bladder is minimally distended and most likely accentuated thickness from lack of distention. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted | 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'}}anatomical entity_fin: {'kidneys': {}}clinical findings_fin: {'abnormal calcifications': {'clinical finding': 'abnormal calcifications', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'calcification'}, 'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}clinical findings_fin: {'parenchymal mass lesions': {'clinical finding': 'parenchymal mass lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'parenchymal mass', 'observation': 'lesion'}}clinical findings_fin: {'cortical and medullary enhancement': {'clinical finding': 'cortical and medullary enhancement', 'existence': 'pos_dx', 'descriptive_term': 'cortical and medullary', 'observation': 'enhancement'}}anatomical entity_fin: {'fluid': {}}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'}}imaging observation_fin: ['fat']procedure_fin: ['cesarean section']clinical findings_fin: {'cesarean section changes': {'clinical finding': 'cesarean section changes', 'existence': 'pos_dx', 'descriptive_term': 'cesarean section', 'observation': 'change'}, 'minimal inflammatory changes': {'clinical finding': 'minimal inflammatory changes', 'existence': 'pos_dx', 'descriptive_term': 'minimal inflammatory', 'observation': 'change', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'uterus': {}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}, 'recent pregnancy': {'clinical finding': 'recent pregnancy', 'cf_snomed': {'pregnancy': 77386006}, 'existence': 'pos_dx', 'descriptive_term': 'recent', 'observation': 'pregnancy'}}anatomical entity_fin: {'fluid': {}, 'endometrial cavity': {}}location descriptor_fin: ['peripheral']clinical findings_fin: {'peripheral enhancement': {'clinical finding': 'peripheral enhancement', 'existence': 'pos_dx', 'descriptive_term': 'peripheral', 'observation': 'enhancement'}}imaging observation_fin: ['blood']clinical findings_fin: {'retained blood': {'clinical finding': 'retained blood', 'existence': 'unc_dx', 'descriptive_term': 'retained', 'observation': 'blood'}, 'retained placental products': {'clinical finding': 'retained placental products', 'existence': 'unc_dx', 'descriptive_term': 'retained placental', 'observation': 'product'}, 'endometritis': {'clinical finding': 'endometritis', 'cf_snomed': {'endometritis': 78623009}, 'existence': 'unc_dx', 'observation': 'endometritis'}, 'infection': {'clinical finding': 'infection', 'existence': 'pos_dx', 'observation': 'infection'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'adnexal fluid collections are seen': {'clinical finding': 'adnexal fluid collections are seen'}}anatomical entity_fin: {'bladder': {}, 'wall': {}}clinical findings_fin: {'mild thickening': {'clinical finding': 'mild thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'thickening', 'strength_term': 'mild'}, 'distended': {'clinical finding': 'distended', 'existence': 'pos_dx', 'observation': 'distended'}, 'distention': {'clinical finding': 'distention', 'existence': 'neg_dx', 'observation': 'distention'}}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'}} | Write the finding section for a radiology report based on the following information: | <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'}}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: {'kidneys': {}}clinical findings_fin: {'abnormal calcifications': {'clinical finding': 'abnormal calcifications', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'calcification'}, 'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}clinical findings_fin: {'parenchymal mass lesions': {'clinical finding': 'parenchymal mass lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'parenchymal mass', 'observation': 'lesion'}}clinical findings_fin: {'cortical and medullary enhancement': {'clinical finding': 'cortical and medullary enhancement', 'existence': 'pos_dx', 'descriptive_term': 'cortical and medullary', 'observation': 'enhancement'}}anatomical entity_fin: {'fluid': {}}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'}}imaging observation_fin: ['fat']procedure_fin: ['cesarean section']clinical findings_fin: {'cesarean section changes': {'clinical finding': 'cesarean section changes', 'existence': 'pos_dx', 'descriptive_term': 'cesarean section', 'observation': 'change'}, 'minimal inflammatory changes': {'clinical finding': 'minimal inflammatory changes', 'existence': 'pos_dx', 'descriptive_term': 'minimal inflammatory', 'observation': 'change', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'uterus': {}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}, 'recent pregnancy': {'clinical finding': 'recent pregnancy', 'cf_snomed': {'pregnancy': 77386006}, 'existence': 'pos_dx', 'descriptive_term': 'recent', 'observation': 'pregnancy'}}anatomical entity_fin: {'fluid': {}, 'endometrial cavity': {}}location descriptor_fin: ['peripheral']clinical findings_fin: {'peripheral enhancement': {'clinical finding': 'peripheral enhancement', 'existence': 'pos_dx', 'descriptive_term': 'peripheral', 'observation': 'enhancement'}}imaging observation_fin: ['blood']clinical findings_fin: {'retained blood': {'clinical finding': 'retained blood', 'existence': 'unc_dx', 'descriptive_term': 'retained', 'observation': 'blood'}, 'retained placental products': {'clinical finding': 'retained placental products', 'existence': 'unc_dx', 'descriptive_term': 'retained placental', 'observation': 'product'}, 'endometritis': {'clinical finding': 'endometritis', 'cf_snomed': {'endometritis': 78623009}, 'existence': 'unc_dx', 'observation': 'endometritis'}, 'infection': {'clinical finding': 'infection', 'existence': 'pos_dx', 'observation': 'infection'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'adnexal fluid collections are seen': {'clinical finding': 'adnexal fluid collections are seen'}}anatomical entity_fin: {'bladder': {}, 'wall': {}}clinical findings_fin: {'mild thickening': {'clinical finding': 'mild thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'thickening', 'strength_term': 'mild'}, 'distended': {'clinical finding': 'distended', 'existence': 'pos_dx', 'observation': 'distended'}, 'distention': {'clinical finding': 'distention', 'existence': 'neg_dx', 'observation': 'distention'}}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'}} [/INST] . No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Normal morphology kidneys are seen bilaterally without abnormal calcifications or hydronephrosis. No parenchymal mass lesions are seen. Cortical and medullary enhancement appears normal. No perinephric fluid collections. No significant abnormality noted. None. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Status post cesarean section changes with minimal inflammatory changes streaking in the periuterine fat. Uterus remains enlarged to a degree expected from recent pregnancy. Low density fluid remains in the endometrial cavity with peripheral enhancement. This is nonspecific postdelivery and may represent retained blood, retained placental products, or represent endometritis with infection. No adnexal fluid collections are seen. Mild thickening of the bladder wall is seen but the bladder is minimally distended and most likely accentuated thickness from lack of distention. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted </s> |
. There is no evidence of intracranial mass lesions or abnormal intracranial enhancement. The grey-white matter differentiation appears to be intact. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The skull, and scalp soft tissues are grossly unremarkable. There is mild mucosal thickening in the left maxillary sinus. There is marked interval decrease in size of the right medial inferior eyelid region mass with residual soft tissue that measures up to 6 mm in thickness and 25 mm in width overall, previously 12 mm in thickness and 36 mm in width. There is minimal right postseptal stranding. There has also been considerable interval decrease in size of the right cervical lymphadenopathy. For example, a right level 1B lymph node measures 5 x 8 mm in the axial plane, previously 12 x 19, a right level 2B lymph node measures 4 x 7 mm, previously 17 x 30 mm, and a right level 3 lymph node measures 2 x 6 mm, previously 8 x 11 mm. The major salivary glands are unremarkable. The hypoattenuating nodule in the right thyroid lobe is unchanged. There is multilevel degenerative spondylosis of the cervical spine. The imaged portions of the lungs are clear. | clinical findings_fin: {'intracranial mass lesions': {'clinical finding': 'intracranial mass lesions', 'cf_snomed': {'intracranial mass': 85974009}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial mass', 'observation': 'lesion'}, 'abnormal intracranial enhancement': {'clinical finding': 'abnormal intracranial enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal intracranial', 'observation': 'enhancement'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}clinical findings_fin: {'ventricles and basal cisterns are normal in size and configuration': {'clinical finding': 'ventricles and basal cisterns are normal in size and configuration'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'skull': {}, 'scalp': {}}clinical findings_fin: {'skull , and scalp soft tissues are grossly unremarkable': {'clinical finding': 'skull , and scalp soft tissues are grossly unremarkable'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'mild mucosal thickening': {'clinical finding': 'mild mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild mucosal', 'observation': 'thickening', 'strength_term': 'mild'}}size_fin: [{'size': '6 mm'}, {'size': '25 mm'}, {'size': '12 mm'}, {'size': '36 mm'}]anatomical entity_fin: {'inferior eyelid': {'location descriptor': 'right medial'}}location descriptor_fin: ['right', 'medial']clinical findings_fin: {'right medial inferior eyelid region mass': {'clinical finding': 'right medial inferior eyelid region mass', 'existence': 'pos_dx', 'descriptive_term': 'right medial inferior eyelid region', 'observation': 'mass'}, 'residual soft tissue': {'clinical finding': 'residual soft tissue', 'existence': 'pos_dx', 'descriptive_term': 'residual soft', 'observation': 'tissue', 'temporal_term': 'residual'}}location descriptor_fin: ['right']clinical findings_fin: {'minimal right postseptal stranding': {'clinical finding': 'minimal right postseptal stranding', 'existence': 'pos_dx', 'descriptive_term': 'minimal right postseptal', 'observation': 'strand', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}location descriptor_fin: ['right']clinical findings_fin: {'right cervical lymphadenopathy': {'clinical finding': 'right cervical lymphadenopathy', 'cf_snomed': {'cervical lymphadenopathy': 127086001}, 'existence': 'pos_dx', 'descriptive_term': 'right cervical', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '5 x 8 mm'}, {'size': '12 x 19'}, {'size': '4 x 7 mm'}, {'size': '17 x 30 mm'}, {'size': '2 x 6 mm'}, {'size': '8 x 11 mm'}]anatomical entity_fin: {'axial plane': {}}location descriptor_fin: ['right']clinical findings_fin: {'right level 1b lymph node': {'clinical finding': 'right level 1b lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right level 1b lymph', 'observation': 'node'}, 'right level 2b lymph node': {'clinical finding': 'right level 2b lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right level 2b lymph', 'observation': 'node'}, 'right level 3 lymph node': {'clinical finding': 'right level 3 lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right level 3 lymph', 'observation': 'node'}}anatomical entity_fin: {'major salivary glands': {}}clinical findings_fin: {'major salivary glands are unremarkable': {'clinical finding': 'major salivary glands are unremarkable'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'hypoattenuating nodule': {'clinical finding': 'hypoattenuating nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating', 'observation': 'nodule'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'multilevel degenerative spondylosis': {'clinical finding': 'multilevel degenerative spondylosis', 'cf_snomed': {'spondylosis': 8847002}, 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative', 'observation': 'spondylosis'}}anatomical entity_fin: {'lungs': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'intracranial mass lesions': {'clinical finding': 'intracranial mass lesions', 'cf_snomed': {'intracranial mass': 85974009}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial mass', 'observation': 'lesion'}, 'abnormal intracranial enhancement': {'clinical finding': 'abnormal intracranial enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal intracranial', 'observation': 'enhancement'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}clinical findings_fin: {'ventricles and basal cisterns are normal in size and configuration': {'clinical finding': 'ventricles and basal cisterns are normal in size and configuration'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'skull': {}, 'scalp': {}}clinical findings_fin: {'skull , and scalp soft tissues are grossly unremarkable': {'clinical finding': 'skull , and scalp soft tissues are grossly unremarkable'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'mild mucosal thickening': {'clinical finding': 'mild mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild mucosal', 'observation': 'thickening', 'strength_term': 'mild'}}size_fin: [{'size': '6 mm'}, {'size': '25 mm'}, {'size': '12 mm'}, {'size': '36 mm'}]anatomical entity_fin: {'inferior eyelid': {'location descriptor': 'right medial'}}location descriptor_fin: ['right', 'medial']clinical findings_fin: {'right medial inferior eyelid region mass': {'clinical finding': 'right medial inferior eyelid region mass', 'existence': 'pos_dx', 'descriptive_term': 'right medial inferior eyelid region', 'observation': 'mass'}, 'residual soft tissue': {'clinical finding': 'residual soft tissue', 'existence': 'pos_dx', 'descriptive_term': 'residual soft', 'observation': 'tissue', 'temporal_term': 'residual'}}location descriptor_fin: ['right']clinical findings_fin: {'minimal right postseptal stranding': {'clinical finding': 'minimal right postseptal stranding', 'existence': 'pos_dx', 'descriptive_term': 'minimal right postseptal', 'observation': 'strand', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}location descriptor_fin: ['right']clinical findings_fin: {'right cervical lymphadenopathy': {'clinical finding': 'right cervical lymphadenopathy', 'cf_snomed': {'cervical lymphadenopathy': 127086001}, 'existence': 'pos_dx', 'descriptive_term': 'right cervical', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '5 x 8 mm'}, {'size': '12 x 19'}, {'size': '4 x 7 mm'}, {'size': '17 x 30 mm'}, {'size': '2 x 6 mm'}, {'size': '8 x 11 mm'}]anatomical entity_fin: {'axial plane': {}}location descriptor_fin: ['right']clinical findings_fin: {'right level 1b lymph node': {'clinical finding': 'right level 1b lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right level 1b lymph', 'observation': 'node'}, 'right level 2b lymph node': {'clinical finding': 'right level 2b lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right level 2b lymph', 'observation': 'node'}, 'right level 3 lymph node': {'clinical finding': 'right level 3 lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right level 3 lymph', 'observation': 'node'}}anatomical entity_fin: {'major salivary glands': {}}clinical findings_fin: {'major salivary glands are unremarkable': {'clinical finding': 'major salivary glands are unremarkable'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'hypoattenuating nodule': {'clinical finding': 'hypoattenuating nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating', 'observation': 'nodule'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'multilevel degenerative spondylosis': {'clinical finding': 'multilevel degenerative spondylosis', 'cf_snomed': {'spondylosis': 8847002}, 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative', 'observation': 'spondylosis'}}anatomical entity_fin: {'lungs': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}} [/INST] . There is no evidence of intracranial mass lesions or abnormal intracranial enhancement. The grey-white matter differentiation appears to be intact. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The skull, and scalp soft tissues are grossly unremarkable. There is mild mucosal thickening in the left maxillary sinus. There is marked interval decrease in size of the right medial inferior eyelid region mass with residual soft tissue that measures up to 6 mm in thickness and 25 mm in width overall, previously 12 mm in thickness and 36 mm in width. There is minimal right postseptal stranding. There has also been considerable interval decrease in size of the right cervical lymphadenopathy. For example, a right level 1B lymph node measures 5 x 8 mm in the axial plane, previously 12 x 19, a right level 2B lymph node measures 4 x 7 mm, previously 17 x 30 mm, and a right level 3 lymph node measures 2 x 6 mm, previously 8 x 11 mm. The major salivary glands are unremarkable. The hypoattenuating nodule in the right thyroid lobe is unchanged. There is multilevel degenerative spondylosis of the cervical spine. The imaged portions of the lungs are clear. </s> |
Nonenhanced head. Examination demonstrates a focus of low attenuation in the right frontal subcortical white matter similar to prior exam from July 2015 and additional subtle smaller foci of similar density changes of white matter suggestive of age indeterminate small vessel ischemic strokes. No acute intracranial hemorrhage or mass effect. CT however is insensitive for early detection of an acute nonhemorrhagic ischemic strokes. Unremarkable cerebral cortex and cortical sulci, ventricular system and CSF spaces. Images through the orbits demonstrate left orbital enucleation and placement of prosthesis similar to prior exam. | anatomical entity_fin: {'head': {}}clinical findings_fin: {'nonenhanced head': {'clinical finding': 'nonenhanced head'}}imaging observation_fin: ['foci']location descriptor_fin: ['right']clinical findings_fin: {'low attenuation': {'clinical finding': 'low attenuation', 'existence': 'pos_dx', 'descriptive_term': 'low', 'observation': 'attenuation'}, 'additional subtle smaller foci': {'clinical finding': 'additional subtle smaller foci', 'existence': 'pos_dx', 'descriptive_term': 'additional subtle smaller', 'observation': 'foci', 'strength_term': 'subtle'}, 'similar density changes': {'clinical finding': 'similar density changes', 'existence': 'pos_dx', 'descriptive_term': 'similar density', 'observation': 'change'}, 'ischemic strokes': {'clinical finding': 'ischemic strokes', 'cf_snomed': {'ischemic stroke': 422504002}, 'existence': 'pos_dx', 'descriptive_term': 'ischemic', 'observation': 'stroke'}}clinical findings_fin: {'acute intracranial hemorrhage': {'clinical finding': 'acute intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'acute nonhemorrhagic ischemic strokes': {'clinical finding': 'acute nonhemorrhagic ischemic strokes', 'cf_snomed': {'ischemic stroke': 422504002}, 'existence': 'pos_dx', 'descriptive_term': 'acute nonhemorrhagic ischemic', 'observation': 'stroke', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'cerebral cortex': {}}clinical findings_fin: {'unremarkable cerebral cortex and cortical sulci , ventricular system and csf spaces': {'clinical finding': 'unremarkable cerebral cortex and cortical sulci , ventricular system and csf spaces'}}anatomical entity_fin: {'orbits': {}}location descriptor_fin: ['left']object_fin: ['prosthesis']clinical findings_fin: {'orbital enucleation and placement of prosthesis similar to prior exam': {'clinical finding': 'orbital enucleation and placement of prosthesis similar to prior exam'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'head': {}}clinical findings_fin: {'nonenhanced head': {'clinical finding': 'nonenhanced head'}}imaging observation_fin: ['foci']location descriptor_fin: ['right']clinical findings_fin: {'low attenuation': {'clinical finding': 'low attenuation', 'existence': 'pos_dx', 'descriptive_term': 'low', 'observation': 'attenuation'}, 'additional subtle smaller foci': {'clinical finding': 'additional subtle smaller foci', 'existence': 'pos_dx', 'descriptive_term': 'additional subtle smaller', 'observation': 'foci', 'strength_term': 'subtle'}, 'similar density changes': {'clinical finding': 'similar density changes', 'existence': 'pos_dx', 'descriptive_term': 'similar density', 'observation': 'change'}, 'ischemic strokes': {'clinical finding': 'ischemic strokes', 'cf_snomed': {'ischemic stroke': 422504002}, 'existence': 'pos_dx', 'descriptive_term': 'ischemic', 'observation': 'stroke'}}clinical findings_fin: {'acute intracranial hemorrhage': {'clinical finding': 'acute intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'acute nonhemorrhagic ischemic strokes': {'clinical finding': 'acute nonhemorrhagic ischemic strokes', 'cf_snomed': {'ischemic stroke': 422504002}, 'existence': 'pos_dx', 'descriptive_term': 'acute nonhemorrhagic ischemic', 'observation': 'stroke', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'cerebral cortex': {}}clinical findings_fin: {'unremarkable cerebral cortex and cortical sulci , ventricular system and csf spaces': {'clinical finding': 'unremarkable cerebral cortex and cortical sulci , ventricular system and csf spaces'}}anatomical entity_fin: {'orbits': {}}location descriptor_fin: ['left']object_fin: ['prosthesis']clinical findings_fin: {'orbital enucleation and placement of prosthesis similar to prior exam': {'clinical finding': 'orbital enucleation and placement of prosthesis similar to prior exam'}} [/INST] Nonenhanced head. Examination demonstrates a focus of low attenuation in the right frontal subcortical white matter similar to prior exam from July 2015 and additional subtle smaller foci of similar density changes of white matter suggestive of age indeterminate small vessel ischemic strokes. No acute intracranial hemorrhage or mass effect. CT however is insensitive for early detection of an acute nonhemorrhagic ischemic strokes. Unremarkable cerebral cortex and cortical sulci, ventricular system and CSF spaces. Images through the orbits demonstrate left orbital enucleation and placement of prosthesis similar to prior exam. </s> |
. ET tube tip in the right mainstem bronchus. Right upper lobe consolidation with air bronchograms and adjacent groundglass abnormality. Mild groundglass abnormality is noted in the left and right lower lobes. Right basilar atelectasis or consolidation. No pleural effusions. Heart size is normal. No pericardial effusion. No mediastinal or hilar lymphadenopathy. Probable proximal positioning of the NG tube with its tip in the fundus. Moderate. No significant abnormality noted. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Although the gallbladder isnt completely visualized, it appears mildly distended with induration surrounding the gallbladder neck. | anatomical entity_fin: {'bronchus': {}}location descriptor_fin: ['right']object_fin: ['tube']anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}imaging observation_fin: ['air bronchograms']location descriptor_fin: ['right', 'upper', 'adjacent']clinical findings_fin: {'right upper lobe consolidation': {'clinical finding': 'right upper lobe consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe', 'observation': 'consolidation'}, 'adjacent groundglass abnormality': {'clinical finding': 'adjacent groundglass abnormality', 'existence': 'pos_dx', 'descriptive_term': 'adjacent groundglass', 'observation': 'abnormality'}}anatomical entity_fin: {'lobes': {'location descriptor': 'right lower'}}location descriptor_fin: ['left', 'right', 'lower']clinical findings_fin: {'mild groundglass abnormality': {'clinical finding': 'mild groundglass abnormality', 'existence': 'pos_dx', 'descriptive_term': 'mild groundglass', 'observation': 'abnormality', 'strength_term': 'mild'}}location descriptor_fin: ['right']clinical findings_fin: {'right basilar atelectasis': {'clinical finding': 'right basilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'right basilar', 'observation': 'atelectasis'}, 'consolidation': {'clinical finding': 'consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'unc_dx', 'observation': 'consolidation'}}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: {'heart': {}}clinical findings_fin: {'heart size is normal': {'clinical finding': 'heart size is normal'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}clinical findings_fin: {'mediastinal or hilar lymphadenopathy': {'clinical finding': 'mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'}}location descriptor_fin: ['proximal']object_fin: ['tube']clinical findings_fin: {'probable proximal positioning of the ng tube with its tip in the fundus': {'clinical finding': 'probable proximal positioning of the ng tube with its tip in the fundus'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'gallbladder': {}, 'neck': {}}clinical findings_fin: {'distended': {'clinical finding': 'distended', 'existence': 'pos_dx', 'observation': 'distended'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'bronchus': {}}location descriptor_fin: ['right']object_fin: ['tube']anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}imaging observation_fin: ['air bronchograms']location descriptor_fin: ['right', 'upper', 'adjacent']clinical findings_fin: {'right upper lobe consolidation': {'clinical finding': 'right upper lobe consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe', 'observation': 'consolidation'}, 'adjacent groundglass abnormality': {'clinical finding': 'adjacent groundglass abnormality', 'existence': 'pos_dx', 'descriptive_term': 'adjacent groundglass', 'observation': 'abnormality'}}anatomical entity_fin: {'lobes': {'location descriptor': 'right lower'}}location descriptor_fin: ['left', 'right', 'lower']clinical findings_fin: {'mild groundglass abnormality': {'clinical finding': 'mild groundglass abnormality', 'existence': 'pos_dx', 'descriptive_term': 'mild groundglass', 'observation': 'abnormality', 'strength_term': 'mild'}}location descriptor_fin: ['right']clinical findings_fin: {'right basilar atelectasis': {'clinical finding': 'right basilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'right basilar', 'observation': 'atelectasis'}, 'consolidation': {'clinical finding': 'consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'unc_dx', 'observation': 'consolidation'}}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: {'heart': {}}clinical findings_fin: {'heart size is normal': {'clinical finding': 'heart size is normal'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}clinical findings_fin: {'mediastinal or hilar lymphadenopathy': {'clinical finding': 'mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'}}location descriptor_fin: ['proximal']object_fin: ['tube']clinical findings_fin: {'probable proximal positioning of the ng tube with its tip in the fundus': {'clinical finding': 'probable proximal positioning of the ng tube with its tip in the fundus'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'gallbladder': {}, 'neck': {}}clinical findings_fin: {'distended': {'clinical finding': 'distended', 'existence': 'pos_dx', 'observation': 'distended'}} [/INST] . ET tube tip in the right mainstem bronchus. Right upper lobe consolidation with air bronchograms and adjacent groundglass abnormality. Mild groundglass abnormality is noted in the left and right lower lobes. Right basilar atelectasis or consolidation. No pleural effusions. Heart size is normal. No pericardial effusion. No mediastinal or hilar lymphadenopathy. Probable proximal positioning of the NG tube with its tip in the fundus. Moderate. No significant abnormality noted. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Although the gallbladder isnt completely visualized, it appears mildly distended with induration surrounding the gallbladder neck. </s> |
There is no new intracranial hemorrhage. Continued evolution of multifocal subarachnoid space hemorrhage including the interhemispheric fissure or left cingulate gyrus area and the left superior temporal sulcus, without interval change. There are scattered areas of hypoattenuation in the periventricular and subcortical white matter which are nonspecific but favored to represent chronic small vessel ischemic changes. Underlying brain shows diffuse brain atrophy. No hydrocephalus. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear. | clinical findings_fin: {'new intracranial hemorrhage': {'clinical finding': 'new intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'new intracranial', 'observation': 'hemorrhage', 'temporal_term': 'new'}}anatomical entity_fin: {'subarachnoid space': {}, 'interhemispheric fissure': {}, 'left cingulate gyrus': {}, 'superior temporal sulcus': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'multifocal subarachnoid space hemorrhage': {'clinical finding': 'multifocal subarachnoid space hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'pos_dx', 'descriptive_term': 'multifocal subarachnoid space', 'observation': 'hemorrhage'}, 'interval change': {'clinical finding': 'interval change', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'change'}}clinical findings_fin: {'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}, 'chronic small vessel ischemic changes': {'clinical finding': 'chronic small vessel ischemic changes', 'existence': 'unc_dx', 'descriptive_term': 'chronic small vessel ischemic', 'observation': 'change', 'strength_term': 'small', 'temporal_term': 'chronic'}}anatomical entity_fin: {'brain': {}}clinical findings_fin: {'diffuse brain atrophy': {'clinical finding': 'diffuse brain atrophy', 'cf_snomed': {'atrophy': 13331008}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse brain', 'observation': 'atrophy'}}clinical findings_fin: {'hydrocephalus': {'clinical finding': 'hydrocephalus', 'cf_snomed': {'hydrocephalus': 230745008}, 'existence': 'neg_dx', 'observation': 'hydrocephalus'}}clinical findings_fin: {'osseous structures are unremarkable': {'clinical finding': 'osseous structures are unremarkable'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'new intracranial hemorrhage': {'clinical finding': 'new intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'new intracranial', 'observation': 'hemorrhage', 'temporal_term': 'new'}}anatomical entity_fin: {'subarachnoid space': {}, 'interhemispheric fissure': {}, 'left cingulate gyrus': {}, 'superior temporal sulcus': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'multifocal subarachnoid space hemorrhage': {'clinical finding': 'multifocal subarachnoid space hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'pos_dx', 'descriptive_term': 'multifocal subarachnoid space', 'observation': 'hemorrhage'}, 'interval change': {'clinical finding': 'interval change', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'change'}}clinical findings_fin: {'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}, 'chronic small vessel ischemic changes': {'clinical finding': 'chronic small vessel ischemic changes', 'existence': 'unc_dx', 'descriptive_term': 'chronic small vessel ischemic', 'observation': 'change', 'strength_term': 'small', 'temporal_term': 'chronic'}}anatomical entity_fin: {'brain': {}}clinical findings_fin: {'diffuse brain atrophy': {'clinical finding': 'diffuse brain atrophy', 'cf_snomed': {'atrophy': 13331008}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse brain', 'observation': 'atrophy'}}clinical findings_fin: {'hydrocephalus': {'clinical finding': 'hydrocephalus', 'cf_snomed': {'hydrocephalus': 230745008}, 'existence': 'neg_dx', 'observation': 'hydrocephalus'}}clinical findings_fin: {'osseous structures are unremarkable': {'clinical finding': 'osseous structures are unremarkable'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}} [/INST] There is no new intracranial hemorrhage. Continued evolution of multifocal subarachnoid space hemorrhage including the interhemispheric fissure or left cingulate gyrus area and the left superior temporal sulcus, without interval change. There are scattered areas of hypoattenuation in the periventricular and subcortical white matter which are nonspecific but favored to represent chronic small vessel ischemic changes. Underlying brain shows diffuse brain atrophy. No hydrocephalus. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear. </s> |
Please note lack of oral contrast limits evaluation of the GI tract. Also, there is relatively poor opacification of the venous vasculature. Minimal bibasilar atelectasis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Large right renal cyst, measuring approximately 6.4 cm, is unchanged. Subtle left renal collecting system dilation, may be related to the patients left retroperitoneal hematoma. Left paraspinal retroperitoneal hematoma is again seen measuring approximately 8.3 x 5.2 cm, previously 7.9 x 4.1 cm. IVC filter is noted, with relative distention of the infra-filter cava or iliac veins and subtle flattening of the cava superior to the filter. There is the suggestion of lobulated clot in the IVC filter, although evaluation is limited due to lack of adequate contrast opacification. Interval improvement or near complete resolution of previously seen ileus. L1 through L5 posterior rod and screw device affix the lumbar spine. No significant abnormality noted. The bladder is collapsed, with Foley catheter in place. No significant abnormality noted. Bilateral lower extremity edema. | non-anatomical substance_fin: ['oral contrast']anatomical entity_fin: {'vasculature': {}}clinical findings_fin: {'relatively poor opacification': {'clinical finding': 'relatively poor opacification', 'existence': 'pos_dx', 'descriptive_term': 'relatively poor', 'observation': 'opacification'}}clinical findings_fin: {'minimal bibasilar atelectasis': {'clinical finding': 'minimal bibasilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'minimal bibasilar', 'observation': 'atelectasis', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}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'}}size_fin: [{'size': '6.4 cm', 'size_descriptor': 'cyst'}]location descriptor_fin: ['right']clinical findings_fin: {'large right renal cyst': {'clinical finding': 'large right renal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'large right renal', 'observation': 'cyst', 'strength_term': 'large'}}anatomical entity_fin: {'renal collecting system': {'location descriptor': 'left'}}imaging observation_fin: ['hematoma']location descriptor_fin: ['left']clinical findings_fin: {'subtle left renal collecting system dilation': {'clinical finding': 'subtle left renal collecting system dilation', 'existence': 'pos_dx', 'descriptive_term': 'subtle left renal collecting system', 'observation': 'dilation', 'strength_term': 'subtle'}, 'retroperitoneal hematoma': {'clinical finding': 'retroperitoneal hematoma', 'cf_snomed': {'retroperitoneal hematoma': 236002003}, 'existence': 'pos_dx', 'descriptive_term': 'retroperitoneal', 'observation': 'hematoma'}}size_fin: [{'size': '8.3 x 5.2 cm'}, {'size': '7.9 x 4.1 cm'}]imaging observation_fin: ['hematoma']location descriptor_fin: ['left']clinical findings_fin: {'left paraspinal retroperitoneal hematoma': {'clinical finding': 'left paraspinal retroperitoneal hematoma', 'cf_snomed': {'retroperitoneal hematoma': 236002003}, 'existence': 'pos_dx', 'descriptive_term': 'left paraspinal retroperitoneal', 'observation': 'hematoma'}}anatomical entity_fin: {'veins': {}}location descriptor_fin: ['superior']object_fin: ['filter']clinical findings_fin: {'relative distention': {'clinical finding': 'relative distention', 'existence': 'pos_dx', 'descriptive_term': 'relative', 'observation': 'distention'}}object_fin: ['filter']clinical findings_fin: {'adequate contrast opacification': {'clinical finding': 'adequate contrast opacification', 'existence': 'pos_dx', 'descriptive_term': 'adequate contrast', 'observation': 'opacification'}}clinical findings_fin: {'near complete resolution': {'clinical finding': 'near complete resolution', 'existence': 'unc_dx', 'descriptive_term': 'near complete', 'observation': 'resolution'}, 'previously seen ileus': {'clinical finding': 'previously seen ileus', 'existence': 'pos_dx', 'descriptive_term': 'previously seen', 'observation': 'ileus'}}anatomical entity_fin: {'lumbar spine': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'screw device': {'clinical finding': 'screw device', 'existence': 'pos_dx', 'descriptive_term': 'screw', 'observation': 'device'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'bladder': {}}object_fin: ['catheter']clinical findings_fin: {'collapsed': {'clinical finding': 'collapsed', 'cf_snomed': {'collapse': 271787007}, 'existence': 'pos_dx', 'observation': 'collapse'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'lower extremity': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral lower extremity edema': {'clinical finding': 'bilateral lower extremity edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral lower extremity', 'observation': 'edema'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: non-anatomical substance_fin: ['oral contrast']anatomical entity_fin: {'vasculature': {}}clinical findings_fin: {'relatively poor opacification': {'clinical finding': 'relatively poor opacification', 'existence': 'pos_dx', 'descriptive_term': 'relatively poor', 'observation': 'opacification'}}clinical findings_fin: {'minimal bibasilar atelectasis': {'clinical finding': 'minimal bibasilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'minimal bibasilar', 'observation': 'atelectasis', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}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'}}size_fin: [{'size': '6.4 cm', 'size_descriptor': 'cyst'}]location descriptor_fin: ['right']clinical findings_fin: {'large right renal cyst': {'clinical finding': 'large right renal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'large right renal', 'observation': 'cyst', 'strength_term': 'large'}}anatomical entity_fin: {'renal collecting system': {'location descriptor': 'left'}}imaging observation_fin: ['hematoma']location descriptor_fin: ['left']clinical findings_fin: {'subtle left renal collecting system dilation': {'clinical finding': 'subtle left renal collecting system dilation', 'existence': 'pos_dx', 'descriptive_term': 'subtle left renal collecting system', 'observation': 'dilation', 'strength_term': 'subtle'}, 'retroperitoneal hematoma': {'clinical finding': 'retroperitoneal hematoma', 'cf_snomed': {'retroperitoneal hematoma': 236002003}, 'existence': 'pos_dx', 'descriptive_term': 'retroperitoneal', 'observation': 'hematoma'}}size_fin: [{'size': '8.3 x 5.2 cm'}, {'size': '7.9 x 4.1 cm'}]imaging observation_fin: ['hematoma']location descriptor_fin: ['left']clinical findings_fin: {'left paraspinal retroperitoneal hematoma': {'clinical finding': 'left paraspinal retroperitoneal hematoma', 'cf_snomed': {'retroperitoneal hematoma': 236002003}, 'existence': 'pos_dx', 'descriptive_term': 'left paraspinal retroperitoneal', 'observation': 'hematoma'}}anatomical entity_fin: {'veins': {}}location descriptor_fin: ['superior']object_fin: ['filter']clinical findings_fin: {'relative distention': {'clinical finding': 'relative distention', 'existence': 'pos_dx', 'descriptive_term': 'relative', 'observation': 'distention'}}object_fin: ['filter']clinical findings_fin: {'adequate contrast opacification': {'clinical finding': 'adequate contrast opacification', 'existence': 'pos_dx', 'descriptive_term': 'adequate contrast', 'observation': 'opacification'}}clinical findings_fin: {'near complete resolution': {'clinical finding': 'near complete resolution', 'existence': 'unc_dx', 'descriptive_term': 'near complete', 'observation': 'resolution'}, 'previously seen ileus': {'clinical finding': 'previously seen ileus', 'existence': 'pos_dx', 'descriptive_term': 'previously seen', 'observation': 'ileus'}}anatomical entity_fin: {'lumbar spine': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'screw device': {'clinical finding': 'screw device', 'existence': 'pos_dx', 'descriptive_term': 'screw', 'observation': 'device'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'bladder': {}}object_fin: ['catheter']clinical findings_fin: {'collapsed': {'clinical finding': 'collapsed', 'cf_snomed': {'collapse': 271787007}, 'existence': 'pos_dx', 'observation': 'collapse'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'lower extremity': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral lower extremity edema': {'clinical finding': 'bilateral lower extremity edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral lower extremity', 'observation': 'edema'}} [/INST] Please note lack of oral contrast limits evaluation of the GI tract. Also, there is relatively poor opacification of the venous vasculature. Minimal bibasilar atelectasis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Large right renal cyst, measuring approximately 6.4 cm, is unchanged. Subtle left renal collecting system dilation, may be related to the patients left retroperitoneal hematoma. Left paraspinal retroperitoneal hematoma is again seen measuring approximately 8.3 x 5.2 cm, previously 7.9 x 4.1 cm. IVC filter is noted, with relative distention of the infra-filter cava or iliac veins and subtle flattening of the cava superior to the filter. There is the suggestion of lobulated clot in the IVC filter, although evaluation is limited due to lack of adequate contrast opacification. Interval improvement or near complete resolution of previously seen ileus. L1 through L5 posterior rod and screw device affix the lumbar spine. No significant abnormality noted. The bladder is collapsed, with Foley catheter in place. No significant abnormality noted. Bilateral lower extremity edema. </s> |
PHARYNX/. The palatine tonsils are enlarged bilaterally, although appear homogeneously enhancing. The tonsils abut each other in the midline. There is also significant prominence of soft tissue along the posterior nasopharynx, which abuts the posterior aspect of the vomer. Enlargement of the soft tissues of the soft palate is also noted. The nasopharynx, oropharynx, hypopharynx, and larynx are otherwise unremarkable. The upper trachea and esophagus are unremarkable. There is no abnormal soft tissue mass or pathological enhancement. The postcontrast appearance of the salivary glands is unremarkable. The thyroid gland is unremarkable. The oral tongue and floor of mouth are unremarkable. There is bilateral cervical lymphadenopathy. A right node of Rouviere is enlarged measuring 1.6 cm in length. The largest node in the left neck is a left level IIb lymph node measuring 2.2 cm on 4/28. A left supraclavicular lymph node measures up to 2.2 cm. | anatomical entity_fin: {'palatine tonsils': {}}imaging observation_fin: ['enhancing']clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}anatomical entity_fin: {'tonsils': {}}location descriptor_fin: ['midline']anatomical entity_fin: {'nasopharynx': {'location descriptor': 'posterior'}, 'vomer': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'soft tissue': {'clinical finding': 'soft tissue', 'existence': 'pos_dx', 'descriptive_term': 'soft', 'observation': 'tissue'}}anatomical entity_fin: {'soft palate': {}}clinical findings_fin: {'enlargement of the soft tissues of the soft palate is also noted': {'clinical finding': 'enlargement of the soft tissues of the soft palate is also noted', 'cf_snomed': {'enlargement': 442021009}}}anatomical entity_fin: {'nasopharynx': {}, 'oropharynx': {}, 'hypopharynx': {}, 'larynx': {}}clinical findings_fin: {'nasopharynx , oropharynx , hypopharynx , and larynx are otherwise unremarkable': {'clinical finding': 'nasopharynx , oropharynx , hypopharynx , and larynx are otherwise unremarkable'}}anatomical entity_fin: {'trachea': {'location descriptor': 'upper'}, 'esophagus': {}}location descriptor_fin: ['upper']clinical findings_fin: {'upper trachea and esophagus are unremarkable': {'clinical finding': 'upper trachea and esophagus are unremarkable'}}clinical findings_fin: {'abnormal soft tissue mass': {'clinical finding': 'abnormal soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'neg_dx', 'descriptive_term': 'abnormal soft tissue', 'observation': 'mass'}, 'pathological enhancement': {'clinical finding': 'pathological enhancement', 'existence': 'neg_dx', 'descriptive_term': 'pathological', 'observation': 'enhancement'}}anatomical entity_fin: {'salivary glands': {}}clinical findings_fin: {'postcontrast appearance of the salivary glands is unremarkable': {'clinical finding': 'postcontrast appearance of the salivary glands is unremarkable'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'thyroid gland is unremarkable': {'clinical finding': 'thyroid gland is unremarkable'}}anatomical entity_fin: {'tongue': {}, 'floor': {}, 'mouth': {}}clinical findings_fin: {'oral tongue and floor of mouth are unremarkable': {'clinical finding': 'oral tongue and floor of mouth are unremarkable'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral cervical lymphadenopathy': {'clinical finding': 'bilateral cervical lymphadenopathy', 'cf_snomed': {'cervical lymphadenopathy': 127086001}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral cervical', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '1.6 cm'}]location descriptor_fin: ['right']clinical findings_fin: {'right node': {'clinical finding': 'right node', 'existence': 'pos_dx', 'descriptive_term': 'right', 'observation': 'node'}, 'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}size_fin: [{'size': '2.2 cm', 'size_descriptor': 'node'}]anatomical entity_fin: {'neck': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'largest node': {'clinical finding': 'largest node', 'existence': 'pos_dx', 'descriptive_term': 'largest', 'observation': 'node'}, 'left level iib lymph node': {'clinical finding': 'left level iib lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left level iib lymph', 'observation': 'node'}}size_fin: [{'size': '2.2 cm', 'size_descriptor': 'node'}]anatomical entity_fin: {'supraclavicular lymph node': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'left supraclavicular lymph node': {'clinical finding': 'left supraclavicular lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left supraclavicular lymph', 'observation': 'node'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'palatine tonsils': {}}imaging observation_fin: ['enhancing']clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}anatomical entity_fin: {'tonsils': {}}location descriptor_fin: ['midline']anatomical entity_fin: {'nasopharynx': {'location descriptor': 'posterior'}, 'vomer': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'soft tissue': {'clinical finding': 'soft tissue', 'existence': 'pos_dx', 'descriptive_term': 'soft', 'observation': 'tissue'}}anatomical entity_fin: {'soft palate': {}}clinical findings_fin: {'enlargement of the soft tissues of the soft palate is also noted': {'clinical finding': 'enlargement of the soft tissues of the soft palate is also noted', 'cf_snomed': {'enlargement': 442021009}}}anatomical entity_fin: {'nasopharynx': {}, 'oropharynx': {}, 'hypopharynx': {}, 'larynx': {}}clinical findings_fin: {'nasopharynx , oropharynx , hypopharynx , and larynx are otherwise unremarkable': {'clinical finding': 'nasopharynx , oropharynx , hypopharynx , and larynx are otherwise unremarkable'}}anatomical entity_fin: {'trachea': {'location descriptor': 'upper'}, 'esophagus': {}}location descriptor_fin: ['upper']clinical findings_fin: {'upper trachea and esophagus are unremarkable': {'clinical finding': 'upper trachea and esophagus are unremarkable'}}clinical findings_fin: {'abnormal soft tissue mass': {'clinical finding': 'abnormal soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'neg_dx', 'descriptive_term': 'abnormal soft tissue', 'observation': 'mass'}, 'pathological enhancement': {'clinical finding': 'pathological enhancement', 'existence': 'neg_dx', 'descriptive_term': 'pathological', 'observation': 'enhancement'}}anatomical entity_fin: {'salivary glands': {}}clinical findings_fin: {'postcontrast appearance of the salivary glands is unremarkable': {'clinical finding': 'postcontrast appearance of the salivary glands is unremarkable'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'thyroid gland is unremarkable': {'clinical finding': 'thyroid gland is unremarkable'}}anatomical entity_fin: {'tongue': {}, 'floor': {}, 'mouth': {}}clinical findings_fin: {'oral tongue and floor of mouth are unremarkable': {'clinical finding': 'oral tongue and floor of mouth are unremarkable'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral cervical lymphadenopathy': {'clinical finding': 'bilateral cervical lymphadenopathy', 'cf_snomed': {'cervical lymphadenopathy': 127086001}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral cervical', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '1.6 cm'}]location descriptor_fin: ['right']clinical findings_fin: {'right node': {'clinical finding': 'right node', 'existence': 'pos_dx', 'descriptive_term': 'right', 'observation': 'node'}, 'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}size_fin: [{'size': '2.2 cm', 'size_descriptor': 'node'}]anatomical entity_fin: {'neck': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'largest node': {'clinical finding': 'largest node', 'existence': 'pos_dx', 'descriptive_term': 'largest', 'observation': 'node'}, 'left level iib lymph node': {'clinical finding': 'left level iib lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left level iib lymph', 'observation': 'node'}}size_fin: [{'size': '2.2 cm', 'size_descriptor': 'node'}]anatomical entity_fin: {'supraclavicular lymph node': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'left supraclavicular lymph node': {'clinical finding': 'left supraclavicular lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left supraclavicular lymph', 'observation': 'node'}} [/INST] PHARYNX/. The palatine tonsils are enlarged bilaterally, although appear homogeneously enhancing. The tonsils abut each other in the midline. There is also significant prominence of soft tissue along the posterior nasopharynx, which abuts the posterior aspect of the vomer. Enlargement of the soft tissues of the soft palate is also noted. The nasopharynx, oropharynx, hypopharynx, and larynx are otherwise unremarkable. The upper trachea and esophagus are unremarkable. There is no abnormal soft tissue mass or pathological enhancement. The postcontrast appearance of the salivary glands is unremarkable. The thyroid gland is unremarkable. The oral tongue and floor of mouth are unremarkable. There is bilateral cervical lymphadenopathy. A right node of Rouviere is enlarged measuring 1.6 cm in length. The largest node in the left neck is a left level IIb lymph node measuring 2.2 cm on 4/28. A left supraclavicular lymph node measures up to 2.2 cm. </s> |
.There is evidence of an old right infraorbital wall fracture with inferior prolapse of extraconal fat, without evidence of extraocular muscle entrapment. Minimal parafalcine subdural hematoma without mass effect is again visualized, not significantly changed compared to prior study. Mild scattered periventricular hypodensities is again seen, likely representing small vessel ischemic disease of indeterminate age. The grey-white matter differentiation appears to be intact. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. No calvarial fracture. The paranasal sinuses are clear. The cervical vertebral bodies are appropriate in overall alignment and height. There is an acute nondisplaced fracture of the right C7 transverse process through the posterior tubercle without extension into the transverse foramen. No other fractures are identified in the cervical spine. There is anterior osteophytosis at multiple cervical levels. There is an acute minimally displaced rib fracture of the neck of the first left rib, extending obliquely into the shaft of the left rib. There is a second acute nondisplaced fracture of the head of the right first rib. The overall spinal alignment is maintained. At C2-3 there is no significant compromise to the spinal canal or neural foramina. At C3-4 there is no significant compromise to the spinal canal or neural foramina. There is bilateral facet hypertrophy. There is moderate left foraminal stenosis and mild right foraminal stenosis at this level. At C4-5 there is no significant compromise to the spinal canal or neural foramina. There is bilateral facet hypertrophy and mild foraminal narrowing at this level bilaterally. At C5-6 there is no significant compromise to the spinal canal or neural foramina. At C6-7 there is no significant compromise to the spinal canal or neural foramina. At C7-T1 there is no significant compromise to the spinal canal or neural foramina. | anatomical entity_fin: {'wall': {}, 'extraocular muscle': {}}imaging observation_fin: ['fat']location descriptor_fin: ['right', 'inferior']clinical findings_fin: {'old right infraorbital wall fracture': {'clinical finding': 'old right infraorbital wall fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'old right infraorbital wall', 'observation': 'fracture', 'temporal_term': 'old'}, 'inferior prolapse': {'clinical finding': 'inferior prolapse', 'cf_snomed': {'prolapse': 29696001}, 'existence': 'pos_dx', 'descriptive_term': 'inferior', 'observation': 'prolapse'}, 'extraconal fat': {'clinical finding': 'extraconal fat', 'existence': 'pos_dx', 'descriptive_term': 'extraconal', 'observation': 'fat'}, 'extraocular muscle entrapment': {'clinical finding': 'extraocular muscle entrapment', 'cf_snomed': {'entrapment': 363563002}, 'existence': 'neg_dx', 'descriptive_term': 'extraocular muscle', 'observation': 'entrapment'}}clinical findings_fin: {'minimal parafalcine subdural hematoma': {'clinical finding': 'minimal parafalcine subdural hematoma', 'cf_snomed': {'subdural hematoma': 95453001}, 'existence': 'pos_dx', 'descriptive_term': 'minimal parafalcine subdural', 'observation': 'hematoma', 'strength_term': 'minimal', 'quantity_term': 'minimal'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}}clinical findings_fin: {'mild scattered periventricular hypodensities': {'clinical finding': 'mild scattered periventricular hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'mild scattered periventricular', 'observation': 'hypodensity', 'strength_term': 'mild'}, 'small vessel ischemic disease': {'clinical finding': 'small vessel ischemic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'small vessel ischemic', 'observation': 'disease', 'strength_term': 'small'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}clinical findings_fin: {'ventricles and basal cisterns are normal in size and configuration': {'clinical finding': 'ventricles and basal cisterns are normal in size and configuration'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}clinical findings_fin: {'calvarial fracture': {'clinical finding': 'calvarial fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'calvarial', 'observation': 'fracture'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'cervical vertebral bodies': {}}clinical findings_fin: {'overall alignment': {'clinical finding': 'overall alignment', 'existence': 'pos_dx', 'descriptive_term': 'overall', 'observation': 'alignment'}}anatomical entity_fin: {'transverse process': {}, 'tubercle': {'location descriptor': 'posterior'}, 'transverse foramen': {}}location descriptor_fin: ['right', 'posterior']clinical findings_fin: {'acute nondisplaced fracture': {'clinical finding': 'acute nondisplaced fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'acute nondisplaced', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'other fractures': {'clinical finding': 'other fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'other', 'observation': 'fracture'}}location descriptor_fin: ['anterior']clinical findings_fin: {'anterior osteophytosis': {'clinical finding': 'anterior osteophytosis', 'existence': 'pos_dx', 'descriptive_term': 'anterior', 'observation': 'osteophytosis'}}anatomical entity_fin: {'rib': {'location descriptor': 'left'}, 'neck': {}}location descriptor_fin: ['displaced', 'left']clinical findings_fin: {'acute minimally displaced rib fracture': {'clinical finding': 'acute minimally displaced rib fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'acute minimally displaced rib', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute', 'change_term': 'displaced'}}anatomical entity_fin: {'head': {}, 'rib': {}}location descriptor_fin: ['right']clinical findings_fin: {'second acute nondisplaced fracture': {'clinical finding': 'second acute nondisplaced fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'second acute nondisplaced', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'}}clinical findings_fin: {'maintained': {'clinical finding': 'maintained', 'existence': 'pos_dx', 'observation': 'maintain'}}anatomical entity_fin: {'spinal canal': {}, 'neural foramina': {}}clinical findings_fin: {'c2- 3 there is no significant compromise to the spinal canal or neural foramina': {'clinical finding': 'c2- 3 there is no significant compromise to the spinal canal or neural foramina'}}anatomical entity_fin: {'spinal canal': {}, 'neural foramina': {}}clinical findings_fin: {'c3 - 4 there is no significant compromise to the spinal canal or neural foramina': {'clinical finding': 'c3 - 4 there is no significant compromise to the spinal canal or neural foramina'}}anatomical entity_fin: {'facet': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral facet hypertrophy': {'clinical finding': 'bilateral facet hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral facet', 'observation': 'hypertrophy'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'moderate left foraminal stenosis': {'clinical finding': 'moderate left foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate left foraminal', 'observation': 'stenosis', 'strength_term': 'moderate'}, 'mild right foraminal stenosis': {'clinical finding': 'mild right foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'mild right foraminal', 'observation': 'stenosis', 'strength_term': 'mild'}}anatomical entity_fin: {'spinal canal': {}, 'neural foramina': {}}clinical findings_fin: {'c4 - 5 there is no significant compromise to the spinal canal or neural foramina': {'clinical finding': 'c4 - 5 there is no significant compromise to the spinal canal or neural foramina'}}anatomical entity_fin: {'facet': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral facet hypertrophy': {'clinical finding': 'bilateral facet hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral facet', 'observation': 'hypertrophy'}, 'mild foraminal narrowing': {'clinical finding': 'mild foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'mild foraminal', 'observation': 'narrowing', 'strength_term': 'mild'}}anatomical entity_fin: {'spinal canal': {}, 'neural foramina': {}}clinical findings_fin: {'c5 - 6 there is no significant compromise to the spinal canal or neural foramina': {'clinical finding': 'c5 - 6 there is no significant compromise to the spinal canal or neural foramina'}}anatomical entity_fin: {'spinal canal': {}, 'neural foramina': {}}clinical findings_fin: {'c6 - 7 there is no significant compromise to the spinal canal or neural foramina': {'clinical finding': 'c6 - 7 there is no significant compromise to the spinal canal or neural foramina'}}anatomical entity_fin: {'spinal canal': {}, 'neural foramina': {}}clinical findings_fin: {'c7 - t1 there is no significant compromise to the spinal canal or neural foramina': {'clinical finding': 'c7 - t1 there is no significant compromise to the spinal canal or neural foramina'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'wall': {}, 'extraocular muscle': {}}imaging observation_fin: ['fat']location descriptor_fin: ['right', 'inferior']clinical findings_fin: {'old right infraorbital wall fracture': {'clinical finding': 'old right infraorbital wall fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'old right infraorbital wall', 'observation': 'fracture', 'temporal_term': 'old'}, 'inferior prolapse': {'clinical finding': 'inferior prolapse', 'cf_snomed': {'prolapse': 29696001}, 'existence': 'pos_dx', 'descriptive_term': 'inferior', 'observation': 'prolapse'}, 'extraconal fat': {'clinical finding': 'extraconal fat', 'existence': 'pos_dx', 'descriptive_term': 'extraconal', 'observation': 'fat'}, 'extraocular muscle entrapment': {'clinical finding': 'extraocular muscle entrapment', 'cf_snomed': {'entrapment': 363563002}, 'existence': 'neg_dx', 'descriptive_term': 'extraocular muscle', 'observation': 'entrapment'}}clinical findings_fin: {'minimal parafalcine subdural hematoma': {'clinical finding': 'minimal parafalcine subdural hematoma', 'cf_snomed': {'subdural hematoma': 95453001}, 'existence': 'pos_dx', 'descriptive_term': 'minimal parafalcine subdural', 'observation': 'hematoma', 'strength_term': 'minimal', 'quantity_term': 'minimal'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}}clinical findings_fin: {'mild scattered periventricular hypodensities': {'clinical finding': 'mild scattered periventricular hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'mild scattered periventricular', 'observation': 'hypodensity', 'strength_term': 'mild'}, 'small vessel ischemic disease': {'clinical finding': 'small vessel ischemic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'small vessel ischemic', 'observation': 'disease', 'strength_term': 'small'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}clinical findings_fin: {'ventricles and basal cisterns are normal in size and configuration': {'clinical finding': 'ventricles and basal cisterns are normal in size and configuration'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}clinical findings_fin: {'calvarial fracture': {'clinical finding': 'calvarial fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'calvarial', 'observation': 'fracture'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'cervical vertebral bodies': {}}clinical findings_fin: {'overall alignment': {'clinical finding': 'overall alignment', 'existence': 'pos_dx', 'descriptive_term': 'overall', 'observation': 'alignment'}}anatomical entity_fin: {'transverse process': {}, 'tubercle': {'location descriptor': 'posterior'}, 'transverse foramen': {}}location descriptor_fin: ['right', 'posterior']clinical findings_fin: {'acute nondisplaced fracture': {'clinical finding': 'acute nondisplaced fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'acute nondisplaced', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'other fractures': {'clinical finding': 'other fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'other', 'observation': 'fracture'}}location descriptor_fin: ['anterior']clinical findings_fin: {'anterior osteophytosis': {'clinical finding': 'anterior osteophytosis', 'existence': 'pos_dx', 'descriptive_term': 'anterior', 'observation': 'osteophytosis'}}anatomical entity_fin: {'rib': {'location descriptor': 'left'}, 'neck': {}}location descriptor_fin: ['displaced', 'left']clinical findings_fin: {'acute minimally displaced rib fracture': {'clinical finding': 'acute minimally displaced rib fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'acute minimally displaced rib', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute', 'change_term': 'displaced'}}anatomical entity_fin: {'head': {}, 'rib': {}}location descriptor_fin: ['right']clinical findings_fin: {'second acute nondisplaced fracture': {'clinical finding': 'second acute nondisplaced fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'second acute nondisplaced', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'}}clinical findings_fin: {'maintained': {'clinical finding': 'maintained', 'existence': 'pos_dx', 'observation': 'maintain'}}anatomical entity_fin: {'spinal canal': {}, 'neural foramina': {}}clinical findings_fin: {'c2- 3 there is no significant compromise to the spinal canal or neural foramina': {'clinical finding': 'c2- 3 there is no significant compromise to the spinal canal or neural foramina'}}anatomical entity_fin: {'spinal canal': {}, 'neural foramina': {}}clinical findings_fin: {'c3 - 4 there is no significant compromise to the spinal canal or neural foramina': {'clinical finding': 'c3 - 4 there is no significant compromise to the spinal canal or neural foramina'}}anatomical entity_fin: {'facet': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral facet hypertrophy': {'clinical finding': 'bilateral facet hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral facet', 'observation': 'hypertrophy'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'moderate left foraminal stenosis': {'clinical finding': 'moderate left foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate left foraminal', 'observation': 'stenosis', 'strength_term': 'moderate'}, 'mild right foraminal stenosis': {'clinical finding': 'mild right foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'mild right foraminal', 'observation': 'stenosis', 'strength_term': 'mild'}}anatomical entity_fin: {'spinal canal': {}, 'neural foramina': {}}clinical findings_fin: {'c4 - 5 there is no significant compromise to the spinal canal or neural foramina': {'clinical finding': 'c4 - 5 there is no significant compromise to the spinal canal or neural foramina'}}anatomical entity_fin: {'facet': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral facet hypertrophy': {'clinical finding': 'bilateral facet hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral facet', 'observation': 'hypertrophy'}, 'mild foraminal narrowing': {'clinical finding': 'mild foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'mild foraminal', 'observation': 'narrowing', 'strength_term': 'mild'}}anatomical entity_fin: {'spinal canal': {}, 'neural foramina': {}}clinical findings_fin: {'c5 - 6 there is no significant compromise to the spinal canal or neural foramina': {'clinical finding': 'c5 - 6 there is no significant compromise to the spinal canal or neural foramina'}}anatomical entity_fin: {'spinal canal': {}, 'neural foramina': {}}clinical findings_fin: {'c6 - 7 there is no significant compromise to the spinal canal or neural foramina': {'clinical finding': 'c6 - 7 there is no significant compromise to the spinal canal or neural foramina'}}anatomical entity_fin: {'spinal canal': {}, 'neural foramina': {}}clinical findings_fin: {'c7 - t1 there is no significant compromise to the spinal canal or neural foramina': {'clinical finding': 'c7 - t1 there is no significant compromise to the spinal canal or neural foramina'}} [/INST] .There is evidence of an old right infraorbital wall fracture with inferior prolapse of extraconal fat, without evidence of extraocular muscle entrapment. Minimal parafalcine subdural hematoma without mass effect is again visualized, not significantly changed compared to prior study. Mild scattered periventricular hypodensities is again seen, likely representing small vessel ischemic disease of indeterminate age. The grey-white matter differentiation appears to be intact. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. No calvarial fracture. The paranasal sinuses are clear. The cervical vertebral bodies are appropriate in overall alignment and height. There is an acute nondisplaced fracture of the right C7 transverse process through the posterior tubercle without extension into the transverse foramen. No other fractures are identified in the cervical spine. There is anterior osteophytosis at multiple cervical levels. There is an acute minimally displaced rib fracture of the neck of the first left rib, extending obliquely into the shaft of the left rib. There is a second acute nondisplaced fracture of the head of the right first rib. The overall spinal alignment is maintained. At C2-3 there is no significant compromise to the spinal canal or neural foramina. At C3-4 there is no significant compromise to the spinal canal or neural foramina. There is bilateral facet hypertrophy. There is moderate left foraminal stenosis and mild right foraminal stenosis at this level. At C4-5 there is no significant compromise to the spinal canal or neural foramina. There is bilateral facet hypertrophy and mild foraminal narrowing at this level bilaterally. At C5-6 there is no significant compromise to the spinal canal or neural foramina. At C6-7 there is no significant compromise to the spinal canal or neural foramina. At C7-T1 there is no significant compromise to the spinal canal or neural foramina. </s> |
There has been interval removal of the previously seen left frontal approach ventricular drainage catheter and placement of new bilateral frontal approach ventricular drainage catheters. The catheter on the right has its tip near the foramen of Monro to the left of midline. The catheter on the left has its tip within the body of the left lateral ventricle near the foramen of Monro. There is postprocedural gas along the new catheter tracts, and there is high density material and small foci of gas along the prior catheter tract, compatible with hemorrhage. There is also a small amount of expected nondependent gas and mildly increased conspicuity of layering blood products within the right lateral ventricle. There is persistent dilation of the lateral and third ventricles which appears slightly decreased compared to the prior study, with the third ventricle now measuring 2.1 cm in transverse dimension , previously 2.3 cm. The CSF space surrounding the posterior fossa mass is mildly decreased compared prior study. There is redemonstration of postoperative changes of occipital craniotomy with partial resection of a heterogeneous posterior fossa mass, with small residual extra-axial fluid and minimal local pneumocephalus. There is persistent hyperdensity along the lateral aspect of the mass. The right mastoid air cells are again partially opacified. The sulci are again partially effaced, similar to prior. | location descriptor_fin: ['left', 'bilateral']object_fin: ['drainage catheter']procedure_fin: ['drainage']clinical findings_fin: {'interval removal of the previously seen left frontal approach ventricular drainage catheter and placement': {'clinical finding': 'interval removal of the previously seen left frontal approach ventricular drainage catheter and placement'}}anatomical entity_fin: {'foramen': {}}location descriptor_fin: ['right', 'left', 'midline']object_fin: ['catheter']clinical findings_fin: {'monro': {'clinical finding': 'monro', 'existence': 'pos_dx', 'observation': 'monro'}}anatomical entity_fin: {'body': {}, 'left lateral ventricle': {}, 'foramen': {}}location descriptor_fin: ['left']object_fin: ['catheter']imaging observation_fin: ['foci']object_fin: ['catheter']clinical findings_fin: {'postprocedural gas': {'clinical finding': 'postprocedural gas', 'existence': 'pos_dx', 'descriptive_term': 'postprocedural', 'observation': 'gas'}, 'gas': {'clinical finding': 'gas', 'existence': 'pos_dx', 'observation': 'gas'}, 'hemorrhage': {'clinical finding': 'hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'pos_dx', 'observation': 'hemorrhage'}}anatomical entity_fin: {'right lateral ventricle': {}}imaging observation_fin: ['blood products']clinical findings_fin: {'expected nondependent gas': {'clinical finding': 'expected nondependent gas', 'existence': 'pos_dx', 'descriptive_term': 'expected nondependent', 'observation': 'gas'}, 'layering blood products': {'clinical finding': 'layering blood products', 'existence': 'pos_dx', 'descriptive_term': 'layering blood', 'observation': 'product'}}size_fin: [{'size': '2.1 cm'}, {'size': '2.3 cm'}]anatomical entity_fin: {'third ventricles': {}, 'third ventricle': {}}location descriptor_fin: ['lateral']clinical findings_fin: {'persistent dilation': {'clinical finding': 'persistent dilation', 'existence': 'pos_dx', 'descriptive_term': 'persistent', 'observation': 'dilation', 'temporal_term': 'persistent'}}location descriptor_fin: ['posterior']clinical findings_fin: {'posterior fossa mass': {'clinical finding': 'posterior fossa mass', 'existence': 'pos_dx', 'descriptive_term': 'posterior fossa', 'observation': 'mass'}, 'decreased': {'clinical finding': 'decreased', 'existence': 'pos_dx', 'observation': 'decrease'}}anatomical entity_fin: {'fluid': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}, 'heterogeneous posterior fossa mass': {'clinical finding': 'heterogeneous posterior fossa mass', 'existence': 'pos_dx', 'descriptive_term': 'heterogeneous posterior fossa', 'observation': 'mass'}, 'small residual': {'clinical finding': 'small residual', 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'residual', 'strength_term': 'small'}, 'minimal local pneumocephalus': {'clinical finding': 'minimal local pneumocephalus', 'cf_snomed': {'pneumocephalus': 14415006}, 'existence': 'pos_dx', 'descriptive_term': 'minimal local', 'observation': 'pneumocephalus', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}location descriptor_fin: ['lateral']clinical findings_fin: {'persistent hyperdensity': {'clinical finding': 'persistent hyperdensity', 'existence': 'pos_dx', 'descriptive_term': 'persistent', 'observation': 'hyperdensity', 'temporal_term': 'persistent'}, 'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}}anatomical entity_fin: {'mastoid air cells': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right mastoid air cells are again partially opacified': {'clinical finding': 'right mastoid air cells are again partially opacified', 'change_term': 'opacified'}}clinical findings_fin: {'effaced': {'clinical finding': 'effaced', 'existence': 'pos_dx', 'observation': 'effaced'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['left', 'bilateral']object_fin: ['drainage catheter']procedure_fin: ['drainage']clinical findings_fin: {'interval removal of the previously seen left frontal approach ventricular drainage catheter and placement': {'clinical finding': 'interval removal of the previously seen left frontal approach ventricular drainage catheter and placement'}}anatomical entity_fin: {'foramen': {}}location descriptor_fin: ['right', 'left', 'midline']object_fin: ['catheter']clinical findings_fin: {'monro': {'clinical finding': 'monro', 'existence': 'pos_dx', 'observation': 'monro'}}anatomical entity_fin: {'body': {}, 'left lateral ventricle': {}, 'foramen': {}}location descriptor_fin: ['left']object_fin: ['catheter']imaging observation_fin: ['foci']object_fin: ['catheter']clinical findings_fin: {'postprocedural gas': {'clinical finding': 'postprocedural gas', 'existence': 'pos_dx', 'descriptive_term': 'postprocedural', 'observation': 'gas'}, 'gas': {'clinical finding': 'gas', 'existence': 'pos_dx', 'observation': 'gas'}, 'hemorrhage': {'clinical finding': 'hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'pos_dx', 'observation': 'hemorrhage'}}anatomical entity_fin: {'right lateral ventricle': {}}imaging observation_fin: ['blood products']clinical findings_fin: {'expected nondependent gas': {'clinical finding': 'expected nondependent gas', 'existence': 'pos_dx', 'descriptive_term': 'expected nondependent', 'observation': 'gas'}, 'layering blood products': {'clinical finding': 'layering blood products', 'existence': 'pos_dx', 'descriptive_term': 'layering blood', 'observation': 'product'}}size_fin: [{'size': '2.1 cm'}, {'size': '2.3 cm'}]anatomical entity_fin: {'third ventricles': {}, 'third ventricle': {}}location descriptor_fin: ['lateral']clinical findings_fin: {'persistent dilation': {'clinical finding': 'persistent dilation', 'existence': 'pos_dx', 'descriptive_term': 'persistent', 'observation': 'dilation', 'temporal_term': 'persistent'}}location descriptor_fin: ['posterior']clinical findings_fin: {'posterior fossa mass': {'clinical finding': 'posterior fossa mass', 'existence': 'pos_dx', 'descriptive_term': 'posterior fossa', 'observation': 'mass'}, 'decreased': {'clinical finding': 'decreased', 'existence': 'pos_dx', 'observation': 'decrease'}}anatomical entity_fin: {'fluid': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}, 'heterogeneous posterior fossa mass': {'clinical finding': 'heterogeneous posterior fossa mass', 'existence': 'pos_dx', 'descriptive_term': 'heterogeneous posterior fossa', 'observation': 'mass'}, 'small residual': {'clinical finding': 'small residual', 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'residual', 'strength_term': 'small'}, 'minimal local pneumocephalus': {'clinical finding': 'minimal local pneumocephalus', 'cf_snomed': {'pneumocephalus': 14415006}, 'existence': 'pos_dx', 'descriptive_term': 'minimal local', 'observation': 'pneumocephalus', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}location descriptor_fin: ['lateral']clinical findings_fin: {'persistent hyperdensity': {'clinical finding': 'persistent hyperdensity', 'existence': 'pos_dx', 'descriptive_term': 'persistent', 'observation': 'hyperdensity', 'temporal_term': 'persistent'}, 'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}}anatomical entity_fin: {'mastoid air cells': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right mastoid air cells are again partially opacified': {'clinical finding': 'right mastoid air cells are again partially opacified', 'change_term': 'opacified'}}clinical findings_fin: {'effaced': {'clinical finding': 'effaced', 'existence': 'pos_dx', 'observation': 'effaced'}} [/INST] There has been interval removal of the previously seen left frontal approach ventricular drainage catheter and placement of new bilateral frontal approach ventricular drainage catheters. The catheter on the right has its tip near the foramen of Monro to the left of midline. The catheter on the left has its tip within the body of the left lateral ventricle near the foramen of Monro. There is postprocedural gas along the new catheter tracts, and there is high density material and small foci of gas along the prior catheter tract, compatible with hemorrhage. There is also a small amount of expected nondependent gas and mildly increased conspicuity of layering blood products within the right lateral ventricle. There is persistent dilation of the lateral and third ventricles which appears slightly decreased compared to the prior study, with the third ventricle now measuring 2.1 cm in transverse dimension , previously 2.3 cm. The CSF space surrounding the posterior fossa mass is mildly decreased compared prior study. There is redemonstration of postoperative changes of occipital craniotomy with partial resection of a heterogeneous posterior fossa mass, with small residual extra-axial fluid and minimal local pneumocephalus. There is persistent hyperdensity along the lateral aspect of the mass. The right mastoid air cells are again partially opacified. The sulci are again partially effaced, similar to prior. </s> |
. No significant abnormality noted. Fatty liver. Cholelithiasis. Unchanged splenic appearance. No significant abnormality noted. No significant abnormality noted. No hydronephrosis. No renal masses. Prompt contrast enhancement and excretion. No retroperitoneal lymphadenopathy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Surgical neobladder, without irregularity or abnormal enhancement. No pelvic lymphadenopathy. No obstruction. Post surgical changes related to neobladder formation. No significant abnormality noted. No significant abnormality noted. | clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'fatty liver': {'clinical finding': 'fatty liver'}}clinical findings_fin: {'unchanged splenic appearance': {'clinical finding': 'unchanged splenic appearance', 'change_term': 'unchanged'}}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'}}clinical findings_fin: {'renal masses': {'clinical finding': 'renal masses', 'cf_snomed': {'renal mass': 309088003}, 'existence': 'neg_dx', 'descriptive_term': 'renal', 'observation': 'mass'}}clinical findings_fin: {'retroperitoneal lymphadenopathy': {'clinical finding': 'retroperitoneal lymphadenopathy', 'cf_snomed': {'retroperitoneal lymphadenopathy': 127154008}, 'existence': 'neg_dx', 'descriptive_term': 'retroperitoneal', 'observation': 'lymphadenopathy'}}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: {'surgical neobladder': {'clinical finding': 'surgical neobladder', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'neobladder'}, 'irregularity': {'clinical finding': 'irregularity', 'existence': 'neg_dx', 'observation': 'irregularity'}, 'abnormal enhancement': {'clinical finding': 'abnormal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement'}}clinical findings_fin: {'pelvic lymphadenopathy': {'clinical finding': 'pelvic lymphadenopathy', 'cf_snomed': {'pelvic lymphadenopathy': 127158006}, 'existence': 'neg_dx', 'descriptive_term': 'pelvic', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}clinical findings_fin: {'post surgical changes': {'clinical finding': 'post surgical changes', 'existence': 'pos_dx', 'descriptive_term': 'post surgical', 'observation': 'change'}, 'neobladder': {'clinical finding': 'neobladder', 'existence': 'pos_dx', 'observation': 'neobladder'}}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'}} | Write the finding section for a radiology report based on the following information: | <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'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'fatty liver': {'clinical finding': 'fatty liver'}}clinical findings_fin: {'unchanged splenic appearance': {'clinical finding': 'unchanged splenic appearance', 'change_term': 'unchanged'}}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'}}clinical findings_fin: {'renal masses': {'clinical finding': 'renal masses', 'cf_snomed': {'renal mass': 309088003}, 'existence': 'neg_dx', 'descriptive_term': 'renal', 'observation': 'mass'}}clinical findings_fin: {'retroperitoneal lymphadenopathy': {'clinical finding': 'retroperitoneal lymphadenopathy', 'cf_snomed': {'retroperitoneal lymphadenopathy': 127154008}, 'existence': 'neg_dx', 'descriptive_term': 'retroperitoneal', 'observation': 'lymphadenopathy'}}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: {'surgical neobladder': {'clinical finding': 'surgical neobladder', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'neobladder'}, 'irregularity': {'clinical finding': 'irregularity', 'existence': 'neg_dx', 'observation': 'irregularity'}, 'abnormal enhancement': {'clinical finding': 'abnormal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement'}}clinical findings_fin: {'pelvic lymphadenopathy': {'clinical finding': 'pelvic lymphadenopathy', 'cf_snomed': {'pelvic lymphadenopathy': 127158006}, 'existence': 'neg_dx', 'descriptive_term': 'pelvic', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}clinical findings_fin: {'post surgical changes': {'clinical finding': 'post surgical changes', 'existence': 'pos_dx', 'descriptive_term': 'post surgical', 'observation': 'change'}, 'neobladder': {'clinical finding': 'neobladder', 'existence': 'pos_dx', 'observation': 'neobladder'}}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] . No significant abnormality noted. Fatty liver. Cholelithiasis. Unchanged splenic appearance. No significant abnormality noted. No significant abnormality noted. No hydronephrosis. No renal masses. Prompt contrast enhancement and excretion. No retroperitoneal lymphadenopathy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Surgical neobladder, without irregularity or abnormal enhancement. No pelvic lymphadenopathy. No obstruction. Post surgical changes related to neobladder formation. No significant abnormality noted. No significant abnormality noted. </s> |
. There is no evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria. The thyroid and major salivary glands are unchanged. There is mild multilevel degenerative spondylosis. The airways are patent. The imaged intracranial structures are unremarkable. The imaged portions of the lungs are clear. There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The orbits are grossly unremarkable. There is minimal scattered paranasal sinus mucosal thickening. There is a left occipital subgaleal lipoma that measures up to 10 mm in width. | clinical findings_fin: {'measurable mass lesions': {'clinical finding': 'measurable mass lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'measurable mass', 'observation': 'lesion'}, 'significant cervical lymphadenopathy': {'clinical finding': 'significant cervical lymphadenopathy', 'cf_snomed': {'cervical lymphadenopathy': 127086001}, 'existence': 'neg_dx', 'descriptive_term': 'significant cervical', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'major salivary glands': {}}clinical findings_fin: {'thyroid and major salivary glands are unchanged': {'clinical finding': 'thyroid and major salivary glands are unchanged', 'change_term': 'unchanged'}}clinical findings_fin: {'mild multilevel degenerative spondylosis': {'clinical finding': 'mild multilevel degenerative spondylosis', 'cf_snomed': {'spondylosis': 8847002}, 'existence': 'pos_dx', 'descriptive_term': 'mild multilevel degenerative', 'observation': 'spondylosis', 'strength_term': 'mild'}}anatomical entity_fin: {'airways': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}clinical findings_fin: {'imaged intracranial structures are unremarkable': {'clinical finding': 'imaged intracranial structures are unremarkable'}}anatomical entity_fin: {'lungs': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}clinical findings_fin: {'ventricles and basal cisterns are normal in size and configuration': {'clinical finding': 'ventricles and basal cisterns are normal in size and configuration'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'orbits are grossly unremarkable': {'clinical finding': 'orbits are grossly unremarkable'}}anatomical entity_fin: {'paranasal sinus': {}}clinical findings_fin: {'minimal scattered paranasal sinus mucosal thickening': {'clinical finding': 'minimal scattered paranasal sinus mucosal thickening', 'cf_snomed': {'sinus': 419351001}, 'existence': 'pos_dx', 'descriptive_term': 'minimal scattered paranasal sinus mucosal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}size_fin: [{'size': '10 mm', 'size_descriptor': 'lipoma'}]location descriptor_fin: ['left']clinical findings_fin: {'left occipital subgaleal lipoma': {'clinical finding': 'left occipital subgaleal lipoma', 'cf_snomed': {'lipoma': 134328007}, 'existence': 'pos_dx', 'descriptive_term': 'left occipital subgaleal', 'observation': 'lipoma'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'measurable mass lesions': {'clinical finding': 'measurable mass lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'measurable mass', 'observation': 'lesion'}, 'significant cervical lymphadenopathy': {'clinical finding': 'significant cervical lymphadenopathy', 'cf_snomed': {'cervical lymphadenopathy': 127086001}, 'existence': 'neg_dx', 'descriptive_term': 'significant cervical', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'major salivary glands': {}}clinical findings_fin: {'thyroid and major salivary glands are unchanged': {'clinical finding': 'thyroid and major salivary glands are unchanged', 'change_term': 'unchanged'}}clinical findings_fin: {'mild multilevel degenerative spondylosis': {'clinical finding': 'mild multilevel degenerative spondylosis', 'cf_snomed': {'spondylosis': 8847002}, 'existence': 'pos_dx', 'descriptive_term': 'mild multilevel degenerative', 'observation': 'spondylosis', 'strength_term': 'mild'}}anatomical entity_fin: {'airways': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}clinical findings_fin: {'imaged intracranial structures are unremarkable': {'clinical finding': 'imaged intracranial structures are unremarkable'}}anatomical entity_fin: {'lungs': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}clinical findings_fin: {'ventricles and basal cisterns are normal in size and configuration': {'clinical finding': 'ventricles and basal cisterns are normal in size and configuration'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'orbits are grossly unremarkable': {'clinical finding': 'orbits are grossly unremarkable'}}anatomical entity_fin: {'paranasal sinus': {}}clinical findings_fin: {'minimal scattered paranasal sinus mucosal thickening': {'clinical finding': 'minimal scattered paranasal sinus mucosal thickening', 'cf_snomed': {'sinus': 419351001}, 'existence': 'pos_dx', 'descriptive_term': 'minimal scattered paranasal sinus mucosal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}size_fin: [{'size': '10 mm', 'size_descriptor': 'lipoma'}]location descriptor_fin: ['left']clinical findings_fin: {'left occipital subgaleal lipoma': {'clinical finding': 'left occipital subgaleal lipoma', 'cf_snomed': {'lipoma': 134328007}, 'existence': 'pos_dx', 'descriptive_term': 'left occipital subgaleal', 'observation': 'lipoma'}} [/INST] . There is no evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria. The thyroid and major salivary glands are unchanged. There is mild multilevel degenerative spondylosis. The airways are patent. The imaged intracranial structures are unremarkable. The imaged portions of the lungs are clear. There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The orbits are grossly unremarkable. There is minimal scattered paranasal sinus mucosal thickening. There is a left occipital subgaleal lipoma that measures up to 10 mm in width. </s> |
. Right middle lobe nodule measuring 1.0 x 1.0 cm abutting the anterior margin of the right major fissure. This is unchanged in appearance since 7/8/2015 at which time it did not demonstrate increased uptake on the PET or CT. No other nodules are seen. No pleural disease. No adenopathy seen. There is diffuse thickening of the distal esophagus as it approaches the EG junction and presumably represents patients known malignancy. No extension into the periesophageal soft tissues is seen. No adjacent enlarged lymph nodes are seen. None. Right anterior chest wall Port-A-Cath system with tip of catheter in the distal superior vena cava. No other abnormality seen. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Moderate. Thickening of the distal esophageal walls approaches the EG junction is seen, representing site of patients known tumor. The thickening extends into the cardia of the stomach. More distally the stomach appears normal. Orally administered contrast delineates normal appearing small bowel. Colon is filled with fecal material and shows scattered rare diverticular changes without complication. Small amount of free mesenteric fluid is seen dependent in the pelvis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Orally administered contrast material delineates normal appearing small bowel. Colon is filled with fecal material and shows scattered rare diverticular changes without complication. Small amount of free mesenteric fluid is seen dependent in the pelvis. No significant abnormality noted. No significant abnormality noted | size_fin: [{'size': '1.0 x 1.0 cm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}, 'right major fissure': {}}imaging observation_fin: ['margin']location descriptor_fin: ['right', 'anterior']clinical findings_fin: {'right middle lobe nodule': {'clinical finding': 'right middle lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'right middle lobe', 'observation': 'nodule'}}clinical findings_fin: {'increased uptake': {'clinical finding': 'increased uptake', 'existence': 'neg_dx', 'descriptive_term': 'increased', 'observation': 'uptake', 'strength_term': 'increased', 'change_term': 'increased'}, 'other nodules': {'clinical finding': 'other nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'other', 'observation': 'nodule'}}clinical findings_fin: {'pleural disease': {'clinical finding': 'pleural disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'disease'}}clinical findings_fin: {'adenopathy': {'clinical finding': 'adenopathy', 'existence': 'neg_dx', 'observation': 'adenopathy'}}anatomical entity_fin: {'esophagus': {'location descriptor': 'distal'}}location descriptor_fin: ['distal']clinical findings_fin: {'diffuse thickening': {'clinical finding': 'diffuse thickening', 'existence': 'pos_dx', 'descriptive_term': 'diffuse', 'observation': 'thickening'}, 'patients known malignancy': {'clinical finding': 'patients known malignancy', 'existence': 'pos_dx', 'descriptive_term': 'patients known', 'observation': 'malignancy'}}clinical findings_fin: {'extension into the periesophageal soft tissues is seen': {'clinical finding': 'extension into the periesophageal soft tissues is seen'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'adjacent enlarged lymph nodes': {'clinical finding': 'adjacent enlarged lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'adjacent enlarged lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}anatomical entity_fin: {'anterior chest wall': {'location descriptor': 'right'}, 'superior vena cava': {'location descriptor': 'distal'}}location descriptor_fin: ['right', 'distal']object_fin: ['port', 'catheter']clinical findings_fin: {'right anterior chest wall port-a-cath': {'clinical finding': 'right anterior chest wall port-a-cath', 'existence': 'pos_dx', 'descriptive_term': 'right anterior chest wall', 'observation': 'port-a-'}}clinical findings_fin: {'other abnormality': {'clinical finding': 'other abnormality', 'existence': 'neg_dx', 'descriptive_term': 'other', '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'}}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: {'walls': {}}location descriptor_fin: ['distal']clinical findings_fin: {'patients known tumor': {'clinical finding': 'patients known tumor', 'existence': 'pos_dx', 'descriptive_term': 'patients known', 'observation': 'tumor'}}anatomical entity_fin: {'stomach': {}}clinical findings_fin: {'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}}anatomical entity_fin: {'stomach': {}}clinical findings_fin: {'more distally the stomach appears normal': {'clinical finding': 'more distally the stomach appears normal'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'orally administered contrast': {'clinical finding': 'orally administered contrast', 'existence': 'pos_dx', 'descriptive_term': 'orally administered', 'observation': 'contrast'}}imaging observation_fin: ['colon']clinical findings_fin: {'scattered rare diverticular changes': {'clinical finding': 'scattered rare diverticular changes', 'existence': 'neg_dx', 'descriptive_term': 'scattered rare diverticular', 'observation': 'change'}, 'complication': {'clinical finding': 'complication', 'existence': 'neg_dx', 'observation': 'complication'}}anatomical entity_fin: {'fluid': {}, 'pelvis': {}}clinical findings_fin: {'small amount of free mesenteric fluid is seen': {'clinical finding': 'small amount of free mesenteric fluid is seen'}}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'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'orally administered contrast': {'clinical finding': 'orally administered contrast', 'existence': 'pos_dx', 'descriptive_term': 'orally administered', 'observation': 'contrast'}}imaging observation_fin: ['colon']clinical findings_fin: {'scattered rare diverticular changes': {'clinical finding': 'scattered rare diverticular changes', 'existence': 'neg_dx', 'descriptive_term': 'scattered rare diverticular', 'observation': 'change'}, 'complication': {'clinical finding': 'complication', 'existence': 'neg_dx', 'observation': 'complication'}}anatomical entity_fin: {'fluid': {}, 'pelvis': {}}clinical findings_fin: {'small amount of free mesenteric fluid is seen': {'clinical finding': 'small amount of free mesenteric fluid is seen'}}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'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: size_fin: [{'size': '1.0 x 1.0 cm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}, 'right major fissure': {}}imaging observation_fin: ['margin']location descriptor_fin: ['right', 'anterior']clinical findings_fin: {'right middle lobe nodule': {'clinical finding': 'right middle lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'right middle lobe', 'observation': 'nodule'}}clinical findings_fin: {'increased uptake': {'clinical finding': 'increased uptake', 'existence': 'neg_dx', 'descriptive_term': 'increased', 'observation': 'uptake', 'strength_term': 'increased', 'change_term': 'increased'}, 'other nodules': {'clinical finding': 'other nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'other', 'observation': 'nodule'}}clinical findings_fin: {'pleural disease': {'clinical finding': 'pleural disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'disease'}}clinical findings_fin: {'adenopathy': {'clinical finding': 'adenopathy', 'existence': 'neg_dx', 'observation': 'adenopathy'}}anatomical entity_fin: {'esophagus': {'location descriptor': 'distal'}}location descriptor_fin: ['distal']clinical findings_fin: {'diffuse thickening': {'clinical finding': 'diffuse thickening', 'existence': 'pos_dx', 'descriptive_term': 'diffuse', 'observation': 'thickening'}, 'patients known malignancy': {'clinical finding': 'patients known malignancy', 'existence': 'pos_dx', 'descriptive_term': 'patients known', 'observation': 'malignancy'}}clinical findings_fin: {'extension into the periesophageal soft tissues is seen': {'clinical finding': 'extension into the periesophageal soft tissues is seen'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'adjacent enlarged lymph nodes': {'clinical finding': 'adjacent enlarged lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'adjacent enlarged lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}anatomical entity_fin: {'anterior chest wall': {'location descriptor': 'right'}, 'superior vena cava': {'location descriptor': 'distal'}}location descriptor_fin: ['right', 'distal']object_fin: ['port', 'catheter']clinical findings_fin: {'right anterior chest wall port-a-cath': {'clinical finding': 'right anterior chest wall port-a-cath', 'existence': 'pos_dx', 'descriptive_term': 'right anterior chest wall', 'observation': 'port-a-'}}clinical findings_fin: {'other abnormality': {'clinical finding': 'other abnormality', 'existence': 'neg_dx', 'descriptive_term': 'other', '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'}}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: {'walls': {}}location descriptor_fin: ['distal']clinical findings_fin: {'patients known tumor': {'clinical finding': 'patients known tumor', 'existence': 'pos_dx', 'descriptive_term': 'patients known', 'observation': 'tumor'}}anatomical entity_fin: {'stomach': {}}clinical findings_fin: {'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}}anatomical entity_fin: {'stomach': {}}clinical findings_fin: {'more distally the stomach appears normal': {'clinical finding': 'more distally the stomach appears normal'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'orally administered contrast': {'clinical finding': 'orally administered contrast', 'existence': 'pos_dx', 'descriptive_term': 'orally administered', 'observation': 'contrast'}}imaging observation_fin: ['colon']clinical findings_fin: {'scattered rare diverticular changes': {'clinical finding': 'scattered rare diverticular changes', 'existence': 'neg_dx', 'descriptive_term': 'scattered rare diverticular', 'observation': 'change'}, 'complication': {'clinical finding': 'complication', 'existence': 'neg_dx', 'observation': 'complication'}}anatomical entity_fin: {'fluid': {}, 'pelvis': {}}clinical findings_fin: {'small amount of free mesenteric fluid is seen': {'clinical finding': 'small amount of free mesenteric fluid is seen'}}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'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'orally administered contrast': {'clinical finding': 'orally administered contrast', 'existence': 'pos_dx', 'descriptive_term': 'orally administered', 'observation': 'contrast'}}imaging observation_fin: ['colon']clinical findings_fin: {'scattered rare diverticular changes': {'clinical finding': 'scattered rare diverticular changes', 'existence': 'neg_dx', 'descriptive_term': 'scattered rare diverticular', 'observation': 'change'}, 'complication': {'clinical finding': 'complication', 'existence': 'neg_dx', 'observation': 'complication'}}anatomical entity_fin: {'fluid': {}, 'pelvis': {}}clinical findings_fin: {'small amount of free mesenteric fluid is seen': {'clinical finding': 'small amount of free mesenteric fluid is seen'}}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] . Right middle lobe nodule measuring 1.0 x 1.0 cm abutting the anterior margin of the right major fissure. This is unchanged in appearance since 7/8/2015 at which time it did not demonstrate increased uptake on the PET or CT. No other nodules are seen. No pleural disease. No adenopathy seen. There is diffuse thickening of the distal esophagus as it approaches the EG junction and presumably represents patients known malignancy. No extension into the periesophageal soft tissues is seen. No adjacent enlarged lymph nodes are seen. None. Right anterior chest wall Port-A-Cath system with tip of catheter in the distal superior vena cava. No other abnormality seen. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Moderate. Thickening of the distal esophageal walls approaches the EG junction is seen, representing site of patients known tumor. The thickening extends into the cardia of the stomach. More distally the stomach appears normal. Orally administered contrast delineates normal appearing small bowel. Colon is filled with fecal material and shows scattered rare diverticular changes without complication. Small amount of free mesenteric fluid is seen dependent in the pelvis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Orally administered contrast material delineates normal appearing small bowel. Colon is filled with fecal material and shows scattered rare diverticular changes without complication. Small amount of free mesenteric fluid is seen dependent in the pelvis. No significant abnormality noted. No significant abnormality noted </s> |
Again seen is a comminuted fracture of the distal tibia with fracture lines extending to the tibiotalar articulation. There is minimal displacement and the fracture fragments are grossly in anatomic alignment. Additionally, there is a comminuted fracture of the distal fibula with slight lateral displacement of the distal fracture fragment. There is been interval placement of an external fixation device with screws anchored in the calcaneus and first metatarsal. Areas of serpentine sclerosis are seen in the first metatarsal, calcaneus, and distal tibia, compatible with bone infarct. There is edema in the subcutaneous soft tissues surrounding the ankle. | anatomical entity_fin: {'tibia': {'location descriptor': 'distal'}}location descriptor_fin: ['distal']clinical findings_fin: {'comminuted fracture': {'clinical finding': 'comminuted fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'comminuted', 'observation': 'fracture'}, 'fracture lines': {'clinical finding': 'fracture lines', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'fracture', 'observation': 'line'}}clinical findings_fin: {'minimal displacement': {'clinical finding': 'minimal displacement', 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'displacement', 'strength_term': 'minimal', 'quantity_term': 'minimal'}, 'fracture fragments': {'clinical finding': 'fracture fragments', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'fracture', 'observation': 'fragment'}, 'anatomic alignment': {'clinical finding': 'anatomic alignment', 'existence': 'pos_dx', 'descriptive_term': 'anatomic', 'observation': 'alignment'}}anatomical entity_fin: {'fibula': {'location descriptor': 'distal'}}location descriptor_fin: ['distal', 'lateral']clinical findings_fin: {'comminuted fracture': {'clinical finding': 'comminuted fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'comminuted', 'observation': 'fracture'}, 'slight lateral displacement': {'clinical finding': 'slight lateral displacement', 'existence': 'pos_dx', 'descriptive_term': 'slight lateral', 'observation': 'displacement'}, 'distal fracture fragment': {'clinical finding': 'distal fracture fragment', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'distal fracture', 'observation': 'fragment'}}anatomical entity_fin: {'calcaneus': {}, 'metatarsal': {}}location descriptor_fin: ['external']object_fin: ['fixation device']clinical findings_fin: {'external fixation device': {'clinical finding': 'external fixation device', 'existence': 'pos_dx', 'descriptive_term': 'external fixation', 'observation': 'device'}}anatomical entity_fin: {'metatarsal': {}, 'calcaneus': {}, 'tibia': {'location descriptor': 'distal'}}location descriptor_fin: ['distal']clinical findings_fin: {'serpentine sclerosis': {'clinical finding': 'serpentine sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'descriptive_term': 'serpentine', 'observation': 'sclerosis'}, 'bone infarct': {'clinical finding': 'bone infarct', 'cf_snomed': {'infarct': 55641003}, 'existence': 'pos_dx', 'descriptive_term': 'bone', 'observation': 'infarct'}}anatomical entity_fin: {'ankle': {}}clinical findings_fin: {'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'observation': 'edema'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'tibia': {'location descriptor': 'distal'}}location descriptor_fin: ['distal']clinical findings_fin: {'comminuted fracture': {'clinical finding': 'comminuted fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'comminuted', 'observation': 'fracture'}, 'fracture lines': {'clinical finding': 'fracture lines', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'fracture', 'observation': 'line'}}clinical findings_fin: {'minimal displacement': {'clinical finding': 'minimal displacement', 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'displacement', 'strength_term': 'minimal', 'quantity_term': 'minimal'}, 'fracture fragments': {'clinical finding': 'fracture fragments', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'fracture', 'observation': 'fragment'}, 'anatomic alignment': {'clinical finding': 'anatomic alignment', 'existence': 'pos_dx', 'descriptive_term': 'anatomic', 'observation': 'alignment'}}anatomical entity_fin: {'fibula': {'location descriptor': 'distal'}}location descriptor_fin: ['distal', 'lateral']clinical findings_fin: {'comminuted fracture': {'clinical finding': 'comminuted fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'comminuted', 'observation': 'fracture'}, 'slight lateral displacement': {'clinical finding': 'slight lateral displacement', 'existence': 'pos_dx', 'descriptive_term': 'slight lateral', 'observation': 'displacement'}, 'distal fracture fragment': {'clinical finding': 'distal fracture fragment', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'distal fracture', 'observation': 'fragment'}}anatomical entity_fin: {'calcaneus': {}, 'metatarsal': {}}location descriptor_fin: ['external']object_fin: ['fixation device']clinical findings_fin: {'external fixation device': {'clinical finding': 'external fixation device', 'existence': 'pos_dx', 'descriptive_term': 'external fixation', 'observation': 'device'}}anatomical entity_fin: {'metatarsal': {}, 'calcaneus': {}, 'tibia': {'location descriptor': 'distal'}}location descriptor_fin: ['distal']clinical findings_fin: {'serpentine sclerosis': {'clinical finding': 'serpentine sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'descriptive_term': 'serpentine', 'observation': 'sclerosis'}, 'bone infarct': {'clinical finding': 'bone infarct', 'cf_snomed': {'infarct': 55641003}, 'existence': 'pos_dx', 'descriptive_term': 'bone', 'observation': 'infarct'}}anatomical entity_fin: {'ankle': {}}clinical findings_fin: {'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'observation': 'edema'}} [/INST] Again seen is a comminuted fracture of the distal tibia with fracture lines extending to the tibiotalar articulation. There is minimal displacement and the fracture fragments are grossly in anatomic alignment. Additionally, there is a comminuted fracture of the distal fibula with slight lateral displacement of the distal fracture fragment. There is been interval placement of an external fixation device with screws anchored in the calcaneus and first metatarsal. Areas of serpentine sclerosis are seen in the first metatarsal, calcaneus, and distal tibia, compatible with bone infarct. There is edema in the subcutaneous soft tissues surrounding the ankle. </s> |
There is no evidence of new hemorrhagic or ischemic lesion on this scan. Interval decrease of right frontal burr hole area intra cranial air densities since prior scan. Otherwise no interval change of right hemispheric intra axial mass with mass effects and intra lesional high attenuations and the degree of surrounding edema since prior scan. No change of ventricle size since prior scan. No change of the degree of midline shift since prior scan. No change of right temporo parietal craniotomy and right frontal burr hole. | clinical findings_fin: {'new hemorrhagic or ischemic lesion': {'clinical finding': 'new hemorrhagic or ischemic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'new hemorrhagic or ischemic', 'observation': 'lesion', 'temporal_term': 'new'}}location descriptor_fin: ['right']clinical findings_fin: {'right frontal burr hole area intra cranial air densities': {'clinical finding': 'right frontal burr hole area intra cranial air densities', 'existence': 'pos_dx', 'descriptive_term': 'right frontal burr hole area intra cranial air', 'observation': 'density'}}location descriptor_fin: ['right']clinical findings_fin: {'otherwise no interval change': {'clinical finding': 'otherwise no interval change', 'existence': 'pos_dx', 'descriptive_term': 'otherwise no interval', 'observation': 'change', 'quantity_term': 'no'}, 'right hemispheric intra axial mass': {'clinical finding': 'right hemispheric intra axial mass', 'existence': 'neg_dx', 'descriptive_term': 'right hemispheric intra axial', 'observation': 'mass'}, 'mass effects': {'clinical finding': 'mass effects', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'high attenuations': {'clinical finding': 'high attenuations', 'existence': 'pos_dx', 'descriptive_term': 'high', 'observation': 'attenuation'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'observation': 'edema'}}clinical findings_fin: {'change': {'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change'}}location descriptor_fin: ['midline']clinical findings_fin: {'change': {'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change'}}location descriptor_fin: ['right']clinical findings_fin: {'change': {'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change'}, 'right frontal burr hole': {'clinical finding': 'right frontal burr hole', 'existence': 'neg_dx', 'descriptive_term': 'right frontal burr', 'observation': 'hole'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'new hemorrhagic or ischemic lesion': {'clinical finding': 'new hemorrhagic or ischemic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'new hemorrhagic or ischemic', 'observation': 'lesion', 'temporal_term': 'new'}}location descriptor_fin: ['right']clinical findings_fin: {'right frontal burr hole area intra cranial air densities': {'clinical finding': 'right frontal burr hole area intra cranial air densities', 'existence': 'pos_dx', 'descriptive_term': 'right frontal burr hole area intra cranial air', 'observation': 'density'}}location descriptor_fin: ['right']clinical findings_fin: {'otherwise no interval change': {'clinical finding': 'otherwise no interval change', 'existence': 'pos_dx', 'descriptive_term': 'otherwise no interval', 'observation': 'change', 'quantity_term': 'no'}, 'right hemispheric intra axial mass': {'clinical finding': 'right hemispheric intra axial mass', 'existence': 'neg_dx', 'descriptive_term': 'right hemispheric intra axial', 'observation': 'mass'}, 'mass effects': {'clinical finding': 'mass effects', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'high attenuations': {'clinical finding': 'high attenuations', 'existence': 'pos_dx', 'descriptive_term': 'high', 'observation': 'attenuation'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'observation': 'edema'}}clinical findings_fin: {'change': {'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change'}}location descriptor_fin: ['midline']clinical findings_fin: {'change': {'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change'}}location descriptor_fin: ['right']clinical findings_fin: {'change': {'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change'}, 'right frontal burr hole': {'clinical finding': 'right frontal burr hole', 'existence': 'neg_dx', 'descriptive_term': 'right frontal burr', 'observation': 'hole'}} [/INST] There is no evidence of new hemorrhagic or ischemic lesion on this scan. Interval decrease of right frontal burr hole area intra cranial air densities since prior scan. Otherwise no interval change of right hemispheric intra axial mass with mass effects and intra lesional high attenuations and the degree of surrounding edema since prior scan. No change of ventricle size since prior scan. No change of the degree of midline shift since prior scan. No change of right temporo parietal craniotomy and right frontal burr hole. </s> |
Images are slightly limited by patient motion, especially at the level of the base of tongue, epiglottis and valleculae. Within these limitations, there is a prominent low-density structure along the left greater than right base of tongue, obscuring the lower part of the petiole. This measures 24 Hounsfield units. The margins are difficult to delineate, although it measures approximately 1.2 x 2.0 cm in greatest axial dimensions on 6/48. There is essentially effacement of the left vallecula, with diminutive size of the right vallecula. The left piriform sinus is slightly smaller than the right. No significant asymmetric enhancing tissue is identified at the base of tongue. This area is better visualized on the angled delayed postcontrast images. There is suggestion of slight focal medialization of the left true vocal cord, although evaluation is limited by artifact at this level. PHARYNX/. Prominent bilateral coarse consultations are seen in the palatine tonsils, consistent with tonsilliths. The nasopharynx, oropharynx, hypopharynx, and larynx are otherwise unremarkable. The upper trachea and esophagus are unremarkable. The postcontrast appearance of the salivary glands is unremarkable. The thyroid gland is unremarkable. The oral tongue and floor of mouth are unremarkable, within the limitations of this exam as there is artifact from dental amalgam. There are no pathologically enlarged cervical lymph nodes. There is mild-moderate multilevel spondylotic changes most conspicuous at C3-C4 where there is a dominant posterior osteophyte disk complex resulting in up to moderate central spinal stenosis. There is moderate bilateral foraminal narrowing at C4-C5 and C5-C6. There is minimal nonspecific nodular opacity peripherally in the right upper lobe. A left-sided AICD is partially visualized. | anatomical entity_fin: {'base': {}, 'tongue': {}, 'epiglottis': {}}clinical findings_fin: {'slightly limited by patient motion , especially at the level of the base of tongue , epiglottis and valleculae': {'clinical finding': 'slightly limited by patient motion , especially at the level of the base of tongue , epiglottis and valleculae'}}anatomical entity_fin: {'base': {'location descriptor': 'right'}, 'tongue': {}}location descriptor_fin: ['left', 'right', 'lower']clinical findings_fin: {'prominent low-density': {'clinical finding': 'prominent low-density', 'existence': 'pos_dx', 'descriptive_term': 'prominent', 'observation': 'low', 'strength_term': 'prominent'}}size_fin: [{'size': '1.2 x 2.0 cm', 'size_descriptor': 'margins'}]imaging observation_fin: ['margins']clinical findings_fin: {'margins are difficult': {'clinical finding': 'margins are difficult'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'effacement': {'clinical finding': 'effacement', 'existence': 'pos_dx', 'observation': 'effacement'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'smaller': {'clinical finding': 'smaller', 'existence': 'pos_dx', 'observation': 'small'}}anatomical entity_fin: {'base': {}, 'tongue': {}}imaging observation_fin: ['enhancing']clinical findings_fin: {'significant asymmetric enhancing tissue': {'clinical finding': 'significant asymmetric enhancing tissue', 'existence': 'neg_dx', 'descriptive_term': 'significant asymmetric enhancing', 'observation': 'tissue'}}imaging observation_fin: ['cord']location descriptor_fin: ['left']clinical findings_fin: {'slight focal medialization': {'clinical finding': 'slight focal medialization', 'existence': 'unc_dx', 'descriptive_term': 'slight focal', 'observation': 'medialization'}, 'artifact': {'clinical finding': 'artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'observation': 'artifact'}}anatomical entity_fin: {'palatine tonsils': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'prominent bilateral coarse': {'clinical finding': 'prominent bilateral coarse', 'existence': 'pos_dx', 'descriptive_term': 'prominent bilateral', 'observation': 'coarse', 'strength_term': 'prominent'}, 'tonsilliths': {'clinical finding': 'tonsilliths', 'existence': 'pos_dx', 'observation': 'tonsillith'}}anatomical entity_fin: {'nasopharynx': {}, 'oropharynx': {}, 'hypopharynx': {}, 'larynx': {}}clinical findings_fin: {'nasopharynx , oropharynx , hypopharynx , and larynx are otherwise unremarkable': {'clinical finding': 'nasopharynx , oropharynx , hypopharynx , and larynx are otherwise unremarkable'}}anatomical entity_fin: {'trachea': {'location descriptor': 'upper'}, 'esophagus': {}}location descriptor_fin: ['upper']clinical findings_fin: {'upper trachea and esophagus are unremarkable': {'clinical finding': 'upper trachea and esophagus are unremarkable'}}anatomical entity_fin: {'salivary glands': {}}clinical findings_fin: {'postcontrast appearance of the salivary glands is unremarkable': {'clinical finding': 'postcontrast appearance of the salivary glands is unremarkable'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'thyroid gland is unremarkable': {'clinical finding': 'thyroid gland is unremarkable'}}anatomical entity_fin: {'tongue': {}, 'floor': {}, 'mouth': {}}clinical findings_fin: {'artifact': {'clinical finding': 'artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'observation': 'artifact'}, 'dental amalgam': {'clinical finding': 'dental amalgam', 'existence': 'unc_dx', 'descriptive_term': 'dental', 'observation': 'amalgam'}}clinical findings_fin: {'pathologically enlarged cervical lymph nodes': {'clinical finding': 'pathologically enlarged cervical lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'pathologically enlarged cervical lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}anatomical entity_fin: {'spinal': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'mild-moderate multilevel spondylotic changes': {'clinical finding': 'mild-moderate multilevel spondylotic changes', 'existence': 'pos_dx', 'descriptive_term': 'mild-moderate multilevel spondylotic', 'observation': 'change', 'strength_term': 'mild - moderate'}, 'dominant posterior osteophyte disk complex': {'clinical finding': 'dominant posterior osteophyte disk complex', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'dominant posterior osteophyte disk', 'observation': 'complex'}, 'up to moderate central spinal stenosis': {'clinical finding': 'up to moderate central spinal stenosis', 'cf_snomed': {'spinal stenosis': 76107001}, 'existence': 'pos_dx', 'descriptive_term': 'up to moderate central spinal', 'observation': 'stenosis', 'strength_term': 'moderate'}}anatomical entity_fin: {'foraminal': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'moderate bilateral foraminal narrowing': {'clinical finding': 'moderate bilateral foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'moderate bilateral foraminal', 'observation': 'narrowing', 'strength_term': 'moderate'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'minimal nonspecific nodular opacity': {'clinical finding': 'minimal nonspecific nodular opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'minimal nonspecific nodular', 'observation': 'opacity', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}location descriptor_fin: ['left']clinical findings_fin: {'left-sided aicd is partially visualized': {'clinical finding': 'left-sided aicd is partially visualized'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'base': {}, 'tongue': {}, 'epiglottis': {}}clinical findings_fin: {'slightly limited by patient motion , especially at the level of the base of tongue , epiglottis and valleculae': {'clinical finding': 'slightly limited by patient motion , especially at the level of the base of tongue , epiglottis and valleculae'}}anatomical entity_fin: {'base': {'location descriptor': 'right'}, 'tongue': {}}location descriptor_fin: ['left', 'right', 'lower']clinical findings_fin: {'prominent low-density': {'clinical finding': 'prominent low-density', 'existence': 'pos_dx', 'descriptive_term': 'prominent', 'observation': 'low', 'strength_term': 'prominent'}}size_fin: [{'size': '1.2 x 2.0 cm', 'size_descriptor': 'margins'}]imaging observation_fin: ['margins']clinical findings_fin: {'margins are difficult': {'clinical finding': 'margins are difficult'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'effacement': {'clinical finding': 'effacement', 'existence': 'pos_dx', 'observation': 'effacement'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'smaller': {'clinical finding': 'smaller', 'existence': 'pos_dx', 'observation': 'small'}}anatomical entity_fin: {'base': {}, 'tongue': {}}imaging observation_fin: ['enhancing']clinical findings_fin: {'significant asymmetric enhancing tissue': {'clinical finding': 'significant asymmetric enhancing tissue', 'existence': 'neg_dx', 'descriptive_term': 'significant asymmetric enhancing', 'observation': 'tissue'}}imaging observation_fin: ['cord']location descriptor_fin: ['left']clinical findings_fin: {'slight focal medialization': {'clinical finding': 'slight focal medialization', 'existence': 'unc_dx', 'descriptive_term': 'slight focal', 'observation': 'medialization'}, 'artifact': {'clinical finding': 'artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'observation': 'artifact'}}anatomical entity_fin: {'palatine tonsils': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'prominent bilateral coarse': {'clinical finding': 'prominent bilateral coarse', 'existence': 'pos_dx', 'descriptive_term': 'prominent bilateral', 'observation': 'coarse', 'strength_term': 'prominent'}, 'tonsilliths': {'clinical finding': 'tonsilliths', 'existence': 'pos_dx', 'observation': 'tonsillith'}}anatomical entity_fin: {'nasopharynx': {}, 'oropharynx': {}, 'hypopharynx': {}, 'larynx': {}}clinical findings_fin: {'nasopharynx , oropharynx , hypopharynx , and larynx are otherwise unremarkable': {'clinical finding': 'nasopharynx , oropharynx , hypopharynx , and larynx are otherwise unremarkable'}}anatomical entity_fin: {'trachea': {'location descriptor': 'upper'}, 'esophagus': {}}location descriptor_fin: ['upper']clinical findings_fin: {'upper trachea and esophagus are unremarkable': {'clinical finding': 'upper trachea and esophagus are unremarkable'}}anatomical entity_fin: {'salivary glands': {}}clinical findings_fin: {'postcontrast appearance of the salivary glands is unremarkable': {'clinical finding': 'postcontrast appearance of the salivary glands is unremarkable'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'thyroid gland is unremarkable': {'clinical finding': 'thyroid gland is unremarkable'}}anatomical entity_fin: {'tongue': {}, 'floor': {}, 'mouth': {}}clinical findings_fin: {'artifact': {'clinical finding': 'artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'observation': 'artifact'}, 'dental amalgam': {'clinical finding': 'dental amalgam', 'existence': 'unc_dx', 'descriptive_term': 'dental', 'observation': 'amalgam'}}clinical findings_fin: {'pathologically enlarged cervical lymph nodes': {'clinical finding': 'pathologically enlarged cervical lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'pathologically enlarged cervical lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}anatomical entity_fin: {'spinal': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'mild-moderate multilevel spondylotic changes': {'clinical finding': 'mild-moderate multilevel spondylotic changes', 'existence': 'pos_dx', 'descriptive_term': 'mild-moderate multilevel spondylotic', 'observation': 'change', 'strength_term': 'mild - moderate'}, 'dominant posterior osteophyte disk complex': {'clinical finding': 'dominant posterior osteophyte disk complex', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'dominant posterior osteophyte disk', 'observation': 'complex'}, 'up to moderate central spinal stenosis': {'clinical finding': 'up to moderate central spinal stenosis', 'cf_snomed': {'spinal stenosis': 76107001}, 'existence': 'pos_dx', 'descriptive_term': 'up to moderate central spinal', 'observation': 'stenosis', 'strength_term': 'moderate'}}anatomical entity_fin: {'foraminal': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'moderate bilateral foraminal narrowing': {'clinical finding': 'moderate bilateral foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'moderate bilateral foraminal', 'observation': 'narrowing', 'strength_term': 'moderate'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'minimal nonspecific nodular opacity': {'clinical finding': 'minimal nonspecific nodular opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'minimal nonspecific nodular', 'observation': 'opacity', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}location descriptor_fin: ['left']clinical findings_fin: {'left-sided aicd is partially visualized': {'clinical finding': 'left-sided aicd is partially visualized'}} [/INST] Images are slightly limited by patient motion, especially at the level of the base of tongue, epiglottis and valleculae. Within these limitations, there is a prominent low-density structure along the left greater than right base of tongue, obscuring the lower part of the petiole. This measures 24 Hounsfield units. The margins are difficult to delineate, although it measures approximately 1.2 x 2.0 cm in greatest axial dimensions on 6/48. There is essentially effacement of the left vallecula, with diminutive size of the right vallecula. The left piriform sinus is slightly smaller than the right. No significant asymmetric enhancing tissue is identified at the base of tongue. This area is better visualized on the angled delayed postcontrast images. There is suggestion of slight focal medialization of the left true vocal cord, although evaluation is limited by artifact at this level. PHARYNX/. Prominent bilateral coarse consultations are seen in the palatine tonsils, consistent with tonsilliths. The nasopharynx, oropharynx, hypopharynx, and larynx are otherwise unremarkable. The upper trachea and esophagus are unremarkable. The postcontrast appearance of the salivary glands is unremarkable. The thyroid gland is unremarkable. The oral tongue and floor of mouth are unremarkable, within the limitations of this exam as there is artifact from dental amalgam. There are no pathologically enlarged cervical lymph nodes. There is mild-moderate multilevel spondylotic changes most conspicuous at C3-C4 where there is a dominant posterior osteophyte disk complex resulting in up to moderate central spinal stenosis. There is moderate bilateral foraminal narrowing at C4-C5 and C5-C6. There is minimal nonspecific nodular opacity peripherally in the right upper lobe. A left-sided AICD is partially visualized. </s> |
Todays CT portion of the neck and pelvis demonstrates no significant pathology. Please see diagnostic CT reports for details of the chest and upper abdomen. Todays PET examination demonstrates diffuse markedly hypermetabolic irregular activity involving the majority of the right pleural surfaces and compatible with the patients diagnosis of mesothelioma. Tumor activity abuts the right mediastinum at numerous locations although no discrete hypermetabolic mediastinal lymph node is detected. A small mildly hypermetabolic right axillary lymph node may be inflammatory although tumor involvement is conceivable. No suspicious contralateral thoracic hypermetabolic lesion is seen in the left thoraxNo suspicious FDG avid lesion within the abdomen or pelvis | anatomical entity_fin: {'neck': {}, 'pelvis': {}}clinical findings_fin: {'todays ct portion of the neck and pelvis demonstrates no significant pathology': {'clinical finding': 'todays ct portion of the neck and pelvis demonstrates no significant pathology'}}anatomical entity_fin: {'chest': {}, 'upper abdomen': {}}location descriptor_fin: ['right']clinical findings_fin: {'diffuse markedly hypermetabolic irregular activity': {'clinical finding': 'diffuse markedly hypermetabolic irregular activity', 'existence': 'unc_dx', 'descriptive_term': 'diffuse markedly hypermetabolic irregular', 'observation': 'activity'}, 'mesothelioma': {'clinical finding': 'mesothelioma', 'existence': 'unc_dx', 'observation': 'mesothelioma'}}anatomical entity_fin: {'mediastinum': {'location descriptor': 'right'}, 'mediastinal lymph node': {}}location descriptor_fin: ['right']clinical findings_fin: {'tumor': {'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'}, 'discrete hypermetabolic mediastinal lymph node': {'clinical finding': 'discrete hypermetabolic mediastinal lymph node', 'existence': 'neg_dx', 'descriptive_term': 'discrete hypermetabolic mediastinal lymph', 'observation': 'node'}}anatomical entity_fin: {'axillary lymph node': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'small mildly hypermetabolic right axillary lymph node': {'clinical finding': 'small mildly hypermetabolic right axillary lymph node', 'existence': 'unc_dx', 'descriptive_term': 'small mildly hypermetabolic right axillary lymph', 'observation': 'node', 'strength_term': 'small - mildly'}, 'tumor': {'clinical finding': 'tumor', 'existence': 'unc_dx', 'observation': 'tumor'}}anatomical entity_fin: {'abdomen': {}, 'pelvis': {}}location descriptor_fin: ['contralateral', 'left']clinical findings_fin: {'suspicious contralateral thoracic hypermetabolic lesion': {'clinical finding': 'suspicious contralateral thoracic hypermetabolic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious contralateral thoracic hypermetabolic', 'observation': 'lesion'}, 'left thoraxno suspicious fdg avid lesion': {'clinical finding': 'left thoraxno suspicious fdg avid lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'left thoraxno suspicious fdg avid', 'observation': 'lesion'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'neck': {}, 'pelvis': {}}clinical findings_fin: {'todays ct portion of the neck and pelvis demonstrates no significant pathology': {'clinical finding': 'todays ct portion of the neck and pelvis demonstrates no significant pathology'}}anatomical entity_fin: {'chest': {}, 'upper abdomen': {}}location descriptor_fin: ['right']clinical findings_fin: {'diffuse markedly hypermetabolic irregular activity': {'clinical finding': 'diffuse markedly hypermetabolic irregular activity', 'existence': 'unc_dx', 'descriptive_term': 'diffuse markedly hypermetabolic irregular', 'observation': 'activity'}, 'mesothelioma': {'clinical finding': 'mesothelioma', 'existence': 'unc_dx', 'observation': 'mesothelioma'}}anatomical entity_fin: {'mediastinum': {'location descriptor': 'right'}, 'mediastinal lymph node': {}}location descriptor_fin: ['right']clinical findings_fin: {'tumor': {'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'}, 'discrete hypermetabolic mediastinal lymph node': {'clinical finding': 'discrete hypermetabolic mediastinal lymph node', 'existence': 'neg_dx', 'descriptive_term': 'discrete hypermetabolic mediastinal lymph', 'observation': 'node'}}anatomical entity_fin: {'axillary lymph node': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'small mildly hypermetabolic right axillary lymph node': {'clinical finding': 'small mildly hypermetabolic right axillary lymph node', 'existence': 'unc_dx', 'descriptive_term': 'small mildly hypermetabolic right axillary lymph', 'observation': 'node', 'strength_term': 'small - mildly'}, 'tumor': {'clinical finding': 'tumor', 'existence': 'unc_dx', 'observation': 'tumor'}}anatomical entity_fin: {'abdomen': {}, 'pelvis': {}}location descriptor_fin: ['contralateral', 'left']clinical findings_fin: {'suspicious contralateral thoracic hypermetabolic lesion': {'clinical finding': 'suspicious contralateral thoracic hypermetabolic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious contralateral thoracic hypermetabolic', 'observation': 'lesion'}, 'left thoraxno suspicious fdg avid lesion': {'clinical finding': 'left thoraxno suspicious fdg avid lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'left thoraxno suspicious fdg avid', 'observation': 'lesion'}} [/INST] Todays CT portion of the neck and pelvis demonstrates no significant pathology. Please see diagnostic CT reports for details of the chest and upper abdomen. Todays PET examination demonstrates diffuse markedly hypermetabolic irregular activity involving the majority of the right pleural surfaces and compatible with the patients diagnosis of mesothelioma. Tumor activity abuts the right mediastinum at numerous locations although no discrete hypermetabolic mediastinal lymph node is detected. A small mildly hypermetabolic right axillary lymph node may be inflammatory although tumor involvement is conceivable. No suspicious contralateral thoracic hypermetabolic lesion is seen in the left thoraxNo suspicious FDG avid lesion within the abdomen or pelvis </s> |
The ostiomeatal complex units are patent bilaterally. Within the nasal cavity no obstructive lesions are appreciated. The frontal sinuses are clear. Maxillary sinuses are clear. Ethmoid air cells demonstrate minor opacities. Sphenoid sinuses are clear. Visualized portions of the mastoid air cells and middle ears are clear. Visualized orbits are intact and the visualized intracranial structures are within normal limits. | clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'nasal cavity': {}}clinical findings_fin: {'obstructive lesions': {'clinical finding': 'obstructive lesions', 'cf_snomed': {'obstructive lesion': 708531006}, 'existence': 'neg_dx', 'descriptive_term': 'obstructive', 'observation': 'lesion'}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'cells': {}}clinical findings_fin: {'minor opacities': {'clinical finding': 'minor opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'minor', 'observation': 'opacity'}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'mastoid air cells': {}, 'middle ears': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'nasal cavity': {}}clinical findings_fin: {'obstructive lesions': {'clinical finding': 'obstructive lesions', 'cf_snomed': {'obstructive lesion': 708531006}, 'existence': 'neg_dx', 'descriptive_term': 'obstructive', 'observation': 'lesion'}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'cells': {}}clinical findings_fin: {'minor opacities': {'clinical finding': 'minor opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'minor', 'observation': 'opacity'}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'mastoid air cells': {}, 'middle ears': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}} [/INST] The ostiomeatal complex units are patent bilaterally. Within the nasal cavity no obstructive lesions are appreciated. The frontal sinuses are clear. Maxillary sinuses are clear. Ethmoid air cells demonstrate minor opacities. Sphenoid sinuses are clear. Visualized portions of the mastoid air cells and middle ears are clear. Visualized orbits are intact and the visualized intracranial structures are within normal limits. </s> |
There is a stereotactic frame in position, without apparent complications. The multiple supratentorial and infrasternal lesions are more conspicuous on the prior MRI. | clinical findings_fin: {'stereotactic frame': {'clinical finding': 'stereotactic frame', 'existence': 'pos_dx', 'descriptive_term': 'stereotactic', 'observation': 'frame'}, 'apparent complications': {'clinical finding': 'apparent complications', 'existence': 'pos_dx', 'descriptive_term': 'apparent', 'observation': 'complication'}}clinical findings_fin: {'multiple supratentorial and infrasternal lesions': {'clinical finding': 'multiple supratentorial and infrasternal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple supratentorial and infrasternal', 'observation': 'lesion', 'quantity_term': 'multiple'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'stereotactic frame': {'clinical finding': 'stereotactic frame', 'existence': 'pos_dx', 'descriptive_term': 'stereotactic', 'observation': 'frame'}, 'apparent complications': {'clinical finding': 'apparent complications', 'existence': 'pos_dx', 'descriptive_term': 'apparent', 'observation': 'complication'}}clinical findings_fin: {'multiple supratentorial and infrasternal lesions': {'clinical finding': 'multiple supratentorial and infrasternal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple supratentorial and infrasternal', 'observation': 'lesion', 'quantity_term': 'multiple'}} [/INST] There is a stereotactic frame in position, without apparent complications. The multiple supratentorial and infrasternal lesions are more conspicuous on the prior MRI. </s> |
. No suspicious pulmonary nodule, no pleural effusion. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Splenule, image 86 series No significant abnormality noted. No significant abnormality noted. Dominant 8.6 cm left renal cyst. Indeterminant additional 1.4 cm hypoattenuating lesion in left kidney, image 118 series Additional too small to characterize renal hypoattenuating lesion seen. Mild aortobiiliac calcified atherosclerotic disease. Patients suspected rectosigmoid colon not well delineated on current study, mild focal rectosigmoid narrowing seen on coronal image 37 nonspecific. Small colonic diverticula without evidence of acute diverticulitis. Metallic artifact seen in the lumen at junction of descending and sigmoid colon, image 163 series Heterogeneous soft tissue fullness seen in vaginal area on image 191 series 3, measuring approximately 3.3 x 1.8 cm, uncertain whether within normal limits and correlation with patients clinical history and physical exam recommended. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. | clinical findings_fin: {'suspicious pulmonary nodule': {'clinical finding': 'suspicious pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}, 'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}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'}}size_fin: [{'size': '8.6 cm'}]location descriptor_fin: ['left']clinical findings_fin: {'dominant 8.6 cm left renal cyst': {'clinical finding': 'dominant 8.6 cm left renal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'dominant 8 6 cm left renal', 'observation': 'cyst'}}size_fin: [{'size': '1.4 cm', 'size_descriptor': 'lesion'}]anatomical entity_fin: {'left kidney': {}}clinical findings_fin: {'hypoattenuating lesion': {'clinical finding': 'hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating', 'observation': 'lesion'}, 'renal hypoattenuating lesion': {'clinical finding': 'renal hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'descriptive_term': 'renal hypoattenuating', 'observation': 'lesion'}}clinical findings_fin: {'mild aortobiiliac calcified atherosclerotic disease': {'clinical finding': 'mild aortobiiliac calcified atherosclerotic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'mild aortobiiliac calcified atherosclerotic', 'observation': 'disease', 'strength_term': 'mild', 'change_term': 'calcified'}}imaging observation_fin: ['colon']clinical findings_fin: {'rectosigmoid colon': {'clinical finding': 'rectosigmoid colon', 'existence': 'unc_dx', 'descriptive_term': 'rectosigmoid', 'observation': 'colon'}, 'mild focal rectosigmoid narrowing': {'clinical finding': 'mild focal rectosigmoid narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'unc_dx', 'descriptive_term': 'mild focal rectosigmoid', 'observation': 'narrowing', 'strength_term': 'mild'}}clinical findings_fin: {'small colonic diverticula': {'clinical finding': 'small colonic diverticula', 'existence': 'pos_dx', 'descriptive_term': 'small colonic', 'observation': 'diverticula', 'strength_term': 'small'}, 'acute diverticulitis': {'clinical finding': 'acute diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'diverticulitis', 'strength_term': 'acute', 'temporal_term': 'acute'}}size_fin: [{'size': '3.3 x 1.8 cm', 'size_descriptor': 'artifact'}]anatomical entity_fin: {'lumen': {}, 'sigmoid colon': {}}clinical findings_fin: {'metallic artifact': {'clinical finding': 'metallic artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'metallic', 'observation': 'artifact'}}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'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'suspicious pulmonary nodule': {'clinical finding': 'suspicious pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}, 'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}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'}}size_fin: [{'size': '8.6 cm'}]location descriptor_fin: ['left']clinical findings_fin: {'dominant 8.6 cm left renal cyst': {'clinical finding': 'dominant 8.6 cm left renal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'dominant 8 6 cm left renal', 'observation': 'cyst'}}size_fin: [{'size': '1.4 cm', 'size_descriptor': 'lesion'}]anatomical entity_fin: {'left kidney': {}}clinical findings_fin: {'hypoattenuating lesion': {'clinical finding': 'hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating', 'observation': 'lesion'}, 'renal hypoattenuating lesion': {'clinical finding': 'renal hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'descriptive_term': 'renal hypoattenuating', 'observation': 'lesion'}}clinical findings_fin: {'mild aortobiiliac calcified atherosclerotic disease': {'clinical finding': 'mild aortobiiliac calcified atherosclerotic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'mild aortobiiliac calcified atherosclerotic', 'observation': 'disease', 'strength_term': 'mild', 'change_term': 'calcified'}}imaging observation_fin: ['colon']clinical findings_fin: {'rectosigmoid colon': {'clinical finding': 'rectosigmoid colon', 'existence': 'unc_dx', 'descriptive_term': 'rectosigmoid', 'observation': 'colon'}, 'mild focal rectosigmoid narrowing': {'clinical finding': 'mild focal rectosigmoid narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'unc_dx', 'descriptive_term': 'mild focal rectosigmoid', 'observation': 'narrowing', 'strength_term': 'mild'}}clinical findings_fin: {'small colonic diverticula': {'clinical finding': 'small colonic diverticula', 'existence': 'pos_dx', 'descriptive_term': 'small colonic', 'observation': 'diverticula', 'strength_term': 'small'}, 'acute diverticulitis': {'clinical finding': 'acute diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'diverticulitis', 'strength_term': 'acute', 'temporal_term': 'acute'}}size_fin: [{'size': '3.3 x 1.8 cm', 'size_descriptor': 'artifact'}]anatomical entity_fin: {'lumen': {}, 'sigmoid colon': {}}clinical findings_fin: {'metallic artifact': {'clinical finding': 'metallic artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'metallic', 'observation': 'artifact'}}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'}} [/INST] . No suspicious pulmonary nodule, no pleural effusion. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Splenule, image 86 series No significant abnormality noted. No significant abnormality noted. Dominant 8.6 cm left renal cyst. Indeterminant additional 1.4 cm hypoattenuating lesion in left kidney, image 118 series Additional too small to characterize renal hypoattenuating lesion seen. Mild aortobiiliac calcified atherosclerotic disease. Patients suspected rectosigmoid colon not well delineated on current study, mild focal rectosigmoid narrowing seen on coronal image 37 nonspecific. Small colonic diverticula without evidence of acute diverticulitis. Metallic artifact seen in the lumen at junction of descending and sigmoid colon, image 163 series Heterogeneous soft tissue fullness seen in vaginal area on image 191 series 3, measuring approximately 3.3 x 1.8 cm, uncertain whether within normal limits and correlation with patients clinical history and physical exam recommended. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. </s> |
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