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There is mild enlargement of the left palatine tonsil with increased enhancement suggesting inflammation. No discrete fluid collection is noted in the retropharyngeal, parapharyngeal, or submandibular spaces. There are scattered subcentimeter lymph nodes which are nonspecific. No pathologically enlarged or necrotic lymph nodes are seen. The piriform sinuses are asymmetric, likely anatomic and the airway remains patent. The thyroid and major salivary glands are unremarkable. The major cervical vessels are patent. No suspicion osseous lesions are seen. The imaged intracranial structures are unremarkable. There is apical emphysema and a pleural-based right apical micronodule. | anatomical entity_fin: {'palatine tonsil': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'increased enhancement': {'clinical finding': 'increased enhancement', 'existence': 'pos_dx', 'descriptive_term': 'increased', 'observation': 'enhancement', 'strength_term': 'increased', 'change_term': 'increased'}, 'inflammation': {'clinical finding': 'inflammation', 'existence': 'unc_dx', 'observation': 'inflammation'}}anatomical entity_fin: {'submandibular spaces': {}}clinical findings_fin: {'discrete fluid collection': {'clinical finding': 'discrete fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'discrete fluid', 'observation': 'collection'}}clinical findings_fin: {'scattered subcentimeter lymph nodes': {'clinical finding': 'scattered subcentimeter lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered subcentimeter lymph', 'observation': 'node'}}clinical findings_fin: {'pathologically enlarged or necrotic lymph nodes': {'clinical finding': 'pathologically enlarged or necrotic lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'pathologically enlarged or necrotic lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}anatomical entity_fin: {'airway': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'major salivary glands': {}}clinical findings_fin: {'thyroid and major salivary glands are unremarkable': {'clinical finding': 'thyroid and major salivary glands are unremarkable'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'osseous lesions': {'clinical finding': 'osseous lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'osseous', 'observation': 'lesion'}}clinical findings_fin: {'imaged intracranial structures are unremarkable': {'clinical finding': 'imaged intracranial structures are unremarkable'}}imaging observation_fin: ['apical']location descriptor_fin: ['right']clinical findings_fin: {'apical emphysema': {'clinical finding': 'apical emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'apical', 'observation': 'emphysema'}, 'pleural-based right apical micronodule': {'clinical finding': 'pleural-based right apical micronodule', 'existence': 'pos_dx', 'descriptive_term': 'pleural-based right apical', 'observation': 'micronodule'}} | 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 tonsil': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'increased enhancement': {'clinical finding': 'increased enhancement', 'existence': 'pos_dx', 'descriptive_term': 'increased', 'observation': 'enhancement', 'strength_term': 'increased', 'change_term': 'increased'}, 'inflammation': {'clinical finding': 'inflammation', 'existence': 'unc_dx', 'observation': 'inflammation'}}anatomical entity_fin: {'submandibular spaces': {}}clinical findings_fin: {'discrete fluid collection': {'clinical finding': 'discrete fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'discrete fluid', 'observation': 'collection'}}clinical findings_fin: {'scattered subcentimeter lymph nodes': {'clinical finding': 'scattered subcentimeter lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered subcentimeter lymph', 'observation': 'node'}}clinical findings_fin: {'pathologically enlarged or necrotic lymph nodes': {'clinical finding': 'pathologically enlarged or necrotic lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'pathologically enlarged or necrotic lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}anatomical entity_fin: {'airway': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'major salivary glands': {}}clinical findings_fin: {'thyroid and major salivary glands are unremarkable': {'clinical finding': 'thyroid and major salivary glands are unremarkable'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'osseous lesions': {'clinical finding': 'osseous lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'osseous', 'observation': 'lesion'}}clinical findings_fin: {'imaged intracranial structures are unremarkable': {'clinical finding': 'imaged intracranial structures are unremarkable'}}imaging observation_fin: ['apical']location descriptor_fin: ['right']clinical findings_fin: {'apical emphysema': {'clinical finding': 'apical emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'apical', 'observation': 'emphysema'}, 'pleural-based right apical micronodule': {'clinical finding': 'pleural-based right apical micronodule', 'existence': 'pos_dx', 'descriptive_term': 'pleural-based right apical', 'observation': 'micronodule'}} [/INST] There is mild enlargement of the left palatine tonsil with increased enhancement suggesting inflammation. No discrete fluid collection is noted in the retropharyngeal, parapharyngeal, or submandibular spaces. There are scattered subcentimeter lymph nodes which are nonspecific. No pathologically enlarged or necrotic lymph nodes are seen. The piriform sinuses are asymmetric, likely anatomic and the airway remains patent. The thyroid and major salivary glands are unremarkable. The major cervical vessels are patent. No suspicion osseous lesions are seen. The imaged intracranial structures are unremarkable. There is apical emphysema and a pleural-based right apical micronodule. </s> |
. No significant abnormality noted. 7 mm nodule right thyroid lobe. Few small nodules in the left lobe. This could be evaluated with thyroid ultrasound. Small mediastinal nodes in the AP window and right paratracheal area nonpathologic in size. Given history of head and neck tumor baseline measurement of the right paratracheal node is provided on series 3 image 36, 1.3 x 0.8 cm. Heavy atherosclerotic calcification right coronary artery and possible stent. Correlate with history. Small nonpathologic-sized axillary nodes. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Mild atherosclerotic disease. No pathologic size nodes. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Prominent inguinal canals bilaterally containing fat. | clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '7 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'7 mm nodule': {'clinical finding': '7 mm nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': '7 mm', 'observation': 'nodule'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'few small nodules': {'clinical finding': 'few small nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'few small', 'observation': 'nodule', 'strength_term': 'small', 'quantity_term': 'few'}}location descriptor_fin: ['right']clinical findings_fin: {'small mediastinal nodes': {'clinical finding': 'small mediastinal nodes', 'existence': 'pos_dx', 'descriptive_term': 'small mediastinal', 'observation': 'node', 'strength_term': 'small'}, 'nonpathologic': {'clinical finding': 'nonpathologic', 'existence': 'pos_dx', 'observation': 'nonpathologic'}}size_fin: [{'size': '1.3 x 0.8 cm'}]anatomical entity_fin: {'head': {}, 'neck': {}}location descriptor_fin: ['right']clinical findings_fin: {'head and neck tumor': {'clinical finding': 'head and neck tumor', 'existence': 'pos_dx', 'descriptive_term': 'head and neck', 'observation': 'tumor'}, 'right paratracheal node': {'clinical finding': 'right paratracheal node', 'existence': 'pos_dx', 'descriptive_term': 'right paratracheal', 'observation': 'node'}}anatomical entity_fin: {'right coronary artery': {}}clinical findings_fin: {'heavy atherosclerotic calcification': {'clinical finding': 'heavy atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'heavy atherosclerotic', 'observation': 'calcification', 'strength_term': 'heavy'}, 'possible stent': {'clinical finding': 'possible stent', 'existence': 'pos_dx', 'descriptive_term': 'possible', 'observation': 'stent'}}clinical findings_fin: {'small nonpathologic-sized axillary nodes': {'clinical finding': 'small nonpathologic-sized axillary nodes', 'existence': 'pos_dx', 'descriptive_term': 'small nonpathologic-sized axillary', 'observation': 'node', 'strength_term': 'small'}}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: {'mild atherosclerotic disease': {'clinical finding': 'mild atherosclerotic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'mild atherosclerotic', 'observation': 'disease', 'strength_term': 'mild'}}clinical findings_fin: {'pathologic size nodes': {'clinical finding': 'pathologic size nodes', 'existence': 'neg_dx', 'descriptive_term': 'pathologic size', 'observation': 'node'}}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'}}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: {'inguinal canals': {}}imaging observation_fin: ['fat']clinical findings_fin: {'prominent inguinal canals bilaterally containing': {'clinical finding': 'prominent inguinal canals bilaterally containing'}} | 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'}}size_fin: [{'size': '7 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'7 mm nodule': {'clinical finding': '7 mm nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': '7 mm', 'observation': 'nodule'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'few small nodules': {'clinical finding': 'few small nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'few small', 'observation': 'nodule', 'strength_term': 'small', 'quantity_term': 'few'}}location descriptor_fin: ['right']clinical findings_fin: {'small mediastinal nodes': {'clinical finding': 'small mediastinal nodes', 'existence': 'pos_dx', 'descriptive_term': 'small mediastinal', 'observation': 'node', 'strength_term': 'small'}, 'nonpathologic': {'clinical finding': 'nonpathologic', 'existence': 'pos_dx', 'observation': 'nonpathologic'}}size_fin: [{'size': '1.3 x 0.8 cm'}]anatomical entity_fin: {'head': {}, 'neck': {}}location descriptor_fin: ['right']clinical findings_fin: {'head and neck tumor': {'clinical finding': 'head and neck tumor', 'existence': 'pos_dx', 'descriptive_term': 'head and neck', 'observation': 'tumor'}, 'right paratracheal node': {'clinical finding': 'right paratracheal node', 'existence': 'pos_dx', 'descriptive_term': 'right paratracheal', 'observation': 'node'}}anatomical entity_fin: {'right coronary artery': {}}clinical findings_fin: {'heavy atherosclerotic calcification': {'clinical finding': 'heavy atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'heavy atherosclerotic', 'observation': 'calcification', 'strength_term': 'heavy'}, 'possible stent': {'clinical finding': 'possible stent', 'existence': 'pos_dx', 'descriptive_term': 'possible', 'observation': 'stent'}}clinical findings_fin: {'small nonpathologic-sized axillary nodes': {'clinical finding': 'small nonpathologic-sized axillary nodes', 'existence': 'pos_dx', 'descriptive_term': 'small nonpathologic-sized axillary', 'observation': 'node', 'strength_term': 'small'}}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: {'mild atherosclerotic disease': {'clinical finding': 'mild atherosclerotic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'mild atherosclerotic', 'observation': 'disease', 'strength_term': 'mild'}}clinical findings_fin: {'pathologic size nodes': {'clinical finding': 'pathologic size nodes', 'existence': 'neg_dx', 'descriptive_term': 'pathologic size', 'observation': 'node'}}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'}}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: {'inguinal canals': {}}imaging observation_fin: ['fat']clinical findings_fin: {'prominent inguinal canals bilaterally containing': {'clinical finding': 'prominent inguinal canals bilaterally containing'}} [/INST] . No significant abnormality noted. 7 mm nodule right thyroid lobe. Few small nodules in the left lobe. This could be evaluated with thyroid ultrasound. Small mediastinal nodes in the AP window and right paratracheal area nonpathologic in size. Given history of head and neck tumor baseline measurement of the right paratracheal node is provided on series 3 image 36, 1.3 x 0.8 cm. Heavy atherosclerotic calcification right coronary artery and possible stent. Correlate with history. Small nonpathologic-sized axillary nodes. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Mild atherosclerotic disease. No pathologic size nodes. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Prominent inguinal canals bilaterally containing fat. </s> |
. No evidence of pulmonary fibrosis or acute pulmonary abnormality. Stable small subpleural lymph nodes in the cranial aspect of the left major fissure. No suspicious nodules or masses. Cardiac motion artifact degrades images in the lingula and left lower lobe, limiting assessment of these areas. No groundglass opacities or bronchiectasis. Subcentimeter subpleural lymph node along the right minor fissure. Solid nodule in the left thyroid lobe measures approximately 16 x 11 mm , nonspecific by CT. There are calcifications in the thyroid isthmus region which may be associated with a an additional small low-density nodule or cyst. No lymphadenopathy. Upper normal heart size. No pericardial effusion. Severe. Glandular tissue in the right breast is heterogeneous in appearance, nonspecific by CT. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Limited scanning range. Cholecystectomy clips. The spleen is mildly enlarged at 14.1 cm in length. Liver incompletely included in the scanning range. | clinical findings_fin: {'pulmonary fibrosis': {'clinical finding': 'pulmonary fibrosis', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'fibrosis'}, 'acute pulmonary abnormality': {'clinical finding': 'acute pulmonary abnormality', 'existence': 'neg_dx', 'descriptive_term': 'acute pulmonary', 'observation': 'abnormality', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'left major fissure': {}}clinical findings_fin: {'stable small subpleural lymph nodes': {'clinical finding': 'stable small subpleural lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'stable small subpleural lymph', 'observation': 'node', 'strength_term': 'stable - small', 'change_term': 'stable'}}clinical findings_fin: {'suspicious nodules': {'clinical finding': 'suspicious nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}anatomical entity_fin: {'lingula': {}, 'lobe': {'location descriptor': 'left lower'}}artifact_fin: ['motion artifact']imaging observation_fin: ['assessment']location descriptor_fin: ['left', 'lower']clinical findings_fin: {'cardiac motion artifact': {'clinical finding': 'cardiac motion artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'cardiac motion', 'observation': 'artifact'}}clinical findings_fin: {'groundglass opacities': {'clinical finding': 'groundglass opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'neg_dx', 'descriptive_term': 'groundglass', 'observation': 'opacity'}, 'bronchiectasis': {'clinical finding': 'bronchiectasis', 'cf_snomed': {'bronchiectasis': 12295008}, 'existence': 'neg_dx', 'observation': 'bronchiectasis'}}anatomical entity_fin: {'right minor fissure': {}}clinical findings_fin: {'subcentimeter subpleural lymph node': {'clinical finding': 'subcentimeter subpleural lymph node', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter subpleural lymph', 'observation': 'node'}}size_fin: [{'size': '16 x 11 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['left']clinical findings_fin: {'solid nodule': {'clinical finding': 'solid nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'solid', 'observation': 'nodule'}}clinical findings_fin: {'calcifications': {'clinical finding': 'calcifications', 'existence': 'pos_dx', 'observation': 'calcification'}, 'an additional small low-density nodule': {'clinical finding': 'an additional small low-density nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'unc_dx', 'descriptive_term': 'an additional small low-density', 'observation': 'nodule', 'strength_term': 'small'}, 'cyst': {'clinical finding': 'cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'unc_dx', 'observation': 'cyst'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'heart': {}}location descriptor_fin: ['upper']clinical findings_fin: {'upper normal heart size': {'clinical finding': 'upper normal heart size'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'breast': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'glandular tissue': {'clinical finding': 'glandular tissue', 'existence': 'pos_dx', 'descriptive_term': 'glandular', 'observation': 'tissue'}, 'heterogeneous': {'clinical finding': 'heterogeneous', 'existence': 'pos_dx', 'observation': 'heterogeneous'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}object_fin: ['cholecystectomy clips']clinical findings_fin: {'cholecystectomy clips': {'clinical finding': 'cholecystectomy clips', 'existence': 'pos_dx', 'descriptive_term': 'cholecystectomy', 'observation': 'clip'}}size_fin: [{'size': '14.1 cm'}]anatomical entity_fin: {'spleen': {}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}} | 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: {'pulmonary fibrosis': {'clinical finding': 'pulmonary fibrosis', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'fibrosis'}, 'acute pulmonary abnormality': {'clinical finding': 'acute pulmonary abnormality', 'existence': 'neg_dx', 'descriptive_term': 'acute pulmonary', 'observation': 'abnormality', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'left major fissure': {}}clinical findings_fin: {'stable small subpleural lymph nodes': {'clinical finding': 'stable small subpleural lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'stable small subpleural lymph', 'observation': 'node', 'strength_term': 'stable - small', 'change_term': 'stable'}}clinical findings_fin: {'suspicious nodules': {'clinical finding': 'suspicious nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}anatomical entity_fin: {'lingula': {}, 'lobe': {'location descriptor': 'left lower'}}artifact_fin: ['motion artifact']imaging observation_fin: ['assessment']location descriptor_fin: ['left', 'lower']clinical findings_fin: {'cardiac motion artifact': {'clinical finding': 'cardiac motion artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'cardiac motion', 'observation': 'artifact'}}clinical findings_fin: {'groundglass opacities': {'clinical finding': 'groundglass opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'neg_dx', 'descriptive_term': 'groundglass', 'observation': 'opacity'}, 'bronchiectasis': {'clinical finding': 'bronchiectasis', 'cf_snomed': {'bronchiectasis': 12295008}, 'existence': 'neg_dx', 'observation': 'bronchiectasis'}}anatomical entity_fin: {'right minor fissure': {}}clinical findings_fin: {'subcentimeter subpleural lymph node': {'clinical finding': 'subcentimeter subpleural lymph node', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter subpleural lymph', 'observation': 'node'}}size_fin: [{'size': '16 x 11 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['left']clinical findings_fin: {'solid nodule': {'clinical finding': 'solid nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'solid', 'observation': 'nodule'}}clinical findings_fin: {'calcifications': {'clinical finding': 'calcifications', 'existence': 'pos_dx', 'observation': 'calcification'}, 'an additional small low-density nodule': {'clinical finding': 'an additional small low-density nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'unc_dx', 'descriptive_term': 'an additional small low-density', 'observation': 'nodule', 'strength_term': 'small'}, 'cyst': {'clinical finding': 'cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'unc_dx', 'observation': 'cyst'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'heart': {}}location descriptor_fin: ['upper']clinical findings_fin: {'upper normal heart size': {'clinical finding': 'upper normal heart size'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'breast': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'glandular tissue': {'clinical finding': 'glandular tissue', 'existence': 'pos_dx', 'descriptive_term': 'glandular', 'observation': 'tissue'}, 'heterogeneous': {'clinical finding': 'heterogeneous', 'existence': 'pos_dx', 'observation': 'heterogeneous'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}object_fin: ['cholecystectomy clips']clinical findings_fin: {'cholecystectomy clips': {'clinical finding': 'cholecystectomy clips', 'existence': 'pos_dx', 'descriptive_term': 'cholecystectomy', 'observation': 'clip'}}size_fin: [{'size': '14.1 cm'}]anatomical entity_fin: {'spleen': {}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}} [/INST] . No evidence of pulmonary fibrosis or acute pulmonary abnormality. Stable small subpleural lymph nodes in the cranial aspect of the left major fissure. No suspicious nodules or masses. Cardiac motion artifact degrades images in the lingula and left lower lobe, limiting assessment of these areas. No groundglass opacities or bronchiectasis. Subcentimeter subpleural lymph node along the right minor fissure. Solid nodule in the left thyroid lobe measures approximately 16 x 11 mm , nonspecific by CT. There are calcifications in the thyroid isthmus region which may be associated with a an additional small low-density nodule or cyst. No lymphadenopathy. Upper normal heart size. No pericardial effusion. Severe. Glandular tissue in the right breast is heterogeneous in appearance, nonspecific by CT. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Limited scanning range. Cholecystectomy clips. The spleen is mildly enlarged at 14.1 cm in length. Liver incompletely included in the scanning range. </s> |
Todays CT portion grossly demonstrates a low-attenuation lesion in the right inferior hepatic lobe, not substantially since prior examination. Again noted are multiple sclerotic bone densities throughout the axial skeleton which likely represent a combination of degenerative changes and benign bone lesions, such as a bone island. A right chest Port-A-Cath is present with its tip in the superior vena cava. Todays PET examination demonstrates no suspicious FDG avid lesion to suggest current disease. Previous pulmonary foci have resolved and are most likely inflammatory in etiology. | anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right', 'inferior']clinical findings_fin: {'low-attenuation lesion': {'clinical finding': 'low-attenuation lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'low-attenuation', 'observation': 'lesion'}}anatomical entity_fin: {'axial skeleton': {}}imaging observation_fin: ['bone densities']clinical findings_fin: {'multiple sclerotic bone densities': {'clinical finding': 'multiple sclerotic bone densities', 'existence': 'pos_dx', 'descriptive_term': 'multiple sclerotic bone', 'observation': 'density', 'quantity_term': 'multiple'}, 'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'unc_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}, 'benign bone lesions': {'clinical finding': 'benign bone lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'descriptive_term': 'benign bone', 'observation': 'lesion', 'strength_term': 'benign'}}anatomical entity_fin: {'chest': {'location descriptor': 'right'}, 'superior vena cava': {}}location descriptor_fin: ['right']object_fin: ['port']clinical findings_fin: {'right chest port-a-cath': {'clinical finding': 'right chest port-a-cath', 'existence': 'pos_dx', 'descriptive_term': 'right chest', 'observation': 'port-a-'}}clinical findings_fin: {'suspicious fdg avid lesion': {'clinical finding': 'suspicious fdg avid lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious fdg avid', 'observation': 'lesion'}, 'current disease': {'clinical finding': 'current disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'current', 'observation': 'disease'}}imaging observation_fin: ['foci']clinical findings_fin: {'previous pulmonary foci': {'clinical finding': 'previous pulmonary foci', 'existence': 'neg_dx', 'descriptive_term': 'previous pulmonary', 'observation': 'foci', 'temporal_term': 'previous'}} | 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: {'lobe': {}}location descriptor_fin: ['right', 'inferior']clinical findings_fin: {'low-attenuation lesion': {'clinical finding': 'low-attenuation lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'low-attenuation', 'observation': 'lesion'}}anatomical entity_fin: {'axial skeleton': {}}imaging observation_fin: ['bone densities']clinical findings_fin: {'multiple sclerotic bone densities': {'clinical finding': 'multiple sclerotic bone densities', 'existence': 'pos_dx', 'descriptive_term': 'multiple sclerotic bone', 'observation': 'density', 'quantity_term': 'multiple'}, 'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'unc_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}, 'benign bone lesions': {'clinical finding': 'benign bone lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'descriptive_term': 'benign bone', 'observation': 'lesion', 'strength_term': 'benign'}}anatomical entity_fin: {'chest': {'location descriptor': 'right'}, 'superior vena cava': {}}location descriptor_fin: ['right']object_fin: ['port']clinical findings_fin: {'right chest port-a-cath': {'clinical finding': 'right chest port-a-cath', 'existence': 'pos_dx', 'descriptive_term': 'right chest', 'observation': 'port-a-'}}clinical findings_fin: {'suspicious fdg avid lesion': {'clinical finding': 'suspicious fdg avid lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious fdg avid', 'observation': 'lesion'}, 'current disease': {'clinical finding': 'current disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'current', 'observation': 'disease'}}imaging observation_fin: ['foci']clinical findings_fin: {'previous pulmonary foci': {'clinical finding': 'previous pulmonary foci', 'existence': 'neg_dx', 'descriptive_term': 'previous pulmonary', 'observation': 'foci', 'temporal_term': 'previous'}} [/INST] Todays CT portion grossly demonstrates a low-attenuation lesion in the right inferior hepatic lobe, not substantially since prior examination. Again noted are multiple sclerotic bone densities throughout the axial skeleton which likely represent a combination of degenerative changes and benign bone lesions, such as a bone island. A right chest Port-A-Cath is present with its tip in the superior vena cava. Todays PET examination demonstrates no suspicious FDG avid lesion to suggest current disease. Previous pulmonary foci have resolved and are most likely inflammatory in etiology. </s> |
There are multiple high attenuation masses compatible with metastases, with a mild surrounding hypoattenuation that is compatible with vasogenic edema scattered throughout the brain. In particular, there are 2 lesions in the right superior parietal lobule, right parieto-occipital lobe, left paracentral lobule, and left anterior corpus callosum. The largest of these are located in the right superior parietal lobule and the right parieto-occipital lobe, measuring 2.1 x 2.1 cm and 2.4 x 2.5 cm in axial cross-section, respectively. There is no midline shift, but there is mild mass effect upon the right temporal horn of the lateral ventricle. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. | anatomical entity_fin: {'brain': {}}clinical findings_fin: {'multiple high attenuation masses': {'clinical finding': 'multiple high attenuation masses', 'existence': 'pos_dx', 'descriptive_term': 'multiple high attenuation', 'observation': 'mass', 'quantity_term': 'multiple'}, 'metastases': {'clinical finding': 'metastases', 'existence': 'pos_dx', 'observation': 'metastase'}, 'mild surrounding hypoattenuation': {'clinical finding': 'mild surrounding hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'mild surrounding', 'observation': 'hypoattenuation', 'strength_term': 'mild'}, 'vasogenic edema': {'clinical finding': 'vasogenic edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'vasogenic', 'observation': 'edema'}}anatomical entity_fin: {'right superior parietal lobule': {}, 'occipital lobe': {}, 'left paracentral lobule': {}, 'corpus callosum': {'location descriptor': 'left anterior'}}location descriptor_fin: ['right', 'left', 'anterior']clinical findings_fin: {'2 lesions': {'clinical finding': '2 lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': '2', 'observation': 'lesion'}}size_fin: [{'size': '2.1 x 2.1 cm'}, {'size': '2.4 x 2.5 cm'}]anatomical entity_fin: {'right superior parietal lobule': {}, 'occipital lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'largest of these are located in the right superior parietal lobule and the right parieto-occipital lobe': {'clinical finding': 'largest of these are located in the right superior parietal lobule and the right parieto-occipital lobe'}}anatomical entity_fin: {'lateral ventricle': {}}location descriptor_fin: ['midline', 'right']clinical findings_fin: {'mild mass effect': {'clinical finding': 'mild mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mild mass', 'observation': 'effect', 'strength_term': 'mild'}}anatomical entity_fin: {'orbits': {}, 'skull': {}, 'paranasal sinuses': {}, 'scalp': {}}clinical findings_fin: {'orbits , skull , paranasal sinuses , and scalp soft tissues are grossly unremarkable': {'clinical finding': 'orbits , skull , paranasal sinuses , and scalp soft tissues are grossly unremarkable'}} | 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: {'brain': {}}clinical findings_fin: {'multiple high attenuation masses': {'clinical finding': 'multiple high attenuation masses', 'existence': 'pos_dx', 'descriptive_term': 'multiple high attenuation', 'observation': 'mass', 'quantity_term': 'multiple'}, 'metastases': {'clinical finding': 'metastases', 'existence': 'pos_dx', 'observation': 'metastase'}, 'mild surrounding hypoattenuation': {'clinical finding': 'mild surrounding hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'mild surrounding', 'observation': 'hypoattenuation', 'strength_term': 'mild'}, 'vasogenic edema': {'clinical finding': 'vasogenic edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'vasogenic', 'observation': 'edema'}}anatomical entity_fin: {'right superior parietal lobule': {}, 'occipital lobe': {}, 'left paracentral lobule': {}, 'corpus callosum': {'location descriptor': 'left anterior'}}location descriptor_fin: ['right', 'left', 'anterior']clinical findings_fin: {'2 lesions': {'clinical finding': '2 lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': '2', 'observation': 'lesion'}}size_fin: [{'size': '2.1 x 2.1 cm'}, {'size': '2.4 x 2.5 cm'}]anatomical entity_fin: {'right superior parietal lobule': {}, 'occipital lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'largest of these are located in the right superior parietal lobule and the right parieto-occipital lobe': {'clinical finding': 'largest of these are located in the right superior parietal lobule and the right parieto-occipital lobe'}}anatomical entity_fin: {'lateral ventricle': {}}location descriptor_fin: ['midline', 'right']clinical findings_fin: {'mild mass effect': {'clinical finding': 'mild mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mild mass', 'observation': 'effect', 'strength_term': 'mild'}}anatomical entity_fin: {'orbits': {}, 'skull': {}, 'paranasal sinuses': {}, 'scalp': {}}clinical findings_fin: {'orbits , skull , paranasal sinuses , and scalp soft tissues are grossly unremarkable': {'clinical finding': 'orbits , skull , paranasal sinuses , and scalp soft tissues are grossly unremarkable'}} [/INST] There are multiple high attenuation masses compatible with metastases, with a mild surrounding hypoattenuation that is compatible with vasogenic edema scattered throughout the brain. In particular, there are 2 lesions in the right superior parietal lobule, right parieto-occipital lobe, left paracentral lobule, and left anterior corpus callosum. The largest of these are located in the right superior parietal lobule and the right parieto-occipital lobe, measuring 2.1 x 2.1 cm and 2.4 x 2.5 cm in axial cross-section, respectively. There is no midline shift, but there is mild mass effect upon the right temporal horn of the lateral ventricle. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. </s> |
. No significant abnormality noted. No intra or extrahepatic biliary dilatation. Innumerable gallstones within the gallbladder without evidence of acute cholecystitis. Focal hypoattenuation in segment V is too small to characterize but likely represents a cyst. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Multiple stones are seen within the left kidney, the largest of which is just below. There is moderate hydronephrosis with a 4 mm obstructing stone in the proximal third of the ureter. Multiple additional smaller stones are seen along the course of the left ureter, and there is associated mild periureteral inflammation. Largest stone size. Left lower pole. No significant abnormality noted. None. Postsurgical changes are noted within the bowel in the left lower quadrant, without evidence of bowel obstruction. Diverticulosis without evidence of acute diverticulitis. Multiple mildly prominent nonspecific mesenteric lymph nodes. Severe levoconvex lumbar scoliosis and associated degenerative changes of the thoracolumbar spine. 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'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'innumerable gallstones': {'clinical finding': 'innumerable gallstones', 'cf_snomed': {'gallstone': 235919008}, 'existence': 'pos_dx', 'descriptive_term': 'innumerable', 'observation': 'gallstone'}, 'acute cholecystitis': {'clinical finding': 'acute cholecystitis', 'cf_snomed': {'acute cholecystitis': 65275009}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'cholecystitis', 'strength_term': 'acute', 'temporal_term': 'acute'}}clinical findings_fin: {'focal hypoattenuation': {'clinical finding': 'focal hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'hypoattenuation'}, 'cyst': {'clinical finding': 'cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'unc_dx', 'observation': 'cyst'}}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: {'left kidney': {}}clinical findings_fin: {'multiple stones': {'clinical finding': 'multiple stones', 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'stone', 'quantity_term': 'multiple'}}size_fin: [{'size': '4 mm', 'size_descriptor': 'stone'}]anatomical entity_fin: {'ureter': {}}location descriptor_fin: ['proximal']clinical findings_fin: {'moderate hydronephrosis': {'clinical finding': 'moderate hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'hydronephrosis', 'strength_term': 'moderate'}}anatomical entity_fin: {'left ureter': {}}clinical findings_fin: {'multiple additional smaller stones': {'clinical finding': 'multiple additional smaller stones', 'existence': 'pos_dx', 'descriptive_term': 'multiple additional smaller', 'observation': 'stone', 'quantity_term': 'multiple'}, 'mild periureteral inflammation': {'clinical finding': 'mild periureteral inflammation', 'existence': 'pos_dx', 'descriptive_term': 'mild periureteral', 'observation': 'inflammation', 'strength_term': 'mild'}}anatomical entity_fin: {'pole': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'bowel': {}, 'quadrant': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'bowel obstruction': {'clinical finding': 'bowel obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'}}clinical findings_fin: {'diverticulosis': {'clinical finding': 'diverticulosis', 'existence': 'pos_dx', 'observation': 'diverticulosis'}, 'acute diverticulitis': {'clinical finding': 'acute diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'diverticulitis', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'mesenteric lymph nodes': {}}clinical findings_fin: {'multiple mildly prominent nonspecific mesenteric lymph nodes': {'clinical finding': 'multiple mildly prominent nonspecific mesenteric lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple mildly prominent nonspecific mesenteric lymph', 'observation': 'node', 'strength_term': 'mildly - prominent', 'quantity_term': 'multiple'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'severe levoconvex lumbar scoliosis': {'clinical finding': 'severe levoconvex lumbar scoliosis', 'existence': 'pos_dx', 'descriptive_term': 'severe levoconvex lumbar', 'observation': 'scoliosis', 'strength_term': 'severe'}, 'associated degenerative changes': {'clinical finding': 'associated degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'associated degenerative', 'observation': 'change'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}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: {'gallbladder': {}}clinical findings_fin: {'innumerable gallstones': {'clinical finding': 'innumerable gallstones', 'cf_snomed': {'gallstone': 235919008}, 'existence': 'pos_dx', 'descriptive_term': 'innumerable', 'observation': 'gallstone'}, 'acute cholecystitis': {'clinical finding': 'acute cholecystitis', 'cf_snomed': {'acute cholecystitis': 65275009}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'cholecystitis', 'strength_term': 'acute', 'temporal_term': 'acute'}}clinical findings_fin: {'focal hypoattenuation': {'clinical finding': 'focal hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'hypoattenuation'}, 'cyst': {'clinical finding': 'cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'unc_dx', 'observation': 'cyst'}}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: {'left kidney': {}}clinical findings_fin: {'multiple stones': {'clinical finding': 'multiple stones', 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'stone', 'quantity_term': 'multiple'}}size_fin: [{'size': '4 mm', 'size_descriptor': 'stone'}]anatomical entity_fin: {'ureter': {}}location descriptor_fin: ['proximal']clinical findings_fin: {'moderate hydronephrosis': {'clinical finding': 'moderate hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'hydronephrosis', 'strength_term': 'moderate'}}anatomical entity_fin: {'left ureter': {}}clinical findings_fin: {'multiple additional smaller stones': {'clinical finding': 'multiple additional smaller stones', 'existence': 'pos_dx', 'descriptive_term': 'multiple additional smaller', 'observation': 'stone', 'quantity_term': 'multiple'}, 'mild periureteral inflammation': {'clinical finding': 'mild periureteral inflammation', 'existence': 'pos_dx', 'descriptive_term': 'mild periureteral', 'observation': 'inflammation', 'strength_term': 'mild'}}anatomical entity_fin: {'pole': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'bowel': {}, 'quadrant': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'bowel obstruction': {'clinical finding': 'bowel obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'}}clinical findings_fin: {'diverticulosis': {'clinical finding': 'diverticulosis', 'existence': 'pos_dx', 'observation': 'diverticulosis'}, 'acute diverticulitis': {'clinical finding': 'acute diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'diverticulitis', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'mesenteric lymph nodes': {}}clinical findings_fin: {'multiple mildly prominent nonspecific mesenteric lymph nodes': {'clinical finding': 'multiple mildly prominent nonspecific mesenteric lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple mildly prominent nonspecific mesenteric lymph', 'observation': 'node', 'strength_term': 'mildly - prominent', 'quantity_term': 'multiple'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'severe levoconvex lumbar scoliosis': {'clinical finding': 'severe levoconvex lumbar scoliosis', 'existence': 'pos_dx', 'descriptive_term': 'severe levoconvex lumbar', 'observation': 'scoliosis', 'strength_term': 'severe'}, 'associated degenerative changes': {'clinical finding': 'associated degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'associated degenerative', 'observation': 'change'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}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 intra or extrahepatic biliary dilatation. Innumerable gallstones within the gallbladder without evidence of acute cholecystitis. Focal hypoattenuation in segment V is too small to characterize but likely represents a cyst. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Multiple stones are seen within the left kidney, the largest of which is just below. There is moderate hydronephrosis with a 4 mm obstructing stone in the proximal third of the ureter. Multiple additional smaller stones are seen along the course of the left ureter, and there is associated mild periureteral inflammation. Largest stone size. Left lower pole. No significant abnormality noted. None. Postsurgical changes are noted within the bowel in the left lower quadrant, without evidence of bowel obstruction. Diverticulosis without evidence of acute diverticulitis. Multiple mildly prominent nonspecific mesenteric lymph nodes. Severe levoconvex lumbar scoliosis and associated degenerative changes of the thoracolumbar spine. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted </s> |
PHARYNX/. Previous supraglottic edema has significantly improved. There remains a trace retropharyngeal effusion remaining. The larynx remains asymmetric in appearance, with greater soft tissue prominence the right along the aryepiglottic fold. The nasopharynx, oropharynx, and hypopharynx are otherwise unremarkable. The upper trachea is unremarkable. There is no abnormal soft tissue mass or pathological enhancement. The postcontrast appearance of the salivary glands is unremarkable, aside from submandibular gland atrophy. The previous subcentimeter right sided thyroid lesion is not well appreciated on this exam. The oral tongue and floor of mouth are unremarkable. There are no pathologically enlarged cervical lymph nodes. There is again partial opacification of the right maxillary sinus with slight thickening of its walls relating to chronic inflammatory changes. Trace aerated secretions are noted in the left maxillary sinus. Atherosclerotic calcifications are noted at the carotid bifurcations. There is biapical pleural parenchymal scarring. In addition, linear scarring with mild bronchiectasis extends along the posterior aspect of the left upper lobe with mild pleural thickening of the left major fissure. There is a partially visualized gastric pull-up with suture line. Please see separately dictated report for CT of the chest for further details. There is a left-sided AICD with electrodes only partially visualized extending towards the superior vena cava. There are moderate multilevel spondylotic changes with left-sided degenerative fusion of the C4-C5 facet. | clinical findings_fin: {'previous supraglottic edema': {'clinical finding': 'previous supraglottic edema', 'cf_snomed': {'supraglottic edema': 5248000}, 'existence': 'neg_dx', 'descriptive_term': 'previous supraglottic', 'observation': 'edema', 'temporal_term': 'previous'}}clinical findings_fin: {'trace retropharyngeal effusion': {'clinical finding': 'trace retropharyngeal effusion', 'cf_snomed': {'effusion': 41699000}, 'existence': 'pos_dx', 'descriptive_term': 'trace retropharyngeal', 'observation': 'effusion'}}anatomical entity_fin: {'larynx': {}, 'aryepiglottic fold': {}}location descriptor_fin: ['right']clinical findings_fin: {'asymmetric in appearance , with greater soft tissue prominence': {'clinical finding': 'asymmetric in appearance , with greater soft tissue prominence', 'change_term': 'greater'}}anatomical entity_fin: {'nasopharynx': {}, 'oropharynx': {}, 'hypopharynx': {}}clinical findings_fin: {'nasopharynx , oropharynx , and hypopharynx are otherwise unremarkable': {'clinical finding': 'nasopharynx , oropharynx , and hypopharynx are otherwise unremarkable'}}anatomical entity_fin: {'trachea': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'upper trachea is unremarkable': {'clinical finding': 'upper trachea is 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': {}, 'submandibular gland': {}}clinical findings_fin: {'submandibular gland atrophy': {'clinical finding': 'submandibular gland atrophy', 'cf_snomed': {'atrophy': 13331008}, 'existence': 'pos_dx', 'descriptive_term': 'submandibular gland', 'observation': 'atrophy'}}location descriptor_fin: ['right']clinical findings_fin: {'previous subcentimeter right sided thyroid lesion': {'clinical finding': 'previous subcentimeter right sided thyroid lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'previous subcentimeter right sided thyroid', 'observation': 'lesion', 'temporal_term': 'previous'}}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'}}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: {'maxillary sinus': {'location descriptor': 'right'}, 'walls': {}}location descriptor_fin: ['right']clinical findings_fin: {'partial opacification': {'clinical finding': 'partial opacification', 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'opacification', 'strength_term': 'partial'}, 'slight thickening': {'clinical finding': 'slight thickening', 'existence': 'pos_dx', 'descriptive_term': 'slight', 'observation': 'thickening'}, 'chronic inflammatory changes': {'clinical finding': 'chronic inflammatory changes', 'existence': 'pos_dx', 'descriptive_term': 'chronic inflammatory', 'observation': 'change', 'temporal_term': 'chronic'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'aerated secretions are noted in the left maxillary sinus': {'clinical finding': 'aerated secretions are noted in the left maxillary sinus', 'cf_snomed': {'sinus': 419351001}}}clinical findings_fin: {'atherosclerotic calcifications': {'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}clinical findings_fin: {'biapical pleural parenchymal scarring': {'clinical finding': 'biapical pleural parenchymal scarring', 'existence': 'pos_dx', 'descriptive_term': 'biapical pleural parenchymal', 'observation': 'scarr'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}, 'left major fissure': {}}location descriptor_fin: ['posterior', 'left', 'upper']clinical findings_fin: {'linear scarring': {'clinical finding': 'linear scarring', 'existence': 'pos_dx', 'descriptive_term': 'linear', 'observation': 'scarr'}, 'mild bronchiectasis': {'clinical finding': 'mild bronchiectasis', 'cf_snomed': {'bronchiectasis': 12295008}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'bronchiectasis', 'strength_term': 'mild'}, 'mild pleural thickening': {'clinical finding': 'mild pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild pleural', 'observation': 'thickening', 'strength_term': 'mild'}}object_fin: ['suture']clinical findings_fin: {'is a partially visualized gastric pull - up with suture line': {'clinical finding': 'is a partially visualized gastric pull - up with suture line', 'cf_snomed': {'suture line': 416502004}}}anatomical entity_fin: {'chest': {}}anatomical entity_fin: {'superior vena cava': {}}location descriptor_fin: ['left']clinical findings_fin: {'left-sided aicd with electrodes only partially visualized': {'clinical finding': 'left-sided aicd with electrodes only partially visualized'}}anatomical entity_fin: {'facet': {}}location descriptor_fin: ['left']clinical findings_fin: {'moderate multilevel spondylotic changes': {'clinical finding': 'moderate multilevel spondylotic changes', 'existence': 'pos_dx', 'descriptive_term': 'moderate multilevel spondylotic', 'observation': 'change', 'strength_term': 'moderate'}, 'left-sided degenerative fusion': {'clinical finding': 'left-sided degenerative fusion', 'existence': 'pos_dx', 'descriptive_term': 'left-sided degenerative', 'observation': 'fusion'}} | 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: {'previous supraglottic edema': {'clinical finding': 'previous supraglottic edema', 'cf_snomed': {'supraglottic edema': 5248000}, 'existence': 'neg_dx', 'descriptive_term': 'previous supraglottic', 'observation': 'edema', 'temporal_term': 'previous'}}clinical findings_fin: {'trace retropharyngeal effusion': {'clinical finding': 'trace retropharyngeal effusion', 'cf_snomed': {'effusion': 41699000}, 'existence': 'pos_dx', 'descriptive_term': 'trace retropharyngeal', 'observation': 'effusion'}}anatomical entity_fin: {'larynx': {}, 'aryepiglottic fold': {}}location descriptor_fin: ['right']clinical findings_fin: {'asymmetric in appearance , with greater soft tissue prominence': {'clinical finding': 'asymmetric in appearance , with greater soft tissue prominence', 'change_term': 'greater'}}anatomical entity_fin: {'nasopharynx': {}, 'oropharynx': {}, 'hypopharynx': {}}clinical findings_fin: {'nasopharynx , oropharynx , and hypopharynx are otherwise unremarkable': {'clinical finding': 'nasopharynx , oropharynx , and hypopharynx are otherwise unremarkable'}}anatomical entity_fin: {'trachea': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'upper trachea is unremarkable': {'clinical finding': 'upper trachea is 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': {}, 'submandibular gland': {}}clinical findings_fin: {'submandibular gland atrophy': {'clinical finding': 'submandibular gland atrophy', 'cf_snomed': {'atrophy': 13331008}, 'existence': 'pos_dx', 'descriptive_term': 'submandibular gland', 'observation': 'atrophy'}}location descriptor_fin: ['right']clinical findings_fin: {'previous subcentimeter right sided thyroid lesion': {'clinical finding': 'previous subcentimeter right sided thyroid lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'previous subcentimeter right sided thyroid', 'observation': 'lesion', 'temporal_term': 'previous'}}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'}}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: {'maxillary sinus': {'location descriptor': 'right'}, 'walls': {}}location descriptor_fin: ['right']clinical findings_fin: {'partial opacification': {'clinical finding': 'partial opacification', 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'opacification', 'strength_term': 'partial'}, 'slight thickening': {'clinical finding': 'slight thickening', 'existence': 'pos_dx', 'descriptive_term': 'slight', 'observation': 'thickening'}, 'chronic inflammatory changes': {'clinical finding': 'chronic inflammatory changes', 'existence': 'pos_dx', 'descriptive_term': 'chronic inflammatory', 'observation': 'change', 'temporal_term': 'chronic'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'aerated secretions are noted in the left maxillary sinus': {'clinical finding': 'aerated secretions are noted in the left maxillary sinus', 'cf_snomed': {'sinus': 419351001}}}clinical findings_fin: {'atherosclerotic calcifications': {'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}clinical findings_fin: {'biapical pleural parenchymal scarring': {'clinical finding': 'biapical pleural parenchymal scarring', 'existence': 'pos_dx', 'descriptive_term': 'biapical pleural parenchymal', 'observation': 'scarr'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}, 'left major fissure': {}}location descriptor_fin: ['posterior', 'left', 'upper']clinical findings_fin: {'linear scarring': {'clinical finding': 'linear scarring', 'existence': 'pos_dx', 'descriptive_term': 'linear', 'observation': 'scarr'}, 'mild bronchiectasis': {'clinical finding': 'mild bronchiectasis', 'cf_snomed': {'bronchiectasis': 12295008}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'bronchiectasis', 'strength_term': 'mild'}, 'mild pleural thickening': {'clinical finding': 'mild pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild pleural', 'observation': 'thickening', 'strength_term': 'mild'}}object_fin: ['suture']clinical findings_fin: {'is a partially visualized gastric pull - up with suture line': {'clinical finding': 'is a partially visualized gastric pull - up with suture line', 'cf_snomed': {'suture line': 416502004}}}anatomical entity_fin: {'chest': {}}anatomical entity_fin: {'superior vena cava': {}}location descriptor_fin: ['left']clinical findings_fin: {'left-sided aicd with electrodes only partially visualized': {'clinical finding': 'left-sided aicd with electrodes only partially visualized'}}anatomical entity_fin: {'facet': {}}location descriptor_fin: ['left']clinical findings_fin: {'moderate multilevel spondylotic changes': {'clinical finding': 'moderate multilevel spondylotic changes', 'existence': 'pos_dx', 'descriptive_term': 'moderate multilevel spondylotic', 'observation': 'change', 'strength_term': 'moderate'}, 'left-sided degenerative fusion': {'clinical finding': 'left-sided degenerative fusion', 'existence': 'pos_dx', 'descriptive_term': 'left-sided degenerative', 'observation': 'fusion'}} [/INST] PHARYNX/. Previous supraglottic edema has significantly improved. There remains a trace retropharyngeal effusion remaining. The larynx remains asymmetric in appearance, with greater soft tissue prominence the right along the aryepiglottic fold. The nasopharynx, oropharynx, and hypopharynx are otherwise unremarkable. The upper trachea is unremarkable. There is no abnormal soft tissue mass or pathological enhancement. The postcontrast appearance of the salivary glands is unremarkable, aside from submandibular gland atrophy. The previous subcentimeter right sided thyroid lesion is not well appreciated on this exam. The oral tongue and floor of mouth are unremarkable. There are no pathologically enlarged cervical lymph nodes. There is again partial opacification of the right maxillary sinus with slight thickening of its walls relating to chronic inflammatory changes. Trace aerated secretions are noted in the left maxillary sinus. Atherosclerotic calcifications are noted at the carotid bifurcations. There is biapical pleural parenchymal scarring. In addition, linear scarring with mild bronchiectasis extends along the posterior aspect of the left upper lobe with mild pleural thickening of the left major fissure. There is a partially visualized gastric pull-up with suture line. Please see separately dictated report for CT of the chest for further details. There is a left-sided AICD with electrodes only partially visualized extending towards the superior vena cava. There are moderate multilevel spondylotic changes with left-sided degenerative fusion of the C4-C5 facet. </s> |
. Small lung volumes with mild basilar dependent atelectasis. No sign of metastases or other significant pulmonary abnormality. Small left thyroid cyst. No lymphadenopathy identified. Heart and pericardium appear normal. None. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for abdominal pathology. Small accessory splenule, otherwise unremarkable. | anatomical entity_fin: {'lung': {}}clinical findings_fin: {'mild basilar dependent atelectasis': {'clinical finding': 'mild basilar dependent atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'mild basilar dependent', 'observation': 'atelectasis', 'strength_term': 'mild'}}clinical findings_fin: {'metastases': {'clinical finding': 'metastases', 'existence': 'neg_dx', 'observation': 'metastase'}, 'other significant pulmonary abnormality': {'clinical finding': 'other significant pulmonary abnormality', 'existence': 'neg_dx', 'descriptive_term': 'other significant pulmonary', 'observation': 'abnormality'}}location descriptor_fin: ['left']clinical findings_fin: {'small left thyroid cyst': {'clinical finding': 'small left thyroid cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'small left thyroid', 'observation': 'cyst', 'strength_term': 'small'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'heart': {}, 'pericardium': {}}clinical findings_fin: {'heart and pericardium appear normal': {'clinical finding': 'heart and pericardium appear normal'}}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': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'small accessory splenule , otherwise unremarkable': {'clinical finding': 'small accessory splenule , otherwise unremarkable'}} | 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: {'lung': {}}clinical findings_fin: {'mild basilar dependent atelectasis': {'clinical finding': 'mild basilar dependent atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'mild basilar dependent', 'observation': 'atelectasis', 'strength_term': 'mild'}}clinical findings_fin: {'metastases': {'clinical finding': 'metastases', 'existence': 'neg_dx', 'observation': 'metastase'}, 'other significant pulmonary abnormality': {'clinical finding': 'other significant pulmonary abnormality', 'existence': 'neg_dx', 'descriptive_term': 'other significant pulmonary', 'observation': 'abnormality'}}location descriptor_fin: ['left']clinical findings_fin: {'small left thyroid cyst': {'clinical finding': 'small left thyroid cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'small left thyroid', 'observation': 'cyst', 'strength_term': 'small'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'heart': {}, 'pericardium': {}}clinical findings_fin: {'heart and pericardium appear normal': {'clinical finding': 'heart and pericardium appear normal'}}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': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'small accessory splenule , otherwise unremarkable': {'clinical finding': 'small accessory splenule , otherwise unremarkable'}} [/INST] . Small lung volumes with mild basilar dependent atelectasis. No sign of metastases or other significant pulmonary abnormality. Small left thyroid cyst. No lymphadenopathy identified. Heart and pericardium appear normal. None. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for abdominal pathology. Small accessory splenule, otherwise unremarkable. </s> |
. Bilateral basilar interstitial disease, mainly in the basilar segments of the lower lobes but also in the right middle lobe, with reticular and mild groundglass opacity. Moderate diffuse bronchiectasis is also present in the basilar segments of both lower lobes. No specific evidence of a honeycomb pattern. Very small right pleural effusion or chronic pleural thickening. Elevated right hemidiaphragm suggestive of eventration. No visible evidence of focal air trapping, though the expiration series was not obtained in full expiration. Mildly enlarged nonspecific mediastinal and axillary lymph nodes. Pulmonary artery size about upper limits of normal. No pericardial effusion. Moderate. Degenerative disease in the spine. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Cholelithiasis. Small right Bochdalek hernia. | anatomical entity_fin: {'lobes': {'location descriptor': 'lower'}, 'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['bilateral', 'lower', 'right']clinical findings_fin: {'bilateral basilar interstitial disease': {'clinical finding': 'bilateral basilar interstitial disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral basilar interstitial', 'observation': 'disease'}, 'reticular and mild groundglass opacity': {'clinical finding': 'reticular and mild groundglass opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'reticular and mild groundglass', 'observation': 'opacity', 'strength_term': 'mild'}}anatomical entity_fin: {'lobes': {'location descriptor': 'lower'}}location descriptor_fin: ['lower']clinical findings_fin: {'moderate diffuse bronchiectasis': {'clinical finding': 'moderate diffuse bronchiectasis', 'cf_snomed': {'bronchiectasis': 12295008}, 'existence': 'pos_dx', 'descriptive_term': 'moderate diffuse', 'observation': 'bronchiectasis', 'strength_term': 'moderate'}}clinical findings_fin: {'honeycomb pattern': {'clinical finding': 'honeycomb pattern', 'existence': 'neg_dx', 'descriptive_term': 'honeycomb', 'observation': 'pattern'}}location descriptor_fin: ['right']clinical findings_fin: {'very small right pleural effusion': {'clinical finding': 'very small right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'very small right pleural', 'observation': 'effusion', 'strength_term': 'small'}, 'chronic pleural thickening': {'clinical finding': 'chronic pleural thickening', 'existence': 'unc_dx', 'descriptive_term': 'chronic pleural', 'observation': 'thickening', 'temporal_term': 'chronic'}}anatomical entity_fin: {'right hemidiaphragm': {}}clinical findings_fin: {'eventration': {'clinical finding': 'eventration', 'cf_snomed': {'eventration': 37291000}, 'existence': 'unc_dx', 'observation': 'eventration'}}clinical findings_fin: {'focal air trapping': {'clinical finding': 'focal air trapping', 'cf_snomed': {'air trapping': 76171001}, 'existence': 'neg_dx', 'descriptive_term': 'focal air', 'observation': 'trapping'}}anatomical entity_fin: {'axillary lymph nodes': {}}clinical findings_fin: {'mildly enlarged nonspecific mediastinal and axillary lymph nodes': {'clinical finding': 'mildly enlarged nonspecific mediastinal and axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly enlarged nonspecific mediastinal and axillary lymph', 'observation': 'node', 'strength_term': 'mildly - enlarged', 'change_term': 'enlarged'}}anatomical entity_fin: {'pulmonary artery': {}}location descriptor_fin: ['upper']clinical findings_fin: {'pulmonary artery size about upper limits of normal': {'clinical finding': 'pulmonary artery size about upper limits of normal'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative disease': {'clinical finding': 'degenerative disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'disease'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}location descriptor_fin: ['right']clinical findings_fin: {'small right bochdalek hernia': {'clinical finding': 'small right bochdalek hernia', 'cf_snomed': {'hernia': 414403008}, 'existence': 'pos_dx', 'descriptive_term': 'small right bochdalek', 'observation': 'hernia', 'strength_term': 'small'}} | 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: {'lobes': {'location descriptor': 'lower'}, 'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['bilateral', 'lower', 'right']clinical findings_fin: {'bilateral basilar interstitial disease': {'clinical finding': 'bilateral basilar interstitial disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral basilar interstitial', 'observation': 'disease'}, 'reticular and mild groundglass opacity': {'clinical finding': 'reticular and mild groundglass opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'reticular and mild groundglass', 'observation': 'opacity', 'strength_term': 'mild'}}anatomical entity_fin: {'lobes': {'location descriptor': 'lower'}}location descriptor_fin: ['lower']clinical findings_fin: {'moderate diffuse bronchiectasis': {'clinical finding': 'moderate diffuse bronchiectasis', 'cf_snomed': {'bronchiectasis': 12295008}, 'existence': 'pos_dx', 'descriptive_term': 'moderate diffuse', 'observation': 'bronchiectasis', 'strength_term': 'moderate'}}clinical findings_fin: {'honeycomb pattern': {'clinical finding': 'honeycomb pattern', 'existence': 'neg_dx', 'descriptive_term': 'honeycomb', 'observation': 'pattern'}}location descriptor_fin: ['right']clinical findings_fin: {'very small right pleural effusion': {'clinical finding': 'very small right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'very small right pleural', 'observation': 'effusion', 'strength_term': 'small'}, 'chronic pleural thickening': {'clinical finding': 'chronic pleural thickening', 'existence': 'unc_dx', 'descriptive_term': 'chronic pleural', 'observation': 'thickening', 'temporal_term': 'chronic'}}anatomical entity_fin: {'right hemidiaphragm': {}}clinical findings_fin: {'eventration': {'clinical finding': 'eventration', 'cf_snomed': {'eventration': 37291000}, 'existence': 'unc_dx', 'observation': 'eventration'}}clinical findings_fin: {'focal air trapping': {'clinical finding': 'focal air trapping', 'cf_snomed': {'air trapping': 76171001}, 'existence': 'neg_dx', 'descriptive_term': 'focal air', 'observation': 'trapping'}}anatomical entity_fin: {'axillary lymph nodes': {}}clinical findings_fin: {'mildly enlarged nonspecific mediastinal and axillary lymph nodes': {'clinical finding': 'mildly enlarged nonspecific mediastinal and axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly enlarged nonspecific mediastinal and axillary lymph', 'observation': 'node', 'strength_term': 'mildly - enlarged', 'change_term': 'enlarged'}}anatomical entity_fin: {'pulmonary artery': {}}location descriptor_fin: ['upper']clinical findings_fin: {'pulmonary artery size about upper limits of normal': {'clinical finding': 'pulmonary artery size about upper limits of normal'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative disease': {'clinical finding': 'degenerative disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'disease'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}location descriptor_fin: ['right']clinical findings_fin: {'small right bochdalek hernia': {'clinical finding': 'small right bochdalek hernia', 'cf_snomed': {'hernia': 414403008}, 'existence': 'pos_dx', 'descriptive_term': 'small right bochdalek', 'observation': 'hernia', 'strength_term': 'small'}} [/INST] . Bilateral basilar interstitial disease, mainly in the basilar segments of the lower lobes but also in the right middle lobe, with reticular and mild groundglass opacity. Moderate diffuse bronchiectasis is also present in the basilar segments of both lower lobes. No specific evidence of a honeycomb pattern. Very small right pleural effusion or chronic pleural thickening. Elevated right hemidiaphragm suggestive of eventration. No visible evidence of focal air trapping, though the expiration series was not obtained in full expiration. Mildly enlarged nonspecific mediastinal and axillary lymph nodes. Pulmonary artery size about upper limits of normal. No pericardial effusion. Moderate. Degenerative disease in the spine. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Cholelithiasis. Small right Bochdalek hernia. </s> |
Both palatine tonsils are thickened. The right tonsil is thickened more than the left, and contains a centrally hypoattenuating region which measures 15 x 11 mm in the axial plane and at least 14 mm in the craniocaudal plane. Edema from this lesion tracks into the soft palate. The oropharyngeal airway is partially effaced. The remainder of the aerodigestive mucosa is unremarkable. A few scattered mildly prominent lymph nodes are evident on both sides of the neck, but none of these is pathologically enlarged by size criteria or shows aggressive features. The salivary glands and thyroid are free of focal lesions. The cervical vessels enhance normally. The lung apices are clear. No concerning or destructive osseous lesions are detected. | anatomical entity_fin: {'palatine tonsils': {}}clinical findings_fin: {'thickened': {'clinical finding': 'thickened', 'existence': 'pos_dx', 'observation': 'thickened'}}size_fin: [{'size': '15 x 11 mm'}, {'size': '14 mm'}]anatomical entity_fin: {'tonsil': {'location descriptor': 'right'}, 'axial plane': {}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'thickened': {'clinical finding': 'thickened', 'existence': 'pos_dx', 'observation': 'thickened'}}anatomical entity_fin: {'soft palate': {}}clinical findings_fin: {'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'observation': 'edema'}, 'this lesion': {'clinical finding': 'this lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'lesion'}}anatomical entity_fin: {'airway': {}}clinical findings_fin: {'effaced': {'clinical finding': 'effaced', 'existence': 'pos_dx', 'observation': 'effaced'}}anatomical entity_fin: {'mucosa': {}}clinical findings_fin: {'remainder of the aerodigestive mucosa is unremarkable': {'clinical finding': 'remainder of the aerodigestive mucosa is unremarkable'}}anatomical entity_fin: {'neck': {}}clinical findings_fin: {'few scattered mildly prominent lymph nodes': {'clinical finding': 'few scattered mildly prominent lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'few scattered mildly prominent lymph', 'observation': 'node', 'strength_term': 'mildly - prominent', 'quantity_term': 'few'}, 'enlarged': {'clinical finding': 'enlarged', 'existence': 'neg_dx', 'observation': 'enlarged'}}anatomical entity_fin: {'salivary glands': {}}clinical findings_fin: {'focal lesions': {'clinical finding': 'focal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}anatomical entity_fin: {'lung': {}, 'apices': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}clinical findings_fin: {'concerning or destructive osseous lesions': {'clinical finding': 'concerning or destructive osseous lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'concerning or destructive osseous', '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: {'palatine tonsils': {}}clinical findings_fin: {'thickened': {'clinical finding': 'thickened', 'existence': 'pos_dx', 'observation': 'thickened'}}size_fin: [{'size': '15 x 11 mm'}, {'size': '14 mm'}]anatomical entity_fin: {'tonsil': {'location descriptor': 'right'}, 'axial plane': {}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'thickened': {'clinical finding': 'thickened', 'existence': 'pos_dx', 'observation': 'thickened'}}anatomical entity_fin: {'soft palate': {}}clinical findings_fin: {'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'observation': 'edema'}, 'this lesion': {'clinical finding': 'this lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'lesion'}}anatomical entity_fin: {'airway': {}}clinical findings_fin: {'effaced': {'clinical finding': 'effaced', 'existence': 'pos_dx', 'observation': 'effaced'}}anatomical entity_fin: {'mucosa': {}}clinical findings_fin: {'remainder of the aerodigestive mucosa is unremarkable': {'clinical finding': 'remainder of the aerodigestive mucosa is unremarkable'}}anatomical entity_fin: {'neck': {}}clinical findings_fin: {'few scattered mildly prominent lymph nodes': {'clinical finding': 'few scattered mildly prominent lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'few scattered mildly prominent lymph', 'observation': 'node', 'strength_term': 'mildly - prominent', 'quantity_term': 'few'}, 'enlarged': {'clinical finding': 'enlarged', 'existence': 'neg_dx', 'observation': 'enlarged'}}anatomical entity_fin: {'salivary glands': {}}clinical findings_fin: {'focal lesions': {'clinical finding': 'focal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}anatomical entity_fin: {'lung': {}, 'apices': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}clinical findings_fin: {'concerning or destructive osseous lesions': {'clinical finding': 'concerning or destructive osseous lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'concerning or destructive osseous', 'observation': 'lesion'}} [/INST] Both palatine tonsils are thickened. The right tonsil is thickened more than the left, and contains a centrally hypoattenuating region which measures 15 x 11 mm in the axial plane and at least 14 mm in the craniocaudal plane. Edema from this lesion tracks into the soft palate. The oropharyngeal airway is partially effaced. The remainder of the aerodigestive mucosa is unremarkable. A few scattered mildly prominent lymph nodes are evident on both sides of the neck, but none of these is pathologically enlarged by size criteria or shows aggressive features. The salivary glands and thyroid are free of focal lesions. The cervical vessels enhance normally. The lung apices are clear. No concerning or destructive osseous lesions are detected. </s> |
. No significant abnormality noted. No significant abnormality noted. Mild. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Right adrenal adenoma that measures 1.6 x 1.5 cm, previously on 8/18/2015 measured less than 15 Hounsfield units and is most consistent with a benign adenoma. Superior pole right renal cyst is noted. No significant abnormality noted. None. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Mild degenerative changes in the lumbosacral spine, L4 S1 level. 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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '1.6 x 1.5 cm', 'size_descriptor': 'adenoma'}]location descriptor_fin: ['right']clinical findings_fin: {'right adrenal adenoma': {'clinical finding': 'right adrenal adenoma', 'cf_snomed': {'adrenal adenoma': 255036008}, 'existence': 'pos_dx', 'descriptive_term': 'right adrenal', 'observation': 'adenoma'}, 'benign adenoma': {'clinical finding': 'benign adenoma', 'cf_snomed': {'adenoma': 1187379001}, 'existence': 'pos_dx', 'descriptive_term': 'benign', 'observation': 'adenoma', 'strength_term': 'benign'}}anatomical entity_fin: {'pole': {'location descriptor': 'superior'}}location descriptor_fin: ['superior', 'right']clinical findings_fin: {'superior pole right renal cyst': {'clinical finding': 'superior pole right renal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'superior pole right renal', 'observation': 'cyst', 'strength_term': 'superior'}}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'}}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: {'lumbosacral spine': {}}clinical findings_fin: {'mild degenerative changes': {'clinical finding': 'mild degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild'}}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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '1.6 x 1.5 cm', 'size_descriptor': 'adenoma'}]location descriptor_fin: ['right']clinical findings_fin: {'right adrenal adenoma': {'clinical finding': 'right adrenal adenoma', 'cf_snomed': {'adrenal adenoma': 255036008}, 'existence': 'pos_dx', 'descriptive_term': 'right adrenal', 'observation': 'adenoma'}, 'benign adenoma': {'clinical finding': 'benign adenoma', 'cf_snomed': {'adenoma': 1187379001}, 'existence': 'pos_dx', 'descriptive_term': 'benign', 'observation': 'adenoma', 'strength_term': 'benign'}}anatomical entity_fin: {'pole': {'location descriptor': 'superior'}}location descriptor_fin: ['superior', 'right']clinical findings_fin: {'superior pole right renal cyst': {'clinical finding': 'superior pole right renal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'superior pole right renal', 'observation': 'cyst', 'strength_term': 'superior'}}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'}}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: {'lumbosacral spine': {}}clinical findings_fin: {'mild degenerative changes': {'clinical finding': 'mild degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild'}}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. Mild. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Right adrenal adenoma that measures 1.6 x 1.5 cm, previously on 8/18/2015 measured less than 15 Hounsfield units and is most consistent with a benign adenoma. Superior pole right renal cyst is noted. No significant abnormality noted. None. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Mild degenerative changes in the lumbosacral spine, L4 S1 level. No significant abnormality noted </s> |
. Severe upper lung zone predominant centrilobular emphysema. Changes from right talc pleurodesis are noted at the right lung base. Nodular changes of the right pulmonary fissures are likely related to this procedure. A right upper lobe subpleural heterogeneously enhancing mass containing small foci of calcification has a maximum thickness of 2.2 cm. There is infiltration of the mediastinum by this tumor with approximately one third circumferential direct contact of the right subclavian artery. The azygos vein appears enlarged along its posterior and superior margins where the tumor abuts it, suggesting probable invasion of this vessel. Scattered cardiophrenic, mediastinal and right hilar lymph nodes are seen which do not meet RECIST measurement criteria. None. No destructive bony changes are seen. Superior endplate depression of the T5 and T10 vertebral bodies of unknown chronicity. The thoracic aorta is of normal size and contour. The origins of the great vessels are all normal in appearance without abnormality seen in their peripheral distribution. | anatomical entity_fin: {'upper lung zone': {}}clinical findings_fin: {'severe upper lung zone predominant centrilobular emphysema': {'clinical finding': 'severe upper lung zone predominant centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'severe upper lung zone predominant centrilobular', 'observation': 'emphysema', 'strength_term': 'severe'}}anatomical entity_fin: {'right lung': {}, 'base': {}}location descriptor_fin: ['right']clinical findings_fin: {'changes': {'clinical finding': 'changes', 'existence': 'pos_dx', 'observation': 'change'}, 'right talc pleurodesis': {'clinical finding': 'right talc pleurodesis', 'existence': 'pos_dx', 'descriptive_term': 'right talc', 'observation': 'pleurodesis'}}anatomical entity_fin: {'pulmonary fissures': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'nodular changes': {'clinical finding': 'nodular changes', 'existence': 'unc_dx', 'descriptive_term': 'nodular', 'observation': 'change'}, 'right pulmonary fissures': {'clinical finding': 'right pulmonary fissures', 'cf_snomed': {'fissure': 47393002}, 'existence': 'unc_dx', 'descriptive_term': 'right pulmonary', 'observation': 'fissure'}}size_fin: [{'size': '2.2 cm', 'size_descriptor': 'mass'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}imaging observation_fin: ['enhancing', 'foci']location descriptor_fin: ['right', 'upper']clinical findings_fin: {'right upper lobe subpleural heterogeneously enhancing mass': {'clinical finding': 'right upper lobe subpleural heterogeneously enhancing mass', 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe subpleural heterogeneously enhancing', 'observation': 'mass'}, 'calcification': {'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'}}anatomical entity_fin: {'mediastinum': {}, 'right subclavian artery': {}}clinical findings_fin: {'this tumor': {'clinical finding': 'this tumor', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'tumor'}, 'approximately one third circumferential direct contact': {'clinical finding': 'approximately one third circumferential direct contact', 'existence': 'pos_dx', 'descriptive_term': 'approximately one third circumferential direct', 'observation': 'contact'}}anatomical entity_fin: {'azygos vein': {}}imaging observation_fin: ['margins']location descriptor_fin: ['posterior', 'superior']clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}, 'tumor': {'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'}, 'probable invasion': {'clinical finding': 'probable invasion', 'existence': 'unc_dx', 'descriptive_term': 'probable', 'observation': 'invasion'}}location descriptor_fin: ['right']clinical findings_fin: {'scattered cardiophrenic, mediastinal and right hilar lymph nodes': {'clinical finding': 'scattered cardiophrenic, mediastinal and right hilar lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'scattered cardiophrenic mediastinal and right hilar lymph', 'observation': 'node'}}clinical findings_fin: {'destructive bony changes': {'clinical finding': 'destructive bony changes', 'existence': 'neg_dx', 'descriptive_term': 'destructive bony', 'observation': 'change'}}anatomical entity_fin: {'endplate': {'location descriptor': 'superior'}, 't10 vertebral bodies': {}}location descriptor_fin: ['superior']clinical findings_fin: {'superior endplate depression': {'clinical finding': 'superior endplate depression', 'existence': 'pos_dx', 'descriptive_term': 'superior endplate', 'observation': 'depression', 'strength_term': 'superior'}, 'unknown chronicity': {'clinical finding': 'unknown chronicity', 'existence': 'pos_dx', 'descriptive_term': 'unknown', 'observation': 'chronicity'}}anatomical entity_fin: {'thoracic aorta': {}}clinical findings_fin: {'contour': {'clinical finding': 'contour', 'existence': 'pos_dx', 'observation': 'contour'}}anatomical entity_fin: {'origins': {}}location descriptor_fin: ['peripheral']clinical findings_fin: {'abnormality': {'clinical finding': 'abnormality', 'existence': 'neg_dx', '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: anatomical entity_fin: {'upper lung zone': {}}clinical findings_fin: {'severe upper lung zone predominant centrilobular emphysema': {'clinical finding': 'severe upper lung zone predominant centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'severe upper lung zone predominant centrilobular', 'observation': 'emphysema', 'strength_term': 'severe'}}anatomical entity_fin: {'right lung': {}, 'base': {}}location descriptor_fin: ['right']clinical findings_fin: {'changes': {'clinical finding': 'changes', 'existence': 'pos_dx', 'observation': 'change'}, 'right talc pleurodesis': {'clinical finding': 'right talc pleurodesis', 'existence': 'pos_dx', 'descriptive_term': 'right talc', 'observation': 'pleurodesis'}}anatomical entity_fin: {'pulmonary fissures': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'nodular changes': {'clinical finding': 'nodular changes', 'existence': 'unc_dx', 'descriptive_term': 'nodular', 'observation': 'change'}, 'right pulmonary fissures': {'clinical finding': 'right pulmonary fissures', 'cf_snomed': {'fissure': 47393002}, 'existence': 'unc_dx', 'descriptive_term': 'right pulmonary', 'observation': 'fissure'}}size_fin: [{'size': '2.2 cm', 'size_descriptor': 'mass'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}imaging observation_fin: ['enhancing', 'foci']location descriptor_fin: ['right', 'upper']clinical findings_fin: {'right upper lobe subpleural heterogeneously enhancing mass': {'clinical finding': 'right upper lobe subpleural heterogeneously enhancing mass', 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe subpleural heterogeneously enhancing', 'observation': 'mass'}, 'calcification': {'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'}}anatomical entity_fin: {'mediastinum': {}, 'right subclavian artery': {}}clinical findings_fin: {'this tumor': {'clinical finding': 'this tumor', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'tumor'}, 'approximately one third circumferential direct contact': {'clinical finding': 'approximately one third circumferential direct contact', 'existence': 'pos_dx', 'descriptive_term': 'approximately one third circumferential direct', 'observation': 'contact'}}anatomical entity_fin: {'azygos vein': {}}imaging observation_fin: ['margins']location descriptor_fin: ['posterior', 'superior']clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}, 'tumor': {'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'}, 'probable invasion': {'clinical finding': 'probable invasion', 'existence': 'unc_dx', 'descriptive_term': 'probable', 'observation': 'invasion'}}location descriptor_fin: ['right']clinical findings_fin: {'scattered cardiophrenic, mediastinal and right hilar lymph nodes': {'clinical finding': 'scattered cardiophrenic, mediastinal and right hilar lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'scattered cardiophrenic mediastinal and right hilar lymph', 'observation': 'node'}}clinical findings_fin: {'destructive bony changes': {'clinical finding': 'destructive bony changes', 'existence': 'neg_dx', 'descriptive_term': 'destructive bony', 'observation': 'change'}}anatomical entity_fin: {'endplate': {'location descriptor': 'superior'}, 't10 vertebral bodies': {}}location descriptor_fin: ['superior']clinical findings_fin: {'superior endplate depression': {'clinical finding': 'superior endplate depression', 'existence': 'pos_dx', 'descriptive_term': 'superior endplate', 'observation': 'depression', 'strength_term': 'superior'}, 'unknown chronicity': {'clinical finding': 'unknown chronicity', 'existence': 'pos_dx', 'descriptive_term': 'unknown', 'observation': 'chronicity'}}anatomical entity_fin: {'thoracic aorta': {}}clinical findings_fin: {'contour': {'clinical finding': 'contour', 'existence': 'pos_dx', 'observation': 'contour'}}anatomical entity_fin: {'origins': {}}location descriptor_fin: ['peripheral']clinical findings_fin: {'abnormality': {'clinical finding': 'abnormality', 'existence': 'neg_dx', 'observation': 'abnormality'}} [/INST] . Severe upper lung zone predominant centrilobular emphysema. Changes from right talc pleurodesis are noted at the right lung base. Nodular changes of the right pulmonary fissures are likely related to this procedure. A right upper lobe subpleural heterogeneously enhancing mass containing small foci of calcification has a maximum thickness of 2.2 cm. There is infiltration of the mediastinum by this tumor with approximately one third circumferential direct contact of the right subclavian artery. The azygos vein appears enlarged along its posterior and superior margins where the tumor abuts it, suggesting probable invasion of this vessel. Scattered cardiophrenic, mediastinal and right hilar lymph nodes are seen which do not meet RECIST measurement criteria. None. No destructive bony changes are seen. Superior endplate depression of the T5 and T10 vertebral bodies of unknown chronicity. The thoracic aorta is of normal size and contour. The origins of the great vessels are all normal in appearance without abnormality seen in their peripheral distribution. </s> |
There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. There has been interval bilateral ventricular enlargement, most prominent within the temporal horns of the lateral ventricles. There has been interval decrease in global mass effect, with improved sulcal prominence. No evidence of new hemorrhage or masses. There is no midline shift or herniation. The orbits, skull and scalp soft tissues are grossly unremarkable. The sphenoid sinuses and posterior left ethmoid cells are partially opacified with fluid. | 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'}}anatomical entity_fin: {'lateral ventricles': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'interval bilateral ventricular enlargement , most prominent within the temporal horns of the lateral ventricles': {'clinical finding': 'interval bilateral ventricular enlargement , most prominent within the temporal horns of the lateral ventricles', 'cf_snomed': {'enlargement': 442021009}}}clinical findings_fin: {'global mass effect': {'clinical finding': 'global mass effect', 'existence': 'pos_dx', 'descriptive_term': 'global mass', 'observation': 'effect'}, 'improved sulcal prominence': {'clinical finding': 'improved sulcal prominence', 'existence': 'pos_dx', 'descriptive_term': 'improved sulcal', 'observation': 'prominence'}}clinical findings_fin: {'new hemorrhage': {'clinical finding': 'new hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'hemorrhage', 'temporal_term': 'new'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'orbits': {}, 'skull': {}, 'scalp': {}}clinical findings_fin: {'orbits , skull and scalp soft tissues are grossly unremarkable': {'clinical finding': 'orbits , skull and scalp soft tissues are grossly unremarkable'}}anatomical entity_fin: {'cells': {}, 'fluid': {}}location descriptor_fin: ['posterior', 'left']clinical findings_fin: {'partially opacified with fluid': {'clinical finding': 'partially opacified with fluid', 'change_term': 'opacified'}} | 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 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'}}anatomical entity_fin: {'lateral ventricles': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'interval bilateral ventricular enlargement , most prominent within the temporal horns of the lateral ventricles': {'clinical finding': 'interval bilateral ventricular enlargement , most prominent within the temporal horns of the lateral ventricles', 'cf_snomed': {'enlargement': 442021009}}}clinical findings_fin: {'global mass effect': {'clinical finding': 'global mass effect', 'existence': 'pos_dx', 'descriptive_term': 'global mass', 'observation': 'effect'}, 'improved sulcal prominence': {'clinical finding': 'improved sulcal prominence', 'existence': 'pos_dx', 'descriptive_term': 'improved sulcal', 'observation': 'prominence'}}clinical findings_fin: {'new hemorrhage': {'clinical finding': 'new hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'hemorrhage', 'temporal_term': 'new'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'orbits': {}, 'skull': {}, 'scalp': {}}clinical findings_fin: {'orbits , skull and scalp soft tissues are grossly unremarkable': {'clinical finding': 'orbits , skull and scalp soft tissues are grossly unremarkable'}}anatomical entity_fin: {'cells': {}, 'fluid': {}}location descriptor_fin: ['posterior', 'left']clinical findings_fin: {'partially opacified with fluid': {'clinical finding': 'partially opacified with fluid', 'change_term': 'opacified'}} [/INST] There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. There has been interval bilateral ventricular enlargement, most prominent within the temporal horns of the lateral ventricles. There has been interval decrease in global mass effect, with improved sulcal prominence. No evidence of new hemorrhage or masses. There is no midline shift or herniation. The orbits, skull and scalp soft tissues are grossly unremarkable. The sphenoid sinuses and posterior left ethmoid cells are partially opacified with fluid. </s> |
. Chronic interstitial lung disease, the pattern consistent with UIP, unchanged. No evidence of pulmonary or pleural metastases. No lymphadenopathy. Heart and pericardium appear normal. Severe. T3 compression deformity unchanged since two months ago, but may not have been present 11/12/2014. Degenerative abnormalities affect the thoracic spine. Lumbar spine reported separately in the abdomen CT report. Absence of enteric contrast material limits sensitivity for abdominal pathology. Abdomen CT reported separately. | clinical findings_fin: {'chronic interstitial lung disease': {'clinical finding': 'chronic interstitial lung disease', 'cf_snomed': {'chronic interstitial lung disease': 434301000124102}, 'existence': 'pos_dx', 'descriptive_term': 'chronic interstitial lung', 'observation': 'disease', 'temporal_term': 'chronic'}, 'uip': {'clinical finding': 'uip', 'existence': 'pos_dx', 'observation': 'uip'}}clinical findings_fin: {'pulmonary or pleural metastases': {'clinical finding': 'pulmonary or pleural metastases', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary or pleural', 'observation': 'metastase'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'heart': {}, 'pericardium': {}}clinical findings_fin: {'heart and pericardium appear normal': {'clinical finding': 'heart and pericardium appear normal'}}clinical findings_fin: {'t3 compression deformity': {'clinical finding': 't3 compression deformity', 'cf_snomed': {'compression': 71173004, 'deformity': 417893002}, 'existence': 'pos_dx', 'descriptive_term': 't3 compression', 'observation': 'deformity'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative abnormalities': {'clinical finding': 'degenerative abnormalities', 'cf_snomed': {'degenerative abnormality': 107669003}, 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'abnormality'}}anatomical entity_fin: {'spine': {}, 'abdomen': {}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'abdomen': {'clinical finding': 'abdomen', 'cf_snomed': {'abdomen': 818983003}, 'existence': 'pos_dx', 'observation': 'abdomen'}} | 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: {'chronic interstitial lung disease': {'clinical finding': 'chronic interstitial lung disease', 'cf_snomed': {'chronic interstitial lung disease': 434301000124102}, 'existence': 'pos_dx', 'descriptive_term': 'chronic interstitial lung', 'observation': 'disease', 'temporal_term': 'chronic'}, 'uip': {'clinical finding': 'uip', 'existence': 'pos_dx', 'observation': 'uip'}}clinical findings_fin: {'pulmonary or pleural metastases': {'clinical finding': 'pulmonary or pleural metastases', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary or pleural', 'observation': 'metastase'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'heart': {}, 'pericardium': {}}clinical findings_fin: {'heart and pericardium appear normal': {'clinical finding': 'heart and pericardium appear normal'}}clinical findings_fin: {'t3 compression deformity': {'clinical finding': 't3 compression deformity', 'cf_snomed': {'compression': 71173004, 'deformity': 417893002}, 'existence': 'pos_dx', 'descriptive_term': 't3 compression', 'observation': 'deformity'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative abnormalities': {'clinical finding': 'degenerative abnormalities', 'cf_snomed': {'degenerative abnormality': 107669003}, 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'abnormality'}}anatomical entity_fin: {'spine': {}, 'abdomen': {}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'abdomen': {'clinical finding': 'abdomen', 'cf_snomed': {'abdomen': 818983003}, 'existence': 'pos_dx', 'observation': 'abdomen'}} [/INST] . Chronic interstitial lung disease, the pattern consistent with UIP, unchanged. No evidence of pulmonary or pleural metastases. No lymphadenopathy. Heart and pericardium appear normal. Severe. T3 compression deformity unchanged since two months ago, but may not have been present 11/12/2014. Degenerative abnormalities affect the thoracic spine. Lumbar spine reported separately in the abdomen CT report. Absence of enteric contrast material limits sensitivity for abdominal pathology. Abdomen CT reported separately. </s> |
Nonenhanced head. There is no detectable acute posttraumatic intracranial, calvarial or soft tissues of the scalp findings. Diffuse periventricular and subcortical low-attenuation white matter grossly similar to prior exam and suggestive of age-indeterminate small vessel ischemic strokes. Mild prominence of cortical sulci and ventricular system likely within normal range for patients stated age and stable since prior study. Unremarkable calvarium and soft tissues of the scalp. Unremarkable images through the orbits, paranasal sinuses and mastoid air cells. | anatomical entity_fin: {'head': {}}clinical findings_fin: {'nonenhanced head': {'clinical finding': 'nonenhanced head'}}anatomical entity_fin: {'scalp': {}}clinical findings_fin: {'is no detectable acute posttraumatic intracranial , calvarial or soft tissues of the scalp findings': {'clinical finding': 'is no detectable acute posttraumatic intracranial , calvarial or soft tissues of the scalp findings'}}clinical findings_fin: {'age-indeterminate small vessel ischemic strokes': {'clinical finding': 'age-indeterminate small vessel ischemic strokes', 'cf_snomed': {'ischemic stroke': 422504002}, 'existence': 'unc_dx', 'descriptive_term': 'age-indeterminate small vessel ischemic', 'observation': 'stroke', 'strength_term': 'small'}}clinical findings_fin: {'normal range': {'clinical finding': 'normal range', 'existence': 'unc_dx', 'descriptive_term': 'normal', 'observation': 'range', 'strength_term': 'normal'}}anatomical entity_fin: {'scalp': {}}clinical findings_fin: {'unremarkable calvarium and soft tissues': {'clinical finding': 'unremarkable calvarium and soft tissues'}}anatomical entity_fin: {'orbits': {}, 'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'unremarkable images through the orbits , paranasal sinuses and mastoid air cells': {'clinical finding': 'unremarkable images through the orbits , paranasal sinuses and mastoid air cells'}} | 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'}}anatomical entity_fin: {'scalp': {}}clinical findings_fin: {'is no detectable acute posttraumatic intracranial , calvarial or soft tissues of the scalp findings': {'clinical finding': 'is no detectable acute posttraumatic intracranial , calvarial or soft tissues of the scalp findings'}}clinical findings_fin: {'age-indeterminate small vessel ischemic strokes': {'clinical finding': 'age-indeterminate small vessel ischemic strokes', 'cf_snomed': {'ischemic stroke': 422504002}, 'existence': 'unc_dx', 'descriptive_term': 'age-indeterminate small vessel ischemic', 'observation': 'stroke', 'strength_term': 'small'}}clinical findings_fin: {'normal range': {'clinical finding': 'normal range', 'existence': 'unc_dx', 'descriptive_term': 'normal', 'observation': 'range', 'strength_term': 'normal'}}anatomical entity_fin: {'scalp': {}}clinical findings_fin: {'unremarkable calvarium and soft tissues': {'clinical finding': 'unremarkable calvarium and soft tissues'}}anatomical entity_fin: {'orbits': {}, 'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'unremarkable images through the orbits , paranasal sinuses and mastoid air cells': {'clinical finding': 'unremarkable images through the orbits , paranasal sinuses and mastoid air cells'}} [/INST] Nonenhanced head. There is no detectable acute posttraumatic intracranial, calvarial or soft tissues of the scalp findings. Diffuse periventricular and subcortical low-attenuation white matter grossly similar to prior exam and suggestive of age-indeterminate small vessel ischemic strokes. Mild prominence of cortical sulci and ventricular system likely within normal range for patients stated age and stable since prior study. Unremarkable calvarium and soft tissues of the scalp. Unremarkable images through the orbits, paranasal sinuses and mastoid air cells. </s> |
. No significant abnormality noted. No significant abnormality noted. Subcentimeter mediastinal lymph nodes. Sclerotic osseous metastatic disease involving the T7 and T12 vertebral bodies grossly stable. Correlate with bone scan. Gynecomastia. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. There is no hydronephrosis or nephrolithiasis in either kidney. No retroperitoneal lymphadenopathy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Status post prostatectomy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Sclerotic pelvis metastases. 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'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'subcentimeter mediastinal lymph nodes': {'clinical finding': 'subcentimeter mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter mediastinal lymph', 'observation': 'node'}}anatomical entity_fin: {'osseous': {}, 't12 vertebral bodies': {}}clinical findings_fin: {'sclerotic osseous metastatic disease': {'clinical finding': 'sclerotic osseous metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'sclerotic osseous metastatic', 'observation': 'disease'}}clinical findings_fin: {'gynecomastia': {'clinical finding': 'gynecomastia', 'cf_snomed': {'gynecomastia': 4754008}, 'existence': 'pos_dx', 'observation': 'gynecomastia'}}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: {'kidney': {}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}, 'nephrolithiasis': {'clinical finding': 'nephrolithiasis', 'existence': 'neg_dx', 'observation': 'nephrolithiasis'}}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'}}procedure_fin: ['prostatectomy']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: {'pelvis': {}}clinical findings_fin: {'sclerotic pelvis metastases': {'clinical finding': 'sclerotic pelvis metastases', 'existence': 'pos_dx', 'descriptive_term': 'sclerotic pelvis', 'observation': 'metastase'}}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'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'subcentimeter mediastinal lymph nodes': {'clinical finding': 'subcentimeter mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter mediastinal lymph', 'observation': 'node'}}anatomical entity_fin: {'osseous': {}, 't12 vertebral bodies': {}}clinical findings_fin: {'sclerotic osseous metastatic disease': {'clinical finding': 'sclerotic osseous metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'sclerotic osseous metastatic', 'observation': 'disease'}}clinical findings_fin: {'gynecomastia': {'clinical finding': 'gynecomastia', 'cf_snomed': {'gynecomastia': 4754008}, 'existence': 'pos_dx', 'observation': 'gynecomastia'}}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: {'kidney': {}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}, 'nephrolithiasis': {'clinical finding': 'nephrolithiasis', 'existence': 'neg_dx', 'observation': 'nephrolithiasis'}}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'}}procedure_fin: ['prostatectomy']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: {'pelvis': {}}clinical findings_fin: {'sclerotic pelvis metastases': {'clinical finding': 'sclerotic pelvis metastases', 'existence': 'pos_dx', 'descriptive_term': 'sclerotic pelvis', 'observation': 'metastase'}}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. Subcentimeter mediastinal lymph nodes. Sclerotic osseous metastatic disease involving the T7 and T12 vertebral bodies grossly stable. Correlate with bone scan. Gynecomastia. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. There is no hydronephrosis or nephrolithiasis in either kidney. No retroperitoneal lymphadenopathy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Status post prostatectomy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Sclerotic pelvis metastases. No significant abnormality noted </s> |
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, skull, and scalp soft tissues are grossly unremarkable. There is scattered paranasal sinus mucosal thickening. | 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': {}, 'skull': {}, 'scalp': {}}clinical findings_fin: {'orbits , skull , and scalp soft tissues are grossly unremarkable': {'clinical finding': 'orbits , skull , and scalp soft tissues are grossly unremarkable'}}anatomical entity_fin: {'paranasal sinus': {}}clinical findings_fin: {'scattered paranasal sinus mucosal thickening': {'clinical finding': 'scattered paranasal sinus mucosal thickening', 'cf_snomed': {'sinus': 419351001}, 'existence': 'pos_dx', 'descriptive_term': 'scattered paranasal sinus mucosal', 'observation': 'thickening'}} | 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 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': {}, 'skull': {}, 'scalp': {}}clinical findings_fin: {'orbits , skull , and scalp soft tissues are grossly unremarkable': {'clinical finding': 'orbits , skull , and scalp soft tissues are grossly unremarkable'}}anatomical entity_fin: {'paranasal sinus': {}}clinical findings_fin: {'scattered paranasal sinus mucosal thickening': {'clinical finding': 'scattered paranasal sinus mucosal thickening', 'cf_snomed': {'sinus': 419351001}, 'existence': 'pos_dx', 'descriptive_term': 'scattered paranasal sinus mucosal', 'observation': 'thickening'}} [/INST] 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, skull, and scalp soft tissues are grossly unremarkable. There is scattered paranasal sinus mucosal thickening. </s> |
. There is a 4 mm parenchymal nodule in the right middle lobe previously, 3.0 x 2.7 cm. Enlarged thyroid with multiple nodules. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No hydronephrosis or nephrolithiasis in either kidney. Small bilateral renal cysts. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted | size_fin: [{'size': '4 mm'}, {'size': '3.0 x 2.7 cm'}]anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'4 mm parenchymal nodule': {'clinical finding': '4 mm parenchymal nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': '4 mm parenchymal', 'observation': 'nodule'}}clinical findings_fin: {'enlarged thyroid': {'clinical finding': 'enlarged thyroid', 'existence': 'pos_dx', 'descriptive_term': 'enlarged', 'observation': 'thyroid', 'strength_term': 'enlarged', 'change_term': 'enlarged'}, 'multiple nodules': {'clinical finding': 'multiple nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'nodule', 'quantity_term': 'multiple'}}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: {'kidney': {}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}, 'nephrolithiasis': {'clinical finding': 'nephrolithiasis', 'existence': 'neg_dx', 'observation': 'nephrolithiasis'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'small bilateral renal cysts': {'clinical finding': 'small bilateral renal cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'small bilateral renal', 'observation': 'cyst', 'strength_term': 'small'}}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'}}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: size_fin: [{'size': '4 mm'}, {'size': '3.0 x 2.7 cm'}]anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'4 mm parenchymal nodule': {'clinical finding': '4 mm parenchymal nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': '4 mm parenchymal', 'observation': 'nodule'}}clinical findings_fin: {'enlarged thyroid': {'clinical finding': 'enlarged thyroid', 'existence': 'pos_dx', 'descriptive_term': 'enlarged', 'observation': 'thyroid', 'strength_term': 'enlarged', 'change_term': 'enlarged'}, 'multiple nodules': {'clinical finding': 'multiple nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'nodule', 'quantity_term': 'multiple'}}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: {'kidney': {}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}, 'nephrolithiasis': {'clinical finding': 'nephrolithiasis', 'existence': 'neg_dx', 'observation': 'nephrolithiasis'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'small bilateral renal cysts': {'clinical finding': 'small bilateral renal cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'small bilateral renal', 'observation': 'cyst', 'strength_term': 'small'}}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'}}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] . There is a 4 mm parenchymal nodule in the right middle lobe previously, 3.0 x 2.7 cm. Enlarged thyroid with multiple nodules. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No hydronephrosis or nephrolithiasis in either kidney. Small bilateral renal cysts. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted </s> |
. Moderate to severe right greater than left centrilobular emphysema. No suspicious nodule or mass. Extensive bilateral pleural thickening and calcification consistent with asbestosis related pleural disease. Probable right lower lobe rounded atelectasis again noted. Pleural thickening at the right base posterolaterally is unchanged measuring 8 mm. No significant change in small loculated right pleural effusion. Status post CABG with median sternotomy wires intact. The heart size is normal without pericardial effusion. Scattered lymph nodes without significant lymphadenopathy. Severe. No suspicious osseous lesions. No significant lymphadenopathy. Absence of enteric contrast material limits sensitivity for abdominal pathology. Small hiatal hernia. | location descriptor_fin: ['right', 'left']clinical findings_fin: {'left centrilobular emphysema': {'clinical finding': 'left centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'left centrilobular', 'observation': 'emphysema'}}clinical findings_fin: {'suspicious nodule': {'clinical finding': 'suspicious nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious', 'observation': 'nodule'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'extensive bilateral pleural thickening': {'clinical finding': 'extensive bilateral pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'extensive bilateral pleural', 'observation': 'thickening', 'strength_term': 'extensive'}, 'calcification': {'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'}, 'asbestosis related pleural disease': {'clinical finding': 'asbestosis related pleural disease', 'cf_snomed': {'asbestosis': 22607003, 'related': 262094002, 'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'asbestosis related pleural', 'observation': 'disease'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'probable right lower lobe rounded atelectasis': {'clinical finding': 'probable right lower lobe rounded atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'probable right lower lobe rounded', 'observation': 'atelectasis'}}size_fin: [{'size': '8 mm', 'size_descriptor': 'thickening'}]anatomical entity_fin: {'base': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'pleural thickening': {'clinical finding': 'pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'pleural', 'observation': 'thickening'}}location descriptor_fin: ['right']clinical findings_fin: {'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}, 'small loculated right pleural effusion': {'clinical finding': 'small loculated right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'small loculated right pleural', 'observation': 'effusion', 'strength_term': 'small'}}location descriptor_fin: ['median']clinical findings_fin: {'median sternotomy wires': {'clinical finding': 'median sternotomy wires', 'existence': 'pos_dx', 'descriptive_term': 'median sternotomy', 'observation': 'wire'}, 'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}clinical findings_fin: {'scattered lymph nodes': {'clinical finding': 'scattered lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered lymph', 'observation': 'node'}, 'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'suspicious osseous lesions': {'clinical finding': 'suspicious osseous lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious osseous', 'observation': 'lesion'}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'small hiatal hernia': {'clinical finding': 'small hiatal hernia', 'cf_snomed': {'hiatal hernia': 84089009}, 'existence': 'pos_dx', 'descriptive_term': 'small hiatal', 'observation': 'hernia', 'strength_term': 'small'}} | 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: ['right', 'left']clinical findings_fin: {'left centrilobular emphysema': {'clinical finding': 'left centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'left centrilobular', 'observation': 'emphysema'}}clinical findings_fin: {'suspicious nodule': {'clinical finding': 'suspicious nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious', 'observation': 'nodule'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'extensive bilateral pleural thickening': {'clinical finding': 'extensive bilateral pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'extensive bilateral pleural', 'observation': 'thickening', 'strength_term': 'extensive'}, 'calcification': {'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'}, 'asbestosis related pleural disease': {'clinical finding': 'asbestosis related pleural disease', 'cf_snomed': {'asbestosis': 22607003, 'related': 262094002, 'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'asbestosis related pleural', 'observation': 'disease'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'probable right lower lobe rounded atelectasis': {'clinical finding': 'probable right lower lobe rounded atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'probable right lower lobe rounded', 'observation': 'atelectasis'}}size_fin: [{'size': '8 mm', 'size_descriptor': 'thickening'}]anatomical entity_fin: {'base': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'pleural thickening': {'clinical finding': 'pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'pleural', 'observation': 'thickening'}}location descriptor_fin: ['right']clinical findings_fin: {'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}, 'small loculated right pleural effusion': {'clinical finding': 'small loculated right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'small loculated right pleural', 'observation': 'effusion', 'strength_term': 'small'}}location descriptor_fin: ['median']clinical findings_fin: {'median sternotomy wires': {'clinical finding': 'median sternotomy wires', 'existence': 'pos_dx', 'descriptive_term': 'median sternotomy', 'observation': 'wire'}, 'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}clinical findings_fin: {'scattered lymph nodes': {'clinical finding': 'scattered lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered lymph', 'observation': 'node'}, 'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'suspicious osseous lesions': {'clinical finding': 'suspicious osseous lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious osseous', 'observation': 'lesion'}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'small hiatal hernia': {'clinical finding': 'small hiatal hernia', 'cf_snomed': {'hiatal hernia': 84089009}, 'existence': 'pos_dx', 'descriptive_term': 'small hiatal', 'observation': 'hernia', 'strength_term': 'small'}} [/INST] . Moderate to severe right greater than left centrilobular emphysema. No suspicious nodule or mass. Extensive bilateral pleural thickening and calcification consistent with asbestosis related pleural disease. Probable right lower lobe rounded atelectasis again noted. Pleural thickening at the right base posterolaterally is unchanged measuring 8 mm. No significant change in small loculated right pleural effusion. Status post CABG with median sternotomy wires intact. The heart size is normal without pericardial effusion. Scattered lymph nodes without significant lymphadenopathy. Severe. No suspicious osseous lesions. No significant lymphadenopathy. Absence of enteric contrast material limits sensitivity for abdominal pathology. Small hiatal hernia. </s> |
There are stable post-treatment findings in the neck, including diffuse mild pharyngeal mucosal edema. There is unchanged deformity of the right lateral tongue, but no evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria. The thyroid and major salivary glands are unchanged. The major cervical vessels are patent. The osseous structures are unchanged. The airways are patent. The imaged intracranial structures are unremarkable. The imaged portions of the lungs are clear. There is mild paranasal sinus mucosal thickening and a small right nasal polyp. There is a subcentimeter left posterior neck subcutaneous tissue lipoma. | anatomical entity_fin: {'neck': {}}procedure_fin: ['treatment']clinical findings_fin: {'stable post-treatment': {'clinical finding': 'stable post-treatment', 'existence': 'pos_dx', 'descriptive_term': 'stable', 'observation': 'post', 'strength_term': 'stable', 'change_term': 'stable'}, 'diffuse mild pharyngeal mucosal edema': {'clinical finding': 'diffuse mild pharyngeal mucosal edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse mild pharyngeal mucosal', 'observation': 'edema', 'strength_term': 'mild'}}anatomical entity_fin: {'tongue': {'location descriptor': 'right lateral'}}location descriptor_fin: ['right', 'lateral']clinical findings_fin: {'unchanged deformity': {'clinical finding': 'unchanged deformity', 'cf_snomed': {'deformity': 417893002}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged', 'observation': 'deformity', 'strength_term': 'unchanged', 'change_term': 'unchanged'}, '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: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'osseous structures are unchanged': {'clinical finding': 'osseous structures are unchanged', 'change_term': 'unchanged'}}anatomical entity_fin: {'airways': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_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': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'paranasal sinus': {}}location descriptor_fin: ['right']clinical findings_fin: {'mild paranasal sinus mucosal thickening': {'clinical finding': 'mild paranasal sinus mucosal thickening', 'cf_snomed': {'sinus': 419351001}, 'existence': 'pos_dx', 'descriptive_term': 'mild paranasal sinus mucosal', 'observation': 'thickening', 'strength_term': 'mild'}, 'small right nasal polyp': {'clinical finding': 'small right nasal polyp', 'cf_snomed': {'polyp': 441456002}, 'existence': 'pos_dx', 'descriptive_term': 'small right nasal', 'observation': 'polyp', 'strength_term': 'small'}}anatomical entity_fin: {'neck': {'location descriptor': 'left posterior'}}location descriptor_fin: ['left', 'posterior']clinical findings_fin: {'subcentimeter left posterior neck subcutaneous tissue lipoma': {'clinical finding': 'subcentimeter left posterior neck subcutaneous tissue lipoma', 'cf_snomed': {'lipoma': 134328007}, 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter left posterior neck subcutaneous tissue', '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: anatomical entity_fin: {'neck': {}}procedure_fin: ['treatment']clinical findings_fin: {'stable post-treatment': {'clinical finding': 'stable post-treatment', 'existence': 'pos_dx', 'descriptive_term': 'stable', 'observation': 'post', 'strength_term': 'stable', 'change_term': 'stable'}, 'diffuse mild pharyngeal mucosal edema': {'clinical finding': 'diffuse mild pharyngeal mucosal edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse mild pharyngeal mucosal', 'observation': 'edema', 'strength_term': 'mild'}}anatomical entity_fin: {'tongue': {'location descriptor': 'right lateral'}}location descriptor_fin: ['right', 'lateral']clinical findings_fin: {'unchanged deformity': {'clinical finding': 'unchanged deformity', 'cf_snomed': {'deformity': 417893002}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged', 'observation': 'deformity', 'strength_term': 'unchanged', 'change_term': 'unchanged'}, '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: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'osseous structures are unchanged': {'clinical finding': 'osseous structures are unchanged', 'change_term': 'unchanged'}}anatomical entity_fin: {'airways': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_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': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'paranasal sinus': {}}location descriptor_fin: ['right']clinical findings_fin: {'mild paranasal sinus mucosal thickening': {'clinical finding': 'mild paranasal sinus mucosal thickening', 'cf_snomed': {'sinus': 419351001}, 'existence': 'pos_dx', 'descriptive_term': 'mild paranasal sinus mucosal', 'observation': 'thickening', 'strength_term': 'mild'}, 'small right nasal polyp': {'clinical finding': 'small right nasal polyp', 'cf_snomed': {'polyp': 441456002}, 'existence': 'pos_dx', 'descriptive_term': 'small right nasal', 'observation': 'polyp', 'strength_term': 'small'}}anatomical entity_fin: {'neck': {'location descriptor': 'left posterior'}}location descriptor_fin: ['left', 'posterior']clinical findings_fin: {'subcentimeter left posterior neck subcutaneous tissue lipoma': {'clinical finding': 'subcentimeter left posterior neck subcutaneous tissue lipoma', 'cf_snomed': {'lipoma': 134328007}, 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter left posterior neck subcutaneous tissue', 'observation': 'lipoma'}} [/INST] There are stable post-treatment findings in the neck, including diffuse mild pharyngeal mucosal edema. There is unchanged deformity of the right lateral tongue, but no evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria. The thyroid and major salivary glands are unchanged. The major cervical vessels are patent. The osseous structures are unchanged. The airways are patent. The imaged intracranial structures are unremarkable. The imaged portions of the lungs are clear. There is mild paranasal sinus mucosal thickening and a small right nasal polyp. There is a subcentimeter left posterior neck subcutaneous tissue lipoma. </s> |
No intracranial hemorrhage is identified. No intracranial mass, evidence of mass-effect or significant midline shift is present. The gray-white differentiation is maintained. The ventricles and sulci are within normal limits for age. No extra-axial collections are identified. There are scattered areas of hypoattenuation in the periventricular and subcortical white matter, which are nonspecific, but favored to represent age-indeterminant small vessel ischemic changes. There is mucosal thickening of the bilateral ethmoid air cells, frontal, sphenoid and maxillary sinuses, with retention cysts and frothy material in the left maxillary sinus. The left ostiomeatal complex is partially opacified. The left mastoid air cells are underpneumatized and partially fluid-filled. There are significant secretions in the naso- and oropharynx. An NG tube is noted. A superficial soft tissue nodule just under the skin and lateral to the right zygomatic arch, measures 8 x 13 mm. The skull and scalp soft tissues are unremarkable. | clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}location descriptor_fin: ['midline']clinical findings_fin: {'intracranial mass': {'clinical finding': 'intracranial mass', 'cf_snomed': {'intracranial mass': 85974009}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'mass'}, 'mass-effect': {'clinical finding': 'mass-effect', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'normal limits for age': {'clinical finding': 'normal limits for age'}}clinical findings_fin: {'extra-axial collections are identified': {'clinical finding': 'extra-axial collections are identified'}}clinical findings_fin: {'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}, 'age-indeterminant small vessel ischemic changes': {'clinical finding': 'age-indeterminant small vessel ischemic changes', 'existence': 'unc_dx', 'descriptive_term': 'age-indeterminant small vessel ischemic', 'observation': 'change', 'strength_term': 'small'}}anatomical entity_fin: {'cells': {}, 'maxillary sinus': {}}location descriptor_fin: ['bilateral', 'left']clinical findings_fin: {'mucosal thickening': {'clinical finding': 'mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'thickening'}, 'retention cysts': {'clinical finding': 'retention cysts', 'cf_snomed': {'retention': 36850000}, 'existence': 'pos_dx', 'descriptive_term': 'retention', 'observation': 'cyst'}, 'frothy material': {'clinical finding': 'frothy material', 'existence': 'pos_dx', 'descriptive_term': 'frothy', 'observation': 'material'}}location descriptor_fin: ['left']clinical findings_fin: {'left ostiomeatal complex is partially opacified': {'clinical finding': 'left ostiomeatal complex is partially opacified', 'change_term': 'opacified'}}anatomical entity_fin: {'mastoid air cells': {'location descriptor': 'left'}, 'fluid': {}}location descriptor_fin: ['left']clinical findings_fin: {'fluid-filled': {'clinical finding': 'fluid-filled', 'existence': 'pos_dx', 'observation': 'fluid'}}anatomical entity_fin: {'oropharynx': {}}clinical findings_fin: {'are significant secretions in the naso - and oropharynx': {'clinical finding': 'are significant secretions in the naso - and oropharynx'}}object_fin: ['tube']clinical findings_fin: {'ng tube is noted': {'clinical finding': 'ng tube is noted'}}size_fin: [{'size': '8 x 13 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'skin': {}, 'zygomatic arch': {'location descriptor': 'right'}}location descriptor_fin: ['superficial', 'lateral', 'right']clinical findings_fin: {'superficial soft tissue nodule': {'clinical finding': 'superficial soft tissue nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'superficial soft tissue', 'observation': 'nodule'}}anatomical entity_fin: {'skull': {}, 'scalp': {}}clinical findings_fin: {'skull and scalp soft tissues are unremarkable': {'clinical finding': 'skull and scalp soft tissues are unremarkable'}} | 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 hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}location descriptor_fin: ['midline']clinical findings_fin: {'intracranial mass': {'clinical finding': 'intracranial mass', 'cf_snomed': {'intracranial mass': 85974009}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'mass'}, 'mass-effect': {'clinical finding': 'mass-effect', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'normal limits for age': {'clinical finding': 'normal limits for age'}}clinical findings_fin: {'extra-axial collections are identified': {'clinical finding': 'extra-axial collections are identified'}}clinical findings_fin: {'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}, 'age-indeterminant small vessel ischemic changes': {'clinical finding': 'age-indeterminant small vessel ischemic changes', 'existence': 'unc_dx', 'descriptive_term': 'age-indeterminant small vessel ischemic', 'observation': 'change', 'strength_term': 'small'}}anatomical entity_fin: {'cells': {}, 'maxillary sinus': {}}location descriptor_fin: ['bilateral', 'left']clinical findings_fin: {'mucosal thickening': {'clinical finding': 'mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'thickening'}, 'retention cysts': {'clinical finding': 'retention cysts', 'cf_snomed': {'retention': 36850000}, 'existence': 'pos_dx', 'descriptive_term': 'retention', 'observation': 'cyst'}, 'frothy material': {'clinical finding': 'frothy material', 'existence': 'pos_dx', 'descriptive_term': 'frothy', 'observation': 'material'}}location descriptor_fin: ['left']clinical findings_fin: {'left ostiomeatal complex is partially opacified': {'clinical finding': 'left ostiomeatal complex is partially opacified', 'change_term': 'opacified'}}anatomical entity_fin: {'mastoid air cells': {'location descriptor': 'left'}, 'fluid': {}}location descriptor_fin: ['left']clinical findings_fin: {'fluid-filled': {'clinical finding': 'fluid-filled', 'existence': 'pos_dx', 'observation': 'fluid'}}anatomical entity_fin: {'oropharynx': {}}clinical findings_fin: {'are significant secretions in the naso - and oropharynx': {'clinical finding': 'are significant secretions in the naso - and oropharynx'}}object_fin: ['tube']clinical findings_fin: {'ng tube is noted': {'clinical finding': 'ng tube is noted'}}size_fin: [{'size': '8 x 13 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'skin': {}, 'zygomatic arch': {'location descriptor': 'right'}}location descriptor_fin: ['superficial', 'lateral', 'right']clinical findings_fin: {'superficial soft tissue nodule': {'clinical finding': 'superficial soft tissue nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'superficial soft tissue', 'observation': 'nodule'}}anatomical entity_fin: {'skull': {}, 'scalp': {}}clinical findings_fin: {'skull and scalp soft tissues are unremarkable': {'clinical finding': 'skull and scalp soft tissues are unremarkable'}} [/INST] No intracranial hemorrhage is identified. No intracranial mass, evidence of mass-effect or significant midline shift is present. The gray-white differentiation is maintained. The ventricles and sulci are within normal limits for age. No extra-axial collections are identified. There are scattered areas of hypoattenuation in the periventricular and subcortical white matter, which are nonspecific, but favored to represent age-indeterminant small vessel ischemic changes. There is mucosal thickening of the bilateral ethmoid air cells, frontal, sphenoid and maxillary sinuses, with retention cysts and frothy material in the left maxillary sinus. The left ostiomeatal complex is partially opacified. The left mastoid air cells are underpneumatized and partially fluid-filled. There are significant secretions in the naso- and oropharynx. An NG tube is noted. A superficial soft tissue nodule just under the skin and lateral to the right zygomatic arch, measures 8 x 13 mm. The skull and scalp soft tissues are unremarkable. </s> |
The ventricles and sulci are mildly prominent appropriate for patients age. There is no midline shift or mass effect. The grey-white differentiation remains intact. There is no intracranial hemorrhage. There are no areas of abnormal attenuation. Incidental note is made of partially empty sella. There is no extraaxial fluid collection. There is opacification of bilateral maxillary sinuses with sclerotic walls likely representing chronic infection. There is partial opacification of the anterior ethmoid sinuses as well as the left frontal and sphenoid sinuses. Sphenoid sinus wall thickening and sclerosis is also noted. There is a 6 mm osteoma in the right anterior ethmoid sinus. Mastoid air cells or middle ear cavity are clear. | clinical findings_fin: {'prominent': {'clinical finding': 'prominent', 'existence': 'pos_dx', 'observation': 'prominent'}}location descriptor_fin: ['midline']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}clinical findings_fin: {'abnormal attenuation': {'clinical finding': 'abnormal attenuation', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'attenuation'}}clinical findings_fin: {'incidental note is made of partially empty sella': {'clinical finding': 'incidental note is made of partially empty sella'}}clinical findings_fin: {'extraaxial fluid collection': {'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'}}anatomical entity_fin: {'walls': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'opacification': {'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'}, 'sclerotic': {'clinical finding': 'sclerotic', 'existence': 'pos_dx', 'observation': 'sclerotic'}, 'chronic infection': {'clinical finding': 'chronic infection', 'existence': 'pos_dx', 'descriptive_term': 'chronic', 'observation': 'infection', 'temporal_term': 'chronic'}}location descriptor_fin: ['anterior', 'left']clinical findings_fin: {'partial opacification': {'clinical finding': 'partial opacification', 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'opacification', 'strength_term': 'partial'}}anatomical entity_fin: {'sphenoid sinus': {}}clinical findings_fin: {'sphenoid sinus wall thickening': {'clinical finding': 'sphenoid sinus wall thickening', 'cf_snomed': {'sinus': 419351001}, 'existence': 'pos_dx', 'descriptive_term': 'sphenoid sinus wall', 'observation': 'thickening'}, 'sclerosis': {'clinical finding': 'sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'observation': 'sclerosis'}}size_fin: [{'size': '6 mm', 'size_descriptor': 'osteoma'}]anatomical entity_fin: {'ethmoid sinus': {'location descriptor': 'right anterior'}}location descriptor_fin: ['right', 'anterior']clinical findings_fin: {'6 mm osteoma': {'clinical finding': '6 mm osteoma', 'existence': 'pos_dx', 'descriptive_term': '6 mm', 'observation': 'osteoma'}}anatomical entity_fin: {'mastoid air cells': {}, 'middle ear cavity': {}}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: {'prominent': {'clinical finding': 'prominent', 'existence': 'pos_dx', 'observation': 'prominent'}}location descriptor_fin: ['midline']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}clinical findings_fin: {'abnormal attenuation': {'clinical finding': 'abnormal attenuation', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'attenuation'}}clinical findings_fin: {'incidental note is made of partially empty sella': {'clinical finding': 'incidental note is made of partially empty sella'}}clinical findings_fin: {'extraaxial fluid collection': {'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'}}anatomical entity_fin: {'walls': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'opacification': {'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'}, 'sclerotic': {'clinical finding': 'sclerotic', 'existence': 'pos_dx', 'observation': 'sclerotic'}, 'chronic infection': {'clinical finding': 'chronic infection', 'existence': 'pos_dx', 'descriptive_term': 'chronic', 'observation': 'infection', 'temporal_term': 'chronic'}}location descriptor_fin: ['anterior', 'left']clinical findings_fin: {'partial opacification': {'clinical finding': 'partial opacification', 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'opacification', 'strength_term': 'partial'}}anatomical entity_fin: {'sphenoid sinus': {}}clinical findings_fin: {'sphenoid sinus wall thickening': {'clinical finding': 'sphenoid sinus wall thickening', 'cf_snomed': {'sinus': 419351001}, 'existence': 'pos_dx', 'descriptive_term': 'sphenoid sinus wall', 'observation': 'thickening'}, 'sclerosis': {'clinical finding': 'sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'observation': 'sclerosis'}}size_fin: [{'size': '6 mm', 'size_descriptor': 'osteoma'}]anatomical entity_fin: {'ethmoid sinus': {'location descriptor': 'right anterior'}}location descriptor_fin: ['right', 'anterior']clinical findings_fin: {'6 mm osteoma': {'clinical finding': '6 mm osteoma', 'existence': 'pos_dx', 'descriptive_term': '6 mm', 'observation': 'osteoma'}}anatomical entity_fin: {'mastoid air cells': {}, 'middle ear cavity': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}} [/INST] The ventricles and sulci are mildly prominent appropriate for patients age. There is no midline shift or mass effect. The grey-white differentiation remains intact. There is no intracranial hemorrhage. There are no areas of abnormal attenuation. Incidental note is made of partially empty sella. There is no extraaxial fluid collection. There is opacification of bilateral maxillary sinuses with sclerotic walls likely representing chronic infection. There is partial opacification of the anterior ethmoid sinuses as well as the left frontal and sphenoid sinuses. Sphenoid sinus wall thickening and sclerosis is also noted. There is a 6 mm osteoma in the right anterior ethmoid sinus. Mastoid air cells or middle ear cavity are clear. </s> |
. Scattered micronodules with associated mild central lobular emphysema and mild basilar bronchiectasis. No suspicious new focal abnormality, specifically no masses or nodules. No effusions. No lymphadenopathy. Mild aortic calcifications without additional cardiac or pericardial abnormality. Hypoattenuating and unchanged thyroid nodules, incompletely visualized. Mild. Mild scoliosis without additional lytic or blastic lesions observed. Absence of enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. Calcifications, old granulomatous disease exposure. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. Moderate degenerative changes in the lumbar spine with associated additional scoliosis. No significant abnormality noted. | location descriptor_fin: ['central']clinical findings_fin: {'scattered micronodules': {'clinical finding': 'scattered micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered', 'observation': 'micronodule'}, 'associated mild central lobular emphysema': {'clinical finding': 'associated mild central lobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'associated mild central lobular', 'observation': 'emphysema', 'strength_term': 'mild'}, 'mild basilar bronchiectasis': {'clinical finding': 'mild basilar bronchiectasis', 'cf_snomed': {'bronchiectasis': 12295008}, 'existence': 'pos_dx', 'descriptive_term': 'mild basilar', 'observation': 'bronchiectasis', 'strength_term': 'mild'}}clinical findings_fin: {'suspicious new focal abnormality': {'clinical finding': 'suspicious new focal abnormality', 'existence': 'neg_dx', 'descriptive_term': 'suspicious new focal', 'observation': 'abnormality', 'temporal_term': 'new'}, 'specifically no masses': {'clinical finding': 'specifically no masses', 'existence': 'neg_dx', 'descriptive_term': 'specifically no', 'observation': 'mass', 'quantity_term': 'no'}, 'nodules': {'clinical finding': 'nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'observation': 'nodule'}}clinical findings_fin: {'effusions': {'clinical finding': 'effusions', 'cf_snomed': {'effusion': 41699000}, 'existence': 'neg_dx', 'observation': 'effusion'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'mild aortic calcifications': {'clinical finding': 'mild aortic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'mild aortic', 'observation': 'calcification', 'strength_term': 'mild'}, 'additional cardiac or pericardial abnormality': {'clinical finding': 'additional cardiac or pericardial abnormality', 'existence': 'neg_dx', 'descriptive_term': 'additional cardiac or pericardial', 'observation': 'abnormality'}}clinical findings_fin: {'hypoattenuating and unchanged thyroid nodules': {'clinical finding': 'hypoattenuating and unchanged thyroid nodules', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating and unchanged thyroid', 'observation': 'nodule', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}clinical findings_fin: {'mild scoliosis': {'clinical finding': 'mild scoliosis', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'scoliosis', 'strength_term': 'mild'}, 'additional lytic or blastic lesions': {'clinical finding': 'additional lytic or blastic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'additional lytic or blastic', 'observation': 'lesion'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'calcifications': {'clinical finding': 'calcifications', 'existence': 'pos_dx', 'observation': 'calcification'}, 'old granulomatous disease': {'clinical finding': 'old granulomatous disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'old granulomatous', 'observation': 'disease', 'temporal_term': 'old'}}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: {'gi': {'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'}}clinical findings_fin: {'gross abnormalities': {'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'moderate degenerative changes': {'clinical finding': 'moderate degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'moderate degenerative', 'observation': 'change', 'strength_term': 'moderate'}, 'associated additional scoliosis': {'clinical finding': 'associated additional scoliosis', 'existence': 'pos_dx', 'descriptive_term': 'associated additional', 'observation': 'scoliosis'}}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: location descriptor_fin: ['central']clinical findings_fin: {'scattered micronodules': {'clinical finding': 'scattered micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered', 'observation': 'micronodule'}, 'associated mild central lobular emphysema': {'clinical finding': 'associated mild central lobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'associated mild central lobular', 'observation': 'emphysema', 'strength_term': 'mild'}, 'mild basilar bronchiectasis': {'clinical finding': 'mild basilar bronchiectasis', 'cf_snomed': {'bronchiectasis': 12295008}, 'existence': 'pos_dx', 'descriptive_term': 'mild basilar', 'observation': 'bronchiectasis', 'strength_term': 'mild'}}clinical findings_fin: {'suspicious new focal abnormality': {'clinical finding': 'suspicious new focal abnormality', 'existence': 'neg_dx', 'descriptive_term': 'suspicious new focal', 'observation': 'abnormality', 'temporal_term': 'new'}, 'specifically no masses': {'clinical finding': 'specifically no masses', 'existence': 'neg_dx', 'descriptive_term': 'specifically no', 'observation': 'mass', 'quantity_term': 'no'}, 'nodules': {'clinical finding': 'nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'observation': 'nodule'}}clinical findings_fin: {'effusions': {'clinical finding': 'effusions', 'cf_snomed': {'effusion': 41699000}, 'existence': 'neg_dx', 'observation': 'effusion'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'mild aortic calcifications': {'clinical finding': 'mild aortic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'mild aortic', 'observation': 'calcification', 'strength_term': 'mild'}, 'additional cardiac or pericardial abnormality': {'clinical finding': 'additional cardiac or pericardial abnormality', 'existence': 'neg_dx', 'descriptive_term': 'additional cardiac or pericardial', 'observation': 'abnormality'}}clinical findings_fin: {'hypoattenuating and unchanged thyroid nodules': {'clinical finding': 'hypoattenuating and unchanged thyroid nodules', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating and unchanged thyroid', 'observation': 'nodule', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}clinical findings_fin: {'mild scoliosis': {'clinical finding': 'mild scoliosis', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'scoliosis', 'strength_term': 'mild'}, 'additional lytic or blastic lesions': {'clinical finding': 'additional lytic or blastic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'additional lytic or blastic', 'observation': 'lesion'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'calcifications': {'clinical finding': 'calcifications', 'existence': 'pos_dx', 'observation': 'calcification'}, 'old granulomatous disease': {'clinical finding': 'old granulomatous disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'old granulomatous', 'observation': 'disease', 'temporal_term': 'old'}}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: {'gi': {'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'}}clinical findings_fin: {'gross abnormalities': {'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'moderate degenerative changes': {'clinical finding': 'moderate degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'moderate degenerative', 'observation': 'change', 'strength_term': 'moderate'}, 'associated additional scoliosis': {'clinical finding': 'associated additional scoliosis', 'existence': 'pos_dx', 'descriptive_term': 'associated additional', 'observation': 'scoliosis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Scattered micronodules with associated mild central lobular emphysema and mild basilar bronchiectasis. No suspicious new focal abnormality, specifically no masses or nodules. No effusions. No lymphadenopathy. Mild aortic calcifications without additional cardiac or pericardial abnormality. Hypoattenuating and unchanged thyroid nodules, incompletely visualized. Mild. Mild scoliosis without additional lytic or blastic lesions observed. Absence of enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. Calcifications, old granulomatous disease exposure. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. Moderate degenerative changes in the lumbar spine with associated additional scoliosis. No significant abnormality noted. </s> |
. Stable biapical scarring. Stable emphysema. Stable moderate size hiatal hernia. Minimal. No significant abnormality noted. Stable segment 7 subcentimeter low-attenuation focus. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Minimal. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. | clinical findings_fin: {'stable biapical scarring': {'clinical finding': 'stable biapical scarring', 'existence': 'pos_dx', 'descriptive_term': 'stable biapical', 'observation': 'scarr', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'stable emphysema': {'clinical finding': 'stable emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'stable', 'observation': 'emphysema', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'stable moderate size hiatal hernia': {'clinical finding': 'stable moderate size hiatal hernia', 'cf_snomed': {'hiatal hernia': 84089009}, 'existence': 'pos_dx', 'descriptive_term': 'stable moderate size hiatal', 'observation': 'hernia', 'strength_term': 'stable - moderate', 'change_term': 'stable'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'stable segment 7 subcentimeter low-attenuation focus': {'clinical finding': 'stable segment 7 subcentimeter low-attenuation focus', 'existence': 'pos_dx', 'descriptive_term': 'stable segment 7 subcentimeter low-attenuation', 'observation': 'focus', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}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'}}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'}}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: {'stable biapical scarring': {'clinical finding': 'stable biapical scarring', 'existence': 'pos_dx', 'descriptive_term': 'stable biapical', 'observation': 'scarr', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'stable emphysema': {'clinical finding': 'stable emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'stable', 'observation': 'emphysema', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'stable moderate size hiatal hernia': {'clinical finding': 'stable moderate size hiatal hernia', 'cf_snomed': {'hiatal hernia': 84089009}, 'existence': 'pos_dx', 'descriptive_term': 'stable moderate size hiatal', 'observation': 'hernia', 'strength_term': 'stable - moderate', 'change_term': 'stable'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'stable segment 7 subcentimeter low-attenuation focus': {'clinical finding': 'stable segment 7 subcentimeter low-attenuation focus', 'existence': 'pos_dx', 'descriptive_term': 'stable segment 7 subcentimeter low-attenuation', 'observation': 'focus', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}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'}}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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Stable biapical scarring. Stable emphysema. Stable moderate size hiatal hernia. Minimal. No significant abnormality noted. Stable segment 7 subcentimeter low-attenuation focus. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Minimal. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. </s> |
. Scattered micronodules some of which are intrapulmonary lymph nodes, unchanged and benign in appearance. No lymphadenopathy identified. The heart and pericardium appear normal. None. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for abdominal pathology. Bilateral renal cysts. | clinical findings_fin: {'scattered micronodules': {'clinical finding': 'scattered micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered', 'observation': 'micronodule'}, 'intrapulmonary lymph nodes': {'clinical finding': 'intrapulmonary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'intrapulmonary lymph', 'observation': 'node'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'heart': {}, 'pericardium': {}}clinical findings_fin: {'heart and pericardium appear normal': {'clinical finding': 'heart and pericardium appear normal'}}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': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral renal cysts': {'clinical finding': 'bilateral renal cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral renal', 'observation': 'cyst'}} | 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: {'scattered micronodules': {'clinical finding': 'scattered micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered', 'observation': 'micronodule'}, 'intrapulmonary lymph nodes': {'clinical finding': 'intrapulmonary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'intrapulmonary lymph', 'observation': 'node'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'heart': {}, 'pericardium': {}}clinical findings_fin: {'heart and pericardium appear normal': {'clinical finding': 'heart and pericardium appear normal'}}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': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral renal cysts': {'clinical finding': 'bilateral renal cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral renal', 'observation': 'cyst'}} [/INST] . Scattered micronodules some of which are intrapulmonary lymph nodes, unchanged and benign in appearance. No lymphadenopathy identified. The heart and pericardium appear normal. None. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for abdominal pathology. Bilateral renal cysts. </s> |
. Stable pulmonary and perifissural nodularity. No pleural effusion. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Mildly atrophic. No hydronephrosis. No evidence of filling defect in delayed phase of imaging, contrast seen entering right lower quadrant neobladder. Unchanged variceal formation in left abdomen. Unchanged right external iliac lymph node with fatty hilum and measuring subcentimeter in maximum short axis dimension, additional mildly prominent lymph nodes. Severe. Post surgical changes involving bowel. Mild mesenteric haziness around root, image 260 series 8, nonspecific and present to slightly increased degree when compared to prior imaging. Small nonenlarged mesenteric nodes. Previously seen mild thickening of terminal ileum no longer visualized. Status post hysterectomy. Status post cystectomy with right lower quadrant ileal conduit formation. Right-sided urostomy. Spinal degenerative disease. Stable to mildly decreased size of left pelvic fluid collection on image 127 series 7 measuring 2.6 x 2.6 cm, previously measured 3.2 x 2.7 cm, most likely a postsurgical fluid collection or lymphocele. | clinical findings_fin: {'stable pulmonary and perifissural nodularity': {'clinical finding': 'stable pulmonary and perifissural nodularity', 'existence': 'pos_dx', 'descriptive_term': 'stable pulmonary and perifissural', 'observation': 'nodularity', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'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: {'atrophic': {'clinical finding': 'atrophic', 'existence': 'pos_dx', 'observation': 'atrophic'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'filling defect': {'clinical finding': 'filling defect', 'cf_snomed': {'filling defect': 43468004}, 'existence': 'neg_dx', 'descriptive_term': 'filling', 'observation': 'defect'}, 'contrast': {'clinical finding': 'contrast', 'existence': 'neg_dx', 'observation': 'contrast'}, 'right lower quadrant neobladder': {'clinical finding': 'right lower quadrant neobladder', 'existence': 'pos_dx', 'descriptive_term': 'right lower quadrant', 'observation': 'neobladder'}}anatomical entity_fin: {'abdomen': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'unchanged variceal': {'clinical finding': 'unchanged variceal', 'existence': 'pos_dx', 'descriptive_term': 'unchanged', 'observation': 'variceal', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}anatomical entity_fin: {'external iliac lymph node': {'location descriptor': 'right'}, 'hilum': {}, 'axis': {}}location descriptor_fin: ['right']clinical findings_fin: {'unchanged right external iliac lymph node': {'clinical finding': 'unchanged right external iliac lymph node', 'existence': 'pos_dx', 'descriptive_term': 'unchanged right external iliac lymph', 'observation': 'node', 'strength_term': 'unchanged', 'change_term': 'unchanged'}, 'additional mildly prominent lymph nodes': {'clinical finding': 'additional mildly prominent lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'additional mildly prominent lymph', 'observation': 'node', 'strength_term': 'mildly - prominent'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'post surgical changes': {'clinical finding': 'post surgical changes', 'existence': 'pos_dx', 'descriptive_term': 'post surgical', 'observation': 'change'}}clinical findings_fin: {'mild mesenteric haziness around root , image': {'clinical finding': 'mild mesenteric haziness around root , image'}}clinical findings_fin: {'small nonenlarged mesenteric nodes': {'clinical finding': 'small nonenlarged mesenteric nodes', 'existence': 'pos_dx', 'descriptive_term': 'small nonenlarged mesenteric', 'observation': 'node', 'strength_term': 'small'}}anatomical entity_fin: {'terminal ileum': {}}clinical findings_fin: {'previously seen mild thickening': {'clinical finding': 'previously seen mild thickening', 'existence': 'neg_dx', 'descriptive_term': 'previously seen mild', 'observation': 'thickening', 'strength_term': 'mild'}}procedure_fin: ['hysterectomy']anatomical entity_fin: {'quadrant': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']procedure_fin: ['cystectomy', 'ileal conduit']clinical findings_fin: {'right lower quadrant ileal conduit formation': {'clinical finding': 'right lower quadrant ileal conduit formation', 'existence': 'pos_dx', 'descriptive_term': 'right lower quadrant ileal conduit', 'observation': 'formation'}}location descriptor_fin: ['right']clinical findings_fin: {'right-sided urostomy': {'clinical finding': 'right-sided urostomy', 'existence': 'pos_dx', 'descriptive_term': 'right-sided', 'observation': 'urostomy'}}clinical findings_fin: {'spinal degenerative disease': {'clinical finding': 'spinal degenerative disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'spinal degenerative', 'observation': 'disease'}}size_fin: [{'size': '2.6 x 2.6 cm'}, {'size': '3.2 x 2.7 cm'}]location descriptor_fin: ['left']clinical findings_fin: {'left pelvic fluid collection': {'clinical finding': 'left pelvic fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'left pelvic fluid', 'observation': 'collection'}, 'most likely a postsurgical fluid collection': {'clinical finding': 'most likely a postsurgical fluid collection', 'existence': 'unc_dx', 'descriptive_term': 'most likely a postsurgical fluid', 'observation': 'collection', 'quantity_term': 'most'}, 'lymphocele': {'clinical finding': 'lymphocele', 'cf_snomed': {'lymphocele': 234109007}, 'existence': 'unc_dx', 'observation': 'lymphocele'}} | 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: {'stable pulmonary and perifissural nodularity': {'clinical finding': 'stable pulmonary and perifissural nodularity', 'existence': 'pos_dx', 'descriptive_term': 'stable pulmonary and perifissural', 'observation': 'nodularity', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'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: {'atrophic': {'clinical finding': 'atrophic', 'existence': 'pos_dx', 'observation': 'atrophic'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'filling defect': {'clinical finding': 'filling defect', 'cf_snomed': {'filling defect': 43468004}, 'existence': 'neg_dx', 'descriptive_term': 'filling', 'observation': 'defect'}, 'contrast': {'clinical finding': 'contrast', 'existence': 'neg_dx', 'observation': 'contrast'}, 'right lower quadrant neobladder': {'clinical finding': 'right lower quadrant neobladder', 'existence': 'pos_dx', 'descriptive_term': 'right lower quadrant', 'observation': 'neobladder'}}anatomical entity_fin: {'abdomen': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'unchanged variceal': {'clinical finding': 'unchanged variceal', 'existence': 'pos_dx', 'descriptive_term': 'unchanged', 'observation': 'variceal', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}anatomical entity_fin: {'external iliac lymph node': {'location descriptor': 'right'}, 'hilum': {}, 'axis': {}}location descriptor_fin: ['right']clinical findings_fin: {'unchanged right external iliac lymph node': {'clinical finding': 'unchanged right external iliac lymph node', 'existence': 'pos_dx', 'descriptive_term': 'unchanged right external iliac lymph', 'observation': 'node', 'strength_term': 'unchanged', 'change_term': 'unchanged'}, 'additional mildly prominent lymph nodes': {'clinical finding': 'additional mildly prominent lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'additional mildly prominent lymph', 'observation': 'node', 'strength_term': 'mildly - prominent'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'post surgical changes': {'clinical finding': 'post surgical changes', 'existence': 'pos_dx', 'descriptive_term': 'post surgical', 'observation': 'change'}}clinical findings_fin: {'mild mesenteric haziness around root , image': {'clinical finding': 'mild mesenteric haziness around root , image'}}clinical findings_fin: {'small nonenlarged mesenteric nodes': {'clinical finding': 'small nonenlarged mesenteric nodes', 'existence': 'pos_dx', 'descriptive_term': 'small nonenlarged mesenteric', 'observation': 'node', 'strength_term': 'small'}}anatomical entity_fin: {'terminal ileum': {}}clinical findings_fin: {'previously seen mild thickening': {'clinical finding': 'previously seen mild thickening', 'existence': 'neg_dx', 'descriptive_term': 'previously seen mild', 'observation': 'thickening', 'strength_term': 'mild'}}procedure_fin: ['hysterectomy']anatomical entity_fin: {'quadrant': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']procedure_fin: ['cystectomy', 'ileal conduit']clinical findings_fin: {'right lower quadrant ileal conduit formation': {'clinical finding': 'right lower quadrant ileal conduit formation', 'existence': 'pos_dx', 'descriptive_term': 'right lower quadrant ileal conduit', 'observation': 'formation'}}location descriptor_fin: ['right']clinical findings_fin: {'right-sided urostomy': {'clinical finding': 'right-sided urostomy', 'existence': 'pos_dx', 'descriptive_term': 'right-sided', 'observation': 'urostomy'}}clinical findings_fin: {'spinal degenerative disease': {'clinical finding': 'spinal degenerative disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'spinal degenerative', 'observation': 'disease'}}size_fin: [{'size': '2.6 x 2.6 cm'}, {'size': '3.2 x 2.7 cm'}]location descriptor_fin: ['left']clinical findings_fin: {'left pelvic fluid collection': {'clinical finding': 'left pelvic fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'left pelvic fluid', 'observation': 'collection'}, 'most likely a postsurgical fluid collection': {'clinical finding': 'most likely a postsurgical fluid collection', 'existence': 'unc_dx', 'descriptive_term': 'most likely a postsurgical fluid', 'observation': 'collection', 'quantity_term': 'most'}, 'lymphocele': {'clinical finding': 'lymphocele', 'cf_snomed': {'lymphocele': 234109007}, 'existence': 'unc_dx', 'observation': 'lymphocele'}} [/INST] . Stable pulmonary and perifissural nodularity. No pleural effusion. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Mildly atrophic. No hydronephrosis. No evidence of filling defect in delayed phase of imaging, contrast seen entering right lower quadrant neobladder. Unchanged variceal formation in left abdomen. Unchanged right external iliac lymph node with fatty hilum and measuring subcentimeter in maximum short axis dimension, additional mildly prominent lymph nodes. Severe. Post surgical changes involving bowel. Mild mesenteric haziness around root, image 260 series 8, nonspecific and present to slightly increased degree when compared to prior imaging. Small nonenlarged mesenteric nodes. Previously seen mild thickening of terminal ileum no longer visualized. Status post hysterectomy. Status post cystectomy with right lower quadrant ileal conduit formation. Right-sided urostomy. Spinal degenerative disease. Stable to mildly decreased size of left pelvic fluid collection on image 127 series 7 measuring 2.6 x 2.6 cm, previously measured 3.2 x 2.7 cm, most likely a postsurgical fluid collection or lymphocele. </s> |
.Status post right pleurectomy and decortication with diaphragmatic mesh placed. Mild pleural thickening involving the major fissure on the right with soft tissue density, stable measuring 11 x 6 mm on image 49/106. Small 2 to 3 mm subpleural nodule is unchanged. No pleural effusion. At the level of the main pulmonary artery 2 oclock position measures 3 mm previously measuring 3 mm. 2.00 level and 2 mm at 4:00 position, previously 2 mm. 3.00 and 9:00 positions. Status post right lobe thyroidectomy. No hilar or mediastinal lymphadenopathy with pretracheal lymph node again measuring 6 mm. None. Postop change. Absence of enteric contrast material limits sensitivity for abdominal pathology. Cholelithiasis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Stable nonspecific hypodensity in tail of pancreas. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. No significant abnormality noted. | location descriptor_fin: ['right']clinical findings_fin: {'status post right pleurectomy and decortication with diaphragmatic mesh placed': {'clinical finding': 'status post right pleurectomy and decortication with diaphragmatic mesh placed'}}size_fin: [{'size': '11 x 6 mm', 'size_descriptor': 'thickening'}]imaging observation_fin: ['soft tissue density']location descriptor_fin: ['right']clinical findings_fin: {'mild pleural thickening': {'clinical finding': 'mild pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild pleural', 'observation': 'thickening', 'strength_term': 'mild'}, 'major fissure': {'clinical finding': 'major fissure', 'cf_snomed': {'fissure': 47393002}, 'existence': 'pos_dx', 'descriptive_term': 'major', 'observation': 'fissure'}, 'soft tissue density': {'clinical finding': 'soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'density'}}size_fin: [{'size': '3 mm', 'size_descriptor': 'nodule'}]clinical findings_fin: {'small 2 to 3 mm subpleural nodule': {'clinical finding': 'small 2 to 3 mm subpleural nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'small 2 to 3 mm subpleural', 'observation': 'nodule', 'strength_term': 'small'}}clinical findings_fin: {'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}size_fin: [{'size': '3 mm'}, {'size': '3 mm'}]anatomical entity_fin: {'main pulmonary artery': {}}size_fin: [{'size': '2 mm'}, {'size': '2 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'post right lobe thyroidectomy': {'clinical finding': 'post right lobe thyroidectomy', 'existence': 'pos_dx', 'descriptive_term': 'post right lobe', 'observation': 'thyroidectomy'}}size_fin: [{'size': '6 mm', 'size_descriptor': 'hilar'}]anatomical entity_fin: {'pretracheal lymph node': {}}clinical findings_fin: {'hilar or mediastinal lymphadenopathy': {'clinical finding': 'hilar or mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'hilar or mediastinal', 'observation': 'lymphadenopathy'}, 'pretracheal lymph node': {'clinical finding': 'pretracheal lymph node', 'existence': 'neg_dx', 'descriptive_term': 'pretracheal lymph', 'observation': 'node'}}clinical findings_fin: {'postop change': {'clinical finding': 'postop change', 'existence': 'pos_dx', 'descriptive_term': 'postop', 'observation': 'change'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}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: {'tail of pancreas': {}}clinical findings_fin: {'stable nonspecific hypodensity': {'clinical finding': 'stable nonspecific hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'stable nonspecific', 'observation': 'hypodensity', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'gross abnormalities': {'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', '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: location descriptor_fin: ['right']clinical findings_fin: {'status post right pleurectomy and decortication with diaphragmatic mesh placed': {'clinical finding': 'status post right pleurectomy and decortication with diaphragmatic mesh placed'}}size_fin: [{'size': '11 x 6 mm', 'size_descriptor': 'thickening'}]imaging observation_fin: ['soft tissue density']location descriptor_fin: ['right']clinical findings_fin: {'mild pleural thickening': {'clinical finding': 'mild pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild pleural', 'observation': 'thickening', 'strength_term': 'mild'}, 'major fissure': {'clinical finding': 'major fissure', 'cf_snomed': {'fissure': 47393002}, 'existence': 'pos_dx', 'descriptive_term': 'major', 'observation': 'fissure'}, 'soft tissue density': {'clinical finding': 'soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'density'}}size_fin: [{'size': '3 mm', 'size_descriptor': 'nodule'}]clinical findings_fin: {'small 2 to 3 mm subpleural nodule': {'clinical finding': 'small 2 to 3 mm subpleural nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'small 2 to 3 mm subpleural', 'observation': 'nodule', 'strength_term': 'small'}}clinical findings_fin: {'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}size_fin: [{'size': '3 mm'}, {'size': '3 mm'}]anatomical entity_fin: {'main pulmonary artery': {}}size_fin: [{'size': '2 mm'}, {'size': '2 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'post right lobe thyroidectomy': {'clinical finding': 'post right lobe thyroidectomy', 'existence': 'pos_dx', 'descriptive_term': 'post right lobe', 'observation': 'thyroidectomy'}}size_fin: [{'size': '6 mm', 'size_descriptor': 'hilar'}]anatomical entity_fin: {'pretracheal lymph node': {}}clinical findings_fin: {'hilar or mediastinal lymphadenopathy': {'clinical finding': 'hilar or mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'hilar or mediastinal', 'observation': 'lymphadenopathy'}, 'pretracheal lymph node': {'clinical finding': 'pretracheal lymph node', 'existence': 'neg_dx', 'descriptive_term': 'pretracheal lymph', 'observation': 'node'}}clinical findings_fin: {'postop change': {'clinical finding': 'postop change', 'existence': 'pos_dx', 'descriptive_term': 'postop', 'observation': 'change'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}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: {'tail of pancreas': {}}clinical findings_fin: {'stable nonspecific hypodensity': {'clinical finding': 'stable nonspecific hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'stable nonspecific', 'observation': 'hypodensity', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'gross abnormalities': {'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', '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] .Status post right pleurectomy and decortication with diaphragmatic mesh placed. Mild pleural thickening involving the major fissure on the right with soft tissue density, stable measuring 11 x 6 mm on image 49/106. Small 2 to 3 mm subpleural nodule is unchanged. No pleural effusion. At the level of the main pulmonary artery 2 oclock position measures 3 mm previously measuring 3 mm. 2.00 level and 2 mm at 4:00 position, previously 2 mm. 3.00 and 9:00 positions. Status post right lobe thyroidectomy. No hilar or mediastinal lymphadenopathy with pretracheal lymph node again measuring 6 mm. None. Postop change. Absence of enteric contrast material limits sensitivity for abdominal pathology. Cholelithiasis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Stable nonspecific hypodensity in tail of pancreas. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. No significant abnormality noted. </s> |
There are postoperative findings related to internal fixation of a comminuted left zygomaticomaxillary complex fracture with anterior maxillary wall plating and inferior orbital wall mesh. There is mild stranding of the inferior left orbital fat and thickening of the left inferior rectus muscle, but the globe appears to be intact. The left orbital floor fracture fragments are inferiorly displaced and involve the infraorbital nerve canal. The left lateral orbital wall fragments are mildly displaced as well. There is no evidence of hardware complications. There is left maxillary hemosinus and extensive left periorbital swelling and emphysema. The right orbit is unremarkable. The imaged intracranial structures are unremarkable. | anatomical entity_fin: {'wall': {}}location descriptor_fin: ['left', 'anterior', 'inferior']clinical findings_fin: {'postoperative': {'clinical finding': 'postoperative', 'existence': 'pos_dx', 'observation': 'postoperative'}, 'comminuted left zygomaticomaxillary complex fracture': {'clinical finding': 'comminuted left zygomaticomaxillary complex fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'comminuted left zygomaticomaxillary complex', 'observation': 'fracture'}, 'anterior maxillary wall plating': {'clinical finding': 'anterior maxillary wall plating', 'existence': 'pos_dx', 'descriptive_term': 'anterior maxillary wall', 'observation': 'plate'}}anatomical entity_fin: {'inferior rectus muscle': {}, 'globe': {}}imaging observation_fin: ['fat']location descriptor_fin: ['inferior', 'left']clinical findings_fin: {'mild stranding': {'clinical finding': 'mild stranding', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'strand', 'strength_term': 'mild'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}, 'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'floor': {}, 'infraorbital nerve': {}}location descriptor_fin: ['left', 'displaced']clinical findings_fin: {'left orbital floor fracture': {'clinical finding': 'left orbital floor fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'left orbital floor', 'observation': 'fracture'}}anatomical entity_fin: {'wall': {}}location descriptor_fin: ['left', 'lateral', 'displaced']clinical findings_fin: {'displaced': {'clinical finding': 'displaced', 'existence': 'pos_dx', 'observation': 'displace'}}clinical findings_fin: {'hardware complications': {'clinical finding': 'hardware complications', 'existence': 'neg_dx', 'descriptive_term': 'hardware', 'observation': 'complication'}}location descriptor_fin: ['left']clinical findings_fin: {'left maxillary hemosinus': {'clinical finding': 'left maxillary hemosinus', 'existence': 'pos_dx', 'descriptive_term': 'left maxillary', 'observation': 'hemosinus'}, 'extensive left periorbital swelling': {'clinical finding': 'extensive left periorbital swelling', 'cf_snomed': {'swelling': 65124004}, 'existence': 'pos_dx', 'descriptive_term': 'extensive left periorbital', 'observation': 'swell', 'strength_term': 'extensive'}, 'emphysema': {'clinical finding': 'emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'observation': 'emphysema'}}anatomical entity_fin: {'orbit': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right orbit is unremarkable': {'clinical finding': 'right orbit is unremarkable'}}clinical findings_fin: {'imaged intracranial structures are unremarkable': {'clinical finding': 'imaged intracranial structures are unremarkable'}} | 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': {}}location descriptor_fin: ['left', 'anterior', 'inferior']clinical findings_fin: {'postoperative': {'clinical finding': 'postoperative', 'existence': 'pos_dx', 'observation': 'postoperative'}, 'comminuted left zygomaticomaxillary complex fracture': {'clinical finding': 'comminuted left zygomaticomaxillary complex fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'comminuted left zygomaticomaxillary complex', 'observation': 'fracture'}, 'anterior maxillary wall plating': {'clinical finding': 'anterior maxillary wall plating', 'existence': 'pos_dx', 'descriptive_term': 'anterior maxillary wall', 'observation': 'plate'}}anatomical entity_fin: {'inferior rectus muscle': {}, 'globe': {}}imaging observation_fin: ['fat']location descriptor_fin: ['inferior', 'left']clinical findings_fin: {'mild stranding': {'clinical finding': 'mild stranding', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'strand', 'strength_term': 'mild'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}, 'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'floor': {}, 'infraorbital nerve': {}}location descriptor_fin: ['left', 'displaced']clinical findings_fin: {'left orbital floor fracture': {'clinical finding': 'left orbital floor fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'left orbital floor', 'observation': 'fracture'}}anatomical entity_fin: {'wall': {}}location descriptor_fin: ['left', 'lateral', 'displaced']clinical findings_fin: {'displaced': {'clinical finding': 'displaced', 'existence': 'pos_dx', 'observation': 'displace'}}clinical findings_fin: {'hardware complications': {'clinical finding': 'hardware complications', 'existence': 'neg_dx', 'descriptive_term': 'hardware', 'observation': 'complication'}}location descriptor_fin: ['left']clinical findings_fin: {'left maxillary hemosinus': {'clinical finding': 'left maxillary hemosinus', 'existence': 'pos_dx', 'descriptive_term': 'left maxillary', 'observation': 'hemosinus'}, 'extensive left periorbital swelling': {'clinical finding': 'extensive left periorbital swelling', 'cf_snomed': {'swelling': 65124004}, 'existence': 'pos_dx', 'descriptive_term': 'extensive left periorbital', 'observation': 'swell', 'strength_term': 'extensive'}, 'emphysema': {'clinical finding': 'emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'observation': 'emphysema'}}anatomical entity_fin: {'orbit': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right orbit is unremarkable': {'clinical finding': 'right orbit is unremarkable'}}clinical findings_fin: {'imaged intracranial structures are unremarkable': {'clinical finding': 'imaged intracranial structures are unremarkable'}} [/INST] There are postoperative findings related to internal fixation of a comminuted left zygomaticomaxillary complex fracture with anterior maxillary wall plating and inferior orbital wall mesh. There is mild stranding of the inferior left orbital fat and thickening of the left inferior rectus muscle, but the globe appears to be intact. The left orbital floor fracture fragments are inferiorly displaced and involve the infraorbital nerve canal. The left lateral orbital wall fragments are mildly displaced as well. There is no evidence of hardware complications. There is left maxillary hemosinus and extensive left periorbital swelling and emphysema. The right orbit is unremarkable. The imaged intracranial structures are unremarkable. </s> |
There has been expected interval evolution of the right basal ganglia hemorrhage with extension into the ventricles. Adjacent hypodensity from superimposed stroke has become more conspicuous and well-defined. Intraventricular hemorrhage has nearly resolved. The right lateral ventricle remains mostly effaced, and the left lateral ventricle has decreased in size. There is no interval new hemorrhage. Right to left midline shift has slightly increased to 4 mm. There are no extraaxial fluid collections or subdural hematomas. The visualized portions of the paranasal sinuses and mastoid air cells are clear. Redemonstrated is a chronic left medial orbital wall blowout fracture. | anatomical entity_fin: {'basal ganglia': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right basal ganglia hemorrhage': {'clinical finding': 'right basal ganglia hemorrhage', 'cf_snomed': {'right basal ganglia': 110682001, 'hemorrhage': 50960005}, 'existence': 'unc_dx', 'descriptive_term': 'right basal ganglia', 'observation': 'hemorrhage'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'adjacent hypodensity': {'clinical finding': 'adjacent hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'adjacent', 'observation': 'hypodensity'}, 'superimposed stroke': {'clinical finding': 'superimposed stroke', 'existence': 'pos_dx', 'descriptive_term': 'superimposed', 'observation': 'stroke'}}clinical findings_fin: {'intraventricular hemorrhage': {'clinical finding': 'intraventricular hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'neg_dx', 'descriptive_term': 'intraventricular', 'observation': 'hemorrhage'}}anatomical entity_fin: {'right lateral ventricle': {}, 'left lateral ventricle': {}}clinical findings_fin: {'effaced': {'clinical finding': 'effaced', 'existence': 'pos_dx', 'observation': 'effaced'}, 'decreased': {'clinical finding': 'decreased', 'existence': 'pos_dx', 'observation': 'decrease'}}clinical findings_fin: {'interval new hemorrhage': {'clinical finding': 'interval new hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'neg_dx', 'descriptive_term': 'interval new', 'observation': 'hemorrhage', 'temporal_term': 'new'}}size_fin: [{'size': '4 mm'}]location descriptor_fin: ['right', 'left', 'midline']clinical findings_fin: {'slightly increased to 4 mm': {'clinical finding': 'slightly increased to 4 mm', 'change_term': 'increased'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'subdural hematomas': {'clinical finding': 'subdural hematomas', 'cf_snomed': {'subdural hematoma': 95453001}, 'existence': 'neg_dx', 'descriptive_term': 'subdural', 'observation': 'hematoma'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}anatomical entity_fin: {'wall': {}}location descriptor_fin: ['left', 'medial']clinical findings_fin: {'chronic left medial orbital wall blowout fracture': {'clinical finding': 'chronic left medial orbital wall blowout fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'chronic left medial orbital wall blowout', 'observation': 'fracture', 'temporal_term': 'chronic'}} | 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: {'basal ganglia': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right basal ganglia hemorrhage': {'clinical finding': 'right basal ganglia hemorrhage', 'cf_snomed': {'right basal ganglia': 110682001, 'hemorrhage': 50960005}, 'existence': 'unc_dx', 'descriptive_term': 'right basal ganglia', 'observation': 'hemorrhage'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'adjacent hypodensity': {'clinical finding': 'adjacent hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'adjacent', 'observation': 'hypodensity'}, 'superimposed stroke': {'clinical finding': 'superimposed stroke', 'existence': 'pos_dx', 'descriptive_term': 'superimposed', 'observation': 'stroke'}}clinical findings_fin: {'intraventricular hemorrhage': {'clinical finding': 'intraventricular hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'neg_dx', 'descriptive_term': 'intraventricular', 'observation': 'hemorrhage'}}anatomical entity_fin: {'right lateral ventricle': {}, 'left lateral ventricle': {}}clinical findings_fin: {'effaced': {'clinical finding': 'effaced', 'existence': 'pos_dx', 'observation': 'effaced'}, 'decreased': {'clinical finding': 'decreased', 'existence': 'pos_dx', 'observation': 'decrease'}}clinical findings_fin: {'interval new hemorrhage': {'clinical finding': 'interval new hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'neg_dx', 'descriptive_term': 'interval new', 'observation': 'hemorrhage', 'temporal_term': 'new'}}size_fin: [{'size': '4 mm'}]location descriptor_fin: ['right', 'left', 'midline']clinical findings_fin: {'slightly increased to 4 mm': {'clinical finding': 'slightly increased to 4 mm', 'change_term': 'increased'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'subdural hematomas': {'clinical finding': 'subdural hematomas', 'cf_snomed': {'subdural hematoma': 95453001}, 'existence': 'neg_dx', 'descriptive_term': 'subdural', 'observation': 'hematoma'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}anatomical entity_fin: {'wall': {}}location descriptor_fin: ['left', 'medial']clinical findings_fin: {'chronic left medial orbital wall blowout fracture': {'clinical finding': 'chronic left medial orbital wall blowout fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'chronic left medial orbital wall blowout', 'observation': 'fracture', 'temporal_term': 'chronic'}} [/INST] There has been expected interval evolution of the right basal ganglia hemorrhage with extension into the ventricles. Adjacent hypodensity from superimposed stroke has become more conspicuous and well-defined. Intraventricular hemorrhage has nearly resolved. The right lateral ventricle remains mostly effaced, and the left lateral ventricle has decreased in size. There is no interval new hemorrhage. Right to left midline shift has slightly increased to 4 mm. There are no extraaxial fluid collections or subdural hematomas. The visualized portions of the paranasal sinuses and mastoid air cells are clear. Redemonstrated is a chronic left medial orbital wall blowout fracture. </s> |
. Linear atelectasis. LVAD is in place. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Severe. Large ventral hernia containing most of the bowel loops. No evidence of obstruction. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted | clinical findings_fin: {'linear atelectasis': {'clinical finding': 'linear atelectasis', 'cf_snomed': {'linear atelectasis': 11689004}, 'existence': 'pos_dx', 'descriptive_term': 'linear', 'observation': 'atelectasis'}}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: {'bowel': {}}clinical findings_fin: {'large ventral hernia': {'clinical finding': 'large ventral hernia', 'cf_snomed': {'hernia': 414403008}, 'existence': 'pos_dx', 'descriptive_term': 'large ventral', 'observation': 'hernia', 'strength_term': 'large'}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}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: {'linear atelectasis': {'clinical finding': 'linear atelectasis', 'cf_snomed': {'linear atelectasis': 11689004}, 'existence': 'pos_dx', 'descriptive_term': 'linear', 'observation': 'atelectasis'}}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: {'bowel': {}}clinical findings_fin: {'large ventral hernia': {'clinical finding': 'large ventral hernia', 'cf_snomed': {'hernia': 414403008}, 'existence': 'pos_dx', 'descriptive_term': 'large ventral', 'observation': 'hernia', 'strength_term': 'large'}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}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] . Linear atelectasis. LVAD is in place. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Severe. Large ventral hernia containing most of the bowel loops. No evidence of obstruction. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted </s> |
The cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology. No intracranial hemorrhage or abnormal extra-axial fluid is seen. There is no evidence of mass effect or parenchymal edema. The ventricular system is normal in size and morphology. The visualized paranasal sinuses and mastoid air cells are clear. The adenoidal tissues as partially visualized are prominent. The bones of the calvarium and skull base are intact. | anatomical entity_fin: {'brainstem': {}}clinical findings_fin: {'cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology': {'clinical finding': 'cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}, 'parenchymal edema': {'clinical finding': 'parenchymal edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'descriptive_term': 'parenchymal', 'observation': 'edema'}}clinical findings_fin: {'ventricular system is normal in size and morphology': {'clinical finding': 'ventricular system is normal in size and morphology'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}clinical findings_fin: {'adenoidal tissues as partially visualized': {'clinical finding': 'adenoidal tissues as partially visualized'}}anatomical entity_fin: {'skull': {}, 'base': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_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: anatomical entity_fin: {'brainstem': {}}clinical findings_fin: {'cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology': {'clinical finding': 'cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}, 'parenchymal edema': {'clinical finding': 'parenchymal edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'descriptive_term': 'parenchymal', 'observation': 'edema'}}clinical findings_fin: {'ventricular system is normal in size and morphology': {'clinical finding': 'ventricular system is normal in size and morphology'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}clinical findings_fin: {'adenoidal tissues as partially visualized': {'clinical finding': 'adenoidal tissues as partially visualized'}}anatomical entity_fin: {'skull': {}, 'base': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}} [/INST] The cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology. No intracranial hemorrhage or abnormal extra-axial fluid is seen. There is no evidence of mass effect or parenchymal edema. The ventricular system is normal in size and morphology. The visualized paranasal sinuses and mastoid air cells are clear. The adenoidal tissues as partially visualized are prominent. The bones of the calvarium and skull base are intact. </s> |
. No evidence of pulmonary embolism to the subsegmental level. No CT evidence of right heart strain or pulmonary hypertension. Small bilateral pleural effusions, bilateral septal thickening, and regions of groundglass opacity, most compatible with mild to moderate edema. Streaky left lower lobe opacities with associated left-sided airway debris, compatible with a small amount of aspiration. Minimal centrilobular and paraseptal emphysema. Scattered calcified and noncalcified micronodules. Right-sided aortic arch. Mild dilated cardiomegaly, without pericardial effusion. Papillary muscle calcification. Mildly enlarged mediastinal lymph nodes, which may be reactive. Moderate. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. | location descriptor_fin: ['subsegmental']clinical findings_fin: {'pulmonary embolism': {'clinical finding': 'pulmonary embolism', 'cf_snomed': {'pulmonary embolism': 59282003}, 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolism'}}anatomical entity_fin: {'heart': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right heart strain': {'clinical finding': 'right heart strain', 'existence': 'neg_dx', 'descriptive_term': 'right heart', 'observation': 'strain'}, 'pulmonary hypertension': {'clinical finding': 'pulmonary hypertension', 'cf_snomed': {'pulmonary hypertension': 70995007}, 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'hypertension'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'small bilateral pleural effusions': {'clinical finding': 'small bilateral pleural effusions', 'cf_snomed': {'bilateral pleural effusion': 425802001}, 'existence': 'pos_dx', 'descriptive_term': 'small bilateral pleural', 'observation': 'effusion', 'strength_term': 'small'}, 'bilateral septal thickening': {'clinical finding': 'bilateral septal thickening', 'existence': 'pos_dx', 'descriptive_term': 'bilateral septal', 'observation': 'thickening'}, 'groundglass opacity': {'clinical finding': 'groundglass opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'groundglass', 'observation': 'opacity'}, 'mild to moderate edema': {'clinical finding': 'mild to moderate edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate', 'observation': 'edema', 'strength_term': 'mild - moderate'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}, 'airway': {}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'streaky left lower lobe opacities': {'clinical finding': 'streaky left lower lobe opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'streaky left lower lobe', 'observation': 'opacity'}, 'associated left-sided airway debris': {'clinical finding': 'associated left-sided airway debris', 'existence': 'pos_dx', 'descriptive_term': 'associated left-sided airway', 'observation': 'debris'}, 'aspiration': {'clinical finding': 'aspiration', 'existence': 'pos_dx', 'observation': 'aspiration'}}location descriptor_fin: ['centrilobular']clinical findings_fin: {'minimal centrilobular and paraseptal emphysema': {'clinical finding': 'minimal centrilobular and paraseptal emphysema', 'cf_snomed': {'paraseptal emphysema': 31898008}, 'existence': 'pos_dx', 'descriptive_term': 'minimal centrilobular and paraseptal', 'observation': 'emphysema', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}clinical findings_fin: {'scattered calcified and noncalcified micronodules': {'clinical finding': 'scattered calcified and noncalcified micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered calcified and noncalcified', 'observation': 'micronodule', 'change_term': 'calcified'}}anatomical entity_fin: {'aortic arch': {}}location descriptor_fin: ['right']clinical findings_fin: {'mild dilated cardiomegaly': {'clinical finding': 'mild dilated cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'descriptive_term': 'mild dilated', 'observation': 'cardiomegaly', 'strength_term': 'mild', 'change_term': 'dilated'}, 'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'papillary muscle': {}}clinical findings_fin: {'papillary muscle calcification': {'clinical finding': 'papillary muscle calcification', 'existence': 'pos_dx', 'descriptive_term': 'papillary muscle', 'observation': 'calcification'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'mildly enlarged mediastinal lymph nodes': {'clinical finding': 'mildly enlarged mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly enlarged mediastinal lymph', 'observation': 'node', 'strength_term': 'mildly - enlarged', 'change_term': 'enlarged'}}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': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}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: location descriptor_fin: ['subsegmental']clinical findings_fin: {'pulmonary embolism': {'clinical finding': 'pulmonary embolism', 'cf_snomed': {'pulmonary embolism': 59282003}, 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolism'}}anatomical entity_fin: {'heart': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right heart strain': {'clinical finding': 'right heart strain', 'existence': 'neg_dx', 'descriptive_term': 'right heart', 'observation': 'strain'}, 'pulmonary hypertension': {'clinical finding': 'pulmonary hypertension', 'cf_snomed': {'pulmonary hypertension': 70995007}, 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'hypertension'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'small bilateral pleural effusions': {'clinical finding': 'small bilateral pleural effusions', 'cf_snomed': {'bilateral pleural effusion': 425802001}, 'existence': 'pos_dx', 'descriptive_term': 'small bilateral pleural', 'observation': 'effusion', 'strength_term': 'small'}, 'bilateral septal thickening': {'clinical finding': 'bilateral septal thickening', 'existence': 'pos_dx', 'descriptive_term': 'bilateral septal', 'observation': 'thickening'}, 'groundglass opacity': {'clinical finding': 'groundglass opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'groundglass', 'observation': 'opacity'}, 'mild to moderate edema': {'clinical finding': 'mild to moderate edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate', 'observation': 'edema', 'strength_term': 'mild - moderate'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}, 'airway': {}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'streaky left lower lobe opacities': {'clinical finding': 'streaky left lower lobe opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'streaky left lower lobe', 'observation': 'opacity'}, 'associated left-sided airway debris': {'clinical finding': 'associated left-sided airway debris', 'existence': 'pos_dx', 'descriptive_term': 'associated left-sided airway', 'observation': 'debris'}, 'aspiration': {'clinical finding': 'aspiration', 'existence': 'pos_dx', 'observation': 'aspiration'}}location descriptor_fin: ['centrilobular']clinical findings_fin: {'minimal centrilobular and paraseptal emphysema': {'clinical finding': 'minimal centrilobular and paraseptal emphysema', 'cf_snomed': {'paraseptal emphysema': 31898008}, 'existence': 'pos_dx', 'descriptive_term': 'minimal centrilobular and paraseptal', 'observation': 'emphysema', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}clinical findings_fin: {'scattered calcified and noncalcified micronodules': {'clinical finding': 'scattered calcified and noncalcified micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered calcified and noncalcified', 'observation': 'micronodule', 'change_term': 'calcified'}}anatomical entity_fin: {'aortic arch': {}}location descriptor_fin: ['right']clinical findings_fin: {'mild dilated cardiomegaly': {'clinical finding': 'mild dilated cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'descriptive_term': 'mild dilated', 'observation': 'cardiomegaly', 'strength_term': 'mild', 'change_term': 'dilated'}, 'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'papillary muscle': {}}clinical findings_fin: {'papillary muscle calcification': {'clinical finding': 'papillary muscle calcification', 'existence': 'pos_dx', 'descriptive_term': 'papillary muscle', 'observation': 'calcification'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'mildly enlarged mediastinal lymph nodes': {'clinical finding': 'mildly enlarged mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly enlarged mediastinal lymph', 'observation': 'node', 'strength_term': 'mildly - enlarged', 'change_term': 'enlarged'}}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': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . No evidence of pulmonary embolism to the subsegmental level. No CT evidence of right heart strain or pulmonary hypertension. Small bilateral pleural effusions, bilateral septal thickening, and regions of groundglass opacity, most compatible with mild to moderate edema. Streaky left lower lobe opacities with associated left-sided airway debris, compatible with a small amount of aspiration. Minimal centrilobular and paraseptal emphysema. Scattered calcified and noncalcified micronodules. Right-sided aortic arch. Mild dilated cardiomegaly, without pericardial effusion. Papillary muscle calcification. Mildly enlarged mediastinal lymph nodes, which may be reactive. Moderate. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. </s> |
Study severely limited by patient motionNo gross intracranial hemorrhage. There is scattered soft tissue swelling of the scalp overlying the occipital bone with multiple bilateral small subgaleal hematomas. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The orbits and skull are grossly unremarkable. Mild mucosal thickening of the ethmoid and sphenoid sinuses. Minimal mucosal thickening of the maxillary sinuses. Mastoid air cells are clear. Gray-white matter differentiation cannot be assessed due to the extensive motion. | clinical findings_fin: {'patient motionno gross intracranial hemorrhage': {'clinical finding': 'patient motionno gross intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'pos_dx', 'descriptive_term': 'patient motionno gross intracranial', 'observation': 'hemorrhage'}}anatomical entity_fin: {'scalp': {}, 'occipital bone': {}}imaging observation_fin: ['hematomas']location descriptor_fin: ['bilateral']clinical findings_fin: {'scattered soft tissue swelling': {'clinical finding': 'scattered soft tissue swelling', 'cf_snomed': {'soft tissue swelling': 298349001}, 'existence': 'pos_dx', 'descriptive_term': 'scattered soft tissue', 'observation': 'swell'}, 'multiple bilateral small subgaleal hematomas': {'clinical finding': 'multiple bilateral small subgaleal hematomas', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'pos_dx', 'descriptive_term': 'multiple bilateral small subgaleal', 'observation': 'hematoma', 'strength_term': 'small', 'quantity_term': 'multiple'}}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': {}, 'skull': {}}clinical findings_fin: {'orbits and skull are grossly unremarkable': {'clinical finding': 'orbits and skull are grossly unremarkable'}}clinical findings_fin: {'mild mucosal thickening': {'clinical finding': 'mild mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild mucosal', 'observation': 'thickening', 'strength_term': 'mild'}}clinical findings_fin: {'minimal mucosal thickening': {'clinical finding': 'minimal mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'minimal mucosal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}clinical findings_fin: {'extensive motion': {'clinical finding': 'extensive motion', 'existence': 'unc_dx', 'descriptive_term': 'extensive', 'observation': 'motion', 'strength_term': 'extensive'}} | 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: {'patient motionno gross intracranial hemorrhage': {'clinical finding': 'patient motionno gross intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'pos_dx', 'descriptive_term': 'patient motionno gross intracranial', 'observation': 'hemorrhage'}}anatomical entity_fin: {'scalp': {}, 'occipital bone': {}}imaging observation_fin: ['hematomas']location descriptor_fin: ['bilateral']clinical findings_fin: {'scattered soft tissue swelling': {'clinical finding': 'scattered soft tissue swelling', 'cf_snomed': {'soft tissue swelling': 298349001}, 'existence': 'pos_dx', 'descriptive_term': 'scattered soft tissue', 'observation': 'swell'}, 'multiple bilateral small subgaleal hematomas': {'clinical finding': 'multiple bilateral small subgaleal hematomas', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'pos_dx', 'descriptive_term': 'multiple bilateral small subgaleal', 'observation': 'hematoma', 'strength_term': 'small', 'quantity_term': 'multiple'}}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': {}, 'skull': {}}clinical findings_fin: {'orbits and skull are grossly unremarkable': {'clinical finding': 'orbits and skull are grossly unremarkable'}}clinical findings_fin: {'mild mucosal thickening': {'clinical finding': 'mild mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild mucosal', 'observation': 'thickening', 'strength_term': 'mild'}}clinical findings_fin: {'minimal mucosal thickening': {'clinical finding': 'minimal mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'minimal mucosal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}clinical findings_fin: {'extensive motion': {'clinical finding': 'extensive motion', 'existence': 'unc_dx', 'descriptive_term': 'extensive', 'observation': 'motion', 'strength_term': 'extensive'}} [/INST] Study severely limited by patient motionNo gross intracranial hemorrhage. There is scattered soft tissue swelling of the scalp overlying the occipital bone with multiple bilateral small subgaleal hematomas. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The orbits and skull are grossly unremarkable. Mild mucosal thickening of the ethmoid and sphenoid sinuses. Minimal mucosal thickening of the maxillary sinuses. Mastoid air cells are clear. Gray-white matter differentiation cannot be assessed due to the extensive motion. </s> |
. No filling defects are identified in the main, right, and left pulmonary arteries. Segmental arteries proximally are probably normal. The distal aspects of the segmental arteries cannot be evaluated adequately. The right heart is not enlarged. Heart size is normal. Branching pattern of the great vessels is normal. The lower lobes are consolidated. Small bilateral pleural effusion is identified. No lymphadenopathy is present. Endotracheal tube tip is below thoracic inlet. Right PICC tip is in right atrium. Enhancement pattern of the spleen is due to rapid injection of contrast material. A small amount of free fluid is present in the upper abdomen. | anatomical entity_fin: {'left pulmonary arteries': {}}location descriptor_fin: ['right']clinical findings_fin: {'filling defects': {'clinical finding': 'filling defects', 'cf_snomed': {'filling defect': 43468004}, 'existence': 'neg_dx', 'descriptive_term': 'filling', 'observation': 'defect'}}anatomical entity_fin: {'arteries': {}}clinical findings_fin: {'segmental arteries proximally are probably normal': {'clinical finding': 'segmental arteries proximally are probably normal'}}anatomical entity_fin: {'arteries': {}}location descriptor_fin: ['distal']anatomical entity_fin: {'heart': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'neg_dx', 'observation': 'enlarged'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'heart size is normal': {'clinical finding': 'heart size is normal'}}clinical findings_fin: {'branching pattern of the great vessels is normal': {'clinical finding': 'branching pattern of the great vessels is normal'}}anatomical entity_fin: {'lobes': {'location descriptor': 'lower'}}location descriptor_fin: ['lower']clinical findings_fin: {'consolidated': {'clinical finding': 'consolidated', 'existence': 'pos_dx', 'observation': 'consolidate'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'small bilateral pleural effusion': {'clinical finding': 'small bilateral pleural effusion', 'cf_snomed': {'bilateral pleural effusion': 425802001}, 'existence': 'pos_dx', 'descriptive_term': 'small bilateral pleural', 'observation': 'effusion', 'strength_term': 'small'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'thoracic inlet': {}}object_fin: ['endotracheal tube']clinical findings_fin: {'endotracheal tube': {'clinical finding': 'endotracheal tube', 'existence': 'pos_dx', 'descriptive_term': 'endotracheal', 'observation': 'tube'}}anatomical entity_fin: {'right atrium': {}}location descriptor_fin: ['right']anatomical entity_fin: {'spleen': {}}imaging observation_fin: ['enhancement pattern']clinical findings_fin: {'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}}anatomical entity_fin: {'upper abdomen': {}}clinical findings_fin: {'free fluid': {'clinical finding': 'free fluid', 'existence': 'pos_dx', 'descriptive_term': 'free', 'observation': 'fluid'}} | 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: {'left pulmonary arteries': {}}location descriptor_fin: ['right']clinical findings_fin: {'filling defects': {'clinical finding': 'filling defects', 'cf_snomed': {'filling defect': 43468004}, 'existence': 'neg_dx', 'descriptive_term': 'filling', 'observation': 'defect'}}anatomical entity_fin: {'arteries': {}}clinical findings_fin: {'segmental arteries proximally are probably normal': {'clinical finding': 'segmental arteries proximally are probably normal'}}anatomical entity_fin: {'arteries': {}}location descriptor_fin: ['distal']anatomical entity_fin: {'heart': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'neg_dx', 'observation': 'enlarged'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'heart size is normal': {'clinical finding': 'heart size is normal'}}clinical findings_fin: {'branching pattern of the great vessels is normal': {'clinical finding': 'branching pattern of the great vessels is normal'}}anatomical entity_fin: {'lobes': {'location descriptor': 'lower'}}location descriptor_fin: ['lower']clinical findings_fin: {'consolidated': {'clinical finding': 'consolidated', 'existence': 'pos_dx', 'observation': 'consolidate'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'small bilateral pleural effusion': {'clinical finding': 'small bilateral pleural effusion', 'cf_snomed': {'bilateral pleural effusion': 425802001}, 'existence': 'pos_dx', 'descriptive_term': 'small bilateral pleural', 'observation': 'effusion', 'strength_term': 'small'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'thoracic inlet': {}}object_fin: ['endotracheal tube']clinical findings_fin: {'endotracheal tube': {'clinical finding': 'endotracheal tube', 'existence': 'pos_dx', 'descriptive_term': 'endotracheal', 'observation': 'tube'}}anatomical entity_fin: {'right atrium': {}}location descriptor_fin: ['right']anatomical entity_fin: {'spleen': {}}imaging observation_fin: ['enhancement pattern']clinical findings_fin: {'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}}anatomical entity_fin: {'upper abdomen': {}}clinical findings_fin: {'free fluid': {'clinical finding': 'free fluid', 'existence': 'pos_dx', 'descriptive_term': 'free', 'observation': 'fluid'}} [/INST] . No filling defects are identified in the main, right, and left pulmonary arteries. Segmental arteries proximally are probably normal. The distal aspects of the segmental arteries cannot be evaluated adequately. The right heart is not enlarged. Heart size is normal. Branching pattern of the great vessels is normal. The lower lobes are consolidated. Small bilateral pleural effusion is identified. No lymphadenopathy is present. Endotracheal tube tip is below thoracic inlet. Right PICC tip is in right atrium. Enhancement pattern of the spleen is due to rapid injection of contrast material. A small amount of free fluid is present in the upper abdomen. </s> |
. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Unchanged left adrenal nodule, which measures 0.8 HU on the noncontrast phase, consistent with a lipid rich adenoma. No nephrolithiasis or ureterolithiasis evident. There is no hydronephrosis or hydroureter. Symmetric bilateral nephrograms are apparent. 1.0 cm hypoattenuating left renal lesion measures greater than simple fluid density and demonstrates equivocal enhancement. No filling defects are evident within the bilateral renal collecting systems on the urographic phase. No significant abnormality noted. None. Mild colonic diverticulosis with evidence of diverticulitis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Mild colonic diverticulosis with evidence of diverticulitis. 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'}}location descriptor_fin: ['left']clinical findings_fin: {'unchanged left adrenal nodule': {'clinical finding': 'unchanged left adrenal nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged left adrenal', 'observation': 'nodule', 'strength_term': 'unchanged', 'change_term': 'unchanged'}, 'lipid rich adenoma': {'clinical finding': 'lipid rich adenoma', 'cf_snomed': {'adenoma': 1187379001}, 'existence': 'pos_dx', 'descriptive_term': 'lipid rich', 'observation': 'adenoma'}}clinical findings_fin: {'nephrolithiasis': {'clinical finding': 'nephrolithiasis', 'existence': 'neg_dx', 'observation': 'nephrolithiasis'}, 'ureterolithiasis': {'clinical finding': 'ureterolithiasis', 'existence': 'neg_dx', 'observation': 'ureterolithiasis'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}, 'hydroureter': {'clinical finding': 'hydroureter', 'cf_snomed': {'hydroureter': 69758005}, 'existence': 'neg_dx', 'observation': 'hydroureter'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'symmetric bilateral nephrograms are apparent': {'clinical finding': 'symmetric bilateral nephrograms are apparent'}}size_fin: [{'size': '1.0 cm', 'size_descriptor': 'lesion'}]anatomical entity_fin: {'fluid': {}}location descriptor_fin: ['left']clinical findings_fin: {'1.0 cm hypoattenuating left renal lesion': {'clinical finding': '1.0 cm hypoattenuating left renal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': '1 0 cm hypoattenuating left renal', 'observation': 'lesion'}, 'equivocal enhancement': {'clinical finding': 'equivocal enhancement', 'existence': 'pos_dx', 'descriptive_term': 'equivocal', 'observation': 'enhancement'}}anatomical entity_fin: {'renal collecting systems': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'filling defects': {'clinical finding': 'filling defects', 'cf_snomed': {'filling defect': 43468004}, 'existence': 'neg_dx', 'descriptive_term': 'filling', 'observation': 'defect'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'mild colonic diverticulosis': {'clinical finding': 'mild colonic diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'mild colonic', 'observation': 'diverticulosis', 'strength_term': 'mild'}, 'diverticulitis': {'clinical finding': 'diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'pos_dx', 'observation': 'diverticulitis'}}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: {'mild colonic diverticulosis': {'clinical finding': 'mild colonic diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'mild colonic', 'observation': 'diverticulosis', 'strength_term': 'mild'}, 'diverticulitis': {'clinical finding': 'diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'pos_dx', 'observation': 'diverticulitis'}}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'}}location descriptor_fin: ['left']clinical findings_fin: {'unchanged left adrenal nodule': {'clinical finding': 'unchanged left adrenal nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged left adrenal', 'observation': 'nodule', 'strength_term': 'unchanged', 'change_term': 'unchanged'}, 'lipid rich adenoma': {'clinical finding': 'lipid rich adenoma', 'cf_snomed': {'adenoma': 1187379001}, 'existence': 'pos_dx', 'descriptive_term': 'lipid rich', 'observation': 'adenoma'}}clinical findings_fin: {'nephrolithiasis': {'clinical finding': 'nephrolithiasis', 'existence': 'neg_dx', 'observation': 'nephrolithiasis'}, 'ureterolithiasis': {'clinical finding': 'ureterolithiasis', 'existence': 'neg_dx', 'observation': 'ureterolithiasis'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}, 'hydroureter': {'clinical finding': 'hydroureter', 'cf_snomed': {'hydroureter': 69758005}, 'existence': 'neg_dx', 'observation': 'hydroureter'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'symmetric bilateral nephrograms are apparent': {'clinical finding': 'symmetric bilateral nephrograms are apparent'}}size_fin: [{'size': '1.0 cm', 'size_descriptor': 'lesion'}]anatomical entity_fin: {'fluid': {}}location descriptor_fin: ['left']clinical findings_fin: {'1.0 cm hypoattenuating left renal lesion': {'clinical finding': '1.0 cm hypoattenuating left renal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': '1 0 cm hypoattenuating left renal', 'observation': 'lesion'}, 'equivocal enhancement': {'clinical finding': 'equivocal enhancement', 'existence': 'pos_dx', 'descriptive_term': 'equivocal', 'observation': 'enhancement'}}anatomical entity_fin: {'renal collecting systems': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'filling defects': {'clinical finding': 'filling defects', 'cf_snomed': {'filling defect': 43468004}, 'existence': 'neg_dx', 'descriptive_term': 'filling', 'observation': 'defect'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'mild colonic diverticulosis': {'clinical finding': 'mild colonic diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'mild colonic', 'observation': 'diverticulosis', 'strength_term': 'mild'}, 'diverticulitis': {'clinical finding': 'diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'pos_dx', 'observation': 'diverticulitis'}}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: {'mild colonic diverticulosis': {'clinical finding': 'mild colonic diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'mild colonic', 'observation': 'diverticulosis', 'strength_term': 'mild'}, 'diverticulitis': {'clinical finding': 'diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'pos_dx', 'observation': 'diverticulitis'}}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. Unchanged left adrenal nodule, which measures 0.8 HU on the noncontrast phase, consistent with a lipid rich adenoma. No nephrolithiasis or ureterolithiasis evident. There is no hydronephrosis or hydroureter. Symmetric bilateral nephrograms are apparent. 1.0 cm hypoattenuating left renal lesion measures greater than simple fluid density and demonstrates equivocal enhancement. No filling defects are evident within the bilateral renal collecting systems on the urographic phase. No significant abnormality noted. None. Mild colonic diverticulosis with evidence of diverticulitis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Mild colonic diverticulosis with evidence of diverticulitis. No significant abnormality noted. No significant abnormality noted </s> |
. No significant abnormality noted. Nonspecific enhancing right segment VI or VII lesion similar in appearance to prior exams dating back to 11/19/2014 and is likely benign. Cholecystectomy changes noted. Hepatic and portal veins are patent. No intrahepatic biliary dilatation. No significant abnormality noted. No significant abnormality noted. Bilateral hypodense adrenal lesions likely representing adenomas. The reference right adrenal hypodense lesion measures 16 mm, not significantly changed from prior exam. The reference lesion measures <10 HU on non-contrast images and most likely represents an adenoma. No significant abnormality noted. No significant abnormality noted. Mild. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. 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'}}anatomical entity_fin: {'back': {}}imaging observation_fin: ['enhancing']location descriptor_fin: ['right']clinical findings_fin: {'nonspecific enhancing right segment vi or vii lesion': {'clinical finding': 'nonspecific enhancing right segment vi or vii lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'nonspecific enhancing right segment vi or vii', 'observation': 'lesion'}}anatomical entity_fin: {'portal veins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'intrahepatic biliary dilatation': {'clinical finding': 'intrahepatic biliary dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'descriptive_term': 'intrahepatic biliary', 'observation': 'dilatation'}}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'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral hypodense adrenal lesions': {'clinical finding': 'bilateral hypodense adrenal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral hypodense adrenal', 'observation': 'lesion'}, 'adenomas': {'clinical finding': 'adenomas', 'existence': 'unc_dx', 'observation': 'adenomas'}}size_fin: [{'size': '16 mm', 'size_descriptor': 'lesion'}]location descriptor_fin: ['right']clinical findings_fin: {'reference right adrenal hypodense lesion': {'clinical finding': 'reference right adrenal hypodense lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference right adrenal hypodense', 'observation': 'lesion'}}clinical findings_fin: {'reference lesion': {'clinical finding': 'reference lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference', 'observation': 'lesion'}, 'non-contrast': {'clinical finding': 'non-contrast', 'existence': 'pos_dx', 'observation': 'non-contrast'}, 'adenoma': {'clinical finding': 'adenoma', 'cf_snomed': {'adenoma': 1187379001}, 'existence': 'unc_dx', 'observation': 'adenoma'}}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'}}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'}} | 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: {'back': {}}imaging observation_fin: ['enhancing']location descriptor_fin: ['right']clinical findings_fin: {'nonspecific enhancing right segment vi or vii lesion': {'clinical finding': 'nonspecific enhancing right segment vi or vii lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'nonspecific enhancing right segment vi or vii', 'observation': 'lesion'}}anatomical entity_fin: {'portal veins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'intrahepatic biliary dilatation': {'clinical finding': 'intrahepatic biliary dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'descriptive_term': 'intrahepatic biliary', 'observation': 'dilatation'}}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'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral hypodense adrenal lesions': {'clinical finding': 'bilateral hypodense adrenal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral hypodense adrenal', 'observation': 'lesion'}, 'adenomas': {'clinical finding': 'adenomas', 'existence': 'unc_dx', 'observation': 'adenomas'}}size_fin: [{'size': '16 mm', 'size_descriptor': 'lesion'}]location descriptor_fin: ['right']clinical findings_fin: {'reference right adrenal hypodense lesion': {'clinical finding': 'reference right adrenal hypodense lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference right adrenal hypodense', 'observation': 'lesion'}}clinical findings_fin: {'reference lesion': {'clinical finding': 'reference lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference', 'observation': 'lesion'}, 'non-contrast': {'clinical finding': 'non-contrast', 'existence': 'pos_dx', 'observation': 'non-contrast'}, 'adenoma': {'clinical finding': 'adenoma', 'cf_snomed': {'adenoma': 1187379001}, 'existence': 'unc_dx', 'observation': 'adenoma'}}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'}}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'}} [/INST] . No significant abnormality noted. Nonspecific enhancing right segment VI or VII lesion similar in appearance to prior exams dating back to 11/19/2014 and is likely benign. Cholecystectomy changes noted. Hepatic and portal veins are patent. No intrahepatic biliary dilatation. No significant abnormality noted. No significant abnormality noted. Bilateral hypodense adrenal lesions likely representing adenomas. The reference right adrenal hypodense lesion measures 16 mm, not significantly changed from prior exam. The reference lesion measures <10 HU on non-contrast images and most likely represents an adenoma. No significant abnormality noted. No significant abnormality noted. Mild. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted </s> |
The bones are diffusely demineralized, suggesting osteopenia which may be from disuse. Marked deformity of the distal tibia related to surgery and chronic infection is redemonstrated. There are findings of chronic osteomyelitis including chronic dense periosteal reaction is noted, mottled appearance of the underlying bone, and large central lucency or cavitation of the distal tibia. In addition, small skin ulceration at the medial aspect of the distal tibial metaphysis extends to the underlying bone with tract-like extension from cortex toward the centrally lucent intramedullary space. Several other similar tracts are noted with well-corticated margins, likely reflecting prior orthopedic screw tracts. Correlation with surgical history is recommended otherwise the possibility of sinus tracts from chronic infection may be considered. | clinical findings_fin: {'demineralized': {'clinical finding': 'demineralized', 'existence': 'pos_dx', 'observation': 'demineralized'}, 'osteopenia': {'clinical finding': 'osteopenia', 'cf_snomed': {'osteopenia': 312894000}, 'existence': 'unc_dx', 'observation': 'osteopenia'}, 'disuse': {'clinical finding': 'disuse', 'existence': 'unc_dx', 'observation': 'disuse'}}anatomical entity_fin: {'tibia': {'location descriptor': 'distal'}}location descriptor_fin: ['distal']clinical findings_fin: {'marked deformity': {'clinical finding': 'marked deformity', 'cf_snomed': {'deformity': 417893002}, 'existence': 'pos_dx', 'descriptive_term': 'marked', 'observation': 'deformity'}, 'chronic infection': {'clinical finding': 'chronic infection', 'existence': 'pos_dx', 'descriptive_term': 'chronic', 'observation': 'infection', 'temporal_term': 'chronic'}}anatomical entity_fin: {'tibia': {'location descriptor': 'distal'}}imaging observation_fin: ['central lucency']location descriptor_fin: ['distal']clinical findings_fin: {'chronic osteomyelitis': {'clinical finding': 'chronic osteomyelitis', 'cf_snomed': {'chronic osteomyelitis': 40970001}, 'existence': 'pos_dx', 'descriptive_term': 'chronic', 'observation': 'osteomyelitis', 'temporal_term': 'chronic'}, 'chronic dense periosteal reaction': {'clinical finding': 'chronic dense periosteal reaction', 'existence': 'pos_dx', 'descriptive_term': 'chronic dense periosteal', 'observation': 'reaction', 'temporal_term': 'chronic'}, 'cavitation': {'clinical finding': 'cavitation', 'existence': 'unc_dx', 'observation': 'cavitation'}}anatomical entity_fin: {'skin': {}, 'metaphysis': {}, 'cortex': {}, 'intramedullary space': {}}location descriptor_fin: ['medial', 'distal']clinical findings_fin: {'small skin ulceration': {'clinical finding': 'small skin ulceration', 'existence': 'pos_dx', 'descriptive_term': 'small skin', 'observation': 'ulceration', 'strength_term': 'small'}, 'centrally lucent intramedullary space': {'clinical finding': 'centrally lucent intramedullary space', 'existence': 'pos_dx', 'descriptive_term': 'centrally lucent intramedullary', 'observation': 'space'}}imaging observation_fin: ['margins']object_fin: ['orthopedic screw']clinical findings_fin: {'several other similar tracts': {'clinical finding': 'several other similar tracts', 'existence': 'pos_dx', 'descriptive_term': 'several other similar', 'observation': 'tract', 'quantity_term': 'several'}, 'well-corticated margins': {'clinical finding': 'well-corticated margins', 'existence': 'pos_dx', 'descriptive_term': 'well-corticated', 'observation': 'margin'}, 'prior orthopedic screw tracts': {'clinical finding': 'prior orthopedic screw tracts', 'existence': 'pos_dx', 'descriptive_term': 'prior orthopedic screw', 'observation': 'tract'}}clinical findings_fin: {'chronic infection': {'clinical finding': 'chronic infection', 'existence': 'unc_dx', 'descriptive_term': 'chronic', 'observation': 'infection', 'temporal_term': 'chronic'}} | 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: {'demineralized': {'clinical finding': 'demineralized', 'existence': 'pos_dx', 'observation': 'demineralized'}, 'osteopenia': {'clinical finding': 'osteopenia', 'cf_snomed': {'osteopenia': 312894000}, 'existence': 'unc_dx', 'observation': 'osteopenia'}, 'disuse': {'clinical finding': 'disuse', 'existence': 'unc_dx', 'observation': 'disuse'}}anatomical entity_fin: {'tibia': {'location descriptor': 'distal'}}location descriptor_fin: ['distal']clinical findings_fin: {'marked deformity': {'clinical finding': 'marked deformity', 'cf_snomed': {'deformity': 417893002}, 'existence': 'pos_dx', 'descriptive_term': 'marked', 'observation': 'deformity'}, 'chronic infection': {'clinical finding': 'chronic infection', 'existence': 'pos_dx', 'descriptive_term': 'chronic', 'observation': 'infection', 'temporal_term': 'chronic'}}anatomical entity_fin: {'tibia': {'location descriptor': 'distal'}}imaging observation_fin: ['central lucency']location descriptor_fin: ['distal']clinical findings_fin: {'chronic osteomyelitis': {'clinical finding': 'chronic osteomyelitis', 'cf_snomed': {'chronic osteomyelitis': 40970001}, 'existence': 'pos_dx', 'descriptive_term': 'chronic', 'observation': 'osteomyelitis', 'temporal_term': 'chronic'}, 'chronic dense periosteal reaction': {'clinical finding': 'chronic dense periosteal reaction', 'existence': 'pos_dx', 'descriptive_term': 'chronic dense periosteal', 'observation': 'reaction', 'temporal_term': 'chronic'}, 'cavitation': {'clinical finding': 'cavitation', 'existence': 'unc_dx', 'observation': 'cavitation'}}anatomical entity_fin: {'skin': {}, 'metaphysis': {}, 'cortex': {}, 'intramedullary space': {}}location descriptor_fin: ['medial', 'distal']clinical findings_fin: {'small skin ulceration': {'clinical finding': 'small skin ulceration', 'existence': 'pos_dx', 'descriptive_term': 'small skin', 'observation': 'ulceration', 'strength_term': 'small'}, 'centrally lucent intramedullary space': {'clinical finding': 'centrally lucent intramedullary space', 'existence': 'pos_dx', 'descriptive_term': 'centrally lucent intramedullary', 'observation': 'space'}}imaging observation_fin: ['margins']object_fin: ['orthopedic screw']clinical findings_fin: {'several other similar tracts': {'clinical finding': 'several other similar tracts', 'existence': 'pos_dx', 'descriptive_term': 'several other similar', 'observation': 'tract', 'quantity_term': 'several'}, 'well-corticated margins': {'clinical finding': 'well-corticated margins', 'existence': 'pos_dx', 'descriptive_term': 'well-corticated', 'observation': 'margin'}, 'prior orthopedic screw tracts': {'clinical finding': 'prior orthopedic screw tracts', 'existence': 'pos_dx', 'descriptive_term': 'prior orthopedic screw', 'observation': 'tract'}}clinical findings_fin: {'chronic infection': {'clinical finding': 'chronic infection', 'existence': 'unc_dx', 'descriptive_term': 'chronic', 'observation': 'infection', 'temporal_term': 'chronic'}} [/INST] The bones are diffusely demineralized, suggesting osteopenia which may be from disuse. Marked deformity of the distal tibia related to surgery and chronic infection is redemonstrated. There are findings of chronic osteomyelitis including chronic dense periosteal reaction is noted, mottled appearance of the underlying bone, and large central lucency or cavitation of the distal tibia. In addition, small skin ulceration at the medial aspect of the distal tibial metaphysis extends to the underlying bone with tract-like extension from cortex toward the centrally lucent intramedullary space. Several other similar tracts are noted with well-corticated margins, likely reflecting prior orthopedic screw tracts. Correlation with surgical history is recommended otherwise the possibility of sinus tracts from chronic infection may be considered. </s> |
. Upper lobe predominant emphysematous changes with pleural parenchymal thickening at the apices. There are postsurgical changes in the right middle lobe. Heart size is normal. No pericardial effusion. No mediastinal lymphadenopathy. No significant abnormality noted. Status post resection of the segment 6 lesion. The segment 5 lesion is unchanged. No new lesions. The hepatic and portal veins are patent. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Scattered colonic diverticula. No bowel obstruction. No significant abnormality noted. No significant abnormality noted. Endometrial thickness measures over 12 mm. There are enhancing fibroids in the lower uterine segment. No significant abnormality noted. No significant abnormality noted. Postsurgical changes in the rectosigmoid. Multiple pelvic fractures. No significant abnormality noted. | anatomical entity_fin: {'lobe': {'location descriptor': 'upper'}, 'apices': {}}location descriptor_fin: ['upper']clinical findings_fin: {'upper lobe predominant emphysematous changes': {'clinical finding': 'upper lobe predominant emphysematous changes', 'existence': 'pos_dx', 'descriptive_term': 'upper lobe predominant emphysematous', 'observation': 'change'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}}anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}}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 lymphadenopathy': {'clinical finding': 'mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'mediastinal', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'segment 6 lesion': {'clinical finding': 'segment 6 lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'segment 6', 'observation': 'lesion'}}clinical findings_fin: {'segment 5 lesion': {'clinical finding': 'segment 5 lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'segment 5', 'observation': 'lesion'}}clinical findings_fin: {'new lesions': {'clinical finding': 'new lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'lesion', 'temporal_term': 'new'}}anatomical entity_fin: {'portal veins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}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: {'scattered colonic diverticula': {'clinical finding': 'scattered colonic diverticula'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'bowel obstruction': {'clinical finding': 'bowel obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'}}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': '12 mm', 'size_descriptor': 'thickness'}]anatomical entity_fin: {'lower uterine segment': {}}imaging observation_fin: ['enhancing']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: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}}clinical findings_fin: {'multiple pelvic fractures': {'clinical finding': 'multiple pelvic fractures', 'cf_snomed': {'multiple pelvic fractures': 263222005}, 'existence': 'pos_dx', 'descriptive_term': 'multiple pelvic', 'observation': 'fracture', 'quantity_term': 'multiple'}}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: anatomical entity_fin: {'lobe': {'location descriptor': 'upper'}, 'apices': {}}location descriptor_fin: ['upper']clinical findings_fin: {'upper lobe predominant emphysematous changes': {'clinical finding': 'upper lobe predominant emphysematous changes', 'existence': 'pos_dx', 'descriptive_term': 'upper lobe predominant emphysematous', 'observation': 'change'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}}anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}}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 lymphadenopathy': {'clinical finding': 'mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'mediastinal', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'segment 6 lesion': {'clinical finding': 'segment 6 lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'segment 6', 'observation': 'lesion'}}clinical findings_fin: {'segment 5 lesion': {'clinical finding': 'segment 5 lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'segment 5', 'observation': 'lesion'}}clinical findings_fin: {'new lesions': {'clinical finding': 'new lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'lesion', 'temporal_term': 'new'}}anatomical entity_fin: {'portal veins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}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: {'scattered colonic diverticula': {'clinical finding': 'scattered colonic diverticula'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'bowel obstruction': {'clinical finding': 'bowel obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'}}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': '12 mm', 'size_descriptor': 'thickness'}]anatomical entity_fin: {'lower uterine segment': {}}imaging observation_fin: ['enhancing']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: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}}clinical findings_fin: {'multiple pelvic fractures': {'clinical finding': 'multiple pelvic fractures', 'cf_snomed': {'multiple pelvic fractures': 263222005}, 'existence': 'pos_dx', 'descriptive_term': 'multiple pelvic', 'observation': 'fracture', 'quantity_term': 'multiple'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Upper lobe predominant emphysematous changes with pleural parenchymal thickening at the apices. There are postsurgical changes in the right middle lobe. Heart size is normal. No pericardial effusion. No mediastinal lymphadenopathy. No significant abnormality noted. Status post resection of the segment 6 lesion. The segment 5 lesion is unchanged. No new lesions. The hepatic and portal veins are patent. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Scattered colonic diverticula. No bowel obstruction. No significant abnormality noted. No significant abnormality noted. Endometrial thickness measures over 12 mm. There are enhancing fibroids in the lower uterine segment. No significant abnormality noted. No significant abnormality noted. Postsurgical changes in the rectosigmoid. Multiple pelvic fractures. No significant abnormality noted. </s> |
. There is a right transfrontal ventricular catheter that terminates in the third ventricle. The third and lateral ventricles appear mildly dilated. There is nonspecific patchy cerebral white matter hypoattenuation. There also appears to be a small area of encephalomalacia in the anterior left frontal lobe. There is no evidence of intracranial hemorrhage or mass. There is no abnormal intracranial enhancement. There is no midline shift or herniation. The orbits are grossly unremarkable. The imaged portions of the ventricular catheter in the subcutaneous tissues of the neck appear to be intact. There is no evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria. The thyroid and major salivary glands are unremarkable. The major cervical vessels are patent. There is mild diffuse osteopenia. The airways are patent. The imaged intracranial structures are unremarkable. The imaged portions of the lungs are clear. There are multiple dental caries. | anatomical entity_fin: {'third ventricle': {}}location descriptor_fin: ['right']object_fin: ['catheter']anatomical entity_fin: {'lateral ventricles': {}}clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}}anatomical entity_fin: {'cerebral white matter': {}}clinical findings_fin: {'nonspecific patchy cerebral white matter hypoattenuation': {'clinical finding': 'nonspecific patchy cerebral white matter hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific patchy cerebral white matter', 'observation': 'hypoattenuation'}}anatomical entity_fin: {'left frontal lobe': {'location descriptor': 'anterior'}}location descriptor_fin: ['anterior']clinical findings_fin: {'encephalomalacia': {'clinical finding': 'encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'pos_dx', 'observation': 'encephalomalacia'}}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: {'abnormal intracranial enhancement': {'clinical finding': 'abnormal intracranial enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal intracranial', 'observation': 'enhancement'}}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: {'neck': {}}object_fin: ['catheter']clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}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 unremarkable': {'clinical finding': 'thyroid and major salivary glands are unremarkable'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'mild diffuse osteopenia': {'clinical finding': 'mild diffuse osteopenia', 'cf_snomed': {'osteopenia': 312894000}, 'existence': 'pos_dx', 'descriptive_term': 'mild diffuse', 'observation': 'osteopenia', 'strength_term': 'mild'}}anatomical entity_fin: {'airways': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_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': 'neg_dx', 'observation': 'clear'}}clinical findings_fin: {'multiple dental caries': {'clinical finding': 'multiple dental caries', 'cf_snomed': {'dental caries': 80967001}, 'existence': 'pos_dx', 'descriptive_term': 'multiple dental', 'observation': 'cary', '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: anatomical entity_fin: {'third ventricle': {}}location descriptor_fin: ['right']object_fin: ['catheter']anatomical entity_fin: {'lateral ventricles': {}}clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}}anatomical entity_fin: {'cerebral white matter': {}}clinical findings_fin: {'nonspecific patchy cerebral white matter hypoattenuation': {'clinical finding': 'nonspecific patchy cerebral white matter hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific patchy cerebral white matter', 'observation': 'hypoattenuation'}}anatomical entity_fin: {'left frontal lobe': {'location descriptor': 'anterior'}}location descriptor_fin: ['anterior']clinical findings_fin: {'encephalomalacia': {'clinical finding': 'encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'pos_dx', 'observation': 'encephalomalacia'}}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: {'abnormal intracranial enhancement': {'clinical finding': 'abnormal intracranial enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal intracranial', 'observation': 'enhancement'}}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: {'neck': {}}object_fin: ['catheter']clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}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 unremarkable': {'clinical finding': 'thyroid and major salivary glands are unremarkable'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'mild diffuse osteopenia': {'clinical finding': 'mild diffuse osteopenia', 'cf_snomed': {'osteopenia': 312894000}, 'existence': 'pos_dx', 'descriptive_term': 'mild diffuse', 'observation': 'osteopenia', 'strength_term': 'mild'}}anatomical entity_fin: {'airways': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_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': 'neg_dx', 'observation': 'clear'}}clinical findings_fin: {'multiple dental caries': {'clinical finding': 'multiple dental caries', 'cf_snomed': {'dental caries': 80967001}, 'existence': 'pos_dx', 'descriptive_term': 'multiple dental', 'observation': 'cary', 'quantity_term': 'multiple'}} [/INST] . There is a right transfrontal ventricular catheter that terminates in the third ventricle. The third and lateral ventricles appear mildly dilated. There is nonspecific patchy cerebral white matter hypoattenuation. There also appears to be a small area of encephalomalacia in the anterior left frontal lobe. There is no evidence of intracranial hemorrhage or mass. There is no abnormal intracranial enhancement. There is no midline shift or herniation. The orbits are grossly unremarkable. The imaged portions of the ventricular catheter in the subcutaneous tissues of the neck appear to be intact. There is no evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria. The thyroid and major salivary glands are unremarkable. The major cervical vessels are patent. There is mild diffuse osteopenia. The airways are patent. The imaged intracranial structures are unremarkable. The imaged portions of the lungs are clear. There are multiple dental caries. </s> |
There is no evidence of acute ischemic lesion. 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, skull and scalp soft tissues are grossly unremarkable. The paranasal sinuses are clear. Cavum septum pellucidum. | clinical findings_fin: {'acute ischemic lesion': {'clinical finding': 'acute ischemic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'acute ischemic', 'observation': 'lesion', 'strength_term': 'acute', 'temporal_term': 'acute'}}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': {}, 'skull': {}, 'scalp': {}}clinical findings_fin: {'orbits , skull and scalp soft tissues are grossly unremarkable': {'clinical finding': 'orbits , skull and scalp soft tissues are grossly unremarkable'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}anatomical entity_fin: {'septum pellucidum': {}} | 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: {'acute ischemic lesion': {'clinical finding': 'acute ischemic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'acute ischemic', 'observation': 'lesion', 'strength_term': 'acute', 'temporal_term': 'acute'}}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': {}, 'skull': {}, 'scalp': {}}clinical findings_fin: {'orbits , skull and scalp soft tissues are grossly unremarkable': {'clinical finding': 'orbits , skull and scalp soft tissues are grossly unremarkable'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}anatomical entity_fin: {'septum pellucidum': {}} [/INST] There is no evidence of acute ischemic lesion. 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, skull and scalp soft tissues are grossly unremarkable. The paranasal sinuses are clear. Cavum septum pellucidum. </s> |
There are postoperative findings related to total right parotidectomy and lateral temporal bone resection, with partial opacification of the remaining mastoid air cells. There is extensive ill-defined heterogeneous soft tissue in the treatment bed. There is a mildly prominent right retropharyngeal lymph node that measures 3 x 7 mm, but otherwise there is no significant lymphadenopathy elsewhere in the neck. The left parotid gland is unremarkable and there is no evidence of submandibular or sublingual mass lesions. The right internal jugular vein is narrowed, but patent. The other major neck vessels are also patent. The airway is patent. The thyroid gland is unremarkable. There is a carious tooth # 21. The imaged portions of the lungs are clear. There is mild multilevel cervical spondylosis. The imaged portions of the intracranial structures are unremarkable. | anatomical entity_fin: {'temporal bone': {'location descriptor': 'lateral'}, 'mastoid air cells': {}}location descriptor_fin: ['right', 'lateral']clinical findings_fin: {'postoperative': {'clinical finding': 'postoperative', 'existence': 'pos_dx', 'observation': 'postoperative'}, 'partial opacification': {'clinical finding': 'partial opacification', 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'opacification', 'strength_term': 'partial'}, 'remaining mastoid air cells': {'clinical finding': 'remaining mastoid air cells', 'existence': 'pos_dx', 'descriptive_term': 'remaining mastoid air', 'observation': 'cell'}}procedure_fin: ['treatment']clinical findings_fin: {'is extensive ill-defined heterogeneous soft tissue in the treatment bed': {'clinical finding': 'is extensive ill-defined heterogeneous soft tissue in the treatment bed'}}size_fin: [{'size': '3 x 7 mm'}]anatomical entity_fin: {'retropharyngeal lymph node': {'location descriptor': 'right'}, 'neck': {}}location descriptor_fin: ['right']clinical findings_fin: {'mildly prominent right retropharyngeal lymph node': {'clinical finding': 'mildly prominent right retropharyngeal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'mildly prominent right retropharyngeal lymph', 'observation': 'node', 'strength_term': 'mildly - prominent'}, 'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'left parotid gland': {}}clinical findings_fin: {'submandibular or sublingual mass lesions': {'clinical finding': 'submandibular or sublingual mass lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'submandibular or sublingual mass', 'observation': 'lesion'}}anatomical entity_fin: {'internal jugular vein': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'narrowed': {'clinical finding': 'narrowed', 'existence': 'pos_dx', 'observation': 'narrow'}, 'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'neck vessels': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'airway': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'thyroid gland is unremarkable': {'clinical finding': 'thyroid gland is unremarkable'}}imaging observation_fin: ['tooth']clinical findings_fin: {'carious tooth': {'clinical finding': 'carious tooth', 'existence': 'pos_dx', 'descriptive_term': 'carious', 'observation': 'tooth'}}anatomical entity_fin: {'lungs': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}clinical findings_fin: {'mild multilevel cervical spondylosis': {'clinical finding': 'mild multilevel cervical spondylosis', 'cf_snomed': {'cervical spondylosis': 387800004}, 'existence': 'pos_dx', 'descriptive_term': 'mild multilevel cervical', 'observation': 'spondylosis', 'strength_term': 'mild'}}clinical findings_fin: {'imaged portions of the intracranial structures': {'clinical finding': 'imaged portions of the intracranial structures', 'cf_snomed': {'intracranial structure': 128319008}}} | 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: {'temporal bone': {'location descriptor': 'lateral'}, 'mastoid air cells': {}}location descriptor_fin: ['right', 'lateral']clinical findings_fin: {'postoperative': {'clinical finding': 'postoperative', 'existence': 'pos_dx', 'observation': 'postoperative'}, 'partial opacification': {'clinical finding': 'partial opacification', 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'opacification', 'strength_term': 'partial'}, 'remaining mastoid air cells': {'clinical finding': 'remaining mastoid air cells', 'existence': 'pos_dx', 'descriptive_term': 'remaining mastoid air', 'observation': 'cell'}}procedure_fin: ['treatment']clinical findings_fin: {'is extensive ill-defined heterogeneous soft tissue in the treatment bed': {'clinical finding': 'is extensive ill-defined heterogeneous soft tissue in the treatment bed'}}size_fin: [{'size': '3 x 7 mm'}]anatomical entity_fin: {'retropharyngeal lymph node': {'location descriptor': 'right'}, 'neck': {}}location descriptor_fin: ['right']clinical findings_fin: {'mildly prominent right retropharyngeal lymph node': {'clinical finding': 'mildly prominent right retropharyngeal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'mildly prominent right retropharyngeal lymph', 'observation': 'node', 'strength_term': 'mildly - prominent'}, 'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'left parotid gland': {}}clinical findings_fin: {'submandibular or sublingual mass lesions': {'clinical finding': 'submandibular or sublingual mass lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'submandibular or sublingual mass', 'observation': 'lesion'}}anatomical entity_fin: {'internal jugular vein': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'narrowed': {'clinical finding': 'narrowed', 'existence': 'pos_dx', 'observation': 'narrow'}, 'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'neck vessels': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'airway': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'thyroid gland is unremarkable': {'clinical finding': 'thyroid gland is unremarkable'}}imaging observation_fin: ['tooth']clinical findings_fin: {'carious tooth': {'clinical finding': 'carious tooth', 'existence': 'pos_dx', 'descriptive_term': 'carious', 'observation': 'tooth'}}anatomical entity_fin: {'lungs': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}clinical findings_fin: {'mild multilevel cervical spondylosis': {'clinical finding': 'mild multilevel cervical spondylosis', 'cf_snomed': {'cervical spondylosis': 387800004}, 'existence': 'pos_dx', 'descriptive_term': 'mild multilevel cervical', 'observation': 'spondylosis', 'strength_term': 'mild'}}clinical findings_fin: {'imaged portions of the intracranial structures': {'clinical finding': 'imaged portions of the intracranial structures', 'cf_snomed': {'intracranial structure': 128319008}}} [/INST] There are postoperative findings related to total right parotidectomy and lateral temporal bone resection, with partial opacification of the remaining mastoid air cells. There is extensive ill-defined heterogeneous soft tissue in the treatment bed. There is a mildly prominent right retropharyngeal lymph node that measures 3 x 7 mm, but otherwise there is no significant lymphadenopathy elsewhere in the neck. The left parotid gland is unremarkable and there is no evidence of submandibular or sublingual mass lesions. The right internal jugular vein is narrowed, but patent. The other major neck vessels are also patent. The airway is patent. The thyroid gland is unremarkable. There is a carious tooth # 21. The imaged portions of the lungs are clear. There is mild multilevel cervical spondylosis. The imaged portions of the intracranial structures are unremarkable. </s> |
. Mild basilar atelectasis is noted. Interval resolution of the small pleural effusions. There is a small left lower lobe subpleural lesion, which was not visualized on the previous study. This could represent an inflammatory process, but metastatic disease is also a consideration. Calcified mediastinal lymph node is noted, likely representing a previous granulomatous infection. Cardiac size is normal. Mildly enlarged right hilar lymph node measures 1 cm in short axis on image 48 of series 3, with no significant change as compared to the prior study. Prominent aortopulmonary window lymph nodes have not significantly changed in size. Interval placement of right chest wall port with tip in the superior vena cava. None. Subcutaneous air in the right chest wall, likely secondary to the recent port placement. Enlarged liver with innumerable hypoattenuating lesions in the liver, with the largest one in segment 6 measuring 1.5 x 1.5 cm on image 120 series 3, likely representing multiple metastatic foci which are new as compared to the previous exam. Common bile duct stent is again noted. Mild pneumobilia is present. No significant abnormality noted. There is slight increase in the size of the primary pancreatic lesion, measuring 3 x 3 cm on image 117 of series 3 as compared to 3.3 x 2.7 cm on the previous study. The portal venous system, splenic vein, and the superior mesenteric vein appear patent. CBD stent in appropriate location. No significant abnormality noted. Small hypodense foci within the bilateral kidneys are indeterminate and unchanged as compared to the previous study. There is interval increase in size and the number of prominent lymph nodes in the retroperitoneum. However, the reference necrotic periaortic lymph node is not significantly changed in size, measuring 1.7 x 1.5 cm on image 127 of series 3, as compared to 1.9 x 1.4 cm on the previous study. None. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted | clinical findings_fin: {'mild basilar atelectasis': {'clinical finding': 'mild basilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'mild basilar', 'observation': 'atelectasis', 'strength_term': 'mild'}}clinical findings_fin: {'interval resolution': {'clinical finding': 'interval resolution', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'resolution'}, 'small pleural effusions': {'clinical finding': 'small pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'small pleural', 'observation': 'effusion', 'strength_term': 'small'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'small left lower lobe subpleural lesion': {'clinical finding': 'small left lower lobe subpleural lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'small left lower lobe subpleural', 'observation': 'lesion', 'strength_term': 'small'}}clinical findings_fin: {'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}anatomical entity_fin: {'mediastinal lymph node': {}}clinical findings_fin: {'calcified mediastinal lymph node': {'clinical finding': 'calcified mediastinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'calcified mediastinal lymph', 'observation': 'node', 'change_term': 'calcified'}, 'previous granulomatous infection': {'clinical finding': 'previous granulomatous infection', 'existence': 'unc_dx', 'descriptive_term': 'previous granulomatous', 'observation': 'infection', 'temporal_term': 'previous'}}clinical findings_fin: {'cardiac size is normal': {'clinical finding': 'cardiac size is normal'}}size_fin: [{'size': '1 cm', 'size_descriptor': 'node'}]anatomical entity_fin: {'axis': {}}location descriptor_fin: ['right']clinical findings_fin: {'mildly enlarged right hilar lymph node': {'clinical finding': 'mildly enlarged right hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'mildly enlarged right hilar lymph', 'observation': 'node', 'strength_term': 'mildly - enlarged', 'change_term': 'enlarged'}, 'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}}anatomical entity_fin: {'aortopulmonary window': {}}clinical findings_fin: {'prominent aortopulmonary window lymph nodes': {'clinical finding': 'prominent aortopulmonary window lymph nodes', 'cf_snomed': {'aortopulmonary window': 17024001}, 'existence': 'neg_dx', 'descriptive_term': 'prominent aortopulmonary window lymph', 'observation': 'node', 'strength_term': 'prominent'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'right'}, 'superior vena cava': {}}location descriptor_fin: ['right']object_fin: ['port']anatomical entity_fin: {'chest wall': {'location descriptor': 'right'}}location descriptor_fin: ['right']procedure_fin: ['port placement']clinical findings_fin: {'likely secondary to the recent port placement': {'clinical finding': 'likely secondary to the recent port placement'}}size_fin: [{'size': '1.5 x 1.5 cm', 'size_descriptor': 'liver'}]anatomical entity_fin: {'liver': {}}imaging observation_fin: ['foci']clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}, 'innumerable hypoattenuating lesions': {'clinical finding': 'innumerable hypoattenuating lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'innumerable hypoattenuating', 'observation': 'lesion'}, 'multiple metastatic foci': {'clinical finding': 'multiple metastatic foci', 'existence': 'unc_dx', 'descriptive_term': 'multiple metastatic', 'observation': 'foci', 'quantity_term': 'multiple'}}anatomical entity_fin: {'common bile duct': {}}clinical findings_fin: {'common bile duct stent': {'clinical finding': 'common bile duct stent', 'existence': 'pos_dx', 'descriptive_term': 'common bile duct', 'observation': 'stent'}}clinical findings_fin: {'mild pneumobilia': {'clinical finding': 'mild pneumobilia', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'pneumobilia', 'strength_term': 'mild'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '3 x 3 cm'}, {'size': '3.3 x 2.7 cm'}]clinical findings_fin: {'primary pancreatic lesion': {'clinical finding': 'primary pancreatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'primary pancreatic', 'observation': 'lesion'}}anatomical entity_fin: {'venous system': {}, 'splenic vein': {}, 'superior mesenteric vein': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'cbd stent': {'clinical finding': 'cbd stent', 'existence': 'pos_dx', 'descriptive_term': 'cbd', 'observation': 'stent'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'kidneys': {'location descriptor': 'bilateral'}}imaging observation_fin: ['foci']location descriptor_fin: ['bilateral']clinical findings_fin: {'small hypodense foci': {'clinical finding': 'small hypodense foci', 'existence': 'pos_dx', 'descriptive_term': 'small hypodense', 'observation': 'foci', 'strength_term': 'small'}}anatomical entity_fin: {'retroperitoneum': {}}clinical findings_fin: {'prominent lymph nodes': {'clinical finding': 'prominent lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'prominent lymph', 'observation': 'node', 'strength_term': 'prominent'}}size_fin: [{'size': '1.7 x 1.5 cm'}, {'size': '1.9 x 1.4 cm'}]clinical findings_fin: {'reference necrotic periaortic lymph node': {'clinical finding': 'reference necrotic periaortic lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference necrotic periaortic lymph', 'observation': 'node'}}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'}}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: {'mild basilar atelectasis': {'clinical finding': 'mild basilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'mild basilar', 'observation': 'atelectasis', 'strength_term': 'mild'}}clinical findings_fin: {'interval resolution': {'clinical finding': 'interval resolution', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'resolution'}, 'small pleural effusions': {'clinical finding': 'small pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'small pleural', 'observation': 'effusion', 'strength_term': 'small'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'small left lower lobe subpleural lesion': {'clinical finding': 'small left lower lobe subpleural lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'small left lower lobe subpleural', 'observation': 'lesion', 'strength_term': 'small'}}clinical findings_fin: {'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}anatomical entity_fin: {'mediastinal lymph node': {}}clinical findings_fin: {'calcified mediastinal lymph node': {'clinical finding': 'calcified mediastinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'calcified mediastinal lymph', 'observation': 'node', 'change_term': 'calcified'}, 'previous granulomatous infection': {'clinical finding': 'previous granulomatous infection', 'existence': 'unc_dx', 'descriptive_term': 'previous granulomatous', 'observation': 'infection', 'temporal_term': 'previous'}}clinical findings_fin: {'cardiac size is normal': {'clinical finding': 'cardiac size is normal'}}size_fin: [{'size': '1 cm', 'size_descriptor': 'node'}]anatomical entity_fin: {'axis': {}}location descriptor_fin: ['right']clinical findings_fin: {'mildly enlarged right hilar lymph node': {'clinical finding': 'mildly enlarged right hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'mildly enlarged right hilar lymph', 'observation': 'node', 'strength_term': 'mildly - enlarged', 'change_term': 'enlarged'}, 'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}}anatomical entity_fin: {'aortopulmonary window': {}}clinical findings_fin: {'prominent aortopulmonary window lymph nodes': {'clinical finding': 'prominent aortopulmonary window lymph nodes', 'cf_snomed': {'aortopulmonary window': 17024001}, 'existence': 'neg_dx', 'descriptive_term': 'prominent aortopulmonary window lymph', 'observation': 'node', 'strength_term': 'prominent'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'right'}, 'superior vena cava': {}}location descriptor_fin: ['right']object_fin: ['port']anatomical entity_fin: {'chest wall': {'location descriptor': 'right'}}location descriptor_fin: ['right']procedure_fin: ['port placement']clinical findings_fin: {'likely secondary to the recent port placement': {'clinical finding': 'likely secondary to the recent port placement'}}size_fin: [{'size': '1.5 x 1.5 cm', 'size_descriptor': 'liver'}]anatomical entity_fin: {'liver': {}}imaging observation_fin: ['foci']clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}, 'innumerable hypoattenuating lesions': {'clinical finding': 'innumerable hypoattenuating lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'innumerable hypoattenuating', 'observation': 'lesion'}, 'multiple metastatic foci': {'clinical finding': 'multiple metastatic foci', 'existence': 'unc_dx', 'descriptive_term': 'multiple metastatic', 'observation': 'foci', 'quantity_term': 'multiple'}}anatomical entity_fin: {'common bile duct': {}}clinical findings_fin: {'common bile duct stent': {'clinical finding': 'common bile duct stent', 'existence': 'pos_dx', 'descriptive_term': 'common bile duct', 'observation': 'stent'}}clinical findings_fin: {'mild pneumobilia': {'clinical finding': 'mild pneumobilia', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'pneumobilia', 'strength_term': 'mild'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '3 x 3 cm'}, {'size': '3.3 x 2.7 cm'}]clinical findings_fin: {'primary pancreatic lesion': {'clinical finding': 'primary pancreatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'primary pancreatic', 'observation': 'lesion'}}anatomical entity_fin: {'venous system': {}, 'splenic vein': {}, 'superior mesenteric vein': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'cbd stent': {'clinical finding': 'cbd stent', 'existence': 'pos_dx', 'descriptive_term': 'cbd', 'observation': 'stent'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'kidneys': {'location descriptor': 'bilateral'}}imaging observation_fin: ['foci']location descriptor_fin: ['bilateral']clinical findings_fin: {'small hypodense foci': {'clinical finding': 'small hypodense foci', 'existence': 'pos_dx', 'descriptive_term': 'small hypodense', 'observation': 'foci', 'strength_term': 'small'}}anatomical entity_fin: {'retroperitoneum': {}}clinical findings_fin: {'prominent lymph nodes': {'clinical finding': 'prominent lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'prominent lymph', 'observation': 'node', 'strength_term': 'prominent'}}size_fin: [{'size': '1.7 x 1.5 cm'}, {'size': '1.9 x 1.4 cm'}]clinical findings_fin: {'reference necrotic periaortic lymph node': {'clinical finding': 'reference necrotic periaortic lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference necrotic periaortic lymph', 'observation': 'node'}}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'}}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] . Mild basilar atelectasis is noted. Interval resolution of the small pleural effusions. There is a small left lower lobe subpleural lesion, which was not visualized on the previous study. This could represent an inflammatory process, but metastatic disease is also a consideration. Calcified mediastinal lymph node is noted, likely representing a previous granulomatous infection. Cardiac size is normal. Mildly enlarged right hilar lymph node measures 1 cm in short axis on image 48 of series 3, with no significant change as compared to the prior study. Prominent aortopulmonary window lymph nodes have not significantly changed in size. Interval placement of right chest wall port with tip in the superior vena cava. None. Subcutaneous air in the right chest wall, likely secondary to the recent port placement. Enlarged liver with innumerable hypoattenuating lesions in the liver, with the largest one in segment 6 measuring 1.5 x 1.5 cm on image 120 series 3, likely representing multiple metastatic foci which are new as compared to the previous exam. Common bile duct stent is again noted. Mild pneumobilia is present. No significant abnormality noted. There is slight increase in the size of the primary pancreatic lesion, measuring 3 x 3 cm on image 117 of series 3 as compared to 3.3 x 2.7 cm on the previous study. The portal venous system, splenic vein, and the superior mesenteric vein appear patent. CBD stent in appropriate location. No significant abnormality noted. Small hypodense foci within the bilateral kidneys are indeterminate and unchanged as compared to the previous study. There is interval increase in size and the number of prominent lymph nodes in the retroperitoneum. However, the reference necrotic periaortic lymph node is not significantly changed in size, measuring 1.7 x 1.5 cm on image 127 of series 3, as compared to 1.9 x 1.4 cm on the previous study. None. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted </s> |
The absence of intravenous contrast limits evaluation of the solid organs and vasculature. Absence of oral contrast limits evaluation of bowel. Interval increase of left pleural effusion with associated atelectasis or consolidation. Stable right small pleural effusion. Trace pericardial effusion. Redemonstration of vicarious excretion of the contrast into the gallbladder. Distended gallbladder with cholelithiasis again noted. Splenule noted. Interval minimal increase in size of the pancreatic tail fluid collection measuring 5.0 x 3.8 cm , previously 4.9 x 3.2 cm. There is hyperdensity within this fluid collection, which is more pronounced and increased in size from prior study, hemorrhage measures 3.2 x 2.8 cm , previously 2.2 x 1.2 cm. Appearance concerning for hemorrhage and particularly active bleeding, suboptimally assessed on this noncontrast CT. No significant abnormality noted. Left renal hypodensities compatible with cysts. No significant abnormality noted. None. Mild body wall edema, right greater than left. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Scattered bilateral inguinal lymph nodes. Peritoneal dialysis catheter in place. Interval decrease of the pelvic free fluid. No significant abnormality noted. No significant abnormality noted. | anatomical entity_fin: {'solid organs': {}, 'vasculature': {}}clinical findings_fin: {'intravenous contrast': {'clinical finding': 'intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'}}anatomical entity_fin: {'bowel': {}}non-anatomical substance_fin: ['oral contrast']location descriptor_fin: ['left']clinical findings_fin: {'left pleural effusion': {'clinical finding': 'left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'left pleural', 'observation': 'effusion'}, 'associated atelectasis': {'clinical finding': 'associated atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'associated', 'observation': 'atelectasis'}, 'consolidation': {'clinical finding': 'consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'unc_dx', 'observation': 'consolidation'}}location descriptor_fin: ['right']clinical findings_fin: {'stable right small pleural effusion': {'clinical finding': 'stable right small pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'stable right small pleural', 'observation': 'effusion', 'strength_term': 'stable - small', 'change_term': 'stable'}}clinical findings_fin: {'trace pericardial effusion': {'clinical finding': 'trace pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'trace pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'vicarious excretion': {'clinical finding': 'vicarious excretion', 'existence': 'pos_dx', 'descriptive_term': 'vicarious', 'observation': 'excretion'}, 'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'}}size_fin: [{'size': '5.0 x 3.8 cm'}, {'size': '4.9 x 3.2 cm'}]clinical findings_fin: {'pancreatic tail fluid collection': {'clinical finding': 'pancreatic tail fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'pancreatic tail fluid', 'observation': 'collection'}}size_fin: [{'size': '3.2 x 2.8 cm', 'size_descriptor': 'hyperdensity'}, {'size': '2.2 x 1.2 cm', 'size_descriptor': 'hemorrhage'}]clinical findings_fin: {'hyperdensity': {'clinical finding': 'hyperdensity', 'existence': 'pos_dx', 'observation': 'hyperdensity'}, 'this fluid collection': {'clinical finding': 'this fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'this fluid', 'observation': 'collection'}, 'hemorrhage': {'clinical finding': 'hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'pos_dx', 'observation': 'hemorrhage'}}clinical findings_fin: {'hemorrhage': {'clinical finding': 'hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'unc_dx', 'observation': 'hemorrhage'}, 'particularly active bleeding': {'clinical finding': 'particularly active bleeding', 'cf_snomed': {'bleeding': 131148009}, 'existence': 'unc_dx', 'descriptive_term': 'particularly active', 'observation': 'bleed', 'strength_term': 'active'}, 'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['left']clinical findings_fin: {'left renal hypodensities': {'clinical finding': 'left renal hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'left renal', 'observation': 'hypodensity'}, 'cysts': {'clinical finding': 'cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'observation': 'cyst'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'body wall': {}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'mild body wall edema': {'clinical finding': 'mild body wall edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'mild body wall', 'observation': 'edema', 'strength_term': 'mild'}}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: {'inguinal lymph nodes': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'scattered bilateral inguinal lymph nodes': {'clinical finding': 'scattered bilateral inguinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered bilateral inguinal lymph', 'observation': 'node'}}object_fin: ['catheter']clinical findings_fin: {'pelvic free fluid': {'clinical finding': 'pelvic free fluid', 'existence': 'pos_dx', 'descriptive_term': 'pelvic free', 'observation': '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'}} | 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: {'solid organs': {}, 'vasculature': {}}clinical findings_fin: {'intravenous contrast': {'clinical finding': 'intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'}}anatomical entity_fin: {'bowel': {}}non-anatomical substance_fin: ['oral contrast']location descriptor_fin: ['left']clinical findings_fin: {'left pleural effusion': {'clinical finding': 'left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'left pleural', 'observation': 'effusion'}, 'associated atelectasis': {'clinical finding': 'associated atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'associated', 'observation': 'atelectasis'}, 'consolidation': {'clinical finding': 'consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'unc_dx', 'observation': 'consolidation'}}location descriptor_fin: ['right']clinical findings_fin: {'stable right small pleural effusion': {'clinical finding': 'stable right small pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'stable right small pleural', 'observation': 'effusion', 'strength_term': 'stable - small', 'change_term': 'stable'}}clinical findings_fin: {'trace pericardial effusion': {'clinical finding': 'trace pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'trace pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'vicarious excretion': {'clinical finding': 'vicarious excretion', 'existence': 'pos_dx', 'descriptive_term': 'vicarious', 'observation': 'excretion'}, 'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'}}size_fin: [{'size': '5.0 x 3.8 cm'}, {'size': '4.9 x 3.2 cm'}]clinical findings_fin: {'pancreatic tail fluid collection': {'clinical finding': 'pancreatic tail fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'pancreatic tail fluid', 'observation': 'collection'}}size_fin: [{'size': '3.2 x 2.8 cm', 'size_descriptor': 'hyperdensity'}, {'size': '2.2 x 1.2 cm', 'size_descriptor': 'hemorrhage'}]clinical findings_fin: {'hyperdensity': {'clinical finding': 'hyperdensity', 'existence': 'pos_dx', 'observation': 'hyperdensity'}, 'this fluid collection': {'clinical finding': 'this fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'this fluid', 'observation': 'collection'}, 'hemorrhage': {'clinical finding': 'hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'pos_dx', 'observation': 'hemorrhage'}}clinical findings_fin: {'hemorrhage': {'clinical finding': 'hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'unc_dx', 'observation': 'hemorrhage'}, 'particularly active bleeding': {'clinical finding': 'particularly active bleeding', 'cf_snomed': {'bleeding': 131148009}, 'existence': 'unc_dx', 'descriptive_term': 'particularly active', 'observation': 'bleed', 'strength_term': 'active'}, 'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['left']clinical findings_fin: {'left renal hypodensities': {'clinical finding': 'left renal hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'left renal', 'observation': 'hypodensity'}, 'cysts': {'clinical finding': 'cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'observation': 'cyst'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'body wall': {}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'mild body wall edema': {'clinical finding': 'mild body wall edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'mild body wall', 'observation': 'edema', 'strength_term': 'mild'}}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: {'inguinal lymph nodes': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'scattered bilateral inguinal lymph nodes': {'clinical finding': 'scattered bilateral inguinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered bilateral inguinal lymph', 'observation': 'node'}}object_fin: ['catheter']clinical findings_fin: {'pelvic free fluid': {'clinical finding': 'pelvic free fluid', 'existence': 'pos_dx', 'descriptive_term': 'pelvic free', 'observation': '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'}} [/INST] The absence of intravenous contrast limits evaluation of the solid organs and vasculature. Absence of oral contrast limits evaluation of bowel. Interval increase of left pleural effusion with associated atelectasis or consolidation. Stable right small pleural effusion. Trace pericardial effusion. Redemonstration of vicarious excretion of the contrast into the gallbladder. Distended gallbladder with cholelithiasis again noted. Splenule noted. Interval minimal increase in size of the pancreatic tail fluid collection measuring 5.0 x 3.8 cm , previously 4.9 x 3.2 cm. There is hyperdensity within this fluid collection, which is more pronounced and increased in size from prior study, hemorrhage measures 3.2 x 2.8 cm , previously 2.2 x 1.2 cm. Appearance concerning for hemorrhage and particularly active bleeding, suboptimally assessed on this noncontrast CT. No significant abnormality noted. Left renal hypodensities compatible with cysts. No significant abnormality noted. None. Mild body wall edema, right greater than left. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Scattered bilateral inguinal lymph nodes. Peritoneal dialysis catheter in place. Interval decrease of the pelvic free fluid. No significant abnormality noted. No significant abnormality noted. </s> |
The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are no areas of abnormal attenuation. There is no extraaxial fluid collection. The mastoids are underpneumatized bilaterally. Mucosal thickening is present within bilateral maxillary sinuses as well as anterior left ethmoid air cells. The remaining paranasal sinuses are clear. Soft tissue density is present within the right middle ear cavity without erosion suggestive of fluid, also present on the prior study. Adjacent right mastoid air cells are opacified which appear sclerotic and diminutive. | clinical findings_fin: {'ventricles and sulci are within normal limits': {'clinical finding': 'ventricles and sulci are within normal limits'}}location descriptor_fin: ['midline']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}clinical findings_fin: {'abnormal attenuation': {'clinical finding': 'abnormal attenuation', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'attenuation'}}clinical findings_fin: {'extraaxial fluid collection': {'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'}}clinical findings_fin: {'underpneumatized': {'clinical finding': 'underpneumatized', 'existence': 'pos_dx', 'observation': 'underpneumatized'}}anatomical entity_fin: {'cells': {}}location descriptor_fin: ['bilateral', 'anterior', 'left']clinical findings_fin: {'mucosal thickening': {'clinical finding': 'mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'thickening'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}anatomical entity_fin: {'middle ear cavity': {'location descriptor': 'right'}, 'fluid': {}}imaging observation_fin: ['soft tissue density']location descriptor_fin: ['right']clinical findings_fin: {'soft tissue density': {'clinical finding': 'soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'density'}, 'erosion': {'clinical finding': 'erosion', 'existence': 'neg_dx', 'observation': 'erosion'}}anatomical entity_fin: {'mastoid air cells': {'location descriptor': 'adjacent right'}}location descriptor_fin: ['adjacent', 'right']clinical findings_fin: {'adjacent right mastoid air cells are opacified': {'clinical finding': 'adjacent right mastoid air cells are opacified', 'change_term': 'opacified'}} | 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: {'ventricles and sulci are within normal limits': {'clinical finding': 'ventricles and sulci are within normal limits'}}location descriptor_fin: ['midline']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}clinical findings_fin: {'abnormal attenuation': {'clinical finding': 'abnormal attenuation', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'attenuation'}}clinical findings_fin: {'extraaxial fluid collection': {'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'}}clinical findings_fin: {'underpneumatized': {'clinical finding': 'underpneumatized', 'existence': 'pos_dx', 'observation': 'underpneumatized'}}anatomical entity_fin: {'cells': {}}location descriptor_fin: ['bilateral', 'anterior', 'left']clinical findings_fin: {'mucosal thickening': {'clinical finding': 'mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'thickening'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}anatomical entity_fin: {'middle ear cavity': {'location descriptor': 'right'}, 'fluid': {}}imaging observation_fin: ['soft tissue density']location descriptor_fin: ['right']clinical findings_fin: {'soft tissue density': {'clinical finding': 'soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'density'}, 'erosion': {'clinical finding': 'erosion', 'existence': 'neg_dx', 'observation': 'erosion'}}anatomical entity_fin: {'mastoid air cells': {'location descriptor': 'adjacent right'}}location descriptor_fin: ['adjacent', 'right']clinical findings_fin: {'adjacent right mastoid air cells are opacified': {'clinical finding': 'adjacent right mastoid air cells are opacified', 'change_term': 'opacified'}} [/INST] The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are no areas of abnormal attenuation. There is no extraaxial fluid collection. The mastoids are underpneumatized bilaterally. Mucosal thickening is present within bilateral maxillary sinuses as well as anterior left ethmoid air cells. The remaining paranasal sinuses are clear. Soft tissue density is present within the right middle ear cavity without erosion suggestive of fluid, also present on the prior study. Adjacent right mastoid air cells are opacified which appear sclerotic and diminutive. </s> |
. The reference pulmonary nodules appear unchanged from the prior exam. Reference left upper lobe nodule measures approximately 1.2 x 0.7 cm, previously 1.2 x 0.6 cm on image 30 of series Reference nodule in the right middle lobe measures 1.3 x 1.4 cm, previously 1.3 x 1.4 cm on series 6 image 68. Vascular calcifications of the aorta and its branches. Mild coronary artery calcifications. Right chest port with catheter tip in the SVC. Small low attenuation foci are unchanged and too small to characterize. Pneumobilia consistent with the patients history of hepaticojejunostomy. No significant abnormality noted. Postoperative appearance of prior Whipples procedure without mass. Small amount of soft tissue density along the SMA is nonspecific but may represent post operative changes, appearing similar to the prior study. Small amount of air within the main pancreatic duct. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Postoperative suture in the left upper quadrant. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Large amount of stool noted throughout the colon. No significant abnormality noted. Small amount of free fluid in the pelvis is nonspecific but abnormal in a male patient. | clinical findings_fin: {'reference pulmonary nodules': {'clinical finding': 'reference pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference pulmonary', 'observation': 'nodule'}}size_fin: [{'size': '1.2 x 0.7 cm'}, {'size': '1.2 x 0.6 cm'}, {'size': '1.3 x 1.4 cm'}, {'size': '1.3 x 1.4 cm'}]anatomical entity_fin: {'lobe': {}, 'middle': {'location descriptor': 'right'}}location descriptor_fin: ['left', 'upper', 'right']clinical findings_fin: {'reference left upper lobe nodule': {'clinical finding': 'reference left upper lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference left upper lobe', 'observation': 'nodule'}, 'series reference nodule': {'clinical finding': 'series reference nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'series reference', 'observation': 'nodule'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'vascular calcifications': {'clinical finding': 'vascular calcifications', 'cf_snomed': {'vascular calcification': 237897009}, 'existence': 'pos_dx', 'descriptive_term': 'vascular', 'observation': 'calcification'}}clinical findings_fin: {'mild coronary artery calcifications': {'clinical finding': 'mild coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'mild coronary artery', 'observation': 'calcification', 'strength_term': 'mild'}}anatomical entity_fin: {'chest': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port', 'catheter']imaging observation_fin: ['foci']clinical findings_fin: {'small low attenuation foci': {'clinical finding': 'small low attenuation foci', 'existence': 'pos_dx', 'descriptive_term': 'small low attenuation', 'observation': 'foci', 'strength_term': 'small'}}procedure_fin: ['hepaticojejunostomy']clinical findings_fin: {'pneumobilia consistent with the patients history of hepaticojejunostomy': {'clinical finding': 'pneumobilia consistent with the patients history of hepaticojejunostomy'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}imaging observation_fin: ['soft tissue density']clinical findings_fin: {'soft tissue density': {'clinical finding': 'soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'density'}, 'nonspecific': {'clinical finding': 'nonspecific', 'existence': 'pos_dx', 'observation': 'nonspecific'}, 'post operative changes': {'clinical finding': 'post operative changes', 'existence': 'unc_dx', 'descriptive_term': 'post operative', 'observation': 'change'}}anatomical entity_fin: {'main pancreatic duct': {}}clinical findings_fin: {'small amount of air within the main pancreatic duct': {'clinical finding': 'small amount of air within the main pancreatic duct'}}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: {'quadrant': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']object_fin: ['suture']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'}}imaging observation_fin: ['colon']clinical findings_fin: {'large amount of stool noted throughout the colon': {'clinical finding': 'large amount of stool noted throughout the colon'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'pelvis': {}}clinical findings_fin: {'free fluid': {'clinical finding': 'free fluid', 'existence': 'pos_dx', 'descriptive_term': 'free', 'observation': 'fluid'}} | 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: {'reference pulmonary nodules': {'clinical finding': 'reference pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference pulmonary', 'observation': 'nodule'}}size_fin: [{'size': '1.2 x 0.7 cm'}, {'size': '1.2 x 0.6 cm'}, {'size': '1.3 x 1.4 cm'}, {'size': '1.3 x 1.4 cm'}]anatomical entity_fin: {'lobe': {}, 'middle': {'location descriptor': 'right'}}location descriptor_fin: ['left', 'upper', 'right']clinical findings_fin: {'reference left upper lobe nodule': {'clinical finding': 'reference left upper lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference left upper lobe', 'observation': 'nodule'}, 'series reference nodule': {'clinical finding': 'series reference nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'series reference', 'observation': 'nodule'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'vascular calcifications': {'clinical finding': 'vascular calcifications', 'cf_snomed': {'vascular calcification': 237897009}, 'existence': 'pos_dx', 'descriptive_term': 'vascular', 'observation': 'calcification'}}clinical findings_fin: {'mild coronary artery calcifications': {'clinical finding': 'mild coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'mild coronary artery', 'observation': 'calcification', 'strength_term': 'mild'}}anatomical entity_fin: {'chest': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port', 'catheter']imaging observation_fin: ['foci']clinical findings_fin: {'small low attenuation foci': {'clinical finding': 'small low attenuation foci', 'existence': 'pos_dx', 'descriptive_term': 'small low attenuation', 'observation': 'foci', 'strength_term': 'small'}}procedure_fin: ['hepaticojejunostomy']clinical findings_fin: {'pneumobilia consistent with the patients history of hepaticojejunostomy': {'clinical finding': 'pneumobilia consistent with the patients history of hepaticojejunostomy'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}imaging observation_fin: ['soft tissue density']clinical findings_fin: {'soft tissue density': {'clinical finding': 'soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'density'}, 'nonspecific': {'clinical finding': 'nonspecific', 'existence': 'pos_dx', 'observation': 'nonspecific'}, 'post operative changes': {'clinical finding': 'post operative changes', 'existence': 'unc_dx', 'descriptive_term': 'post operative', 'observation': 'change'}}anatomical entity_fin: {'main pancreatic duct': {}}clinical findings_fin: {'small amount of air within the main pancreatic duct': {'clinical finding': 'small amount of air within the main pancreatic duct'}}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: {'quadrant': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']object_fin: ['suture']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'}}imaging observation_fin: ['colon']clinical findings_fin: {'large amount of stool noted throughout the colon': {'clinical finding': 'large amount of stool noted throughout the colon'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'pelvis': {}}clinical findings_fin: {'free fluid': {'clinical finding': 'free fluid', 'existence': 'pos_dx', 'descriptive_term': 'free', 'observation': 'fluid'}} [/INST] . The reference pulmonary nodules appear unchanged from the prior exam. Reference left upper lobe nodule measures approximately 1.2 x 0.7 cm, previously 1.2 x 0.6 cm on image 30 of series Reference nodule in the right middle lobe measures 1.3 x 1.4 cm, previously 1.3 x 1.4 cm on series 6 image 68. Vascular calcifications of the aorta and its branches. Mild coronary artery calcifications. Right chest port with catheter tip in the SVC. Small low attenuation foci are unchanged and too small to characterize. Pneumobilia consistent with the patients history of hepaticojejunostomy. No significant abnormality noted. Postoperative appearance of prior Whipples procedure without mass. Small amount of soft tissue density along the SMA is nonspecific but may represent post operative changes, appearing similar to the prior study. Small amount of air within the main pancreatic duct. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Postoperative suture in the left upper quadrant. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Large amount of stool noted throughout the colon. No significant abnormality noted. Small amount of free fluid in the pelvis is nonspecific but abnormal in a male patient. </s> |
The nasopharynx, oropharynx, hypopharynx, and larynx are unremarkable. There are scattered small tonsilloliths bilaterally. The upper trachea and esophagus are unremarkable. The epiglottis, vallecula, piriform sinuses, and vocal cords are normal. There is no abnormal soft tissue mass. The thyroid appears slightly heterogeneous diffusely. The major salivary glands and thyroid gland are otherwise unremarkable. The oral tongue and floor of mouth are unremarkable, within the limitations of this exam as there is artifact from dental amalgam. The right styloid process is slightly larger than left, without associated stylohyoid or omohyoid calcifications, and with no significant abutment of the tonsillar or pharyngeal soft tissues. Scattered small cervical lymph nodes are identified. No lymphadenopathy according to radiological criteria. The visualized intracranial contents are unremarkable without mass, mass effect, midline shift, or abnormal enhancement. The orbits and paranasal sinuses are unremarkable. The cervical spine is unremarkable. The visualized lung apices are unremarkable. The carotid arteries and jugular veins are patent. | anatomical entity_fin: {'nasopharynx': {}, 'oropharynx': {}, 'hypopharynx': {}, 'larynx': {}}clinical findings_fin: {'nasopharynx , oropharynx , hypopharynx , and larynx are unremarkable': {'clinical finding': 'nasopharynx , oropharynx , hypopharynx , and larynx are unremarkable'}}clinical findings_fin: {'scattered small tonsilloliths': {'clinical finding': 'scattered small tonsilloliths', 'existence': 'pos_dx', 'descriptive_term': 'scattered small', 'observation': 'tonsillolith', 'strength_term': 'small'}}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: {'epiglottis': {}}imaging observation_fin: ['cords']clinical findings_fin: {'epiglottis , vallecula , piriform sinuses , and vocal cords are normal': {'clinical finding': 'epiglottis , vallecula , piriform sinuses , and vocal cords are normal'}}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'}}clinical findings_fin: {'heterogeneous': {'clinical finding': 'heterogeneous', 'existence': 'pos_dx', 'observation': 'heterogeneous'}}anatomical entity_fin: {'major salivary glands': {}, 'thyroid gland': {}}clinical findings_fin: {'major salivary glands and thyroid gland are otherwise unremarkable': {'clinical finding': 'major salivary glands and thyroid gland are otherwise 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'}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'larger': {'clinical finding': 'larger', 'existence': 'pos_dx', 'observation': 'large'}, 'associated stylohyoid or omohyoid calcifications': {'clinical finding': 'associated stylohyoid or omohyoid calcifications', 'existence': 'neg_dx', 'descriptive_term': 'associated stylohyoid or omohyoid', 'observation': 'calcification'}}clinical findings_fin: {'scattered small cervical lymph nodes': {'clinical finding': 'scattered small cervical lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered small cervical lymph', 'observation': 'node', 'strength_term': 'small'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'contents': {}}location descriptor_fin: ['midline']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'enhancement': {'clinical finding': 'enhancement', 'existence': 'pos_dx', 'observation': 'enhancement'}}anatomical entity_fin: {'orbits': {}, 'paranasal sinuses': {}}clinical findings_fin: {'orbits and paranasal sinuses are unremarkable': {'clinical finding': 'orbits and paranasal sinuses are unremarkable'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'cervical spine is unremarkable': {'clinical finding': 'cervical spine is unremarkable'}}anatomical entity_fin: {'lung': {}, 'apices': {}}clinical findings_fin: {'visualized lung apices are unremarkable': {'clinical finding': 'visualized lung apices are unremarkable'}}anatomical entity_fin: {'arteries': {}, 'veins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}} | 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: {'nasopharynx': {}, 'oropharynx': {}, 'hypopharynx': {}, 'larynx': {}}clinical findings_fin: {'nasopharynx , oropharynx , hypopharynx , and larynx are unremarkable': {'clinical finding': 'nasopharynx , oropharynx , hypopharynx , and larynx are unremarkable'}}clinical findings_fin: {'scattered small tonsilloliths': {'clinical finding': 'scattered small tonsilloliths', 'existence': 'pos_dx', 'descriptive_term': 'scattered small', 'observation': 'tonsillolith', 'strength_term': 'small'}}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: {'epiglottis': {}}imaging observation_fin: ['cords']clinical findings_fin: {'epiglottis , vallecula , piriform sinuses , and vocal cords are normal': {'clinical finding': 'epiglottis , vallecula , piriform sinuses , and vocal cords are normal'}}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'}}clinical findings_fin: {'heterogeneous': {'clinical finding': 'heterogeneous', 'existence': 'pos_dx', 'observation': 'heterogeneous'}}anatomical entity_fin: {'major salivary glands': {}, 'thyroid gland': {}}clinical findings_fin: {'major salivary glands and thyroid gland are otherwise unremarkable': {'clinical finding': 'major salivary glands and thyroid gland are otherwise 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'}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'larger': {'clinical finding': 'larger', 'existence': 'pos_dx', 'observation': 'large'}, 'associated stylohyoid or omohyoid calcifications': {'clinical finding': 'associated stylohyoid or omohyoid calcifications', 'existence': 'neg_dx', 'descriptive_term': 'associated stylohyoid or omohyoid', 'observation': 'calcification'}}clinical findings_fin: {'scattered small cervical lymph nodes': {'clinical finding': 'scattered small cervical lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered small cervical lymph', 'observation': 'node', 'strength_term': 'small'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'contents': {}}location descriptor_fin: ['midline']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'enhancement': {'clinical finding': 'enhancement', 'existence': 'pos_dx', 'observation': 'enhancement'}}anatomical entity_fin: {'orbits': {}, 'paranasal sinuses': {}}clinical findings_fin: {'orbits and paranasal sinuses are unremarkable': {'clinical finding': 'orbits and paranasal sinuses are unremarkable'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'cervical spine is unremarkable': {'clinical finding': 'cervical spine is unremarkable'}}anatomical entity_fin: {'lung': {}, 'apices': {}}clinical findings_fin: {'visualized lung apices are unremarkable': {'clinical finding': 'visualized lung apices are unremarkable'}}anatomical entity_fin: {'arteries': {}, 'veins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}} [/INST] The nasopharynx, oropharynx, hypopharynx, and larynx are unremarkable. There are scattered small tonsilloliths bilaterally. The upper trachea and esophagus are unremarkable. The epiglottis, vallecula, piriform sinuses, and vocal cords are normal. There is no abnormal soft tissue mass. The thyroid appears slightly heterogeneous diffusely. The major salivary glands and thyroid gland are otherwise unremarkable. The oral tongue and floor of mouth are unremarkable, within the limitations of this exam as there is artifact from dental amalgam. The right styloid process is slightly larger than left, without associated stylohyoid or omohyoid calcifications, and with no significant abutment of the tonsillar or pharyngeal soft tissues. Scattered small cervical lymph nodes are identified. No lymphadenopathy according to radiological criteria. The visualized intracranial contents are unremarkable without mass, mass effect, midline shift, or abnormal enhancement. The orbits and paranasal sinuses are unremarkable. The cervical spine is unremarkable. The visualized lung apices are unremarkable. The carotid arteries and jugular veins are patent. </s> |
. No evidence of pulmonary embolism. The caliber of the main pulmonary artery is normal and there is no evidence of right heart strain. Small pleural effusions are noted with scattered basilar interlobular septal thickening. No lymphadenopathy identified. Left jugular port catheter, tip at right atrial level. Moderate cardiomegaly is accompanied by a small pericardial effusion. None. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Hyperdense liver consistent with hemachromatosis. | clinical findings_fin: {'pulmonary embolism': {'clinical finding': 'pulmonary embolism', 'cf_snomed': {'pulmonary embolism': 59282003}, 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolism'}}anatomical entity_fin: {'main pulmonary artery': {}, 'heart': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right heart strain': {'clinical finding': 'right heart strain', 'existence': 'neg_dx', 'descriptive_term': 'right heart', 'observation': 'strain'}}clinical findings_fin: {'small pleural effusions': {'clinical finding': 'small pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'small pleural', 'observation': 'effusion', 'strength_term': 'small'}, 'scattered basilar interlobular septal thickening': {'clinical finding': 'scattered basilar interlobular septal thickening', 'existence': 'pos_dx', 'descriptive_term': 'scattered basilar interlobular septal', 'observation': 'thickening'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}location descriptor_fin: ['left', 'right']object_fin: ['port', 'catheter']clinical findings_fin: {'moderate cardiomegaly': {'clinical finding': 'moderate cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'cardiomegaly', 'strength_term': 'moderate'}, 'small pericardial effusion': {'clinical finding': 'small pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'small pericardial', 'observation': 'effusion', 'strength_term': 'small'}}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': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'hemachromatosis': {'clinical finding': 'hemachromatosis', 'existence': 'pos_dx', 'observation': 'hemachromatosis'}} | 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: {'pulmonary embolism': {'clinical finding': 'pulmonary embolism', 'cf_snomed': {'pulmonary embolism': 59282003}, 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolism'}}anatomical entity_fin: {'main pulmonary artery': {}, 'heart': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right heart strain': {'clinical finding': 'right heart strain', 'existence': 'neg_dx', 'descriptive_term': 'right heart', 'observation': 'strain'}}clinical findings_fin: {'small pleural effusions': {'clinical finding': 'small pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'small pleural', 'observation': 'effusion', 'strength_term': 'small'}, 'scattered basilar interlobular septal thickening': {'clinical finding': 'scattered basilar interlobular septal thickening', 'existence': 'pos_dx', 'descriptive_term': 'scattered basilar interlobular septal', 'observation': 'thickening'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}location descriptor_fin: ['left', 'right']object_fin: ['port', 'catheter']clinical findings_fin: {'moderate cardiomegaly': {'clinical finding': 'moderate cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'cardiomegaly', 'strength_term': 'moderate'}, 'small pericardial effusion': {'clinical finding': 'small pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'small pericardial', 'observation': 'effusion', 'strength_term': 'small'}}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': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'hemachromatosis': {'clinical finding': 'hemachromatosis', 'existence': 'pos_dx', 'observation': 'hemachromatosis'}} [/INST] . No evidence of pulmonary embolism. The caliber of the main pulmonary artery is normal and there is no evidence of right heart strain. Small pleural effusions are noted with scattered basilar interlobular septal thickening. No lymphadenopathy identified. Left jugular port catheter, tip at right atrial level. Moderate cardiomegaly is accompanied by a small pericardial effusion. None. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Hyperdense liver consistent with hemachromatosis. </s> |
Within the limits of a noncontrast enhanced examination which limits the ability to evaluate solid parenchymal organs and vascular structures, the following observations can be made. No significant abnormality noted. No evidence of cholelithiasis. No focal liver lesions. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. One left upper pole ill-defined hypodense lesion incompletely characterized by this noncontrast study, however is of fluid attenuation, and likely represents a benign cyst. There is one small punctate focus in the inferior left renal pole, representing punctate nephrolithiasis. No hydronephrosis. Mild atherosclerotic calcifications of the abdominal aorta and its branches. Mild. Small large bowel loops are not dilated. There is no bowel wall thickening. No evidence of pneumoperitoneum or pneumatosis. The appendix is visualized and appears normal. Scattered diverticulosis without CT evidence of diverticulitis. No free intraperitoneal fluid. No significant abnormality noted. No significant abnormality noted. Scattered hyper attenuating foci within the prostate. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Degenerative changes of the lumbosacral spine. Scattered calcified phleboliths. Moderate to severe calcifications of the common iliac arteries and its branches. | anatomical entity_fin: {'organs': {}}clinical findings_fin: {'solid parenchymal organs and vascular structures': {'clinical finding': 'solid parenchymal organs and vascular structures'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'neg_dx', 'observation': 'cholelithiasis'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'focal liver lesions': {'clinical finding': 'focal liver lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal liver', 'observation': 'lesion'}}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: {'pole': {'location descriptor': 'left upper'}, 'fluid': {}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'one left upper pole ill-defined hypodense lesion': {'clinical finding': 'one left upper pole ill-defined hypodense lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'one left upper pole ill-defined hypodense', 'observation': 'lesion', 'strength_term': 'ill-defined'}, 'benign cyst': {'clinical finding': 'benign cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'unc_dx', 'descriptive_term': 'benign', 'observation': 'cyst', 'strength_term': 'benign'}}anatomical entity_fin: {'pole': {}}location descriptor_fin: ['inferior', 'left']clinical findings_fin: {'one small punctate focus': {'clinical finding': 'one small punctate focus', 'existence': 'pos_dx', 'descriptive_term': 'one small punctate', 'observation': 'focus', 'strength_term': 'small'}, 'punctate nephrolithiasis': {'clinical finding': 'punctate nephrolithiasis', 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'nephrolithiasis'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}anatomical entity_fin: {'abdominal aorta': {}}clinical findings_fin: {'mild atherosclerotic calcifications': {'clinical finding': 'mild atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'mild atherosclerotic', 'observation': 'calcification', 'strength_term': 'mild'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'neg_dx', 'observation': 'dilated'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'bowel wall thickening': {'clinical finding': 'bowel wall thickening', 'existence': 'neg_dx', 'descriptive_term': 'bowel wall', 'observation': 'thickening'}}clinical findings_fin: {'pneumoperitoneum': {'clinical finding': 'pneumoperitoneum', 'cf_snomed': {'pneumoperitoneum': 17204006}, 'existence': 'neg_dx', 'observation': 'pneumoperitoneum'}, 'pneumatosis': {'clinical finding': 'pneumatosis', 'existence': 'neg_dx', 'observation': 'pneumatosis'}}anatomical entity_fin: {'appendix': {}}clinical findings_fin: {'appendix is visualized and appears': {'clinical finding': 'appendix is visualized and appears'}}clinical findings_fin: {'diverticulosis': {'clinical finding': 'diverticulosis', 'existence': 'pos_dx', 'observation': 'diverticulosis'}, 'diverticulitis': {'clinical finding': 'diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'pos_dx', 'observation': 'diverticulitis'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'free intraperitoneal fluid': {'clinical finding': 'free intraperitoneal 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'}}anatomical entity_fin: {'prostate': {}}imaging observation_fin: ['foci']clinical findings_fin: {'scattered hyper attenuating foci': {'clinical finding': 'scattered hyper attenuating foci', 'existence': 'pos_dx', 'descriptive_term': 'scattered hyper attenuating', 'observation': 'foci'}}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: {'lumbosacral spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}clinical findings_fin: {'scattered calcified phleboliths': {'clinical finding': 'scattered calcified phleboliths', 'existence': 'pos_dx', 'descriptive_term': 'scattered calcified', 'observation': 'phlebolith', 'change_term': 'calcified'}}anatomical entity_fin: {'common iliac arteries': {}}clinical findings_fin: {'moderate to severe calcifications': {'clinical finding': 'moderate to severe calcifications', 'existence': 'pos_dx', 'descriptive_term': 'moderate to severe', 'observation': 'calcification', 'strength_term': 'moderate - severe'}} | 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: {'organs': {}}clinical findings_fin: {'solid parenchymal organs and vascular structures': {'clinical finding': 'solid parenchymal organs and vascular structures'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'neg_dx', 'observation': 'cholelithiasis'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'focal liver lesions': {'clinical finding': 'focal liver lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal liver', 'observation': 'lesion'}}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: {'pole': {'location descriptor': 'left upper'}, 'fluid': {}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'one left upper pole ill-defined hypodense lesion': {'clinical finding': 'one left upper pole ill-defined hypodense lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'one left upper pole ill-defined hypodense', 'observation': 'lesion', 'strength_term': 'ill-defined'}, 'benign cyst': {'clinical finding': 'benign cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'unc_dx', 'descriptive_term': 'benign', 'observation': 'cyst', 'strength_term': 'benign'}}anatomical entity_fin: {'pole': {}}location descriptor_fin: ['inferior', 'left']clinical findings_fin: {'one small punctate focus': {'clinical finding': 'one small punctate focus', 'existence': 'pos_dx', 'descriptive_term': 'one small punctate', 'observation': 'focus', 'strength_term': 'small'}, 'punctate nephrolithiasis': {'clinical finding': 'punctate nephrolithiasis', 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'nephrolithiasis'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}anatomical entity_fin: {'abdominal aorta': {}}clinical findings_fin: {'mild atherosclerotic calcifications': {'clinical finding': 'mild atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'mild atherosclerotic', 'observation': 'calcification', 'strength_term': 'mild'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'neg_dx', 'observation': 'dilated'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'bowel wall thickening': {'clinical finding': 'bowel wall thickening', 'existence': 'neg_dx', 'descriptive_term': 'bowel wall', 'observation': 'thickening'}}clinical findings_fin: {'pneumoperitoneum': {'clinical finding': 'pneumoperitoneum', 'cf_snomed': {'pneumoperitoneum': 17204006}, 'existence': 'neg_dx', 'observation': 'pneumoperitoneum'}, 'pneumatosis': {'clinical finding': 'pneumatosis', 'existence': 'neg_dx', 'observation': 'pneumatosis'}}anatomical entity_fin: {'appendix': {}}clinical findings_fin: {'appendix is visualized and appears': {'clinical finding': 'appendix is visualized and appears'}}clinical findings_fin: {'diverticulosis': {'clinical finding': 'diverticulosis', 'existence': 'pos_dx', 'observation': 'diverticulosis'}, 'diverticulitis': {'clinical finding': 'diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'pos_dx', 'observation': 'diverticulitis'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'free intraperitoneal fluid': {'clinical finding': 'free intraperitoneal 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'}}anatomical entity_fin: {'prostate': {}}imaging observation_fin: ['foci']clinical findings_fin: {'scattered hyper attenuating foci': {'clinical finding': 'scattered hyper attenuating foci', 'existence': 'pos_dx', 'descriptive_term': 'scattered hyper attenuating', 'observation': 'foci'}}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: {'lumbosacral spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}clinical findings_fin: {'scattered calcified phleboliths': {'clinical finding': 'scattered calcified phleboliths', 'existence': 'pos_dx', 'descriptive_term': 'scattered calcified', 'observation': 'phlebolith', 'change_term': 'calcified'}}anatomical entity_fin: {'common iliac arteries': {}}clinical findings_fin: {'moderate to severe calcifications': {'clinical finding': 'moderate to severe calcifications', 'existence': 'pos_dx', 'descriptive_term': 'moderate to severe', 'observation': 'calcification', 'strength_term': 'moderate - severe'}} [/INST] Within the limits of a noncontrast enhanced examination which limits the ability to evaluate solid parenchymal organs and vascular structures, the following observations can be made. No significant abnormality noted. No evidence of cholelithiasis. No focal liver lesions. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. One left upper pole ill-defined hypodense lesion incompletely characterized by this noncontrast study, however is of fluid attenuation, and likely represents a benign cyst. There is one small punctate focus in the inferior left renal pole, representing punctate nephrolithiasis. No hydronephrosis. Mild atherosclerotic calcifications of the abdominal aorta and its branches. Mild. Small large bowel loops are not dilated. There is no bowel wall thickening. No evidence of pneumoperitoneum or pneumatosis. The appendix is visualized and appears normal. Scattered diverticulosis without CT evidence of diverticulitis. No free intraperitoneal fluid. No significant abnormality noted. No significant abnormality noted. Scattered hyper attenuating foci within the prostate. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Degenerative changes of the lumbosacral spine. Scattered calcified phleboliths. Moderate to severe calcifications of the common iliac arteries and its branches. </s> |
The left posterior temporal approach ventriculostomy catheter is unchanged. Low attenuation deep the reservoir remains may represent minimal fluid. Additional fluid around the tube just inferior the valve is only partially imaged. The dilatation of the lateral ventricles has not changed and remains most pronounced in the occipital and temporal regions, which may at least in part related to ex vacuo enlargement. The third ventricle remains mildly dilated, while the fourth ventricle is not enlarged. The intracranial structures appear to be dysmorphic, including a largely deficient septum pellucidum, probable partial posterior corpus callosum, and inferior extension of the cerebellar tonsils, left more than right, through foramen magnum with relative crowding. There is no midline shift. The punctate calcification in the left occipital lobe is unchanged. There is no evidence of acute intracranial hemorrhage. The grey-white matter differentiation appears to be intact. The orbits, skull, and included paranasal sinuses appear unchanged. There is incomplete fusion of the posterior arch of C1. | location descriptor_fin: ['left', 'posterior']object_fin: ['catheter']procedure_fin: ['ventriculostomy']clinical findings_fin: {'left posterior temporal approach ventriculostomy catheter is unchanged': {'clinical finding': 'left posterior temporal approach ventriculostomy catheter is unchanged', 'change_term': 'unchanged'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'low attenuation deep the reservoir remains': {'clinical finding': 'low attenuation deep the reservoir remains'}}anatomical entity_fin: {'fluid': {}}location descriptor_fin: ['inferior']object_fin: ['tube', 'valve']clinical findings_fin: {'additional fluid around the tube just inferior the valve is only partially imaged': {'clinical finding': 'additional fluid around the tube just inferior the valve is only partially imaged'}}anatomical entity_fin: {'lateral ventricles': {}}clinical findings_fin: {'not changed and remains': {'clinical finding': 'not changed and remains', 'change_term': 'changed'}}anatomical entity_fin: {'third ventricle': {}, 'fourth ventricle': {}}clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}, 'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}anatomical entity_fin: {'septum pellucidum': {}, 'corpus callosum': {'location descriptor': 'posterior'}, 'tonsils': {}, 'foramen magnum': {}}location descriptor_fin: ['posterior', 'inferior', 'left', 'right']clinical findings_fin: {'pellucidum': {'clinical finding': 'pellucidum', 'existence': 'unc_dx', 'observation': 'pellucidum'}}location descriptor_fin: ['midline']clinical findings_fin: {'midline shift': {'clinical finding': 'midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'}}anatomical entity_fin: {'left occipital lobe': {}}clinical findings_fin: {'punctate calcification': {'clinical finding': 'punctate calcification', 'cf_snomed': {'punctate calcification': 129755006}, 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'calcification'}}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'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}anatomical entity_fin: {'orbits': {}, 'skull': {}, 'paranasal sinuses': {}}clinical findings_fin: {'unchanged': {'clinical finding': 'unchanged', 'existence': 'pos_dx', 'observation': 'unchanged'}}anatomical entity_fin: {'posterior arch': {}}clinical findings_fin: {'incomplete fusion': {'clinical finding': 'incomplete fusion', 'existence': 'pos_dx', 'descriptive_term': 'incomplete', 'observation': 'fusion'}} | 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', 'posterior']object_fin: ['catheter']procedure_fin: ['ventriculostomy']clinical findings_fin: {'left posterior temporal approach ventriculostomy catheter is unchanged': {'clinical finding': 'left posterior temporal approach ventriculostomy catheter is unchanged', 'change_term': 'unchanged'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'low attenuation deep the reservoir remains': {'clinical finding': 'low attenuation deep the reservoir remains'}}anatomical entity_fin: {'fluid': {}}location descriptor_fin: ['inferior']object_fin: ['tube', 'valve']clinical findings_fin: {'additional fluid around the tube just inferior the valve is only partially imaged': {'clinical finding': 'additional fluid around the tube just inferior the valve is only partially imaged'}}anatomical entity_fin: {'lateral ventricles': {}}clinical findings_fin: {'not changed and remains': {'clinical finding': 'not changed and remains', 'change_term': 'changed'}}anatomical entity_fin: {'third ventricle': {}, 'fourth ventricle': {}}clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}, 'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}anatomical entity_fin: {'septum pellucidum': {}, 'corpus callosum': {'location descriptor': 'posterior'}, 'tonsils': {}, 'foramen magnum': {}}location descriptor_fin: ['posterior', 'inferior', 'left', 'right']clinical findings_fin: {'pellucidum': {'clinical finding': 'pellucidum', 'existence': 'unc_dx', 'observation': 'pellucidum'}}location descriptor_fin: ['midline']clinical findings_fin: {'midline shift': {'clinical finding': 'midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'}}anatomical entity_fin: {'left occipital lobe': {}}clinical findings_fin: {'punctate calcification': {'clinical finding': 'punctate calcification', 'cf_snomed': {'punctate calcification': 129755006}, 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'calcification'}}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'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}anatomical entity_fin: {'orbits': {}, 'skull': {}, 'paranasal sinuses': {}}clinical findings_fin: {'unchanged': {'clinical finding': 'unchanged', 'existence': 'pos_dx', 'observation': 'unchanged'}}anatomical entity_fin: {'posterior arch': {}}clinical findings_fin: {'incomplete fusion': {'clinical finding': 'incomplete fusion', 'existence': 'pos_dx', 'descriptive_term': 'incomplete', 'observation': 'fusion'}} [/INST] The left posterior temporal approach ventriculostomy catheter is unchanged. Low attenuation deep the reservoir remains may represent minimal fluid. Additional fluid around the tube just inferior the valve is only partially imaged. The dilatation of the lateral ventricles has not changed and remains most pronounced in the occipital and temporal regions, which may at least in part related to ex vacuo enlargement. The third ventricle remains mildly dilated, while the fourth ventricle is not enlarged. The intracranial structures appear to be dysmorphic, including a largely deficient septum pellucidum, probable partial posterior corpus callosum, and inferior extension of the cerebellar tonsils, left more than right, through foramen magnum with relative crowding. There is no midline shift. The punctate calcification in the left occipital lobe is unchanged. There is no evidence of acute intracranial hemorrhage. The grey-white matter differentiation appears to be intact. The orbits, skull, and included paranasal sinuses appear unchanged. There is incomplete fusion of the posterior arch of C1. </s> |
The supraglottic edema has resolved. There is no evidence of local tumor recurrence. There is no significant cervical lymphadenopathy. The thyroid gland remains mildly enlarged and heterogeneous without a dominant focal lesion. The major cervical vessels are patent. The airway is patent. There is no focal destructive osseous lesion. Focal white matter hypoattenuation in the anterior aspect of the right temporal lobe has not changed. The lung apices show paraseptal emphysema. In addition, there is reticular opacification in the left upper lobe, which is probably radiation fibrosis. | clinical findings_fin: {'supraglottic edema': {'clinical finding': 'supraglottic edema', 'cf_snomed': {'supraglottic edema': 5248000}, 'existence': 'neg_dx', 'descriptive_term': 'supraglottic', 'observation': 'edema'}}clinical findings_fin: {'local tumor recurrence': {'clinical finding': 'local tumor recurrence', 'existence': 'neg_dx', 'descriptive_term': 'local tumor', 'observation': 'recurrence'}}clinical findings_fin: {'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: {'thyroid gland': {}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}, 'dominant focal lesion': {'clinical finding': 'dominant focal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'dominant focal', 'observation': 'lesion'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'airway': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'focal destructive osseous lesion': {'clinical finding': 'focal destructive osseous lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal destructive osseous', 'observation': 'lesion'}}anatomical entity_fin: {'right temporal lobe': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'focal white matter hypoattenuation': {'clinical finding': 'focal white matter hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'focal white matter', 'observation': 'hypoattenuation'}}anatomical entity_fin: {'lung': {}, 'apices': {}}clinical findings_fin: {'paraseptal emphysema': {'clinical finding': 'paraseptal emphysema', 'cf_snomed': {'paraseptal emphysema': 31898008}, 'existence': 'pos_dx', 'descriptive_term': 'paraseptal', 'observation': 'emphysema'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'reticular opacification': {'clinical finding': 'reticular opacification', 'existence': 'pos_dx', 'descriptive_term': 'reticular', 'observation': 'opacification'}, 'radiation fibrosis': {'clinical finding': 'radiation fibrosis', 'existence': 'unc_dx', 'descriptive_term': 'radiation', 'observation': 'fibrosis'}} | 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: {'supraglottic edema': {'clinical finding': 'supraglottic edema', 'cf_snomed': {'supraglottic edema': 5248000}, 'existence': 'neg_dx', 'descriptive_term': 'supraglottic', 'observation': 'edema'}}clinical findings_fin: {'local tumor recurrence': {'clinical finding': 'local tumor recurrence', 'existence': 'neg_dx', 'descriptive_term': 'local tumor', 'observation': 'recurrence'}}clinical findings_fin: {'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: {'thyroid gland': {}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}, 'dominant focal lesion': {'clinical finding': 'dominant focal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'dominant focal', 'observation': 'lesion'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'airway': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'focal destructive osseous lesion': {'clinical finding': 'focal destructive osseous lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal destructive osseous', 'observation': 'lesion'}}anatomical entity_fin: {'right temporal lobe': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'focal white matter hypoattenuation': {'clinical finding': 'focal white matter hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'focal white matter', 'observation': 'hypoattenuation'}}anatomical entity_fin: {'lung': {}, 'apices': {}}clinical findings_fin: {'paraseptal emphysema': {'clinical finding': 'paraseptal emphysema', 'cf_snomed': {'paraseptal emphysema': 31898008}, 'existence': 'pos_dx', 'descriptive_term': 'paraseptal', 'observation': 'emphysema'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'reticular opacification': {'clinical finding': 'reticular opacification', 'existence': 'pos_dx', 'descriptive_term': 'reticular', 'observation': 'opacification'}, 'radiation fibrosis': {'clinical finding': 'radiation fibrosis', 'existence': 'unc_dx', 'descriptive_term': 'radiation', 'observation': 'fibrosis'}} [/INST] The supraglottic edema has resolved. There is no evidence of local tumor recurrence. There is no significant cervical lymphadenopathy. The thyroid gland remains mildly enlarged and heterogeneous without a dominant focal lesion. The major cervical vessels are patent. The airway is patent. There is no focal destructive osseous lesion. Focal white matter hypoattenuation in the anterior aspect of the right temporal lobe has not changed. The lung apices show paraseptal emphysema. In addition, there is reticular opacification in the left upper lobe, which is probably radiation fibrosis. </s> |
Again seen is heterogeneous mildly enhancing involving the supraglottic larynx primarily on the left with extension to the right of the midline. The mass measures approximately 2.8 x 2.1 x 2.7 cm in the AP, transverse, and craniocaudal dimensions. Mass abuts the inferior aspect of the epiglottis and extends inferiorly to the level of the laryngeal ventricles. The true cord does not appear to be involved. Left paraglottic fat is involved. The preepiglottic fat is preserved. Laryngeal cartilages are intact. There is severe narrowing of the airway at the level of the supraglottic larynx, which appears slightly worse than on prior. Tracheostomy tube is in place. No other mass involving the oral cavity, nasopharynx, oropharynx, or hypopharynx is appreciated. The parotid and the submandibular glands are normal. No significant cervical lymphadenopathy. There is a 15 x 11 mm nodule involving the left parotid gland. The left lower internal jugular vein is occluded. There is polypoid opacification involving the right inferior aspect of the maxillary sinus with hyperdense material which may be related to inspissated secretions. There is osseous remodeling. Finding is nonspecific but most likely related to chronic inflammatory process. There is minimal mucosal thickening of the left maxillary sinus. Atherosclerotic calcifications of the common and internal carotid arteries are seen with moderate stenosis involving the left ICA origin. Right chest wall port is in place. Bones are osteopenic with degenerative changes of the cervical spine. No suspicious osseous lesions. Left apical lung nodule. Small mediastinal lymph nodes. Please refer to report for findings in the chest. | anatomical entity_fin: {'larynx': {}}imaging observation_fin: ['enhancing']location descriptor_fin: ['left', 'right', 'midline']clinical findings_fin: {'again seen': {'clinical finding': 'again seen'}}size_fin: [{'size': '2.8 x 2.1 x 2.7 cm', 'size_descriptor': 'mass'}]clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}}anatomical entity_fin: {'epiglottis': {}}location descriptor_fin: ['inferior']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}}imaging observation_fin: ['cord']anatomical entity_fin: {'paraglottic fat': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'left paraglottic fat': {'clinical finding': 'left paraglottic fat', 'existence': 'pos_dx', 'descriptive_term': 'left paraglottic', 'observation': 'fat'}}imaging observation_fin: ['fat']clinical findings_fin: {'preepiglottic fat is preserved': {'clinical finding': 'preepiglottic fat is preserved', 'change_term': 'preserved'}}anatomical entity_fin: {'laryngeal cartilages': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}anatomical entity_fin: {'airway': {}, 'larynx': {}}clinical findings_fin: {'severe narrowing': {'clinical finding': 'severe narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'severe', 'observation': 'narrowing', 'strength_term': 'severe'}}object_fin: ['tracheostomy tube']clinical findings_fin: {'tracheostomy tube': {'clinical finding': 'tracheostomy tube', 'existence': 'pos_dx', 'descriptive_term': 'tracheostomy', 'observation': 'tube'}}anatomical entity_fin: {'oral cavity': {}, 'nasopharynx': {}, 'oropharynx': {}, 'hypopharynx': {}}clinical findings_fin: {'other mass': {'clinical finding': 'other mass', 'existence': 'neg_dx', 'descriptive_term': 'other', 'observation': 'mass'}}anatomical entity_fin: {'submandibular glands': {}}clinical findings_fin: {'parotid and the submandibular glands are normal': {'clinical finding': 'parotid and the submandibular glands are normal'}}clinical findings_fin: {'significant cervical lymphadenopathy': {'clinical finding': 'significant cervical lymphadenopathy', 'cf_snomed': {'cervical lymphadenopathy': 127086001}, 'existence': 'neg_dx', 'descriptive_term': 'significant cervical', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '15 x 11 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'left parotid gland': {}}clinical findings_fin: {'15 x 11 mm nodule': {'clinical finding': '15 x 11 mm nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': '15 x 11 mm', 'observation': 'nodule'}}anatomical entity_fin: {'internal jugular vein': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'occluded': {'clinical finding': 'occluded', 'existence': 'pos_dx', 'observation': 'occlude'}}anatomical entity_fin: {'maxillary sinus': {}}location descriptor_fin: ['right', 'inferior']clinical findings_fin: {'polypoid opacification': {'clinical finding': 'polypoid opacification', 'existence': 'pos_dx', 'descriptive_term': 'polypoid', 'observation': 'opacification'}, 'hyperdense': {'clinical finding': 'hyperdense', 'existence': 'pos_dx', 'observation': 'hyperdense'}}clinical findings_fin: {'osseous remodeling': {'clinical finding': 'osseous remodeling', 'existence': 'pos_dx', 'descriptive_term': 'osseous', 'observation': 'remodeling'}}clinical findings_fin: {'nonspecific': {'clinical finding': 'nonspecific', 'existence': 'pos_dx', 'observation': 'nonspecific'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'minimal mucosal thickening': {'clinical finding': 'minimal mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'minimal mucosal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'internal carotid arteries': {}, 'origin': {}}location descriptor_fin: ['left']clinical findings_fin: {'atherosclerotic calcifications': {'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}, 'moderate stenosis': {'clinical finding': 'moderate stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'stenosis', 'strength_term': 'moderate'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port']anatomical entity_fin: {'spine': {}}clinical findings_fin: {'osteopenic': {'clinical finding': 'osteopenic', 'existence': 'pos_dx', 'observation': 'osteopenic'}, 'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}clinical findings_fin: {'suspicious osseous lesions': {'clinical finding': 'suspicious osseous lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious osseous', 'observation': 'lesion'}}anatomical entity_fin: {'lung': {}}imaging observation_fin: ['apical']location descriptor_fin: ['left']clinical findings_fin: {'left apical lung nodule': {'clinical finding': 'left apical lung nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'left apical lung', 'observation': 'nodule'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'small mediastinal lymph nodes': {'clinical finding': 'small mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small mediastinal lymph', 'observation': 'node', 'strength_term': 'small'}}anatomical entity_fin: {'chest': {}} | 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: {'larynx': {}}imaging observation_fin: ['enhancing']location descriptor_fin: ['left', 'right', 'midline']clinical findings_fin: {'again seen': {'clinical finding': 'again seen'}}size_fin: [{'size': '2.8 x 2.1 x 2.7 cm', 'size_descriptor': 'mass'}]clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}}anatomical entity_fin: {'epiglottis': {}}location descriptor_fin: ['inferior']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}}imaging observation_fin: ['cord']anatomical entity_fin: {'paraglottic fat': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'left paraglottic fat': {'clinical finding': 'left paraglottic fat', 'existence': 'pos_dx', 'descriptive_term': 'left paraglottic', 'observation': 'fat'}}imaging observation_fin: ['fat']clinical findings_fin: {'preepiglottic fat is preserved': {'clinical finding': 'preepiglottic fat is preserved', 'change_term': 'preserved'}}anatomical entity_fin: {'laryngeal cartilages': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}anatomical entity_fin: {'airway': {}, 'larynx': {}}clinical findings_fin: {'severe narrowing': {'clinical finding': 'severe narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'severe', 'observation': 'narrowing', 'strength_term': 'severe'}}object_fin: ['tracheostomy tube']clinical findings_fin: {'tracheostomy tube': {'clinical finding': 'tracheostomy tube', 'existence': 'pos_dx', 'descriptive_term': 'tracheostomy', 'observation': 'tube'}}anatomical entity_fin: {'oral cavity': {}, 'nasopharynx': {}, 'oropharynx': {}, 'hypopharynx': {}}clinical findings_fin: {'other mass': {'clinical finding': 'other mass', 'existence': 'neg_dx', 'descriptive_term': 'other', 'observation': 'mass'}}anatomical entity_fin: {'submandibular glands': {}}clinical findings_fin: {'parotid and the submandibular glands are normal': {'clinical finding': 'parotid and the submandibular glands are normal'}}clinical findings_fin: {'significant cervical lymphadenopathy': {'clinical finding': 'significant cervical lymphadenopathy', 'cf_snomed': {'cervical lymphadenopathy': 127086001}, 'existence': 'neg_dx', 'descriptive_term': 'significant cervical', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '15 x 11 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'left parotid gland': {}}clinical findings_fin: {'15 x 11 mm nodule': {'clinical finding': '15 x 11 mm nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': '15 x 11 mm', 'observation': 'nodule'}}anatomical entity_fin: {'internal jugular vein': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'occluded': {'clinical finding': 'occluded', 'existence': 'pos_dx', 'observation': 'occlude'}}anatomical entity_fin: {'maxillary sinus': {}}location descriptor_fin: ['right', 'inferior']clinical findings_fin: {'polypoid opacification': {'clinical finding': 'polypoid opacification', 'existence': 'pos_dx', 'descriptive_term': 'polypoid', 'observation': 'opacification'}, 'hyperdense': {'clinical finding': 'hyperdense', 'existence': 'pos_dx', 'observation': 'hyperdense'}}clinical findings_fin: {'osseous remodeling': {'clinical finding': 'osseous remodeling', 'existence': 'pos_dx', 'descriptive_term': 'osseous', 'observation': 'remodeling'}}clinical findings_fin: {'nonspecific': {'clinical finding': 'nonspecific', 'existence': 'pos_dx', 'observation': 'nonspecific'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'minimal mucosal thickening': {'clinical finding': 'minimal mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'minimal mucosal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'internal carotid arteries': {}, 'origin': {}}location descriptor_fin: ['left']clinical findings_fin: {'atherosclerotic calcifications': {'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}, 'moderate stenosis': {'clinical finding': 'moderate stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'stenosis', 'strength_term': 'moderate'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port']anatomical entity_fin: {'spine': {}}clinical findings_fin: {'osteopenic': {'clinical finding': 'osteopenic', 'existence': 'pos_dx', 'observation': 'osteopenic'}, 'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}clinical findings_fin: {'suspicious osseous lesions': {'clinical finding': 'suspicious osseous lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious osseous', 'observation': 'lesion'}}anatomical entity_fin: {'lung': {}}imaging observation_fin: ['apical']location descriptor_fin: ['left']clinical findings_fin: {'left apical lung nodule': {'clinical finding': 'left apical lung nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'left apical lung', 'observation': 'nodule'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'small mediastinal lymph nodes': {'clinical finding': 'small mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small mediastinal lymph', 'observation': 'node', 'strength_term': 'small'}}anatomical entity_fin: {'chest': {}} [/INST] Again seen is heterogeneous mildly enhancing involving the supraglottic larynx primarily on the left with extension to the right of the midline. The mass measures approximately 2.8 x 2.1 x 2.7 cm in the AP, transverse, and craniocaudal dimensions. Mass abuts the inferior aspect of the epiglottis and extends inferiorly to the level of the laryngeal ventricles. The true cord does not appear to be involved. Left paraglottic fat is involved. The preepiglottic fat is preserved. Laryngeal cartilages are intact. There is severe narrowing of the airway at the level of the supraglottic larynx, which appears slightly worse than on prior. Tracheostomy tube is in place. No other mass involving the oral cavity, nasopharynx, oropharynx, or hypopharynx is appreciated. The parotid and the submandibular glands are normal. No significant cervical lymphadenopathy. There is a 15 x 11 mm nodule involving the left parotid gland. The left lower internal jugular vein is occluded. There is polypoid opacification involving the right inferior aspect of the maxillary sinus with hyperdense material which may be related to inspissated secretions. There is osseous remodeling. Finding is nonspecific but most likely related to chronic inflammatory process. There is minimal mucosal thickening of the left maxillary sinus. Atherosclerotic calcifications of the common and internal carotid arteries are seen with moderate stenosis involving the left ICA origin. Right chest wall port is in place. Bones are osteopenic with degenerative changes of the cervical spine. No suspicious osseous lesions. Left apical lung nodule. Small mediastinal lymph nodes. Please refer to report for findings in the chest. </s> |
. Cortical irregularity at the articulation of the medial subtalar joint with narrowing of the joint space. No osseous bridging is evident. No acute fracture is evident. Alignment is near-anatomic. No ankle joint effusion. No significant soft tissue swelling. No acute fracture is evident. Alignment is anatomic. No ankle joint effusion. No significant soft tissue swelling. | anatomical entity_fin: {'subtalar joint': {'location descriptor': 'medial'}, 'joint': {}}location descriptor_fin: ['medial']clinical findings_fin: {'cortical irregularity': {'clinical finding': 'cortical irregularity', 'existence': 'pos_dx', 'descriptive_term': 'cortical', 'observation': 'irregularity'}, 'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}}clinical findings_fin: {'osseous bridging is evident': {'clinical finding': 'osseous bridging is evident'}}clinical findings_fin: {'acute fracture': {'clinical finding': 'acute fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'}}clinical findings_fin: {'near-anatomic': {'clinical finding': 'near-anatomic', 'existence': 'pos_dx', 'observation': 'near'}}anatomical entity_fin: {'ankle joint': {}}clinical findings_fin: {'ankle joint effusion': {'clinical finding': 'ankle joint effusion', 'cf_snomed': {'ankle joint effusion': 202383000}, 'existence': 'neg_dx', 'descriptive_term': 'ankle joint', 'observation': 'effusion'}}clinical findings_fin: {'significant soft tissue swelling': {'clinical finding': 'significant soft tissue swelling', 'cf_snomed': {'soft tissue swelling': 298349001}, 'existence': 'neg_dx', 'descriptive_term': 'significant soft tissue', 'observation': 'swell'}}clinical findings_fin: {'acute fracture': {'clinical finding': 'acute fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'}}clinical findings_fin: {'alignment is anatomic': {'clinical finding': 'alignment is anatomic'}}anatomical entity_fin: {'ankle joint': {}}clinical findings_fin: {'ankle joint effusion': {'clinical finding': 'ankle joint effusion', 'cf_snomed': {'ankle joint effusion': 202383000}, 'existence': 'neg_dx', 'descriptive_term': 'ankle joint', 'observation': 'effusion'}}clinical findings_fin: {'significant soft tissue swelling': {'clinical finding': 'significant soft tissue swelling', 'cf_snomed': {'soft tissue swelling': 298349001}, 'existence': 'neg_dx', 'descriptive_term': 'significant soft tissue', 'observation': 'swell'}} | 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: {'subtalar joint': {'location descriptor': 'medial'}, 'joint': {}}location descriptor_fin: ['medial']clinical findings_fin: {'cortical irregularity': {'clinical finding': 'cortical irregularity', 'existence': 'pos_dx', 'descriptive_term': 'cortical', 'observation': 'irregularity'}, 'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}}clinical findings_fin: {'osseous bridging is evident': {'clinical finding': 'osseous bridging is evident'}}clinical findings_fin: {'acute fracture': {'clinical finding': 'acute fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'}}clinical findings_fin: {'near-anatomic': {'clinical finding': 'near-anatomic', 'existence': 'pos_dx', 'observation': 'near'}}anatomical entity_fin: {'ankle joint': {}}clinical findings_fin: {'ankle joint effusion': {'clinical finding': 'ankle joint effusion', 'cf_snomed': {'ankle joint effusion': 202383000}, 'existence': 'neg_dx', 'descriptive_term': 'ankle joint', 'observation': 'effusion'}}clinical findings_fin: {'significant soft tissue swelling': {'clinical finding': 'significant soft tissue swelling', 'cf_snomed': {'soft tissue swelling': 298349001}, 'existence': 'neg_dx', 'descriptive_term': 'significant soft tissue', 'observation': 'swell'}}clinical findings_fin: {'acute fracture': {'clinical finding': 'acute fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'}}clinical findings_fin: {'alignment is anatomic': {'clinical finding': 'alignment is anatomic'}}anatomical entity_fin: {'ankle joint': {}}clinical findings_fin: {'ankle joint effusion': {'clinical finding': 'ankle joint effusion', 'cf_snomed': {'ankle joint effusion': 202383000}, 'existence': 'neg_dx', 'descriptive_term': 'ankle joint', 'observation': 'effusion'}}clinical findings_fin: {'significant soft tissue swelling': {'clinical finding': 'significant soft tissue swelling', 'cf_snomed': {'soft tissue swelling': 298349001}, 'existence': 'neg_dx', 'descriptive_term': 'significant soft tissue', 'observation': 'swell'}} [/INST] . Cortical irregularity at the articulation of the medial subtalar joint with narrowing of the joint space. No osseous bridging is evident. No acute fracture is evident. Alignment is near-anatomic. No ankle joint effusion. No significant soft tissue swelling. No acute fracture is evident. Alignment is anatomic. No ankle joint effusion. No significant soft tissue swelling. </s> |
. Scattered micronodules in both lungs are unchanged. No significant abnormality noted. None. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. None. Index mesenteric right lower quadrant soft tissue nodule is unchanged. Please see the measurements below. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. | anatomical entity_fin: {'lungs': {}}clinical findings_fin: {'scattered micronodules': {'clinical finding': 'scattered micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered', 'observation': 'micronodule'}}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'}}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: {'quadrant': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'index mesenteric right lower quadrant soft tissue nodule': {'clinical finding': 'index mesenteric right lower quadrant soft tissue nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'index mesenteric right lower quadrant soft tissue', 'observation': 'nodule'}}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'}}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: anatomical entity_fin: {'lungs': {}}clinical findings_fin: {'scattered micronodules': {'clinical finding': 'scattered micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered', 'observation': 'micronodule'}}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'}}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: {'quadrant': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'index mesenteric right lower quadrant soft tissue nodule': {'clinical finding': 'index mesenteric right lower quadrant soft tissue nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'index mesenteric right lower quadrant soft tissue', 'observation': 'nodule'}}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'}}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] . Scattered micronodules in both lungs are unchanged. No significant abnormality noted. None. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. None. Index mesenteric right lower quadrant soft tissue nodule is unchanged. Please see the measurements below. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. </s> |
There is no intracranial hemorrhage or evidence of mass effect. There is minimal confluent bifrontal and biparietal white matter hypodensity which may represent chronic microvascular ischemia. Otherwise, gray-white differentiation is preserved. The ventricles and other CSF-containing spaces are fairly symmetric. Mild volume loss is noted supra- and infratentorially. There is no gross orbital abnormality. Mastoid air cells and middle ear cavities are clear. Paranasal sinuses other than minimal maxillary mucosal thickening are clear. There is no skull fracture. | clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}}clinical findings_fin: {'minimal confluent bifrontal and biparietal white matter hypodensity': {'clinical finding': 'minimal confluent bifrontal and biparietal white matter hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'minimal confluent bifrontal and biparietal white matter', 'observation': 'hypodensity', 'strength_term': 'minimal', 'quantity_term': 'minimal'}, 'chronic microvascular ischemia': {'clinical finding': 'chronic microvascular ischemia', 'cf_snomed': {'ischemia': 52674009}, 'existence': 'unc_dx', 'descriptive_term': 'chronic microvascular', 'observation': 'ischemia', 'temporal_term': 'chronic'}}clinical findings_fin: {'gray-white differentiation': {'clinical finding': 'gray-white differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white', 'observation': 'differentiation'}}clinical findings_fin: {'symmetric': {'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'}}clinical findings_fin: {'mild volume loss': {'clinical finding': 'mild volume loss', 'existence': 'pos_dx', 'descriptive_term': 'mild volume', 'observation': 'loss', 'strength_term': 'mild'}}clinical findings_fin: {'gross orbital abnormality': {'clinical finding': 'gross orbital abnormality', 'existence': 'neg_dx', 'descriptive_term': 'gross orbital', 'observation': 'abnormality'}}anatomical entity_fin: {'mastoid air cells': {}, 'middle ear cavities': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'minimal maxillary mucosal thickening': {'clinical finding': 'minimal maxillary mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'minimal maxillary mucosal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal'}, 'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'skull': {}}clinical findings_fin: {'skull fracture': {'clinical finding': 'skull fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'skull', 'observation': 'fracture'}} | 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 hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}}clinical findings_fin: {'minimal confluent bifrontal and biparietal white matter hypodensity': {'clinical finding': 'minimal confluent bifrontal and biparietal white matter hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'minimal confluent bifrontal and biparietal white matter', 'observation': 'hypodensity', 'strength_term': 'minimal', 'quantity_term': 'minimal'}, 'chronic microvascular ischemia': {'clinical finding': 'chronic microvascular ischemia', 'cf_snomed': {'ischemia': 52674009}, 'existence': 'unc_dx', 'descriptive_term': 'chronic microvascular', 'observation': 'ischemia', 'temporal_term': 'chronic'}}clinical findings_fin: {'gray-white differentiation': {'clinical finding': 'gray-white differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white', 'observation': 'differentiation'}}clinical findings_fin: {'symmetric': {'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'}}clinical findings_fin: {'mild volume loss': {'clinical finding': 'mild volume loss', 'existence': 'pos_dx', 'descriptive_term': 'mild volume', 'observation': 'loss', 'strength_term': 'mild'}}clinical findings_fin: {'gross orbital abnormality': {'clinical finding': 'gross orbital abnormality', 'existence': 'neg_dx', 'descriptive_term': 'gross orbital', 'observation': 'abnormality'}}anatomical entity_fin: {'mastoid air cells': {}, 'middle ear cavities': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'minimal maxillary mucosal thickening': {'clinical finding': 'minimal maxillary mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'minimal maxillary mucosal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal'}, 'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'skull': {}}clinical findings_fin: {'skull fracture': {'clinical finding': 'skull fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'skull', 'observation': 'fracture'}} [/INST] There is no intracranial hemorrhage or evidence of mass effect. There is minimal confluent bifrontal and biparietal white matter hypodensity which may represent chronic microvascular ischemia. Otherwise, gray-white differentiation is preserved. The ventricles and other CSF-containing spaces are fairly symmetric. Mild volume loss is noted supra- and infratentorially. There is no gross orbital abnormality. Mastoid air cells and middle ear cavities are clear. Paranasal sinuses other than minimal maxillary mucosal thickening are clear. There is no skull fracture. </s> |
. Stable right apical scarring. No sign of pulmonary or pleural metastases. No lymphadenopathy. The SVC appears completely obstructed just above where it is joined by the azygos vein. A right jugular catheter terminates near the confluence of the brachiocephalic veins. Prominent venous collaterals are present throughout the mediastinum. Heart size and pericardium normal. Mild. Numerous chest wall venous collaterals are present. Absence of enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. No significant abnormality noted. Prominent left adrenal unchanged. No significant abnormality noted. No significant abnormality noted. Extensive vascular calcifications affect the aorta and iliacs. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. No significant abnormality noted. | imaging observation_fin: ['apical']location descriptor_fin: ['right']clinical findings_fin: {'stable right apical scarring': {'clinical finding': 'stable right apical scarring', 'existence': 'pos_dx', 'descriptive_term': 'stable right apical', 'observation': 'scarr', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'pulmonary or pleural metastases': {'clinical finding': 'pulmonary or pleural metastases', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary or pleural', 'observation': 'metastase'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'azygos vein': {}}clinical findings_fin: {'obstructed': {'clinical finding': 'obstructed', 'existence': 'pos_dx', 'observation': 'obstruct'}}anatomical entity_fin: {'brachiocephalic veins': {}}location descriptor_fin: ['right']object_fin: ['catheter']clinical findings_fin: {'brachiocephalic': {'clinical finding': 'brachiocephalic', 'existence': 'pos_dx', 'observation': 'brachiocephalic'}}anatomical entity_fin: {'mediastinum': {}}clinical findings_fin: {'prominent venous collaterals': {'clinical finding': 'prominent venous collaterals', 'existence': 'pos_dx', 'descriptive_term': 'prominent venous', 'observation': 'collateral', 'strength_term': 'prominent'}}anatomical entity_fin: {'heart': {}, 'pericardium': {}}clinical findings_fin: {'heart size and pericardium normal': {'clinical finding': 'heart size and pericardium normal'}}anatomical entity_fin: {'chest wall': {}}clinical findings_fin: {'numerous chest wall venous collaterals': {'clinical finding': 'numerous chest wall venous collaterals', 'existence': 'pos_dx', 'descriptive_term': 'numerous chest wall venous', 'observation': 'collateral', 'quantity_term': 'numerous'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}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'}}location descriptor_fin: ['left']clinical findings_fin: {'unchanged': {'clinical finding': 'unchanged', 'existence': 'pos_dx', 'observation': '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'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'extensive vascular calcifications': {'clinical finding': 'extensive vascular calcifications', 'cf_snomed': {'vascular calcification': 237897009}, 'existence': 'pos_dx', 'descriptive_term': 'extensive vascular', 'observation': 'calcification', 'strength_term': 'extensive'}}clinical findings_fin: {'gi': {'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'}}clinical findings_fin: {'gross abnormalities': {'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', '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: imaging observation_fin: ['apical']location descriptor_fin: ['right']clinical findings_fin: {'stable right apical scarring': {'clinical finding': 'stable right apical scarring', 'existence': 'pos_dx', 'descriptive_term': 'stable right apical', 'observation': 'scarr', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'pulmonary or pleural metastases': {'clinical finding': 'pulmonary or pleural metastases', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary or pleural', 'observation': 'metastase'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'azygos vein': {}}clinical findings_fin: {'obstructed': {'clinical finding': 'obstructed', 'existence': 'pos_dx', 'observation': 'obstruct'}}anatomical entity_fin: {'brachiocephalic veins': {}}location descriptor_fin: ['right']object_fin: ['catheter']clinical findings_fin: {'brachiocephalic': {'clinical finding': 'brachiocephalic', 'existence': 'pos_dx', 'observation': 'brachiocephalic'}}anatomical entity_fin: {'mediastinum': {}}clinical findings_fin: {'prominent venous collaterals': {'clinical finding': 'prominent venous collaterals', 'existence': 'pos_dx', 'descriptive_term': 'prominent venous', 'observation': 'collateral', 'strength_term': 'prominent'}}anatomical entity_fin: {'heart': {}, 'pericardium': {}}clinical findings_fin: {'heart size and pericardium normal': {'clinical finding': 'heart size and pericardium normal'}}anatomical entity_fin: {'chest wall': {}}clinical findings_fin: {'numerous chest wall venous collaterals': {'clinical finding': 'numerous chest wall venous collaterals', 'existence': 'pos_dx', 'descriptive_term': 'numerous chest wall venous', 'observation': 'collateral', 'quantity_term': 'numerous'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}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'}}location descriptor_fin: ['left']clinical findings_fin: {'unchanged': {'clinical finding': 'unchanged', 'existence': 'pos_dx', 'observation': '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'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'extensive vascular calcifications': {'clinical finding': 'extensive vascular calcifications', 'cf_snomed': {'vascular calcification': 237897009}, 'existence': 'pos_dx', 'descriptive_term': 'extensive vascular', 'observation': 'calcification', 'strength_term': 'extensive'}}clinical findings_fin: {'gi': {'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'}}clinical findings_fin: {'gross abnormalities': {'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', '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] . Stable right apical scarring. No sign of pulmonary or pleural metastases. No lymphadenopathy. The SVC appears completely obstructed just above where it is joined by the azygos vein. A right jugular catheter terminates near the confluence of the brachiocephalic veins. Prominent venous collaterals are present throughout the mediastinum. Heart size and pericardium normal. Mild. Numerous chest wall venous collaterals are present. Absence of enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. No significant abnormality noted. Prominent left adrenal unchanged. No significant abnormality noted. No significant abnormality noted. Extensive vascular calcifications affect the aorta and iliacs. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. No significant abnormality noted. </s> |
Nonenhanced head. Examination demonstrates postoperative changes of a left anterior temporal and frontal craniotomy for drainage of subdural. Residual subdural and extensive post procedural air collection within the subdural space results seen mass effect on the adjacent left frontal, temporal lobes and rightward midline deviation of 9 mm. There is interval increased mass effect and deviation of midline likely secondary to excessive air entrapment under the craniotomy flap. No evidence of ventriculomegaly. Postprocedural air appears to extend through the anterior edge of craniotomy flap into the extracranial soft tissues of the scalp. Possibility of a ball valve mechanism should be considered. The largest measurement of remaining subdural hemorrhage and subdural air is approximately 21 mm. The small acute subdural is also noted along the anterior edge of right frontal lobe and extending into the interhemispheric fissure. Subdural also is noted to extend along the falx on the right posteriorly to the right parietal region. This collection is largest in the anterior frontal and measures maximum of 6.5 mm coronal reformatted series 80320 image 22. No evidence of parenchymal edema or hemorrhage. CSF cisterns remain widely patent and images through posterior fossa are unremarkable. | anatomical entity_fin: {'head': {}}clinical findings_fin: {'nonenhanced head': {'clinical finding': 'nonenhanced head'}}location descriptor_fin: ['left', 'anterior']procedure_fin: ['drainage']clinical findings_fin: {'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'unc_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}, 'subdural': {'clinical finding': 'subdural', 'existence': 'unc_dx', 'observation': 'subdural'}}size_fin: [{'size': '9 mm', 'size_descriptor': 'post'}]anatomical entity_fin: {'subdural space': {}, 'temporal lobes': {}}location descriptor_fin: ['adjacent', 'left', 'midline']clinical findings_fin: {'residual subdural': {'clinical finding': 'residual subdural', 'existence': 'pos_dx', 'descriptive_term': 'residual', 'observation': 'subdural', 'temporal_term': 'residual'}, 'subdural': {'clinical finding': 'subdural', 'existence': 'pos_dx', 'observation': 'subdural'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect'}}location descriptor_fin: ['midline']clinical findings_fin: {'interval increased mass effect': {'clinical finding': 'interval increased mass effect', 'existence': 'pos_dx', 'descriptive_term': 'interval increased mass', 'observation': 'effect', 'strength_term': 'increased', 'change_term': 'increased'}, 'excessive air entrapment': {'clinical finding': 'excessive air entrapment', 'cf_snomed': {'entrapment': 363563002}, 'existence': 'unc_dx', 'descriptive_term': 'excessive air', 'observation': 'entrapment'}}clinical findings_fin: {'ventriculomegaly': {'clinical finding': 'ventriculomegaly', 'existence': 'neg_dx', 'observation': 'ventriculomegaly'}}anatomical entity_fin: {'scalp': {}}location descriptor_fin: ['anterior']imaging observation_fin: ['ball']object_fin: ['valve']clinical findings_fin: {'possibility of a ball valve mechanism should be considered': {'clinical finding': 'possibility of a ball valve mechanism should be considered'}}size_fin: [{'size': '21 mm', 'size_descriptor': 'measurement'}]clinical findings_fin: {'remaining subdural hemorrhage': {'clinical finding': 'remaining subdural hemorrhage', 'cf_snomed': {'subdural hemorrhage': 35486000}, 'existence': 'pos_dx', 'descriptive_term': 'remaining subdural', 'observation': 'hemorrhage'}, 'subdural': {'clinical finding': 'subdural', 'existence': 'pos_dx', 'observation': 'subdural'}}anatomical entity_fin: {'right frontal lobe': {}, 'interhemispheric fissure': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'small acute subdural': {'clinical finding': 'small acute subdural', 'existence': 'pos_dx', 'descriptive_term': 'small acute', 'observation': 'subdural', 'strength_term': 'small - acute', 'temporal_term': 'acute'}}imaging observation_fin: ['falx']location descriptor_fin: ['right']clinical findings_fin: {'subdural': {'clinical finding': 'subdural', 'existence': 'pos_dx', 'observation': 'subdural'}}size_fin: [{'size': '6.5 mm', 'size_descriptor': 'series'}]location descriptor_fin: ['anterior']clinical findings_fin: {'parenchymal edema': {'clinical finding': 'parenchymal edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'descriptive_term': 'parenchymal', 'observation': 'edema'}, 'hemorrhage': {'clinical finding': 'hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'neg_dx', 'observation': 'hemorrhage'}}location descriptor_fin: ['posterior']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}} | 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'}}location descriptor_fin: ['left', 'anterior']procedure_fin: ['drainage']clinical findings_fin: {'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'unc_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}, 'subdural': {'clinical finding': 'subdural', 'existence': 'unc_dx', 'observation': 'subdural'}}size_fin: [{'size': '9 mm', 'size_descriptor': 'post'}]anatomical entity_fin: {'subdural space': {}, 'temporal lobes': {}}location descriptor_fin: ['adjacent', 'left', 'midline']clinical findings_fin: {'residual subdural': {'clinical finding': 'residual subdural', 'existence': 'pos_dx', 'descriptive_term': 'residual', 'observation': 'subdural', 'temporal_term': 'residual'}, 'subdural': {'clinical finding': 'subdural', 'existence': 'pos_dx', 'observation': 'subdural'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect'}}location descriptor_fin: ['midline']clinical findings_fin: {'interval increased mass effect': {'clinical finding': 'interval increased mass effect', 'existence': 'pos_dx', 'descriptive_term': 'interval increased mass', 'observation': 'effect', 'strength_term': 'increased', 'change_term': 'increased'}, 'excessive air entrapment': {'clinical finding': 'excessive air entrapment', 'cf_snomed': {'entrapment': 363563002}, 'existence': 'unc_dx', 'descriptive_term': 'excessive air', 'observation': 'entrapment'}}clinical findings_fin: {'ventriculomegaly': {'clinical finding': 'ventriculomegaly', 'existence': 'neg_dx', 'observation': 'ventriculomegaly'}}anatomical entity_fin: {'scalp': {}}location descriptor_fin: ['anterior']imaging observation_fin: ['ball']object_fin: ['valve']clinical findings_fin: {'possibility of a ball valve mechanism should be considered': {'clinical finding': 'possibility of a ball valve mechanism should be considered'}}size_fin: [{'size': '21 mm', 'size_descriptor': 'measurement'}]clinical findings_fin: {'remaining subdural hemorrhage': {'clinical finding': 'remaining subdural hemorrhage', 'cf_snomed': {'subdural hemorrhage': 35486000}, 'existence': 'pos_dx', 'descriptive_term': 'remaining subdural', 'observation': 'hemorrhage'}, 'subdural': {'clinical finding': 'subdural', 'existence': 'pos_dx', 'observation': 'subdural'}}anatomical entity_fin: {'right frontal lobe': {}, 'interhemispheric fissure': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'small acute subdural': {'clinical finding': 'small acute subdural', 'existence': 'pos_dx', 'descriptive_term': 'small acute', 'observation': 'subdural', 'strength_term': 'small - acute', 'temporal_term': 'acute'}}imaging observation_fin: ['falx']location descriptor_fin: ['right']clinical findings_fin: {'subdural': {'clinical finding': 'subdural', 'existence': 'pos_dx', 'observation': 'subdural'}}size_fin: [{'size': '6.5 mm', 'size_descriptor': 'series'}]location descriptor_fin: ['anterior']clinical findings_fin: {'parenchymal edema': {'clinical finding': 'parenchymal edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'descriptive_term': 'parenchymal', 'observation': 'edema'}, 'hemorrhage': {'clinical finding': 'hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'neg_dx', 'observation': 'hemorrhage'}}location descriptor_fin: ['posterior']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}} [/INST] Nonenhanced head. Examination demonstrates postoperative changes of a left anterior temporal and frontal craniotomy for drainage of subdural. Residual subdural and extensive post procedural air collection within the subdural space results seen mass effect on the adjacent left frontal, temporal lobes and rightward midline deviation of 9 mm. There is interval increased mass effect and deviation of midline likely secondary to excessive air entrapment under the craniotomy flap. No evidence of ventriculomegaly. Postprocedural air appears to extend through the anterior edge of craniotomy flap into the extracranial soft tissues of the scalp. Possibility of a ball valve mechanism should be considered. The largest measurement of remaining subdural hemorrhage and subdural air is approximately 21 mm. The small acute subdural is also noted along the anterior edge of right frontal lobe and extending into the interhemispheric fissure. Subdural also is noted to extend along the falx on the right posteriorly to the right parietal region. This collection is largest in the anterior frontal and measures maximum of 6.5 mm coronal reformatted series 80320 image 22. No evidence of parenchymal edema or hemorrhage. CSF cisterns remain widely patent and images through posterior fossa are unremarkable. </s> |
There is no evidence of acute intracranial hemorrhage. There is redemonstration of large area of hypoattenuation and volume loss involving the right frontal, parietal and temporal lobes as well as right subinsular white matter and posterior limb of right internal capsule, consistent with chronic infarction. There is Wallerian degeneration along the right corticospinal tract. There is also more symmetric confluent hypodensities in the bilateral periventricular white matter, compatible with chronic small vessel ischemic disease, similar to prior. There is ex vacuo dilatation of right lateral ventricle. The ventricular size and configuration is unchanged from previous. There is no midline shift or herniation. There are few punctate scattered dystrophic calcifications in the right cerebral hemisphere. There is no extraaxial fluid collection. The visualized portions of the paranasal sinuses and mastoids air cells are grossly clear. Again seen is a left frontal subgaleal hematoma, unchanged. There are no calvarial fractures. | 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'}}anatomical entity_fin: {'temporal lobes': {}, 'posterior limb of right internal capsule': {}}location descriptor_fin: ['right']clinical findings_fin: {'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}, 'volume loss': {'clinical finding': 'volume loss', 'existence': 'pos_dx', 'descriptive_term': 'volume', 'observation': 'loss'}, 'chronic infarction': {'clinical finding': 'chronic infarction', 'existence': 'pos_dx', 'descriptive_term': 'chronic', 'observation': 'infarction', 'temporal_term': 'chronic'}}anatomical entity_fin: {'right corticospinal tract': {}}clinical findings_fin: {'wallerian degeneration': {'clinical finding': 'wallerian degeneration', 'cf_snomed': {'wallerian degeneration': 36161006}, 'existence': 'pos_dx', 'descriptive_term': 'wallerian', 'observation': 'degeneration'}, 'right corticospinal': {'clinical finding': 'right corticospinal', 'existence': 'pos_dx', 'descriptive_term': 'right', 'observation': 'corticospinal'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'more symmetric confluent hypodensities': {'clinical finding': 'more symmetric confluent hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'more symmetric confluent', 'observation': 'hypodensity', 'quantity_term': 'more'}, 'chronic small vessel ischemic disease': {'clinical finding': 'chronic small vessel ischemic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'chronic small vessel ischemic', 'observation': 'disease', 'strength_term': 'small', 'temporal_term': 'chronic'}}anatomical entity_fin: {'right lateral ventricle': {}}clinical findings_fin: {'ventricular size and configuration is unchanged from previous': {'clinical finding': 'ventricular size and configuration is unchanged from previous', 'change_term': 'unchanged'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'right cerebral hemisphere': {}}clinical findings_fin: {'few punctate scattered dystrophic calcifications': {'clinical finding': 'few punctate scattered dystrophic calcifications', 'cf_snomed': {'dystrophic calcification': 129750001}, 'existence': 'pos_dx', 'descriptive_term': 'few punctate scattered dystrophic', 'observation': 'calcification', 'quantity_term': 'few'}}clinical findings_fin: {'extraaxial fluid collection': {'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'}}anatomical entity_fin: {'paranasal sinuses': {}, 'cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}imaging observation_fin: ['hematoma']location descriptor_fin: ['left']clinical findings_fin: {'left frontal subgaleal hematoma': {'clinical finding': 'left frontal subgaleal hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'pos_dx', 'descriptive_term': 'left frontal subgaleal', 'observation': 'hematoma'}}clinical findings_fin: {'calvarial fractures': {'clinical finding': 'calvarial fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'calvarial', 'observation': 'fracture'}} | 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: {'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'}}anatomical entity_fin: {'temporal lobes': {}, 'posterior limb of right internal capsule': {}}location descriptor_fin: ['right']clinical findings_fin: {'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}, 'volume loss': {'clinical finding': 'volume loss', 'existence': 'pos_dx', 'descriptive_term': 'volume', 'observation': 'loss'}, 'chronic infarction': {'clinical finding': 'chronic infarction', 'existence': 'pos_dx', 'descriptive_term': 'chronic', 'observation': 'infarction', 'temporal_term': 'chronic'}}anatomical entity_fin: {'right corticospinal tract': {}}clinical findings_fin: {'wallerian degeneration': {'clinical finding': 'wallerian degeneration', 'cf_snomed': {'wallerian degeneration': 36161006}, 'existence': 'pos_dx', 'descriptive_term': 'wallerian', 'observation': 'degeneration'}, 'right corticospinal': {'clinical finding': 'right corticospinal', 'existence': 'pos_dx', 'descriptive_term': 'right', 'observation': 'corticospinal'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'more symmetric confluent hypodensities': {'clinical finding': 'more symmetric confluent hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'more symmetric confluent', 'observation': 'hypodensity', 'quantity_term': 'more'}, 'chronic small vessel ischemic disease': {'clinical finding': 'chronic small vessel ischemic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'chronic small vessel ischemic', 'observation': 'disease', 'strength_term': 'small', 'temporal_term': 'chronic'}}anatomical entity_fin: {'right lateral ventricle': {}}clinical findings_fin: {'ventricular size and configuration is unchanged from previous': {'clinical finding': 'ventricular size and configuration is unchanged from previous', 'change_term': 'unchanged'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'right cerebral hemisphere': {}}clinical findings_fin: {'few punctate scattered dystrophic calcifications': {'clinical finding': 'few punctate scattered dystrophic calcifications', 'cf_snomed': {'dystrophic calcification': 129750001}, 'existence': 'pos_dx', 'descriptive_term': 'few punctate scattered dystrophic', 'observation': 'calcification', 'quantity_term': 'few'}}clinical findings_fin: {'extraaxial fluid collection': {'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'}}anatomical entity_fin: {'paranasal sinuses': {}, 'cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}imaging observation_fin: ['hematoma']location descriptor_fin: ['left']clinical findings_fin: {'left frontal subgaleal hematoma': {'clinical finding': 'left frontal subgaleal hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'pos_dx', 'descriptive_term': 'left frontal subgaleal', 'observation': 'hematoma'}}clinical findings_fin: {'calvarial fractures': {'clinical finding': 'calvarial fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'calvarial', 'observation': 'fracture'}} [/INST] There is no evidence of acute intracranial hemorrhage. There is redemonstration of large area of hypoattenuation and volume loss involving the right frontal, parietal and temporal lobes as well as right subinsular white matter and posterior limb of right internal capsule, consistent with chronic infarction. There is Wallerian degeneration along the right corticospinal tract. There is also more symmetric confluent hypodensities in the bilateral periventricular white matter, compatible with chronic small vessel ischemic disease, similar to prior. There is ex vacuo dilatation of right lateral ventricle. The ventricular size and configuration is unchanged from previous. There is no midline shift or herniation. There are few punctate scattered dystrophic calcifications in the right cerebral hemisphere. There is no extraaxial fluid collection. The visualized portions of the paranasal sinuses and mastoids air cells are grossly clear. Again seen is a left frontal subgaleal hematoma, unchanged. There are no calvarial fractures. </s> |
. Heart size is enlarged with a pericardial effusion. No significant abnormality noted. No significant abnormality noted. Age-related pancreatic atrophy. No significant abnormality noted. Small bilateral renal cysts. Calcific arteriosclerotic disease affects the aorta. Moderate colonic diverticulosis. Postsurgical changes from a gastric bypass. No bowel obstruction. There is a abscess pocket involving the anterior abdominal wall measuring at least 4.3 x 3.8 cm. The abscess wall extends past the fascial plane into the anterior abdomen within the peritoneum and likely extends to the adjacent small bowel. No significant abnormality noted. Status post hysterectomy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Left lower abdominal granuloma. No significant abnormality noted. | anatomical entity_fin: {'heart': {}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}, 'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'pericardial', '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: {'age-related pancreatic atrophy': {'clinical finding': 'age-related pancreatic atrophy', 'cf_snomed': {'related': 262094002, 'atrophy': 13331008}, 'existence': 'pos_dx', 'descriptive_term': 'age-related pancreatic', 'observation': 'atrophy'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'small bilateral renal cysts': {'clinical finding': 'small bilateral renal cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'small bilateral renal', 'observation': 'cyst', 'strength_term': 'small'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'calcific arteriosclerotic disease': {'clinical finding': 'calcific arteriosclerotic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'calcific arteriosclerotic', 'observation': 'disease'}}clinical findings_fin: {'moderate colonic diverticulosis': {'clinical finding': 'moderate colonic diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'moderate colonic', 'observation': 'diverticulosis', 'strength_term': 'moderate'}}procedure_fin: ['gastric bypass']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'bowel obstruction': {'clinical finding': 'bowel obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'}}size_fin: [{'size': '4.3 x 3.8 cm', 'size_descriptor': 'pocket'}]anatomical entity_fin: {'anterior abdominal wall': {}}clinical findings_fin: {'abscess': {'clinical finding': 'abscess', 'cf_snomed': {'abscess': 128477000}, 'existence': 'pos_dx', 'observation': 'abscess'}}anatomical entity_fin: {'wall': {}, 'abdomen': {'location descriptor': 'anterior'}, 'peritoneum': {}, 'bowel': {}}location descriptor_fin: ['anterior', 'adjacent']clinical findings_fin: {'abscess': {'clinical finding': 'abscess', 'cf_snomed': {'abscess': 128477000}, 'existence': 'pos_dx', 'observation': 'abscess'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}procedure_fin: ['hysterectomy']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: {'abdominal': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'left lower abdominal granuloma': {'clinical finding': 'left lower abdominal granuloma', 'cf_snomed': {'granuloma': 45647009}, 'existence': 'pos_dx', 'descriptive_term': 'left lower abdominal', 'observation': 'granuloma'}}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: anatomical entity_fin: {'heart': {}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}, 'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'pericardial', '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: {'age-related pancreatic atrophy': {'clinical finding': 'age-related pancreatic atrophy', 'cf_snomed': {'related': 262094002, 'atrophy': 13331008}, 'existence': 'pos_dx', 'descriptive_term': 'age-related pancreatic', 'observation': 'atrophy'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'small bilateral renal cysts': {'clinical finding': 'small bilateral renal cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'small bilateral renal', 'observation': 'cyst', 'strength_term': 'small'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'calcific arteriosclerotic disease': {'clinical finding': 'calcific arteriosclerotic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'calcific arteriosclerotic', 'observation': 'disease'}}clinical findings_fin: {'moderate colonic diverticulosis': {'clinical finding': 'moderate colonic diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'moderate colonic', 'observation': 'diverticulosis', 'strength_term': 'moderate'}}procedure_fin: ['gastric bypass']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'bowel obstruction': {'clinical finding': 'bowel obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'}}size_fin: [{'size': '4.3 x 3.8 cm', 'size_descriptor': 'pocket'}]anatomical entity_fin: {'anterior abdominal wall': {}}clinical findings_fin: {'abscess': {'clinical finding': 'abscess', 'cf_snomed': {'abscess': 128477000}, 'existence': 'pos_dx', 'observation': 'abscess'}}anatomical entity_fin: {'wall': {}, 'abdomen': {'location descriptor': 'anterior'}, 'peritoneum': {}, 'bowel': {}}location descriptor_fin: ['anterior', 'adjacent']clinical findings_fin: {'abscess': {'clinical finding': 'abscess', 'cf_snomed': {'abscess': 128477000}, 'existence': 'pos_dx', 'observation': 'abscess'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}procedure_fin: ['hysterectomy']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: {'abdominal': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'left lower abdominal granuloma': {'clinical finding': 'left lower abdominal granuloma', 'cf_snomed': {'granuloma': 45647009}, 'existence': 'pos_dx', 'descriptive_term': 'left lower abdominal', 'observation': 'granuloma'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Heart size is enlarged with a pericardial effusion. No significant abnormality noted. No significant abnormality noted. Age-related pancreatic atrophy. No significant abnormality noted. Small bilateral renal cysts. Calcific arteriosclerotic disease affects the aorta. Moderate colonic diverticulosis. Postsurgical changes from a gastric bypass. No bowel obstruction. There is a abscess pocket involving the anterior abdominal wall measuring at least 4.3 x 3.8 cm. The abscess wall extends past the fascial plane into the anterior abdomen within the peritoneum and likely extends to the adjacent small bowel. No significant abnormality noted. Status post hysterectomy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Left lower abdominal granuloma. No significant abnormality noted. </s> |
Redemonstrated are 2 ventricular catheters entering from the right with their tips in stable position. There has been no interval change in CSF spaces or ventricles. There is no evidence of acute ischemic or hemorrhagic lesion. Unchanged dysmorphic appearance of the cerebral hemispheres and cerebellum related to congenital abnormalities. Diffusely thickened calvarium is again noted. Paranasal sinus and diffuse mastoid opacification is unchanged. | location descriptor_fin: ['right']clinical findings_fin: {'2 ventricular catheters': {'clinical finding': '2 ventricular catheters', 'existence': 'pos_dx', 'descriptive_term': '2 ventricular', 'observation': 'catheter'}}clinical findings_fin: {'interval change': {'clinical finding': 'interval change', 'existence': 'neg_dx', 'descriptive_term': 'interval', 'observation': 'change'}}clinical findings_fin: {'acute ischemic or hemorrhagic lesion': {'clinical finding': 'acute ischemic or hemorrhagic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'acute ischemic or hemorrhagic', 'observation': 'lesion', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'cerebral hemispheres': {}, 'cerebellum': {}}clinical findings_fin: {'congenital abnormalities': {'clinical finding': 'congenital abnormalities', 'existence': 'pos_dx', 'descriptive_term': 'congenital', 'observation': 'abnormality'}}clinical findings_fin: {'diffusely thickened': {'clinical finding': 'diffusely thickened', 'existence': 'pos_dx', 'descriptive_term': 'diffusely', 'observation': 'thickened'}}anatomical entity_fin: {'paranasal sinus': {}}clinical findings_fin: {'diffuse mastoid opacification': {'clinical finding': 'diffuse mastoid opacification', 'existence': 'pos_dx', 'descriptive_term': 'diffuse mastoid', 'observation': 'opacification'}} | 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: ['right']clinical findings_fin: {'2 ventricular catheters': {'clinical finding': '2 ventricular catheters', 'existence': 'pos_dx', 'descriptive_term': '2 ventricular', 'observation': 'catheter'}}clinical findings_fin: {'interval change': {'clinical finding': 'interval change', 'existence': 'neg_dx', 'descriptive_term': 'interval', 'observation': 'change'}}clinical findings_fin: {'acute ischemic or hemorrhagic lesion': {'clinical finding': 'acute ischemic or hemorrhagic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'acute ischemic or hemorrhagic', 'observation': 'lesion', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'cerebral hemispheres': {}, 'cerebellum': {}}clinical findings_fin: {'congenital abnormalities': {'clinical finding': 'congenital abnormalities', 'existence': 'pos_dx', 'descriptive_term': 'congenital', 'observation': 'abnormality'}}clinical findings_fin: {'diffusely thickened': {'clinical finding': 'diffusely thickened', 'existence': 'pos_dx', 'descriptive_term': 'diffusely', 'observation': 'thickened'}}anatomical entity_fin: {'paranasal sinus': {}}clinical findings_fin: {'diffuse mastoid opacification': {'clinical finding': 'diffuse mastoid opacification', 'existence': 'pos_dx', 'descriptive_term': 'diffuse mastoid', 'observation': 'opacification'}} [/INST] Redemonstrated are 2 ventricular catheters entering from the right with their tips in stable position. There has been no interval change in CSF spaces or ventricles. There is no evidence of acute ischemic or hemorrhagic lesion. Unchanged dysmorphic appearance of the cerebral hemispheres and cerebellum related to congenital abnormalities. Diffusely thickened calvarium is again noted. Paranasal sinus and diffuse mastoid opacification is unchanged. </s> |
. Postsurgical changes of right upper lobectomy. Bilateral pulmonary metastatic nodules again noted. Reference left lingular lymph nodes measures 1.1 x 1.0 cm , previously 1.0 x 0.9 cm. Reference right lower lobe nodule measures 0.9 x 0.9 cm , previously 0.8 x 0.8 cm. Stable trace right pleural effusion. Stable right lung volume loss with mediastinal shift. Right hilar mass increased in size measuring 6.7 x 4.4 cm , previously 5.5 x 3.4 cm. There is mass effect on the adjacent right pulmonary artery with poor visualization of its branches, similar to prior study. Small mediastinal lymph nodes unchanged. Left chest wall port tip in the SVC. Mild. Bilateral breast prostheses noted. Prominent subcentimeter subpectoral lymph nodes. Left hypodense thyroid nodule is stable. Multiple sclerotic rib lesions are grossly stable. Hepatic steatosis. Right hepatic lobe reference metastatic lesion is slightly larger measuring 8.6 x 4.4 cm , 8.4 x 4.1 cm. Right inferior hepatic lesion is also larger measuring 4.0 x 2.3 cm , previously 3.2 x 2.1 cm. Scattered calcified splenic granulomas and small splenule again noted. No significant abnormality noted. No significant abnormality noted. Nonobstructing left renal stone is stable. Right renal cyst adjacent to the large right hepatic metastasis is unchanged. No significant abnormality noted. Mild. No significant abnormality noted. Degenerative changes of the thoracolumbar spine. No significant abnormality noted. Calcified fibroid uterus. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Sclerotic lesions of the L1 and L3 lumbar vertebral spinous processes unchanged. No significant abnormality noted. | location descriptor_fin: ['right', 'upper']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'right upper lobectomy': {'clinical finding': 'right upper lobectomy', 'existence': 'pos_dx', 'descriptive_term': 'right upper', 'observation': 'lobectomy'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral pulmonary metastatic nodules': {'clinical finding': 'bilateral pulmonary metastatic nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral pulmonary metastatic', 'observation': 'nodule'}}size_fin: [{'size': '1.1 x 1.0 cm'}, {'size': '1.0 x 0.9 cm'}]location descriptor_fin: ['left']clinical findings_fin: {'reference left lingular lymph nodes': {'clinical finding': 'reference left lingular lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'reference left lingular lymph', 'observation': 'node'}}size_fin: [{'size': '0.9 x 0.9 cm'}, {'size': '0.8 x 0.8 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'reference right lower lobe nodule': {'clinical finding': 'reference right lower lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right lower lobe', 'observation': 'nodule'}}location descriptor_fin: ['right']clinical findings_fin: {'stable trace right pleural effusion': {'clinical finding': 'stable trace right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'stable trace right pleural', 'observation': 'effusion', 'strength_term': 'stable', 'change_term': 'stable'}}anatomical entity_fin: {'right lung': {}}clinical findings_fin: {'stable right lung volume loss': {'clinical finding': 'stable right lung volume loss', 'existence': 'pos_dx', 'descriptive_term': 'stable right lung volume', 'observation': 'loss', 'strength_term': 'stable', 'change_term': 'stable'}}size_fin: [{'size': '6.7 x 4.4 cm'}, {'size': '5.5 x 3.4 cm'}]location descriptor_fin: ['right']clinical findings_fin: {'right hilar mass': {'clinical finding': 'right hilar mass', 'cf_snomed': {'hilar mass': 309530007}, 'existence': 'pos_dx', 'descriptive_term': 'right hilar', 'observation': 'mass'}}anatomical entity_fin: {'right pulmonary artery': {'location descriptor': 'adjacent'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'mass effect': {'clinical finding': 'mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'poor visualization': {'clinical finding': 'poor visualization', 'existence': 'pos_dx', 'descriptive_term': 'poor', 'observation': 'visualization'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'small mediastinal lymph nodes': {'clinical finding': 'small mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small mediastinal lymph', 'observation': 'node', 'strength_term': 'small'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'left'}}location descriptor_fin: ['left']object_fin: ['port']anatomical entity_fin: {'breast': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral breast prostheses': {'clinical finding': 'bilateral breast prostheses', 'existence': 'pos_dx', 'descriptive_term': 'bilateral breast', 'observation': 'prosthes'}}clinical findings_fin: {'prominent subcentimeter subpectoral lymph nodes': {'clinical finding': 'prominent subcentimeter subpectoral lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'prominent subcentimeter subpectoral lymph', 'observation': 'node', 'strength_term': 'prominent'}}location descriptor_fin: ['left']clinical findings_fin: {'left hypodense thyroid nodule': {'clinical finding': 'left hypodense thyroid nodule', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'left hypodense thyroid', 'observation': 'nodule'}}anatomical entity_fin: {'rib': {}}clinical findings_fin: {'multiple sclerotic rib lesions': {'clinical finding': 'multiple sclerotic rib lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple sclerotic rib', 'observation': 'lesion', 'quantity_term': 'multiple'}}clinical findings_fin: {'hepatic steatosis': {'clinical finding': 'hepatic steatosis', 'cf_snomed': {'steatosis': 1187537008}, 'existence': 'pos_dx', 'descriptive_term': 'hepatic', 'observation': 'steatosis'}}size_fin: [{'size': '8.6 x 4.4 cm'}, {'size': '8.4 x 4.1 cm'}]anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'right hepatic lobe reference metastatic lesion': {'clinical finding': 'right hepatic lobe reference metastatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right hepatic lobe reference metastatic', 'observation': 'lesion'}}size_fin: [{'size': '4.0 x 2.3 cm'}, {'size': '3.2 x 2.1 cm'}]location descriptor_fin: ['right', 'inferior']clinical findings_fin: {'inferior hepatic lesion': {'clinical finding': 'inferior hepatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'inferior hepatic', 'observation': 'lesion'}}clinical findings_fin: {'scattered calcified splenic granulomas': {'clinical finding': 'scattered calcified splenic granulomas', 'cf_snomed': {'granuloma': 45647009}, 'existence': 'pos_dx', 'descriptive_term': 'scattered calcified splenic', 'observation': 'granuloma', 'change_term': 'calcified'}}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'}}location descriptor_fin: ['left']clinical findings_fin: {'nonobstructing left renal stone is stable': {'clinical finding': 'nonobstructing left renal stone is stable', 'change_term': 'stable'}}location descriptor_fin: ['right', 'adjacent']clinical findings_fin: {'right renal cyst': {'clinical finding': 'right renal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'right renal', 'observation': 'cyst'}, 'large right hepatic metastasis': {'clinical finding': 'large right hepatic metastasis', 'existence': 'pos_dx', 'descriptive_term': 'large right hepatic', 'observation': 'metastasis', 'strength_term': 'large'}}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: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'uterus': {}}clinical findings_fin: {'calcified fibroid uterus': {'clinical finding': 'calcified fibroid uterus', 'change_term': 'calcified'}}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: {'vertebral': {}}clinical findings_fin: {'sclerotic lesions': {'clinical finding': 'sclerotic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'sclerotic', 'observation': 'lesion'}}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: location descriptor_fin: ['right', 'upper']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'right upper lobectomy': {'clinical finding': 'right upper lobectomy', 'existence': 'pos_dx', 'descriptive_term': 'right upper', 'observation': 'lobectomy'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral pulmonary metastatic nodules': {'clinical finding': 'bilateral pulmonary metastatic nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral pulmonary metastatic', 'observation': 'nodule'}}size_fin: [{'size': '1.1 x 1.0 cm'}, {'size': '1.0 x 0.9 cm'}]location descriptor_fin: ['left']clinical findings_fin: {'reference left lingular lymph nodes': {'clinical finding': 'reference left lingular lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'reference left lingular lymph', 'observation': 'node'}}size_fin: [{'size': '0.9 x 0.9 cm'}, {'size': '0.8 x 0.8 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'reference right lower lobe nodule': {'clinical finding': 'reference right lower lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right lower lobe', 'observation': 'nodule'}}location descriptor_fin: ['right']clinical findings_fin: {'stable trace right pleural effusion': {'clinical finding': 'stable trace right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'stable trace right pleural', 'observation': 'effusion', 'strength_term': 'stable', 'change_term': 'stable'}}anatomical entity_fin: {'right lung': {}}clinical findings_fin: {'stable right lung volume loss': {'clinical finding': 'stable right lung volume loss', 'existence': 'pos_dx', 'descriptive_term': 'stable right lung volume', 'observation': 'loss', 'strength_term': 'stable', 'change_term': 'stable'}}size_fin: [{'size': '6.7 x 4.4 cm'}, {'size': '5.5 x 3.4 cm'}]location descriptor_fin: ['right']clinical findings_fin: {'right hilar mass': {'clinical finding': 'right hilar mass', 'cf_snomed': {'hilar mass': 309530007}, 'existence': 'pos_dx', 'descriptive_term': 'right hilar', 'observation': 'mass'}}anatomical entity_fin: {'right pulmonary artery': {'location descriptor': 'adjacent'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'mass effect': {'clinical finding': 'mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'poor visualization': {'clinical finding': 'poor visualization', 'existence': 'pos_dx', 'descriptive_term': 'poor', 'observation': 'visualization'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'small mediastinal lymph nodes': {'clinical finding': 'small mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small mediastinal lymph', 'observation': 'node', 'strength_term': 'small'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'left'}}location descriptor_fin: ['left']object_fin: ['port']anatomical entity_fin: {'breast': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral breast prostheses': {'clinical finding': 'bilateral breast prostheses', 'existence': 'pos_dx', 'descriptive_term': 'bilateral breast', 'observation': 'prosthes'}}clinical findings_fin: {'prominent subcentimeter subpectoral lymph nodes': {'clinical finding': 'prominent subcentimeter subpectoral lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'prominent subcentimeter subpectoral lymph', 'observation': 'node', 'strength_term': 'prominent'}}location descriptor_fin: ['left']clinical findings_fin: {'left hypodense thyroid nodule': {'clinical finding': 'left hypodense thyroid nodule', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'left hypodense thyroid', 'observation': 'nodule'}}anatomical entity_fin: {'rib': {}}clinical findings_fin: {'multiple sclerotic rib lesions': {'clinical finding': 'multiple sclerotic rib lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple sclerotic rib', 'observation': 'lesion', 'quantity_term': 'multiple'}}clinical findings_fin: {'hepatic steatosis': {'clinical finding': 'hepatic steatosis', 'cf_snomed': {'steatosis': 1187537008}, 'existence': 'pos_dx', 'descriptive_term': 'hepatic', 'observation': 'steatosis'}}size_fin: [{'size': '8.6 x 4.4 cm'}, {'size': '8.4 x 4.1 cm'}]anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'right hepatic lobe reference metastatic lesion': {'clinical finding': 'right hepatic lobe reference metastatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right hepatic lobe reference metastatic', 'observation': 'lesion'}}size_fin: [{'size': '4.0 x 2.3 cm'}, {'size': '3.2 x 2.1 cm'}]location descriptor_fin: ['right', 'inferior']clinical findings_fin: {'inferior hepatic lesion': {'clinical finding': 'inferior hepatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'inferior hepatic', 'observation': 'lesion'}}clinical findings_fin: {'scattered calcified splenic granulomas': {'clinical finding': 'scattered calcified splenic granulomas', 'cf_snomed': {'granuloma': 45647009}, 'existence': 'pos_dx', 'descriptive_term': 'scattered calcified splenic', 'observation': 'granuloma', 'change_term': 'calcified'}}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'}}location descriptor_fin: ['left']clinical findings_fin: {'nonobstructing left renal stone is stable': {'clinical finding': 'nonobstructing left renal stone is stable', 'change_term': 'stable'}}location descriptor_fin: ['right', 'adjacent']clinical findings_fin: {'right renal cyst': {'clinical finding': 'right renal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'right renal', 'observation': 'cyst'}, 'large right hepatic metastasis': {'clinical finding': 'large right hepatic metastasis', 'existence': 'pos_dx', 'descriptive_term': 'large right hepatic', 'observation': 'metastasis', 'strength_term': 'large'}}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: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'uterus': {}}clinical findings_fin: {'calcified fibroid uterus': {'clinical finding': 'calcified fibroid uterus', 'change_term': 'calcified'}}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: {'vertebral': {}}clinical findings_fin: {'sclerotic lesions': {'clinical finding': 'sclerotic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'sclerotic', 'observation': 'lesion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Postsurgical changes of right upper lobectomy. Bilateral pulmonary metastatic nodules again noted. Reference left lingular lymph nodes measures 1.1 x 1.0 cm , previously 1.0 x 0.9 cm. Reference right lower lobe nodule measures 0.9 x 0.9 cm , previously 0.8 x 0.8 cm. Stable trace right pleural effusion. Stable right lung volume loss with mediastinal shift. Right hilar mass increased in size measuring 6.7 x 4.4 cm , previously 5.5 x 3.4 cm. There is mass effect on the adjacent right pulmonary artery with poor visualization of its branches, similar to prior study. Small mediastinal lymph nodes unchanged. Left chest wall port tip in the SVC. Mild. Bilateral breast prostheses noted. Prominent subcentimeter subpectoral lymph nodes. Left hypodense thyroid nodule is stable. Multiple sclerotic rib lesions are grossly stable. Hepatic steatosis. Right hepatic lobe reference metastatic lesion is slightly larger measuring 8.6 x 4.4 cm , 8.4 x 4.1 cm. Right inferior hepatic lesion is also larger measuring 4.0 x 2.3 cm , previously 3.2 x 2.1 cm. Scattered calcified splenic granulomas and small splenule again noted. No significant abnormality noted. No significant abnormality noted. Nonobstructing left renal stone is stable. Right renal cyst adjacent to the large right hepatic metastasis is unchanged. No significant abnormality noted. Mild. No significant abnormality noted. Degenerative changes of the thoracolumbar spine. No significant abnormality noted. Calcified fibroid uterus. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Sclerotic lesions of the L1 and L3 lumbar vertebral spinous processes unchanged. No significant abnormality noted. </s> |
.The CSF spaces are appropriate for the patients stated age with no midline shift. There is soft tissue swelling present within the scalp tissues adjacent to the left parietal bone. Additionally there some soft tissue swelling present in the scalp tissues adjacent to the right frontal bone. There is no evidence for an underlying fracture or coup or contrecoup injury. The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells demonstrate some scattered opacities in the right mastoid air cells. The visualized portions of the orbits are intact. The eyeball lenses are thin. The cervical vertebral bodies are appropriate in overall height. No fractures are identified in the cervical spine. The osseous structures are heterogeneous in density along the vertebral bodies. There is mild anterior subluxation of C7 on T1. Atherosclerotic calcifications are present at the carotid bifurcations. At C2-3 there is a mild disc bulge associated with some small endplate osteophytes. There is bilateral facet hypertrophy present subchondral cysts and narrowing of the right neural foramina at this level. There is some encroachment of the right-sided exiting nerve roots this level. There is associated posterior ligamentous hypertrophy at this level. There is effacement of spinal fluid ventral and posterior the spinal cord with findings suspicious for moderate spinal stenosis. At C3-4 there is loss of disc space height with the some osseous bridging between C3 and C4. There is fusion of the right facet joint at this level and osseous bridging at the left facet joint. There are bilateral uncovertebral osteophytes and endplate osteophytes at this level associated with narrowing of the neural foramina bilaterally and encroachment of exiting nerve roots. There is a mild disc bulge present at this level associated with effacement of spinal fluid ventral and posterior the spinal cord. At C4-5 there is bilateral facet hypertrophy present associated with uncovertebral osteophytes left more than right and encroachment of the exiting nerve roots on the left side. There is a mild disc bulge present at this level. Overall there is some mild linear spinal stenosis at this level. At C5-6 there are endplate and uncovertebral osteophytes present at this level associated with disc material and posterior ligamentous hypertrophy. There is effacement of spinal fluid ventral and posterior the spinal cord and findings are suspicious for a moderate degree of spinal stenosis at this level. There is encroachment of the neural foramina bilaterally due to uncovertebral osteophytes with suspected encroachment of the exiting nerve roots. At C6-7 there is no significant compromise to the spinal canal. There are bilateral uncovertebral osteophytes present associated with encroachment of the exiting nerve roots within the neural foramina. There is mild narrowing of the spinal canal at this level. At C7-T1 there is mild anterior subluxation of the C7 on T1 associated with facet hypertrophy. | location descriptor_fin: ['midline']clinical findings_fin: {'midline shift': {'clinical finding': 'midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'}}anatomical entity_fin: {'scalp': {}, 'parietal bone': {'location descriptor': 'left'}}location descriptor_fin: ['adjacent', 'left']clinical findings_fin: {'soft tissue swelling': {'clinical finding': 'soft tissue swelling', 'cf_snomed': {'soft tissue swelling': 298349001}, 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'swell'}}anatomical entity_fin: {'scalp': {}, 'frontal bone': {'location descriptor': 'right'}}location descriptor_fin: ['adjacent', 'right']clinical findings_fin: {'some soft tissue swelling': {'clinical finding': 'some soft tissue swelling', 'cf_snomed': {'soft tissue swelling': 298349001}, 'existence': 'pos_dx', 'descriptive_term': 'some soft tissue', 'observation': 'swell', 'quantity_term': 'some'}}clinical findings_fin: {'underlying fracture': {'clinical finding': 'underlying fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'underlying', 'observation': 'fracture'}, 'coup or contrecoup injury': {'clinical finding': 'coup or contrecoup injury', 'existence': 'neg_dx', 'descriptive_term': 'coup or contrecoup', 'observation': 'injury'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}anatomical entity_fin: {'mastoid air cells': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'some scattered opacities': {'clinical finding': 'some scattered opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'unc_dx', 'descriptive_term': 'some scattered', 'observation': 'opacity', 'quantity_term': 'some'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}clinical findings_fin: {'eyeball lenses': {'clinical finding': 'eyeball lenses', 'existence': 'pos_dx', 'descriptive_term': 'eyeball', 'observation': 'lense'}}anatomical entity_fin: {'cervical vertebral bodies': {}}clinical findings_fin: {'overall height': {'clinical finding': 'overall height', 'existence': 'pos_dx', 'descriptive_term': 'overall', 'observation': 'height'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'fractures': {'clinical finding': 'fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'observation': 'fracture'}}anatomical entity_fin: {'vertebral bodies': {}}clinical findings_fin: {'heterogeneous': {'clinical finding': 'heterogeneous', 'existence': 'pos_dx', 'observation': 'heterogeneous'}, 'density': {'clinical finding': 'density', 'existence': 'pos_dx', 'observation': 'density'}}location descriptor_fin: ['anterior']clinical findings_fin: {'mild anterior subluxation': {'clinical finding': 'mild anterior subluxation', 'cf_snomed': {'subluxation': 26396009}, 'existence': 'pos_dx', 'descriptive_term': 'mild anterior', 'observation': 'subluxation', 'strength_term': 'mild'}}clinical findings_fin: {'atherosclerotic calcifications': {'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}anatomical entity_fin: {'disc': {}, 'endplate': {}}clinical findings_fin: {'mild disc bulge': {'clinical finding': 'mild disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'mild disc', 'observation': 'bulge', 'strength_term': 'mild'}, 'some small endplate osteophytes': {'clinical finding': 'some small endplate osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'some small endplate', 'observation': 'osteophyte', 'strength_term': 'small', 'quantity_term': 'some'}}anatomical entity_fin: {'facet': {'location descriptor': 'bilateral'}, 'foramina': {}}location descriptor_fin: ['bilateral', 'right']clinical findings_fin: {'bilateral facet hypertrophy': {'clinical finding': 'bilateral facet hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral facet', 'observation': 'hypertrophy'}, 'present subchondral cysts': {'clinical finding': 'present subchondral cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'present subchondral', 'observation': 'cyst', 'quantity_term': 'present'}, 'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}}anatomical entity_fin: {'nerve roots': {}}location descriptor_fin: ['right']location descriptor_fin: ['posterior']clinical findings_fin: {'associated posterior ligamentous hypertrophy': {'clinical finding': 'associated posterior ligamentous hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'associated posterior ligamentous', 'observation': 'hypertrophy'}}anatomical entity_fin: {'fluid': {}, 'spinal cord': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'effacement': {'clinical finding': 'effacement', 'existence': 'pos_dx', 'observation': 'effacement'}, 'moderate spinal stenosis': {'clinical finding': 'moderate spinal stenosis', 'cf_snomed': {'spinal stenosis': 76107001}, 'existence': 'unc_dx', 'descriptive_term': 'moderate spinal', 'observation': 'stenosis', 'strength_term': 'moderate'}}anatomical entity_fin: {'disc': {}, 'osseous': {}}clinical findings_fin: {'disc space height': {'clinical finding': 'disc space height', 'existence': 'pos_dx', 'descriptive_term': 'disc space', 'observation': 'height'}}anatomical entity_fin: {'facet': {'location descriptor': 'left'}, 'joint': {}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'fusion': {'clinical finding': 'fusion', 'existence': 'pos_dx', 'observation': 'fusion'}}anatomical entity_fin: {'foramina': {}, 'nerve roots': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral uncovertebral osteophytes': {'clinical finding': 'bilateral uncovertebral osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral uncovertebral', 'observation': 'osteophyte'}, 'endplate osteophytes': {'clinical finding': 'endplate osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'endplate', 'observation': 'osteophyte'}, 'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}}anatomical entity_fin: {'fluid': {}, 'spinal cord': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'mild disc bulge': {'clinical finding': 'mild disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'mild disc', 'observation': 'bulge', 'strength_term': 'mild'}, 'effacement': {'clinical finding': 'effacement', 'existence': 'pos_dx', 'observation': 'effacement'}}anatomical entity_fin: {'facet': {'location descriptor': 'bilateral'}, 'nerve roots': {}}location descriptor_fin: ['bilateral', 'left', 'right']clinical findings_fin: {'bilateral facet hypertrophy': {'clinical finding': 'bilateral facet hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral facet', 'observation': 'hypertrophy'}, 'uncovertebral osteophytes': {'clinical finding': 'uncovertebral osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'uncovertebral', 'observation': 'osteophyte'}}clinical findings_fin: {'mild disc bulge': {'clinical finding': 'mild disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'mild disc', 'observation': 'bulge', 'strength_term': 'mild'}}clinical findings_fin: {'some mild linear spinal stenosis': {'clinical finding': 'some mild linear spinal stenosis', 'cf_snomed': {'spinal stenosis': 76107001}, 'existence': 'pos_dx', 'descriptive_term': 'some mild linear spinal', 'observation': 'stenosis', 'strength_term': 'mild', 'quantity_term': 'some'}}anatomical entity_fin: {'endplate': {}, 'uncovertebral': {}, 'disc': {}, 'ligamentous': {'location descriptor': 'posterior'}}location descriptor_fin: ['posterior']clinical findings_fin: {'endplate and uncovertebral osteophytes': {'clinical finding': 'endplate and uncovertebral osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'endplate and uncovertebral', 'observation': 'osteophyte'}, 'posterior ligamentous hypertrophy': {'clinical finding': 'posterior ligamentous hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'posterior ligamentous', 'observation': 'hypertrophy'}}anatomical entity_fin: {'fluid': {}, 'spinal cord': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'effacement': {'clinical finding': 'effacement', 'existence': 'pos_dx', 'observation': 'effacement'}, 'spinal stenosis': {'clinical finding': 'spinal stenosis', 'cf_snomed': {'spinal stenosis': 76107001}, 'existence': 'unc_dx', 'descriptive_term': 'spinal', 'observation': 'stenosis'}}anatomical entity_fin: {'foramina': {}, 'nerve roots': {}}clinical findings_fin: {'uncovertebral osteophytes': {'clinical finding': 'uncovertebral osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'unc_dx', 'descriptive_term': 'uncovertebral', 'observation': 'osteophyte'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'c6 - 7 there is no significant compromise to the spinal canal': {'clinical finding': 'c6 - 7 there is no significant compromise to the spinal canal'}}anatomical entity_fin: {'nerve roots': {}, 'foramina': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral uncovertebral osteophytes': {'clinical finding': 'bilateral uncovertebral osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral uncovertebral', 'observation': 'osteophyte'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'mild narrowing': {'clinical finding': 'mild narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'narrowing', 'strength_term': 'mild'}}anatomical entity_fin: {'facet': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'mild anterior subluxation': {'clinical finding': 'mild anterior subluxation', 'cf_snomed': {'subluxation': 26396009}, 'existence': 'pos_dx', 'descriptive_term': 'mild anterior', 'observation': 'subluxation', 'strength_term': 'mild'}, 'facet hypertrophy': {'clinical finding': 'facet hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'facet', 'observation': 'hypertrophy'}} | 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: ['midline']clinical findings_fin: {'midline shift': {'clinical finding': 'midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'}}anatomical entity_fin: {'scalp': {}, 'parietal bone': {'location descriptor': 'left'}}location descriptor_fin: ['adjacent', 'left']clinical findings_fin: {'soft tissue swelling': {'clinical finding': 'soft tissue swelling', 'cf_snomed': {'soft tissue swelling': 298349001}, 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'swell'}}anatomical entity_fin: {'scalp': {}, 'frontal bone': {'location descriptor': 'right'}}location descriptor_fin: ['adjacent', 'right']clinical findings_fin: {'some soft tissue swelling': {'clinical finding': 'some soft tissue swelling', 'cf_snomed': {'soft tissue swelling': 298349001}, 'existence': 'pos_dx', 'descriptive_term': 'some soft tissue', 'observation': 'swell', 'quantity_term': 'some'}}clinical findings_fin: {'underlying fracture': {'clinical finding': 'underlying fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'underlying', 'observation': 'fracture'}, 'coup or contrecoup injury': {'clinical finding': 'coup or contrecoup injury', 'existence': 'neg_dx', 'descriptive_term': 'coup or contrecoup', 'observation': 'injury'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}anatomical entity_fin: {'mastoid air cells': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'some scattered opacities': {'clinical finding': 'some scattered opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'unc_dx', 'descriptive_term': 'some scattered', 'observation': 'opacity', 'quantity_term': 'some'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}clinical findings_fin: {'eyeball lenses': {'clinical finding': 'eyeball lenses', 'existence': 'pos_dx', 'descriptive_term': 'eyeball', 'observation': 'lense'}}anatomical entity_fin: {'cervical vertebral bodies': {}}clinical findings_fin: {'overall height': {'clinical finding': 'overall height', 'existence': 'pos_dx', 'descriptive_term': 'overall', 'observation': 'height'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'fractures': {'clinical finding': 'fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'observation': 'fracture'}}anatomical entity_fin: {'vertebral bodies': {}}clinical findings_fin: {'heterogeneous': {'clinical finding': 'heterogeneous', 'existence': 'pos_dx', 'observation': 'heterogeneous'}, 'density': {'clinical finding': 'density', 'existence': 'pos_dx', 'observation': 'density'}}location descriptor_fin: ['anterior']clinical findings_fin: {'mild anterior subluxation': {'clinical finding': 'mild anterior subluxation', 'cf_snomed': {'subluxation': 26396009}, 'existence': 'pos_dx', 'descriptive_term': 'mild anterior', 'observation': 'subluxation', 'strength_term': 'mild'}}clinical findings_fin: {'atherosclerotic calcifications': {'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}anatomical entity_fin: {'disc': {}, 'endplate': {}}clinical findings_fin: {'mild disc bulge': {'clinical finding': 'mild disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'mild disc', 'observation': 'bulge', 'strength_term': 'mild'}, 'some small endplate osteophytes': {'clinical finding': 'some small endplate osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'some small endplate', 'observation': 'osteophyte', 'strength_term': 'small', 'quantity_term': 'some'}}anatomical entity_fin: {'facet': {'location descriptor': 'bilateral'}, 'foramina': {}}location descriptor_fin: ['bilateral', 'right']clinical findings_fin: {'bilateral facet hypertrophy': {'clinical finding': 'bilateral facet hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral facet', 'observation': 'hypertrophy'}, 'present subchondral cysts': {'clinical finding': 'present subchondral cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'present subchondral', 'observation': 'cyst', 'quantity_term': 'present'}, 'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}}anatomical entity_fin: {'nerve roots': {}}location descriptor_fin: ['right']location descriptor_fin: ['posterior']clinical findings_fin: {'associated posterior ligamentous hypertrophy': {'clinical finding': 'associated posterior ligamentous hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'associated posterior ligamentous', 'observation': 'hypertrophy'}}anatomical entity_fin: {'fluid': {}, 'spinal cord': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'effacement': {'clinical finding': 'effacement', 'existence': 'pos_dx', 'observation': 'effacement'}, 'moderate spinal stenosis': {'clinical finding': 'moderate spinal stenosis', 'cf_snomed': {'spinal stenosis': 76107001}, 'existence': 'unc_dx', 'descriptive_term': 'moderate spinal', 'observation': 'stenosis', 'strength_term': 'moderate'}}anatomical entity_fin: {'disc': {}, 'osseous': {}}clinical findings_fin: {'disc space height': {'clinical finding': 'disc space height', 'existence': 'pos_dx', 'descriptive_term': 'disc space', 'observation': 'height'}}anatomical entity_fin: {'facet': {'location descriptor': 'left'}, 'joint': {}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'fusion': {'clinical finding': 'fusion', 'existence': 'pos_dx', 'observation': 'fusion'}}anatomical entity_fin: {'foramina': {}, 'nerve roots': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral uncovertebral osteophytes': {'clinical finding': 'bilateral uncovertebral osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral uncovertebral', 'observation': 'osteophyte'}, 'endplate osteophytes': {'clinical finding': 'endplate osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'endplate', 'observation': 'osteophyte'}, 'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}}anatomical entity_fin: {'fluid': {}, 'spinal cord': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'mild disc bulge': {'clinical finding': 'mild disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'mild disc', 'observation': 'bulge', 'strength_term': 'mild'}, 'effacement': {'clinical finding': 'effacement', 'existence': 'pos_dx', 'observation': 'effacement'}}anatomical entity_fin: {'facet': {'location descriptor': 'bilateral'}, 'nerve roots': {}}location descriptor_fin: ['bilateral', 'left', 'right']clinical findings_fin: {'bilateral facet hypertrophy': {'clinical finding': 'bilateral facet hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral facet', 'observation': 'hypertrophy'}, 'uncovertebral osteophytes': {'clinical finding': 'uncovertebral osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'uncovertebral', 'observation': 'osteophyte'}}clinical findings_fin: {'mild disc bulge': {'clinical finding': 'mild disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'mild disc', 'observation': 'bulge', 'strength_term': 'mild'}}clinical findings_fin: {'some mild linear spinal stenosis': {'clinical finding': 'some mild linear spinal stenosis', 'cf_snomed': {'spinal stenosis': 76107001}, 'existence': 'pos_dx', 'descriptive_term': 'some mild linear spinal', 'observation': 'stenosis', 'strength_term': 'mild', 'quantity_term': 'some'}}anatomical entity_fin: {'endplate': {}, 'uncovertebral': {}, 'disc': {}, 'ligamentous': {'location descriptor': 'posterior'}}location descriptor_fin: ['posterior']clinical findings_fin: {'endplate and uncovertebral osteophytes': {'clinical finding': 'endplate and uncovertebral osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'endplate and uncovertebral', 'observation': 'osteophyte'}, 'posterior ligamentous hypertrophy': {'clinical finding': 'posterior ligamentous hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'posterior ligamentous', 'observation': 'hypertrophy'}}anatomical entity_fin: {'fluid': {}, 'spinal cord': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'effacement': {'clinical finding': 'effacement', 'existence': 'pos_dx', 'observation': 'effacement'}, 'spinal stenosis': {'clinical finding': 'spinal stenosis', 'cf_snomed': {'spinal stenosis': 76107001}, 'existence': 'unc_dx', 'descriptive_term': 'spinal', 'observation': 'stenosis'}}anatomical entity_fin: {'foramina': {}, 'nerve roots': {}}clinical findings_fin: {'uncovertebral osteophytes': {'clinical finding': 'uncovertebral osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'unc_dx', 'descriptive_term': 'uncovertebral', 'observation': 'osteophyte'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'c6 - 7 there is no significant compromise to the spinal canal': {'clinical finding': 'c6 - 7 there is no significant compromise to the spinal canal'}}anatomical entity_fin: {'nerve roots': {}, 'foramina': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral uncovertebral osteophytes': {'clinical finding': 'bilateral uncovertebral osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral uncovertebral', 'observation': 'osteophyte'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'mild narrowing': {'clinical finding': 'mild narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'narrowing', 'strength_term': 'mild'}}anatomical entity_fin: {'facet': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'mild anterior subluxation': {'clinical finding': 'mild anterior subluxation', 'cf_snomed': {'subluxation': 26396009}, 'existence': 'pos_dx', 'descriptive_term': 'mild anterior', 'observation': 'subluxation', 'strength_term': 'mild'}, 'facet hypertrophy': {'clinical finding': 'facet hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'facet', 'observation': 'hypertrophy'}} [/INST] .The CSF spaces are appropriate for the patients stated age with no midline shift. There is soft tissue swelling present within the scalp tissues adjacent to the left parietal bone. Additionally there some soft tissue swelling present in the scalp tissues adjacent to the right frontal bone. There is no evidence for an underlying fracture or coup or contrecoup injury. The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells demonstrate some scattered opacities in the right mastoid air cells. The visualized portions of the orbits are intact. The eyeball lenses are thin. The cervical vertebral bodies are appropriate in overall height. No fractures are identified in the cervical spine. The osseous structures are heterogeneous in density along the vertebral bodies. There is mild anterior subluxation of C7 on T1. Atherosclerotic calcifications are present at the carotid bifurcations. At C2-3 there is a mild disc bulge associated with some small endplate osteophytes. There is bilateral facet hypertrophy present subchondral cysts and narrowing of the right neural foramina at this level. There is some encroachment of the right-sided exiting nerve roots this level. There is associated posterior ligamentous hypertrophy at this level. There is effacement of spinal fluid ventral and posterior the spinal cord with findings suspicious for moderate spinal stenosis. At C3-4 there is loss of disc space height with the some osseous bridging between C3 and C4. There is fusion of the right facet joint at this level and osseous bridging at the left facet joint. There are bilateral uncovertebral osteophytes and endplate osteophytes at this level associated with narrowing of the neural foramina bilaterally and encroachment of exiting nerve roots. There is a mild disc bulge present at this level associated with effacement of spinal fluid ventral and posterior the spinal cord. At C4-5 there is bilateral facet hypertrophy present associated with uncovertebral osteophytes left more than right and encroachment of the exiting nerve roots on the left side. There is a mild disc bulge present at this level. Overall there is some mild linear spinal stenosis at this level. At C5-6 there are endplate and uncovertebral osteophytes present at this level associated with disc material and posterior ligamentous hypertrophy. There is effacement of spinal fluid ventral and posterior the spinal cord and findings are suspicious for a moderate degree of spinal stenosis at this level. There is encroachment of the neural foramina bilaterally due to uncovertebral osteophytes with suspected encroachment of the exiting nerve roots. At C6-7 there is no significant compromise to the spinal canal. There are bilateral uncovertebral osteophytes present associated with encroachment of the exiting nerve roots within the neural foramina. There is mild narrowing of the spinal canal at this level. At C7-T1 there is mild anterior subluxation of the C7 on T1 associated with facet hypertrophy. </s> |
There is no evidence of intracranial hemorrhage or mass effect. Again seen is encephalomalacia in the left basal ganglia and mild ex vacuo dilatation of the anterior horn of the left lateral ventricle, consistent with prior left lacunar infarct. There are scattered areas of hypoattenuation in the periventricular and subcortical white matter, which are nonspecific, but favored to represent age-indeterminant small vessel ischemic changes. There is no midline shift or herniation. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. | 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'}}anatomical entity_fin: {'basal ganglia': {'location descriptor': 'left'}, 'left lateral ventricle': {}}location descriptor_fin: ['left', 'anterior']clinical findings_fin: {'encephalomalacia': {'clinical finding': 'encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'pos_dx', 'observation': 'encephalomalacia'}, 'prior left lacunar infarct': {'clinical finding': 'prior left lacunar infarct', 'cf_snomed': {'lacunar infarct': 81037000}, 'existence': 'pos_dx', 'descriptive_term': 'prior left lacunar', 'observation': 'infarct'}}clinical findings_fin: {'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}, 'age-indeterminant small vessel ischemic changes': {'clinical finding': 'age-indeterminant small vessel ischemic changes', 'existence': 'unc_dx', 'descriptive_term': 'age-indeterminant small vessel ischemic', 'observation': 'change', 'strength_term': 'small'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'orbits': {}, 'skull': {}, 'paranasal sinuses': {}, 'scalp': {}}clinical findings_fin: {'orbits , skull , paranasal sinuses , and scalp soft tissues are grossly unremarkable': {'clinical finding': 'orbits , skull , paranasal sinuses , and scalp soft tissues are grossly unremarkable'}} | 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 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'}}anatomical entity_fin: {'basal ganglia': {'location descriptor': 'left'}, 'left lateral ventricle': {}}location descriptor_fin: ['left', 'anterior']clinical findings_fin: {'encephalomalacia': {'clinical finding': 'encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'pos_dx', 'observation': 'encephalomalacia'}, 'prior left lacunar infarct': {'clinical finding': 'prior left lacunar infarct', 'cf_snomed': {'lacunar infarct': 81037000}, 'existence': 'pos_dx', 'descriptive_term': 'prior left lacunar', 'observation': 'infarct'}}clinical findings_fin: {'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}, 'age-indeterminant small vessel ischemic changes': {'clinical finding': 'age-indeterminant small vessel ischemic changes', 'existence': 'unc_dx', 'descriptive_term': 'age-indeterminant small vessel ischemic', 'observation': 'change', 'strength_term': 'small'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'orbits': {}, 'skull': {}, 'paranasal sinuses': {}, 'scalp': {}}clinical findings_fin: {'orbits , skull , paranasal sinuses , and scalp soft tissues are grossly unremarkable': {'clinical finding': 'orbits , skull , paranasal sinuses , and scalp soft tissues are grossly unremarkable'}} [/INST] There is no evidence of intracranial hemorrhage or mass effect. Again seen is encephalomalacia in the left basal ganglia and mild ex vacuo dilatation of the anterior horn of the left lateral ventricle, consistent with prior left lacunar infarct. There are scattered areas of hypoattenuation in the periventricular and subcortical white matter, which are nonspecific, but favored to represent age-indeterminant small vessel ischemic changes. There is no midline shift or herniation. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. </s> |
. No significant abnormality noted. Multiple subcentimeter hypodense hepatic nodules too small to characterize. Hepatic granulomas noted. No significant abnormality noted. No significant abnormality noted. Nonspecific thickening of the adrenal glands. Multiple nonspecific bilateral hypodense renal lesions, some of which are exophytic, likely represent cysts. Punctate foci of calcifications in the area of the right gonadal vein without evidence of hydronephrosis, nephrolithiasis, or ureterolithiasis. No significant abnormality noted. None. Diverticulosis without evidence of diverticulitis. Degenerative changes of the spine. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Diverticulosis without findings to suggest diverticulitis. Degenerative changes of the spine. No significant abnormality noted | clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'multiple subcentimeter hypodense hepatic nodules': {'clinical finding': 'multiple subcentimeter hypodense hepatic nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'multiple subcentimeter hypodense hepatic', 'observation': 'nodule', 'quantity_term': 'multiple'}}clinical findings_fin: {'hepatic granulomas': {'clinical finding': 'hepatic granulomas', 'cf_snomed': {'hepatic granuloma': 714253009}, 'existence': 'pos_dx', 'descriptive_term': 'hepatic', 'observation': 'granuloma'}}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: {'adrenal glands': {}}clinical findings_fin: {'nonspecific thickening': {'clinical finding': 'nonspecific thickening', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific', 'observation': 'thickening'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'multiple nonspecific bilateral hypodense renal lesions': {'clinical finding': 'multiple nonspecific bilateral hypodense renal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple nonspecific bilateral hypodense renal', 'observation': 'lesion', 'quantity_term': 'multiple'}, 'cysts': {'clinical finding': 'cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'unc_dx', 'observation': 'cyst'}}anatomical entity_fin: {'vein': {}}imaging observation_fin: ['foci']location descriptor_fin: ['right']clinical findings_fin: {'punctate foci': {'clinical finding': 'punctate foci', 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'foci'}, 'calcifications': {'clinical finding': 'calcifications', 'existence': 'pos_dx', 'observation': 'calcification'}, 'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}, 'nephrolithiasis': {'clinical finding': 'nephrolithiasis', 'existence': 'neg_dx', 'observation': 'nephrolithiasis'}, 'ureterolithiasis': {'clinical finding': 'ureterolithiasis', 'existence': 'unc_dx', 'observation': 'ureterolithiasis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'diverticulosis': {'clinical finding': 'diverticulosis', 'existence': 'pos_dx', 'observation': 'diverticulosis'}, 'diverticulitis': {'clinical finding': 'diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'observation': 'diverticulitis'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}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: {'diverticulosis': {'clinical finding': 'diverticulosis', 'existence': 'pos_dx', 'observation': 'diverticulosis'}, 'diverticulitis': {'clinical finding': 'diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'unc_dx', 'observation': 'diverticulitis'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}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: {'multiple subcentimeter hypodense hepatic nodules': {'clinical finding': 'multiple subcentimeter hypodense hepatic nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'multiple subcentimeter hypodense hepatic', 'observation': 'nodule', 'quantity_term': 'multiple'}}clinical findings_fin: {'hepatic granulomas': {'clinical finding': 'hepatic granulomas', 'cf_snomed': {'hepatic granuloma': 714253009}, 'existence': 'pos_dx', 'descriptive_term': 'hepatic', 'observation': 'granuloma'}}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: {'adrenal glands': {}}clinical findings_fin: {'nonspecific thickening': {'clinical finding': 'nonspecific thickening', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific', 'observation': 'thickening'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'multiple nonspecific bilateral hypodense renal lesions': {'clinical finding': 'multiple nonspecific bilateral hypodense renal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple nonspecific bilateral hypodense renal', 'observation': 'lesion', 'quantity_term': 'multiple'}, 'cysts': {'clinical finding': 'cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'unc_dx', 'observation': 'cyst'}}anatomical entity_fin: {'vein': {}}imaging observation_fin: ['foci']location descriptor_fin: ['right']clinical findings_fin: {'punctate foci': {'clinical finding': 'punctate foci', 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'foci'}, 'calcifications': {'clinical finding': 'calcifications', 'existence': 'pos_dx', 'observation': 'calcification'}, 'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}, 'nephrolithiasis': {'clinical finding': 'nephrolithiasis', 'existence': 'neg_dx', 'observation': 'nephrolithiasis'}, 'ureterolithiasis': {'clinical finding': 'ureterolithiasis', 'existence': 'unc_dx', 'observation': 'ureterolithiasis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'diverticulosis': {'clinical finding': 'diverticulosis', 'existence': 'pos_dx', 'observation': 'diverticulosis'}, 'diverticulitis': {'clinical finding': 'diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'observation': 'diverticulitis'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}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: {'diverticulosis': {'clinical finding': 'diverticulosis', 'existence': 'pos_dx', 'observation': 'diverticulosis'}, 'diverticulitis': {'clinical finding': 'diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'unc_dx', 'observation': 'diverticulitis'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . No significant abnormality noted. Multiple subcentimeter hypodense hepatic nodules too small to characterize. Hepatic granulomas noted. No significant abnormality noted. No significant abnormality noted. Nonspecific thickening of the adrenal glands. Multiple nonspecific bilateral hypodense renal lesions, some of which are exophytic, likely represent cysts. Punctate foci of calcifications in the area of the right gonadal vein without evidence of hydronephrosis, nephrolithiasis, or ureterolithiasis. No significant abnormality noted. None. Diverticulosis without evidence of diverticulitis. Degenerative changes of the spine. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Diverticulosis without findings to suggest diverticulitis. Degenerative changes of the spine. No significant abnormality noted </s> |
There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull and extracranial soft tissues are unremarkable. There is a focus of hyperattenuation along the lateral margin of the left retina. | 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'}, 'cerebral edema': {'clinical finding': 'cerebral edema', 'cf_snomed': {'cerebral edema': 2032001}, 'existence': 'neg_dx', 'descriptive_term': 'cerebral', 'observation': 'edema'}}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: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'skull': {}}clinical findings_fin: {'skull and extracranial soft tissues are unremarkable': {'clinical finding': 'skull and extracranial soft tissues are unremarkable'}}anatomical entity_fin: {'retina': {'location descriptor': 'left'}}imaging observation_fin: ['margin']location descriptor_fin: ['lateral', 'left']clinical findings_fin: {'hyperattenuation': {'clinical finding': 'hyperattenuation', 'existence': 'pos_dx', 'observation': 'hyperattenuation'}} | 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 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'}, 'cerebral edema': {'clinical finding': 'cerebral edema', 'cf_snomed': {'cerebral edema': 2032001}, 'existence': 'neg_dx', 'descriptive_term': 'cerebral', 'observation': 'edema'}}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: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'skull': {}}clinical findings_fin: {'skull and extracranial soft tissues are unremarkable': {'clinical finding': 'skull and extracranial soft tissues are unremarkable'}}anatomical entity_fin: {'retina': {'location descriptor': 'left'}}imaging observation_fin: ['margin']location descriptor_fin: ['lateral', 'left']clinical findings_fin: {'hyperattenuation': {'clinical finding': 'hyperattenuation', 'existence': 'pos_dx', 'observation': 'hyperattenuation'}} [/INST] There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull and extracranial soft tissues are unremarkable. There is a focus of hyperattenuation along the lateral margin of the left retina. </s> |
. No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or herniation. Gray-white differentiation is maintained. No extra-axial collections. Again seen are areas of hypoattenuation in the periventricular and subcortical white matter which are nonspecific but compatible with chronic small vessel ischemic changes. Ventricles are within normal limits without evidence of hydrocephalus. The visualized portions of the paranasal sinuses are clear. Mastoid air cells are clear. Calvarium is intact. Bilateral lens implants. No acute fracture or subluxation is demonstrated in the cervical spine. The cervical vertebral bodies are appropriate in height. There are advanced degenerative changes throughout the cervical spine. The craniocervical junction alignment is maintained. There is mild retrolisthesis of C6 on C7 and mild anterolisthesis of C7 on T1. Severe disc space narrowing with vacuum phenomena noted at the C5-C6 and C6-C7 and C7-T1 levels. There are multilevel disc osteophyte complexes with facet arthropathy and uncovertebral hypertrophy. There is up to moderate spinal canal stenosis suspected at C4-C5, C5-C6, and C6-C7. There is also severe right C3-C4, moderate to severe right C4-C5, moderate bilateral C5-C6, moderate left C6-C7, and moderate left C7-T1 neural foraminal stenosis. No suspicious bony lesions are identified in the cervical spine. Prevertebral and paraspinous soft tissues are unremarkable. | clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}clinical findings_fin: {'intracranial mass': {'clinical finding': 'intracranial mass', 'cf_snomed': {'intracranial mass': 85974009}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'mass'}, 'mass-effect': {'clinical finding': 'mass-effect', 'existence': 'neg_dx', 'observation': 'mass'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}clinical findings_fin: {'gray-white differentiation is maintained': {'clinical finding': 'gray-white differentiation is maintained', 'change_term': 'maintained'}}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': 'pos_dx', 'descriptive_term': 'chronic small vessel ischemic', 'observation': 'change', 'strength_term': 'small', 'temporal_term': 'chronic'}}clinical findings_fin: {'hydrocephalus': {'clinical finding': 'hydrocephalus', 'cf_snomed': {'hydrocephalus': 230745008}, 'existence': 'neg_dx', 'observation': 'hydrocephalus'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'lens': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']anatomical entity_fin: {'spine': {}}clinical findings_fin: {'acute fracture': {'clinical finding': 'acute fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'subluxation': {'clinical finding': 'subluxation', 'cf_snomed': {'subluxation': 26396009}, 'existence': 'neg_dx', 'observation': 'subluxation'}}anatomical entity_fin: {'cervical vertebral bodies': {}}clinical findings_fin: {'appropriate': {'clinical finding': 'appropriate', 'existence': 'pos_dx', 'observation': 'appropriate'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'advanced degenerative changes': {'clinical finding': 'advanced degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'advanced degenerative', 'observation': 'change', 'strength_term': 'advanced'}}anatomical entity_fin: {'craniocervical junction': {}}clinical findings_fin: {'maintained': {'clinical finding': 'maintained', 'existence': 'pos_dx', 'observation': 'maintain'}}clinical findings_fin: {'mild retrolisthesis': {'clinical finding': 'mild retrolisthesis', 'cf_snomed': {'retrolisthesis': 416981004}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'retrolisthesis', 'strength_term': 'mild'}, 'mild anterolisthesis': {'clinical finding': 'mild anterolisthesis', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'anterolisthesis', 'strength_term': 'mild'}}anatomical entity_fin: {'disc': {}}clinical findings_fin: {'severe disc space narrowing': {'clinical finding': 'severe disc space narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'severe disc space', 'observation': 'narrowing', 'strength_term': 'severe'}, 'vacuum phenomena': {'clinical finding': 'vacuum phenomena', 'existence': 'pos_dx', 'descriptive_term': 'vacuum', 'observation': 'phenomenon'}}anatomical entity_fin: {'facet': {}}clinical findings_fin: {'multilevel disc osteophyte': {'clinical finding': 'multilevel disc osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'multilevel disc', 'observation': 'osteophyte'}, 'uncovertebral hypertrophy': {'clinical finding': 'uncovertebral hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'uncovertebral', 'observation': 'hypertrophy'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'up to moderate spinal canal stenosis': {'clinical finding': 'up to moderate spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'unc_dx', 'descriptive_term': 'up to moderate spinal canal', 'observation': 'stenosis', 'strength_term': 'moderate'}}anatomical entity_fin: {'foraminal': {}}location descriptor_fin: ['right', 'bilateral', 'left']clinical findings_fin: {'moderate left c7-t1 neural foraminal stenosis': {'clinical finding': 'moderate left c7-t1 neural foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate left c7-t1 neural foraminal', 'observation': 'stenosis', 'strength_term': 'moderate'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'suspicious bony lesions': {'clinical finding': 'suspicious bony lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious bony', 'observation': 'lesion'}}clinical findings_fin: {'prevertebral and paraspinous soft tissues are unremarkable': {'clinical finding': 'prevertebral and paraspinous soft tissues are unremarkable'}} | 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 hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}clinical findings_fin: {'intracranial mass': {'clinical finding': 'intracranial mass', 'cf_snomed': {'intracranial mass': 85974009}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'mass'}, 'mass-effect': {'clinical finding': 'mass-effect', 'existence': 'neg_dx', 'observation': 'mass'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}clinical findings_fin: {'gray-white differentiation is maintained': {'clinical finding': 'gray-white differentiation is maintained', 'change_term': 'maintained'}}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': 'pos_dx', 'descriptive_term': 'chronic small vessel ischemic', 'observation': 'change', 'strength_term': 'small', 'temporal_term': 'chronic'}}clinical findings_fin: {'hydrocephalus': {'clinical finding': 'hydrocephalus', 'cf_snomed': {'hydrocephalus': 230745008}, 'existence': 'neg_dx', 'observation': 'hydrocephalus'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'lens': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']anatomical entity_fin: {'spine': {}}clinical findings_fin: {'acute fracture': {'clinical finding': 'acute fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'subluxation': {'clinical finding': 'subluxation', 'cf_snomed': {'subluxation': 26396009}, 'existence': 'neg_dx', 'observation': 'subluxation'}}anatomical entity_fin: {'cervical vertebral bodies': {}}clinical findings_fin: {'appropriate': {'clinical finding': 'appropriate', 'existence': 'pos_dx', 'observation': 'appropriate'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'advanced degenerative changes': {'clinical finding': 'advanced degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'advanced degenerative', 'observation': 'change', 'strength_term': 'advanced'}}anatomical entity_fin: {'craniocervical junction': {}}clinical findings_fin: {'maintained': {'clinical finding': 'maintained', 'existence': 'pos_dx', 'observation': 'maintain'}}clinical findings_fin: {'mild retrolisthesis': {'clinical finding': 'mild retrolisthesis', 'cf_snomed': {'retrolisthesis': 416981004}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'retrolisthesis', 'strength_term': 'mild'}, 'mild anterolisthesis': {'clinical finding': 'mild anterolisthesis', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'anterolisthesis', 'strength_term': 'mild'}}anatomical entity_fin: {'disc': {}}clinical findings_fin: {'severe disc space narrowing': {'clinical finding': 'severe disc space narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'severe disc space', 'observation': 'narrowing', 'strength_term': 'severe'}, 'vacuum phenomena': {'clinical finding': 'vacuum phenomena', 'existence': 'pos_dx', 'descriptive_term': 'vacuum', 'observation': 'phenomenon'}}anatomical entity_fin: {'facet': {}}clinical findings_fin: {'multilevel disc osteophyte': {'clinical finding': 'multilevel disc osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'multilevel disc', 'observation': 'osteophyte'}, 'uncovertebral hypertrophy': {'clinical finding': 'uncovertebral hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'uncovertebral', 'observation': 'hypertrophy'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'up to moderate spinal canal stenosis': {'clinical finding': 'up to moderate spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'unc_dx', 'descriptive_term': 'up to moderate spinal canal', 'observation': 'stenosis', 'strength_term': 'moderate'}}anatomical entity_fin: {'foraminal': {}}location descriptor_fin: ['right', 'bilateral', 'left']clinical findings_fin: {'moderate left c7-t1 neural foraminal stenosis': {'clinical finding': 'moderate left c7-t1 neural foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate left c7-t1 neural foraminal', 'observation': 'stenosis', 'strength_term': 'moderate'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'suspicious bony lesions': {'clinical finding': 'suspicious bony lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious bony', 'observation': 'lesion'}}clinical findings_fin: {'prevertebral and paraspinous soft tissues are unremarkable': {'clinical finding': 'prevertebral and paraspinous soft tissues are unremarkable'}} [/INST] . No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or herniation. Gray-white differentiation is maintained. No extra-axial collections. Again seen are areas of hypoattenuation in the periventricular and subcortical white matter which are nonspecific but compatible with chronic small vessel ischemic changes. Ventricles are within normal limits without evidence of hydrocephalus. The visualized portions of the paranasal sinuses are clear. Mastoid air cells are clear. Calvarium is intact. Bilateral lens implants. No acute fracture or subluxation is demonstrated in the cervical spine. The cervical vertebral bodies are appropriate in height. There are advanced degenerative changes throughout the cervical spine. The craniocervical junction alignment is maintained. There is mild retrolisthesis of C6 on C7 and mild anterolisthesis of C7 on T1. Severe disc space narrowing with vacuum phenomena noted at the C5-C6 and C6-C7 and C7-T1 levels. There are multilevel disc osteophyte complexes with facet arthropathy and uncovertebral hypertrophy. There is up to moderate spinal canal stenosis suspected at C4-C5, C5-C6, and C6-C7. There is also severe right C3-C4, moderate to severe right C4-C5, moderate bilateral C5-C6, moderate left C6-C7, and moderate left C7-T1 neural foraminal stenosis. No suspicious bony lesions are identified in the cervical spine. Prevertebral and paraspinous soft tissues are unremarkable. </s> |
. Right basilar atelectasis or scarring. Suggestion of mild fatty infiltration of the liver. No significant abnormality noted. No significant abnormality noted. 1.9 cm right adrenal nodule is incompletely characterized, but statistically favors an adenoma. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. PROSTATE/. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. | location descriptor_fin: ['right']clinical findings_fin: {'right basilar atelectasis': {'clinical finding': 'right basilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'descriptive_term': 'right basilar', 'observation': 'atelectasis'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'mild fatty infiltration': {'clinical finding': 'mild fatty infiltration', 'cf_snomed': {'fatty infiltration': 45752008}, 'existence': 'unc_dx', 'descriptive_term': 'mild fatty', 'observation': 'infiltration', 'strength_term': 'mild'}}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': '1.9 cm', 'size_descriptor': 'nodule'}]location descriptor_fin: ['right']clinical findings_fin: {'1.9 cm right adrenal nodule': {'clinical finding': '1.9 cm right adrenal nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': '1 9 cm right adrenal', 'observation': 'nodule'}, 'adenoma': {'clinical finding': 'adenoma', 'cf_snomed': {'adenoma': 1187379001}, 'existence': 'unc_dx', 'observation': 'adenoma'}}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'}}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'}} | 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: ['right']clinical findings_fin: {'right basilar atelectasis': {'clinical finding': 'right basilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'descriptive_term': 'right basilar', 'observation': 'atelectasis'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'mild fatty infiltration': {'clinical finding': 'mild fatty infiltration', 'cf_snomed': {'fatty infiltration': 45752008}, 'existence': 'unc_dx', 'descriptive_term': 'mild fatty', 'observation': 'infiltration', 'strength_term': 'mild'}}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': '1.9 cm', 'size_descriptor': 'nodule'}]location descriptor_fin: ['right']clinical findings_fin: {'1.9 cm right adrenal nodule': {'clinical finding': '1.9 cm right adrenal nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': '1 9 cm right adrenal', 'observation': 'nodule'}, 'adenoma': {'clinical finding': 'adenoma', 'cf_snomed': {'adenoma': 1187379001}, 'existence': 'unc_dx', 'observation': 'adenoma'}}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'}}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'}} [/INST] . Right basilar atelectasis or scarring. Suggestion of mild fatty infiltration of the liver. No significant abnormality noted. No significant abnormality noted. 1.9 cm right adrenal nodule is incompletely characterized, but statistically favors an adenoma. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. PROSTATE/. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. </s> |
. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No intra-abdominal abscess. Abscess pocket in the left perineum measures 4.1 x 2.2 cm image 68/series It possibly connects with the anus. 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'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'intra-abdominal abscess': {'clinical finding': 'intra-abdominal abscess', 'cf_snomed': {'abdominal abscess': 75100008}, 'existence': 'neg_dx', 'descriptive_term': 'intra-abdominal', 'observation': 'abscess'}}size_fin: [{'size': '4.1 x 2.2 cm', 'size_descriptor': 'image'}]anatomical entity_fin: {'perineum': {'location descriptor': 'left'}, 'anus': {}}location descriptor_fin: ['left']clinical findings_fin: {'abscess': {'clinical finding': 'abscess', 'cf_snomed': {'abscess': 128477000}, 'existence': 'pos_dx', 'observation': 'abscess'}}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'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'intra-abdominal abscess': {'clinical finding': 'intra-abdominal abscess', 'cf_snomed': {'abdominal abscess': 75100008}, 'existence': 'neg_dx', 'descriptive_term': 'intra-abdominal', 'observation': 'abscess'}}size_fin: [{'size': '4.1 x 2.2 cm', 'size_descriptor': 'image'}]anatomical entity_fin: {'perineum': {'location descriptor': 'left'}, 'anus': {}}location descriptor_fin: ['left']clinical findings_fin: {'abscess': {'clinical finding': 'abscess', 'cf_snomed': {'abscess': 128477000}, 'existence': 'pos_dx', 'observation': 'abscess'}}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 intra-abdominal abscess. Abscess pocket in the left perineum measures 4.1 x 2.2 cm image 68/series It possibly connects with the anus. No significant abnormality noted. </s> |
Redemonstrated is an intraparenchymal hematoma at the anterior and inferior aspect of the left frontal lobe associated with a thin subdural hematoma and subarachnoid blood. The patient is status post right sided craniectomy. There is encephalomalacia and surgery of much of the right frontal lobe and anterior aspect of the right temporal lobe as well as a small portion of the right parietal lobe associated with ex-vacuo effect on the adjacent lateral ventricle and midline shift. There is atrophy of the right cerebral peduncle from Wallerian degeneration. There is a hyperdensity at the right subcentral lobule at the margin of encephalomalacia as well as a hyperdensity at lateral aspect the left cerebellar hemisphere. The left tentorial leaf is hyperdense and thick. The visualized portions of the paranasal sinuses are partially opacified. The visualized portions of the mastoid air cells demonstrate scattered opacities. There are old nasal fractures present. The above findings are unchanged in appearance. | anatomical entity_fin: {'left frontal lobe': {}}imaging observation_fin: ['hematoma', 'blood']location descriptor_fin: ['anterior', 'inferior']clinical findings_fin: {'intraparenchymal hematoma': {'clinical finding': 'intraparenchymal hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'pos_dx', 'descriptive_term': 'intraparenchymal', 'observation': 'hematoma'}, 'thin subdural hematoma': {'clinical finding': 'thin subdural hematoma', 'cf_snomed': {'subdural hematoma': 95453001}, 'existence': 'pos_dx', 'descriptive_term': 'thin subdural', 'observation': 'hematoma'}, 'subarachnoid blood': {'clinical finding': 'subarachnoid blood', 'existence': 'pos_dx', 'descriptive_term': 'subarachnoid', 'observation': 'blood'}}location descriptor_fin: ['right']clinical findings_fin: {'status post right sided craniectomy': {'clinical finding': 'status post right sided craniectomy', 'existence': 'pos_dx', 'descriptive_term': 'status post right sided', 'observation': 'craniectomy'}}anatomical entity_fin: {'right frontal lobe': {}, 'right temporal lobe': {}, 'right parietal lobe': {}, 'lateral ventricle': {'location descriptor': 'adjacent'}}location descriptor_fin: ['anterior', 'adjacent', 'midline']clinical findings_fin: {'encephalomalacia': {'clinical finding': 'encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'pos_dx', 'observation': 'encephalomalacia'}, 'ex-vacuo effect': {'clinical finding': 'ex-vacuo effect', 'existence': 'pos_dx', 'descriptive_term': 'ex-vacuo', 'observation': 'effect'}, 'adjacent lateral ventricle and midline shift': {'clinical finding': 'adjacent lateral ventricle and midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'unc_dx', 'descriptive_term': 'adjacent lateral ventricle and midline', 'observation': 'shift'}}anatomical entity_fin: {'right cerebral peduncle': {}}clinical findings_fin: {'atrophy': {'clinical finding': 'atrophy', 'cf_snomed': {'atrophy': 13331008}, 'existence': 'pos_dx', 'observation': 'atrophy'}, 'wallerian degeneration': {'clinical finding': 'wallerian degeneration', 'cf_snomed': {'wallerian degeneration': 36161006}, 'existence': 'pos_dx', 'descriptive_term': 'wallerian', 'observation': 'degeneration'}}anatomical entity_fin: {'lobule': {}}imaging observation_fin: ['margin']location descriptor_fin: ['right', 'lateral', 'left']clinical findings_fin: {'hyperdensity_1': {'clinical finding': 'hyperdensity', 'existence': 'pos_dx', 'observation': 'hyperdensity'}, 'encephalomalacia': {'clinical finding': 'encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'pos_dx', 'observation': 'encephalomalacia'}, 'hyperdensity_2': {'clinical finding': 'hyperdensity', 'existence': 'pos_dx', 'observation': 'hyperdensity'}}location descriptor_fin: ['left']clinical findings_fin: {'hyperdense': {'clinical finding': 'hyperdense', 'existence': 'pos_dx', 'observation': 'hyperdense'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'visualized portions of the paranasal sinuses are partially opacified': {'clinical finding': 'visualized portions of the paranasal sinuses are partially opacified', 'change_term': 'opacified'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'scattered opacities': {'clinical finding': 'scattered opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'unc_dx', 'descriptive_term': 'scattered', 'observation': 'opacity'}}clinical findings_fin: {'old nasal fractures': {'clinical finding': 'old nasal fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'old nasal', 'observation': 'fracture', 'temporal_term': 'old'}}clinical findings_fin: {'above findings are unchanged in appearance': {'clinical finding': 'above findings are unchanged in appearance', 'change_term': 'unchanged'}} | 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: {'left frontal lobe': {}}imaging observation_fin: ['hematoma', 'blood']location descriptor_fin: ['anterior', 'inferior']clinical findings_fin: {'intraparenchymal hematoma': {'clinical finding': 'intraparenchymal hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'pos_dx', 'descriptive_term': 'intraparenchymal', 'observation': 'hematoma'}, 'thin subdural hematoma': {'clinical finding': 'thin subdural hematoma', 'cf_snomed': {'subdural hematoma': 95453001}, 'existence': 'pos_dx', 'descriptive_term': 'thin subdural', 'observation': 'hematoma'}, 'subarachnoid blood': {'clinical finding': 'subarachnoid blood', 'existence': 'pos_dx', 'descriptive_term': 'subarachnoid', 'observation': 'blood'}}location descriptor_fin: ['right']clinical findings_fin: {'status post right sided craniectomy': {'clinical finding': 'status post right sided craniectomy', 'existence': 'pos_dx', 'descriptive_term': 'status post right sided', 'observation': 'craniectomy'}}anatomical entity_fin: {'right frontal lobe': {}, 'right temporal lobe': {}, 'right parietal lobe': {}, 'lateral ventricle': {'location descriptor': 'adjacent'}}location descriptor_fin: ['anterior', 'adjacent', 'midline']clinical findings_fin: {'encephalomalacia': {'clinical finding': 'encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'pos_dx', 'observation': 'encephalomalacia'}, 'ex-vacuo effect': {'clinical finding': 'ex-vacuo effect', 'existence': 'pos_dx', 'descriptive_term': 'ex-vacuo', 'observation': 'effect'}, 'adjacent lateral ventricle and midline shift': {'clinical finding': 'adjacent lateral ventricle and midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'unc_dx', 'descriptive_term': 'adjacent lateral ventricle and midline', 'observation': 'shift'}}anatomical entity_fin: {'right cerebral peduncle': {}}clinical findings_fin: {'atrophy': {'clinical finding': 'atrophy', 'cf_snomed': {'atrophy': 13331008}, 'existence': 'pos_dx', 'observation': 'atrophy'}, 'wallerian degeneration': {'clinical finding': 'wallerian degeneration', 'cf_snomed': {'wallerian degeneration': 36161006}, 'existence': 'pos_dx', 'descriptive_term': 'wallerian', 'observation': 'degeneration'}}anatomical entity_fin: {'lobule': {}}imaging observation_fin: ['margin']location descriptor_fin: ['right', 'lateral', 'left']clinical findings_fin: {'hyperdensity_1': {'clinical finding': 'hyperdensity', 'existence': 'pos_dx', 'observation': 'hyperdensity'}, 'encephalomalacia': {'clinical finding': 'encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'pos_dx', 'observation': 'encephalomalacia'}, 'hyperdensity_2': {'clinical finding': 'hyperdensity', 'existence': 'pos_dx', 'observation': 'hyperdensity'}}location descriptor_fin: ['left']clinical findings_fin: {'hyperdense': {'clinical finding': 'hyperdense', 'existence': 'pos_dx', 'observation': 'hyperdense'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'visualized portions of the paranasal sinuses are partially opacified': {'clinical finding': 'visualized portions of the paranasal sinuses are partially opacified', 'change_term': 'opacified'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'scattered opacities': {'clinical finding': 'scattered opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'unc_dx', 'descriptive_term': 'scattered', 'observation': 'opacity'}}clinical findings_fin: {'old nasal fractures': {'clinical finding': 'old nasal fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'old nasal', 'observation': 'fracture', 'temporal_term': 'old'}}clinical findings_fin: {'above findings are unchanged in appearance': {'clinical finding': 'above findings are unchanged in appearance', 'change_term': 'unchanged'}} [/INST] Redemonstrated is an intraparenchymal hematoma at the anterior and inferior aspect of the left frontal lobe associated with a thin subdural hematoma and subarachnoid blood. The patient is status post right sided craniectomy. There is encephalomalacia and surgery of much of the right frontal lobe and anterior aspect of the right temporal lobe as well as a small portion of the right parietal lobe associated with ex-vacuo effect on the adjacent lateral ventricle and midline shift. There is atrophy of the right cerebral peduncle from Wallerian degeneration. There is a hyperdensity at the right subcentral lobule at the margin of encephalomalacia as well as a hyperdensity at lateral aspect the left cerebellar hemisphere. The left tentorial leaf is hyperdense and thick. The visualized portions of the paranasal sinuses are partially opacified. The visualized portions of the mastoid air cells demonstrate scattered opacities. There are old nasal fractures present. The above findings are unchanged in appearance. </s> |
Right holohemispheric extra-axial, likely subdural hypoattenuating collection measures 5 mm in maximum thickness and matching the attenuation of CSF. No evidence of acute intracranial hemorrhage. There is hypoattenuation in the left orbital gyri and within the frontal operculum without evidence of mass effect. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. Hyperattenuating soft tissue along the right superior sagittal sinus measures 18 mm on sagittal image 27. There is mucosal thickening within both frontal sinuses, a few ethmoid air cells, and the left sphenoid sinus. The mastoid air cells are unremarkable. The skull and extracranial soft tissues are unremarkable. | size_fin: [{'size': '5 mm', 'size_descriptor': 'collection'}]location descriptor_fin: ['right']clinical findings_fin: {'right holohemispheric extra-axial, likely subdural': {'clinical finding': 'right holohemispheric extra-axial, likely subdural', 'existence': 'pos_dx', 'descriptive_term': 'right holohemispheric extra-axial likely', 'observation': 'subdural'}}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'}}anatomical entity_fin: {'frontal operculum': {}}location descriptor_fin: ['left']clinical findings_fin: {'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}}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'}}size_fin: [{'size': '18 mm'}]anatomical entity_fin: {'superior sagittal sinus': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'hyperattenuating soft tissue': {'clinical finding': 'hyperattenuating soft tissue', 'existence': 'pos_dx', 'descriptive_term': 'hyperattenuating soft', 'observation': 'tissue'}}anatomical entity_fin: {'cells': {}, 'sphenoid sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'mucosal thickening': {'clinical finding': 'mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'thickening'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'mastoid air cells are unremarkable': {'clinical finding': 'mastoid air cells are unremarkable'}}anatomical entity_fin: {'skull': {}}clinical findings_fin: {'skull and extracranial soft tissues are unremarkable': {'clinical finding': 'skull and extracranial soft tissues are unremarkable'}} | 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': '5 mm', 'size_descriptor': 'collection'}]location descriptor_fin: ['right']clinical findings_fin: {'right holohemispheric extra-axial, likely subdural': {'clinical finding': 'right holohemispheric extra-axial, likely subdural', 'existence': 'pos_dx', 'descriptive_term': 'right holohemispheric extra-axial likely', 'observation': 'subdural'}}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'}}anatomical entity_fin: {'frontal operculum': {}}location descriptor_fin: ['left']clinical findings_fin: {'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}}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'}}size_fin: [{'size': '18 mm'}]anatomical entity_fin: {'superior sagittal sinus': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'hyperattenuating soft tissue': {'clinical finding': 'hyperattenuating soft tissue', 'existence': 'pos_dx', 'descriptive_term': 'hyperattenuating soft', 'observation': 'tissue'}}anatomical entity_fin: {'cells': {}, 'sphenoid sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'mucosal thickening': {'clinical finding': 'mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'thickening'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'mastoid air cells are unremarkable': {'clinical finding': 'mastoid air cells are unremarkable'}}anatomical entity_fin: {'skull': {}}clinical findings_fin: {'skull and extracranial soft tissues are unremarkable': {'clinical finding': 'skull and extracranial soft tissues are unremarkable'}} [/INST] Right holohemispheric extra-axial, likely subdural hypoattenuating collection measures 5 mm in maximum thickness and matching the attenuation of CSF. No evidence of acute intracranial hemorrhage. There is hypoattenuation in the left orbital gyri and within the frontal operculum without evidence of mass effect. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. Hyperattenuating soft tissue along the right superior sagittal sinus measures 18 mm on sagittal image 27. There is mucosal thickening within both frontal sinuses, a few ethmoid air cells, and the left sphenoid sinus. The mastoid air cells are unremarkable. The skull and extracranial soft tissues are unremarkable. </s> |
Findings related to partial laminectomy at C2 and complete laminectomy at C3 and C4 are redemonstrated. Posterior instrumented fusion has been performed with lateral mass screws affixed to stabilization rods bilaterally from C2 to C4. The instruments appear well-positioned with no significant complications suspected. Minimal periscrew lucency along the left C4 lateral mass screw is unchanged. Reversal of the cervical lordosis is seen similar to prior. Bulky ossification of the posterior longitudinal ligament is seen extending from C2 through C6. Partial vertebral body fusion is also unchanged from C4 through C6. There appears to be some degree of partial left facet fusion at C2-3, perhaps more so than on the prior examination. There also seems to be some partial fusion across the bilateral C4-5 facet joints similar to prior. Multilevel degenerative findings are redemonstrated without significant interval change. C2-3: Posterior disc-osteophyte complex formation and ossification of the posterior longitudinal ligament. Posterior spinal canal decompression. No significant foraminal narrowing. Posterior disc-osteophyte complex formation and ossification of the posterior longitudinal ligament asymmetric to the right. Posterior spinal canal decompression. At least moderate right foraminal narrowing. Posterior disc-osteophyte complex formation and ossification of the posterior longitudinal ligament asymmetric to the right. Posterior spinal canal decompression. No significant foraminal narrowing. Posterior disc-osteophyte complex formation. Mild effacement of the right ventral spinal canal. No significant foraminal narrowing. Posterior disc-osteophyte complex formation. Mild to moderate spinal canal stenosis. Mild to moderate bilateral foraminal narrowing. No significant spinal canal or foraminal stenosis. | clinical findings_fin: {'findings related to partial laminectomy at c2 and complete laminectomy at c3 and c4 are redemonstrated': {'clinical finding': 'findings related to partial laminectomy at c2 and complete laminectomy at c3 and c4 are redemonstrated', 'cf_snomed': {'related': 262094002}}}anatomical entity_fin: {'lateral mass': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'posterior instrumented fusion': {'clinical finding': 'posterior instrumented fusion', 'existence': 'pos_dx', 'descriptive_term': 'posterior instrumented', 'observation': 'fusion'}, 'lateral mass screws': {'clinical finding': 'lateral mass screws', 'existence': 'pos_dx', 'descriptive_term': 'lateral mass', 'observation': 'screw'}, 'stabilization rods': {'clinical finding': 'stabilization rods', 'existence': 'pos_dx', 'descriptive_term': 'stabilization', 'observation': 'rod'}}clinical findings_fin: {'significant complications': {'clinical finding': 'significant complications', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'complication'}}anatomical entity_fin: {'lateral mass': {}}location descriptor_fin: ['left']clinical findings_fin: {'left c4 lateral mass screw': {'clinical finding': 'left c4 lateral mass screw', 'existence': 'pos_dx', 'descriptive_term': 'left c4 lateral mass', 'observation': 'screw'}}imaging observation_fin: ['reversal']clinical findings_fin: {'cervical lordosis': {'clinical finding': 'cervical lordosis', 'existence': 'pos_dx', 'descriptive_term': 'cervical', 'observation': 'lordosis'}}anatomical entity_fin: {'posterior longitudinal ligament': {}}clinical findings_fin: {'bulky ossification': {'clinical finding': 'bulky ossification', 'existence': 'pos_dx', 'descriptive_term': 'bulky', 'observation': 'ossification'}}anatomical entity_fin: {'vertebral body': {}}clinical findings_fin: {'partial vertebral body fusion': {'clinical finding': 'partial vertebral body fusion', 'existence': 'pos_dx', 'descriptive_term': 'partial vertebral body', 'observation': 'fusion', 'strength_term': 'partial'}}anatomical entity_fin: {'facet': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'partial left facet fusion': {'clinical finding': 'partial left facet fusion', 'existence': 'pos_dx', 'descriptive_term': 'partial left facet', 'observation': 'fusion', 'strength_term': 'partial'}}anatomical entity_fin: {'facet': {}, 'joints': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'some partial fusion': {'clinical finding': 'some partial fusion', 'existence': 'pos_dx', 'descriptive_term': 'some partial', 'observation': 'fusion', 'strength_term': 'partial', 'quantity_term': 'some'}}clinical findings_fin: {'multilevel degenerative': {'clinical finding': 'multilevel degenerative', 'existence': 'pos_dx', 'descriptive_term': 'multilevel', 'observation': 'degenerative'}, 'significant interval change': {'clinical finding': 'significant interval change', 'existence': 'neg_dx', 'descriptive_term': 'significant interval', 'observation': 'change'}}anatomical entity_fin: {'posterior longitudinal ligament': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'c2-3: posterior disc-osteophyte': {'clinical finding': 'c2-3: posterior disc-osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'c2-3 posterior', 'observation': 'disc'}, 'ossification': {'clinical finding': 'ossification', 'existence': 'pos_dx', 'observation': 'ossification'}}anatomical entity_fin: {'spinal canal': {'location descriptor': 'posterior'}}location descriptor_fin: ['posterior']clinical findings_fin: {'posterior spinal canal decompression': {'clinical finding': 'posterior spinal canal decompression', 'existence': 'pos_dx', 'descriptive_term': 'posterior spinal canal', 'observation': 'decompression'}}clinical findings_fin: {'significant foraminal narrowing': {'clinical finding': 'significant foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'neg_dx', 'descriptive_term': 'significant foraminal', 'observation': 'narrowing'}}anatomical entity_fin: {'posterior longitudinal ligament': {}}location descriptor_fin: ['posterior', 'right']clinical findings_fin: {'posterior disc-osteophyte': {'clinical finding': 'posterior disc-osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'posterior', 'observation': 'disc'}, 'ossification': {'clinical finding': 'ossification', 'existence': 'pos_dx', 'observation': 'ossification'}}anatomical entity_fin: {'spinal canal': {'location descriptor': 'posterior'}}location descriptor_fin: ['posterior']clinical findings_fin: {'posterior spinal canal decompression': {'clinical finding': 'posterior spinal canal decompression', 'existence': 'pos_dx', 'descriptive_term': 'posterior spinal canal', 'observation': 'decompression'}}location descriptor_fin: ['right']clinical findings_fin: {'at least moderate right foraminal narrowing': {'clinical finding': 'at least moderate right foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'at least moderate right foraminal', 'observation': 'narrowing', 'strength_term': 'moderate'}}anatomical entity_fin: {'posterior longitudinal ligament': {}}location descriptor_fin: ['posterior', 'right']clinical findings_fin: {'posterior disc-osteophyte': {'clinical finding': 'posterior disc-osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'posterior', 'observation': 'disc'}, 'ossification': {'clinical finding': 'ossification', 'existence': 'pos_dx', 'observation': 'ossification'}}anatomical entity_fin: {'spinal canal': {'location descriptor': 'posterior'}}location descriptor_fin: ['posterior']clinical findings_fin: {'posterior spinal canal decompression': {'clinical finding': 'posterior spinal canal decompression', 'existence': 'pos_dx', 'descriptive_term': 'posterior spinal canal', 'observation': 'decompression'}}clinical findings_fin: {'significant foraminal narrowing': {'clinical finding': 'significant foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'neg_dx', 'descriptive_term': 'significant foraminal', 'observation': 'narrowing'}}location descriptor_fin: ['posterior']clinical findings_fin: {'posterior disc-osteophyte': {'clinical finding': 'posterior disc-osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'posterior', 'observation': 'disc'}}anatomical entity_fin: {'spinal canal': {}}location descriptor_fin: ['right']clinical findings_fin: {'mild effacement': {'clinical finding': 'mild effacement', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'effacement', 'strength_term': 'mild'}}clinical findings_fin: {'significant foraminal narrowing': {'clinical finding': 'significant foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'neg_dx', 'descriptive_term': 'significant foraminal', 'observation': 'narrowing'}}location descriptor_fin: ['posterior']clinical findings_fin: {'posterior disc-osteophyte': {'clinical finding': 'posterior disc-osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'posterior', 'observation': 'disc'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'mild to moderate spinal canal stenosis': {'clinical finding': 'mild to moderate spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate spinal canal', 'observation': 'stenosis', 'strength_term': 'mild - moderate'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'mild to moderate bilateral foraminal narrowing': {'clinical finding': 'mild to moderate bilateral foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate bilateral foraminal', 'observation': 'narrowing', 'strength_term': 'mild - moderate'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'spinal canal or foraminal stenosis': {'clinical finding': 'spinal canal or foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'spinal canal or foraminal', 'observation': 'stenosis'}} | 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: {'findings related to partial laminectomy at c2 and complete laminectomy at c3 and c4 are redemonstrated': {'clinical finding': 'findings related to partial laminectomy at c2 and complete laminectomy at c3 and c4 are redemonstrated', 'cf_snomed': {'related': 262094002}}}anatomical entity_fin: {'lateral mass': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'posterior instrumented fusion': {'clinical finding': 'posterior instrumented fusion', 'existence': 'pos_dx', 'descriptive_term': 'posterior instrumented', 'observation': 'fusion'}, 'lateral mass screws': {'clinical finding': 'lateral mass screws', 'existence': 'pos_dx', 'descriptive_term': 'lateral mass', 'observation': 'screw'}, 'stabilization rods': {'clinical finding': 'stabilization rods', 'existence': 'pos_dx', 'descriptive_term': 'stabilization', 'observation': 'rod'}}clinical findings_fin: {'significant complications': {'clinical finding': 'significant complications', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'complication'}}anatomical entity_fin: {'lateral mass': {}}location descriptor_fin: ['left']clinical findings_fin: {'left c4 lateral mass screw': {'clinical finding': 'left c4 lateral mass screw', 'existence': 'pos_dx', 'descriptive_term': 'left c4 lateral mass', 'observation': 'screw'}}imaging observation_fin: ['reversal']clinical findings_fin: {'cervical lordosis': {'clinical finding': 'cervical lordosis', 'existence': 'pos_dx', 'descriptive_term': 'cervical', 'observation': 'lordosis'}}anatomical entity_fin: {'posterior longitudinal ligament': {}}clinical findings_fin: {'bulky ossification': {'clinical finding': 'bulky ossification', 'existence': 'pos_dx', 'descriptive_term': 'bulky', 'observation': 'ossification'}}anatomical entity_fin: {'vertebral body': {}}clinical findings_fin: {'partial vertebral body fusion': {'clinical finding': 'partial vertebral body fusion', 'existence': 'pos_dx', 'descriptive_term': 'partial vertebral body', 'observation': 'fusion', 'strength_term': 'partial'}}anatomical entity_fin: {'facet': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'partial left facet fusion': {'clinical finding': 'partial left facet fusion', 'existence': 'pos_dx', 'descriptive_term': 'partial left facet', 'observation': 'fusion', 'strength_term': 'partial'}}anatomical entity_fin: {'facet': {}, 'joints': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'some partial fusion': {'clinical finding': 'some partial fusion', 'existence': 'pos_dx', 'descriptive_term': 'some partial', 'observation': 'fusion', 'strength_term': 'partial', 'quantity_term': 'some'}}clinical findings_fin: {'multilevel degenerative': {'clinical finding': 'multilevel degenerative', 'existence': 'pos_dx', 'descriptive_term': 'multilevel', 'observation': 'degenerative'}, 'significant interval change': {'clinical finding': 'significant interval change', 'existence': 'neg_dx', 'descriptive_term': 'significant interval', 'observation': 'change'}}anatomical entity_fin: {'posterior longitudinal ligament': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'c2-3: posterior disc-osteophyte': {'clinical finding': 'c2-3: posterior disc-osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'c2-3 posterior', 'observation': 'disc'}, 'ossification': {'clinical finding': 'ossification', 'existence': 'pos_dx', 'observation': 'ossification'}}anatomical entity_fin: {'spinal canal': {'location descriptor': 'posterior'}}location descriptor_fin: ['posterior']clinical findings_fin: {'posterior spinal canal decompression': {'clinical finding': 'posterior spinal canal decompression', 'existence': 'pos_dx', 'descriptive_term': 'posterior spinal canal', 'observation': 'decompression'}}clinical findings_fin: {'significant foraminal narrowing': {'clinical finding': 'significant foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'neg_dx', 'descriptive_term': 'significant foraminal', 'observation': 'narrowing'}}anatomical entity_fin: {'posterior longitudinal ligament': {}}location descriptor_fin: ['posterior', 'right']clinical findings_fin: {'posterior disc-osteophyte': {'clinical finding': 'posterior disc-osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'posterior', 'observation': 'disc'}, 'ossification': {'clinical finding': 'ossification', 'existence': 'pos_dx', 'observation': 'ossification'}}anatomical entity_fin: {'spinal canal': {'location descriptor': 'posterior'}}location descriptor_fin: ['posterior']clinical findings_fin: {'posterior spinal canal decompression': {'clinical finding': 'posterior spinal canal decompression', 'existence': 'pos_dx', 'descriptive_term': 'posterior spinal canal', 'observation': 'decompression'}}location descriptor_fin: ['right']clinical findings_fin: {'at least moderate right foraminal narrowing': {'clinical finding': 'at least moderate right foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'at least moderate right foraminal', 'observation': 'narrowing', 'strength_term': 'moderate'}}anatomical entity_fin: {'posterior longitudinal ligament': {}}location descriptor_fin: ['posterior', 'right']clinical findings_fin: {'posterior disc-osteophyte': {'clinical finding': 'posterior disc-osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'posterior', 'observation': 'disc'}, 'ossification': {'clinical finding': 'ossification', 'existence': 'pos_dx', 'observation': 'ossification'}}anatomical entity_fin: {'spinal canal': {'location descriptor': 'posterior'}}location descriptor_fin: ['posterior']clinical findings_fin: {'posterior spinal canal decompression': {'clinical finding': 'posterior spinal canal decompression', 'existence': 'pos_dx', 'descriptive_term': 'posterior spinal canal', 'observation': 'decompression'}}clinical findings_fin: {'significant foraminal narrowing': {'clinical finding': 'significant foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'neg_dx', 'descriptive_term': 'significant foraminal', 'observation': 'narrowing'}}location descriptor_fin: ['posterior']clinical findings_fin: {'posterior disc-osteophyte': {'clinical finding': 'posterior disc-osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'posterior', 'observation': 'disc'}}anatomical entity_fin: {'spinal canal': {}}location descriptor_fin: ['right']clinical findings_fin: {'mild effacement': {'clinical finding': 'mild effacement', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'effacement', 'strength_term': 'mild'}}clinical findings_fin: {'significant foraminal narrowing': {'clinical finding': 'significant foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'neg_dx', 'descriptive_term': 'significant foraminal', 'observation': 'narrowing'}}location descriptor_fin: ['posterior']clinical findings_fin: {'posterior disc-osteophyte': {'clinical finding': 'posterior disc-osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'posterior', 'observation': 'disc'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'mild to moderate spinal canal stenosis': {'clinical finding': 'mild to moderate spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate spinal canal', 'observation': 'stenosis', 'strength_term': 'mild - moderate'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'mild to moderate bilateral foraminal narrowing': {'clinical finding': 'mild to moderate bilateral foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate bilateral foraminal', 'observation': 'narrowing', 'strength_term': 'mild - moderate'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'spinal canal or foraminal stenosis': {'clinical finding': 'spinal canal or foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'spinal canal or foraminal', 'observation': 'stenosis'}} [/INST] Findings related to partial laminectomy at C2 and complete laminectomy at C3 and C4 are redemonstrated. Posterior instrumented fusion has been performed with lateral mass screws affixed to stabilization rods bilaterally from C2 to C4. The instruments appear well-positioned with no significant complications suspected. Minimal periscrew lucency along the left C4 lateral mass screw is unchanged. Reversal of the cervical lordosis is seen similar to prior. Bulky ossification of the posterior longitudinal ligament is seen extending from C2 through C6. Partial vertebral body fusion is also unchanged from C4 through C6. There appears to be some degree of partial left facet fusion at C2-3, perhaps more so than on the prior examination. There also seems to be some partial fusion across the bilateral C4-5 facet joints similar to prior. Multilevel degenerative findings are redemonstrated without significant interval change. C2-3: Posterior disc-osteophyte complex formation and ossification of the posterior longitudinal ligament. Posterior spinal canal decompression. No significant foraminal narrowing. Posterior disc-osteophyte complex formation and ossification of the posterior longitudinal ligament asymmetric to the right. Posterior spinal canal decompression. At least moderate right foraminal narrowing. Posterior disc-osteophyte complex formation and ossification of the posterior longitudinal ligament asymmetric to the right. Posterior spinal canal decompression. No significant foraminal narrowing. Posterior disc-osteophyte complex formation. Mild effacement of the right ventral spinal canal. No significant foraminal narrowing. Posterior disc-osteophyte complex formation. Mild to moderate spinal canal stenosis. Mild to moderate bilateral foraminal narrowing. No significant spinal canal or foraminal stenosis. </s> |
. No significant abnormality noted. Heterogeneous uterus, discrete right-sided fibroid seen. No significant abnormality noted. No significant abnormality noted. Enlarging rounded sclerotic focus in right iliac bone, measuring 6 x 6 mm on image 38 series 7. Worsening right sacral sclerosis, extending to level of sacroiliac joint space, measures approximately 3.2 x 2.2 cm on image 30 series 7, previously measured 3.1 x 1.6 cm. Mild heterogeneity of bilateral ischial tuberosities, right greater than left. Stable punctate proximal left femoral sclerotic focus, coronal image 48. Mild left-sided loss of height of L5 vertebral body, increased from April 6, 2015 exam, no definite underlying lesion at this level and may be degenerative in etiology but please note that evaluation would be more sensitive with nuclear medicine bone scintigraphy. Incompletely imaged on CT imaging is posterior spinal fixation. New pelvic ascites. | clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'uterus': {}}location descriptor_fin: ['right']clinical findings_fin: {'heterogeneous uterus , discrete right -sided fibroid seen': {'clinical finding': 'heterogeneous uterus , discrete right -sided fibroid 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'}}size_fin: [{'size': '6 x 6 mm'}]location descriptor_fin: ['right']clinical findings_fin: {'rounded sclerotic focus': {'clinical finding': 'rounded sclerotic focus', 'existence': 'pos_dx', 'descriptive_term': 'rounded sclerotic', 'observation': 'focus'}}size_fin: [{'size': '3.2 x 2.2 cm'}, {'size': '3.1 x 1.6 cm'}]anatomical entity_fin: {'sacroiliac joint': {}}location descriptor_fin: ['right']clinical findings_fin: {'worsening right sacral sclerosis': {'clinical finding': 'worsening right sacral sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'descriptive_term': 'worsening right sacral', 'observation': 'sclerosis', 'strength_term': 'worsening', 'change_term': 'worsening'}}anatomical entity_fin: {'ischial tuberosities': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral', 'right', 'left']clinical findings_fin: {'mild heterogeneity of bilateral ischial tuberosities , right greater than left': {'clinical finding': 'mild heterogeneity of bilateral ischial tuberosities , right greater than left', 'change_term': 'greater'}}location descriptor_fin: ['proximal', 'left']clinical findings_fin: {'stable punctate proximal left femoral sclerotic': {'clinical finding': 'stable punctate proximal left femoral sclerotic', 'existence': 'pos_dx', 'descriptive_term': 'stable punctate proximal left femoral', 'observation': 'sclerotic', 'strength_term': 'stable', 'change_term': 'stable'}}anatomical entity_fin: {'l5 vertebral body': {}, 'bone': {}}imaging modality_fin: ['scintigraphy']location descriptor_fin: ['left']clinical findings_fin: {'definite underlying lesion': {'clinical finding': 'definite underlying lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'definite underlying', 'observation': 'lesion'}}location descriptor_fin: ['posterior']clinical findings_fin: {'incompletely imaged on ct imaging': {'clinical finding': 'incompletely imaged on ct imaging'}}clinical findings_fin: {'new pelvic ascites': {'clinical finding': 'new pelvic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'new pelvic', 'observation': 'ascite', 'temporal_term': 'new'}} | 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: {'uterus': {}}location descriptor_fin: ['right']clinical findings_fin: {'heterogeneous uterus , discrete right -sided fibroid seen': {'clinical finding': 'heterogeneous uterus , discrete right -sided fibroid 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'}}size_fin: [{'size': '6 x 6 mm'}]location descriptor_fin: ['right']clinical findings_fin: {'rounded sclerotic focus': {'clinical finding': 'rounded sclerotic focus', 'existence': 'pos_dx', 'descriptive_term': 'rounded sclerotic', 'observation': 'focus'}}size_fin: [{'size': '3.2 x 2.2 cm'}, {'size': '3.1 x 1.6 cm'}]anatomical entity_fin: {'sacroiliac joint': {}}location descriptor_fin: ['right']clinical findings_fin: {'worsening right sacral sclerosis': {'clinical finding': 'worsening right sacral sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'descriptive_term': 'worsening right sacral', 'observation': 'sclerosis', 'strength_term': 'worsening', 'change_term': 'worsening'}}anatomical entity_fin: {'ischial tuberosities': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral', 'right', 'left']clinical findings_fin: {'mild heterogeneity of bilateral ischial tuberosities , right greater than left': {'clinical finding': 'mild heterogeneity of bilateral ischial tuberosities , right greater than left', 'change_term': 'greater'}}location descriptor_fin: ['proximal', 'left']clinical findings_fin: {'stable punctate proximal left femoral sclerotic': {'clinical finding': 'stable punctate proximal left femoral sclerotic', 'existence': 'pos_dx', 'descriptive_term': 'stable punctate proximal left femoral', 'observation': 'sclerotic', 'strength_term': 'stable', 'change_term': 'stable'}}anatomical entity_fin: {'l5 vertebral body': {}, 'bone': {}}imaging modality_fin: ['scintigraphy']location descriptor_fin: ['left']clinical findings_fin: {'definite underlying lesion': {'clinical finding': 'definite underlying lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'definite underlying', 'observation': 'lesion'}}location descriptor_fin: ['posterior']clinical findings_fin: {'incompletely imaged on ct imaging': {'clinical finding': 'incompletely imaged on ct imaging'}}clinical findings_fin: {'new pelvic ascites': {'clinical finding': 'new pelvic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'new pelvic', 'observation': 'ascite', 'temporal_term': 'new'}} [/INST] . No significant abnormality noted. Heterogeneous uterus, discrete right-sided fibroid seen. No significant abnormality noted. No significant abnormality noted. Enlarging rounded sclerotic focus in right iliac bone, measuring 6 x 6 mm on image 38 series 7. Worsening right sacral sclerosis, extending to level of sacroiliac joint space, measures approximately 3.2 x 2.2 cm on image 30 series 7, previously measured 3.1 x 1.6 cm. Mild heterogeneity of bilateral ischial tuberosities, right greater than left. Stable punctate proximal left femoral sclerotic focus, coronal image 48. Mild left-sided loss of height of L5 vertebral body, increased from April 6, 2015 exam, no definite underlying lesion at this level and may be degenerative in etiology but please note that evaluation would be more sensitive with nuclear medicine bone scintigraphy. Incompletely imaged on CT imaging is posterior spinal fixation. New pelvic ascites. </s> |
. Please see separate chest CT report. Low-attenuation lesion within segment 7 of the right lobe of the liver best seen on image 23 of series 7 measuring 1.2 x 0.9 cm. This lesion may have been present on the outside study from 4/27/2015 however the lack of intravenous contrast on the outside study makes comparison difficult. Stable hepatic cysts. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Stable left renal cyst. No significant abnormality noted. Moderate. No significant change in extensive omental or peritoneal tumor. Maximal AP thickness of the omental mass best seen on image 66 of series 7 is 2.1 cm. No significant abnormality noted. No significant abnormality noted. Uterus absent or atrophic. No significant abnormality noted. No significant abnormality noted. Trace ascites. Subtle nodularity throughout the pelvis mesentery worrisome for peritoneal tumor deposits. No significant abnormality noted. No significant abnormality noted | anatomical entity_fin: {'chest': {}}size_fin: [{'size': '1.2 x 0.9 cm', 'size_descriptor': 'lesion'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right'}, 'liver': {}}location descriptor_fin: ['right']clinical findings_fin: {'low-attenuation lesion': {'clinical finding': 'low-attenuation lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'low-attenuation', 'observation': 'lesion'}}clinical findings_fin: {'this lesion': {'clinical finding': 'this lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'descriptive_term': 'this', 'observation': 'lesion'}, 'intravenous contrast': {'clinical finding': 'intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'}}clinical findings_fin: {'stable hepatic cysts': {'clinical finding': 'stable hepatic cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'stable hepatic', 'observation': 'cyst', 'strength_term': 'stable', 'change_term': 'stable'}}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'}}location descriptor_fin: ['left']clinical findings_fin: {'stable left renal cyst': {'clinical finding': 'stable left renal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'stable left renal', 'observation': 'cyst', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}, 'extensive omental or peritoneal tumor': {'clinical finding': 'extensive omental or peritoneal tumor', 'existence': 'neg_dx', 'descriptive_term': 'extensive omental or peritoneal', 'observation': 'tumor', 'strength_term': 'extensive'}}size_fin: [{'size': '2.1 cm', 'size_descriptor': 'thickness'}]clinical findings_fin: {'omental mass': {'clinical finding': 'omental mass', 'existence': 'pos_dx', 'descriptive_term': 'omental', 'observation': 'mass'}}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: {'uterus': {}}clinical findings_fin: {'atrophic': {'clinical finding': 'atrophic', 'existence': 'unc_dx', 'observation': 'atrophic'}}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: {'trace ascites': {'clinical finding': 'trace ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'trace', 'observation': 'ascite'}}anatomical entity_fin: {'pelvis': {}, 'mesentery': {}}clinical findings_fin: {'subtle nodularity': {'clinical finding': 'subtle nodularity', 'existence': 'pos_dx', 'descriptive_term': 'subtle', 'observation': 'nodularity', 'strength_term': 'subtle'}, 'peritoneal tumor': {'clinical finding': 'peritoneal tumor', 'existence': 'unc_dx', 'descriptive_term': 'peritoneal', 'observation': 'tumor'}}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: anatomical entity_fin: {'chest': {}}size_fin: [{'size': '1.2 x 0.9 cm', 'size_descriptor': 'lesion'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right'}, 'liver': {}}location descriptor_fin: ['right']clinical findings_fin: {'low-attenuation lesion': {'clinical finding': 'low-attenuation lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'low-attenuation', 'observation': 'lesion'}}clinical findings_fin: {'this lesion': {'clinical finding': 'this lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'descriptive_term': 'this', 'observation': 'lesion'}, 'intravenous contrast': {'clinical finding': 'intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'}}clinical findings_fin: {'stable hepatic cysts': {'clinical finding': 'stable hepatic cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'stable hepatic', 'observation': 'cyst', 'strength_term': 'stable', 'change_term': 'stable'}}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'}}location descriptor_fin: ['left']clinical findings_fin: {'stable left renal cyst': {'clinical finding': 'stable left renal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'stable left renal', 'observation': 'cyst', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}, 'extensive omental or peritoneal tumor': {'clinical finding': 'extensive omental or peritoneal tumor', 'existence': 'neg_dx', 'descriptive_term': 'extensive omental or peritoneal', 'observation': 'tumor', 'strength_term': 'extensive'}}size_fin: [{'size': '2.1 cm', 'size_descriptor': 'thickness'}]clinical findings_fin: {'omental mass': {'clinical finding': 'omental mass', 'existence': 'pos_dx', 'descriptive_term': 'omental', 'observation': 'mass'}}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: {'uterus': {}}clinical findings_fin: {'atrophic': {'clinical finding': 'atrophic', 'existence': 'unc_dx', 'observation': 'atrophic'}}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: {'trace ascites': {'clinical finding': 'trace ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'trace', 'observation': 'ascite'}}anatomical entity_fin: {'pelvis': {}, 'mesentery': {}}clinical findings_fin: {'subtle nodularity': {'clinical finding': 'subtle nodularity', 'existence': 'pos_dx', 'descriptive_term': 'subtle', 'observation': 'nodularity', 'strength_term': 'subtle'}, 'peritoneal tumor': {'clinical finding': 'peritoneal tumor', 'existence': 'unc_dx', 'descriptive_term': 'peritoneal', 'observation': 'tumor'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Please see separate chest CT report. Low-attenuation lesion within segment 7 of the right lobe of the liver best seen on image 23 of series 7 measuring 1.2 x 0.9 cm. This lesion may have been present on the outside study from 4/27/2015 however the lack of intravenous contrast on the outside study makes comparison difficult. Stable hepatic cysts. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Stable left renal cyst. No significant abnormality noted. Moderate. No significant change in extensive omental or peritoneal tumor. Maximal AP thickness of the omental mass best seen on image 66 of series 7 is 2.1 cm. No significant abnormality noted. No significant abnormality noted. Uterus absent or atrophic. No significant abnormality noted. No significant abnormality noted. Trace ascites. Subtle nodularity throughout the pelvis mesentery worrisome for peritoneal tumor deposits. No significant abnormality noted. No significant abnormality noted </s> |
. Tracheostomy tube tip directed towards the right mainstem bronchus. Tracheomalacia is present. Bilateral confluent upper lobe airspace consolidation. Atelectasis and bronchiectasis is noted at the bases. No pleural effusion. No pneumothorax. Numerous prominent and enlarged lymph nodes. Moderate cardiomegaly with small pericardial effusion. None. No significant lymphadenopathy. No suspicious osseous lesions. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Enteric tube tip is in the stomach. | anatomical entity_fin: {'bronchus': {}}location descriptor_fin: ['right']object_fin: ['tracheostomy tube']clinical findings_fin: {'tracheostomy tube': {'clinical finding': 'tracheostomy tube', 'existence': 'pos_dx', 'descriptive_term': 'tracheostomy', 'observation': 'tube'}}clinical findings_fin: {'tracheomalacia': {'clinical finding': 'tracheomalacia', 'cf_snomed': {'tracheomalacia': 95434006}, 'existence': 'pos_dx', 'observation': 'tracheomalacia'}}anatomical entity_fin: {'lobe': {'location descriptor': 'upper'}, 'airspace': {}}location descriptor_fin: ['bilateral', 'upper']clinical findings_fin: {'bilateral confluent upper lobe airspace consolidation': {'clinical finding': 'bilateral confluent upper lobe airspace consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral confluent upper lobe airspace', 'observation': 'consolidation'}}anatomical entity_fin: {'bases': {}}clinical findings_fin: {'atelectasis': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'observation': 'atelectasis'}, 'bronchiectasis': {'clinical finding': 'bronchiectasis', 'cf_snomed': {'bronchiectasis': 12295008}, 'existence': 'pos_dx', 'observation': 'bronchiectasis'}}clinical findings_fin: {'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}clinical findings_fin: {'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}}clinical findings_fin: {'numerous prominent and enlarged lymph nodes': {'clinical finding': 'numerous prominent and enlarged lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'numerous prominent and enlarged lymph', 'observation': 'node', 'strength_term': 'prominent - enlarged', 'quantity_term': 'numerous', 'change_term': 'enlarged'}}clinical findings_fin: {'moderate cardiomegaly': {'clinical finding': 'moderate cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'cardiomegaly', 'strength_term': 'moderate'}, 'small pericardial effusion': {'clinical finding': 'small pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'small pericardial', 'observation': 'effusion', 'strength_term': 'small'}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'suspicious osseous lesions': {'clinical finding': 'suspicious osseous lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious osseous', 'observation': 'lesion'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'stomach': {}}object_fin: ['tube'] | 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: ['tracheostomy tube']clinical findings_fin: {'tracheostomy tube': {'clinical finding': 'tracheostomy tube', 'existence': 'pos_dx', 'descriptive_term': 'tracheostomy', 'observation': 'tube'}}clinical findings_fin: {'tracheomalacia': {'clinical finding': 'tracheomalacia', 'cf_snomed': {'tracheomalacia': 95434006}, 'existence': 'pos_dx', 'observation': 'tracheomalacia'}}anatomical entity_fin: {'lobe': {'location descriptor': 'upper'}, 'airspace': {}}location descriptor_fin: ['bilateral', 'upper']clinical findings_fin: {'bilateral confluent upper lobe airspace consolidation': {'clinical finding': 'bilateral confluent upper lobe airspace consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral confluent upper lobe airspace', 'observation': 'consolidation'}}anatomical entity_fin: {'bases': {}}clinical findings_fin: {'atelectasis': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'observation': 'atelectasis'}, 'bronchiectasis': {'clinical finding': 'bronchiectasis', 'cf_snomed': {'bronchiectasis': 12295008}, 'existence': 'pos_dx', 'observation': 'bronchiectasis'}}clinical findings_fin: {'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}clinical findings_fin: {'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}}clinical findings_fin: {'numerous prominent and enlarged lymph nodes': {'clinical finding': 'numerous prominent and enlarged lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'numerous prominent and enlarged lymph', 'observation': 'node', 'strength_term': 'prominent - enlarged', 'quantity_term': 'numerous', 'change_term': 'enlarged'}}clinical findings_fin: {'moderate cardiomegaly': {'clinical finding': 'moderate cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'cardiomegaly', 'strength_term': 'moderate'}, 'small pericardial effusion': {'clinical finding': 'small pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'small pericardial', 'observation': 'effusion', 'strength_term': 'small'}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'suspicious osseous lesions': {'clinical finding': 'suspicious osseous lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious osseous', 'observation': 'lesion'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'stomach': {}}object_fin: ['tube'] [/INST] . Tracheostomy tube tip directed towards the right mainstem bronchus. Tracheomalacia is present. Bilateral confluent upper lobe airspace consolidation. Atelectasis and bronchiectasis is noted at the bases. No pleural effusion. No pneumothorax. Numerous prominent and enlarged lymph nodes. Moderate cardiomegaly with small pericardial effusion. None. No significant lymphadenopathy. No suspicious osseous lesions. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Enteric tube tip is in the stomach. </s> |
. Biapical pleural nodularity or scarring. No significant abnormality noted. None. No significant abnormality noted. Cholelithiasis, no secondary signs of acute cholecystitis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Stable right renal small hypodensity, most likely a cyst. No significant abnormality noted. None. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. | clinical findings_fin: {'biapical pleural nodularity': {'clinical finding': 'biapical pleural nodularity', 'existence': 'unc_dx', 'descriptive_term': 'biapical pleural', 'observation': 'nodularity'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'}}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: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'neg_dx', 'observation': 'cholelithiasis'}, 'acute cholecystitis': {'clinical finding': 'acute cholecystitis', 'cf_snomed': {'acute cholecystitis': 65275009}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'cholecystitis', 'strength_term': 'acute', 'temporal_term': 'acute'}}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'}}location descriptor_fin: ['right']clinical findings_fin: {'stable right renal small hypodensity': {'clinical finding': 'stable right renal small hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'stable right renal small', 'observation': 'hypodensity', 'strength_term': 'stable - small', 'change_term': 'stable'}, 'most likely a cyst': {'clinical finding': 'most likely a cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'most likely a', 'observation': 'cyst', 'quantity_term': 'most'}}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'}} | 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: {'biapical pleural nodularity': {'clinical finding': 'biapical pleural nodularity', 'existence': 'unc_dx', 'descriptive_term': 'biapical pleural', 'observation': 'nodularity'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'}}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: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'neg_dx', 'observation': 'cholelithiasis'}, 'acute cholecystitis': {'clinical finding': 'acute cholecystitis', 'cf_snomed': {'acute cholecystitis': 65275009}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'cholecystitis', 'strength_term': 'acute', 'temporal_term': 'acute'}}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'}}location descriptor_fin: ['right']clinical findings_fin: {'stable right renal small hypodensity': {'clinical finding': 'stable right renal small hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'stable right renal small', 'observation': 'hypodensity', 'strength_term': 'stable - small', 'change_term': 'stable'}, 'most likely a cyst': {'clinical finding': 'most likely a cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'most likely a', 'observation': 'cyst', 'quantity_term': 'most'}}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'}} [/INST] . Biapical pleural nodularity or scarring. No significant abnormality noted. None. No significant abnormality noted. Cholelithiasis, no secondary signs of acute cholecystitis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Stable right renal small hypodensity, most likely a cyst. No significant abnormality noted. None. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. </s> |
. Central airways are patent. No pneumothorax. Small left pleural effusion overlying subsegmental atelectasis. Bilateral diffuse groundglass opacities with mild sparing in the anterior lungs, progressed since the prior exam. Unchanged stippled calcifications in bilateral upper lobes compatible with metastatic calcification from patients underlying renal failure. There is persistent bronchial wall thickening and intralobular septal thickening primarily at the lung bases. Focal areas of air trapping are noted at lung bases. Suture material in the right upper lobe from prior wedge resection. Relative hypoattenuation of the blood pool is suggestive of anemia. Mild cardiomegaly without pericardial effusion. Scattered subcentimeter mediastinal and hilar lymph nodes, some of which are of higher CT attenuation than soft tissue. Unchanged reference precarinal lymph node measuring 10 mm. Right internal jugular central venous catheter tip is in the right atrium. Severe. Coronary artery stent is again noted. Sclerotic focus in the right sixth rib is unchanged. Multiple chest wall collaterals are again noted. No significant axillary, subpectoral, internal mammary, cardiophrenic, or retrocrural lymphadenopathy. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Increased attenuation of the liver may reflect hemosiderin deposition. | anatomical entity_fin: {'airways': {'location descriptor': 'central'}}location descriptor_fin: ['central']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}}location descriptor_fin: ['left', 'subsegmental']clinical findings_fin: {'small left pleural effusion': {'clinical finding': 'small left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'small left pleural', 'observation': 'effusion', 'strength_term': 'small'}, 'subsegmental atelectasis': {'clinical finding': 'subsegmental atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'subsegmental', 'observation': 'atelectasis'}}anatomical entity_fin: {'lungs': {'location descriptor': 'anterior'}}location descriptor_fin: ['bilateral', 'anterior']clinical findings_fin: {'bilateral diffuse groundglass opacities': {'clinical finding': 'bilateral diffuse groundglass opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral diffuse groundglass', 'observation': 'opacity'}}anatomical entity_fin: {'lobes': {'location descriptor': 'bilateral upper'}}location descriptor_fin: ['bilateral', 'upper']clinical findings_fin: {'unchanged stippled calcifications': {'clinical finding': 'unchanged stippled calcifications', 'existence': 'pos_dx', 'descriptive_term': 'unchanged stippled', 'observation': 'calcification', 'strength_term': 'unchanged', 'change_term': 'unchanged'}, 'metastatic calcification': {'clinical finding': 'metastatic calcification', 'cf_snomed': {'metastatic calcification': 309760004}, 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'calcification'}, 'renal failure': {'clinical finding': 'renal failure', 'cf_snomed': {'failure': 76797004}, 'existence': 'pos_dx', 'descriptive_term': 'renal', 'observation': 'failure'}}anatomical entity_fin: {'lung': {}, 'bases': {}}clinical findings_fin: {'persistent bronchial wall thickening': {'clinical finding': 'persistent bronchial wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'persistent bronchial wall', 'observation': 'thickening', 'temporal_term': 'persistent'}, 'intralobular septal thickening': {'clinical finding': 'intralobular septal thickening', 'existence': 'pos_dx', 'descriptive_term': 'intralobular septal', 'observation': 'thickening'}}anatomical entity_fin: {'lung': {}, 'bases': {}}clinical findings_fin: {'air trapping': {'clinical finding': 'air trapping', 'cf_snomed': {'air trapping': 76171001}, 'existence': 'pos_dx', 'descriptive_term': 'air', 'observation': 'trapping'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}imaging observation_fin: ['wedge']location descriptor_fin: ['right', 'upper']object_fin: ['suture']imaging observation_fin: ['blood']clinical findings_fin: {'relative hypoattenuation': {'clinical finding': 'relative hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'relative', 'observation': 'hypoattenuation'}, 'anemia': {'clinical finding': 'anemia', 'cf_snomed': {'anemia': 271737000}, 'existence': 'unc_dx', 'observation': 'anemia'}}clinical findings_fin: {'mild cardiomegaly': {'clinical finding': 'mild cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'cardiomegaly', 'strength_term': 'mild'}, 'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}clinical findings_fin: {'scattered subcentimeter mediastinal and hilar lymph nodes': {'clinical finding': 'scattered subcentimeter mediastinal and hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered subcentimeter mediastinal and hilar lymph', 'observation': 'node'}}size_fin: [{'size': '10 mm', 'size_descriptor': 'node'}]clinical findings_fin: {'unchanged reference precarinal lymph node': {'clinical finding': 'unchanged reference precarinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'unchanged reference precarinal lymph', 'observation': 'node', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}anatomical entity_fin: {'right atrium': {}}location descriptor_fin: ['right']object_fin: ['central venous catheter']clinical findings_fin: {'right internal jugular central venous catheter': {'clinical finding': 'right internal jugular central venous catheter', 'existence': 'pos_dx', 'descriptive_term': 'right internal jugular central venous', 'observation': 'catheter'}}anatomical entity_fin: {'coronary artery': {}}clinical findings_fin: {'coronary artery stent': {'clinical finding': 'coronary artery stent', 'existence': 'pos_dx', 'descriptive_term': 'coronary artery', 'observation': 'stent'}}anatomical entity_fin: {'rib': {}}location descriptor_fin: ['right']clinical findings_fin: {'sclerotic focus': {'clinical finding': 'sclerotic focus', 'existence': 'pos_dx', 'descriptive_term': 'sclerotic', 'observation': 'focus'}}anatomical entity_fin: {'chest wall': {}}clinical findings_fin: {'multiple chest wall collaterals': {'clinical finding': 'multiple chest wall collaterals', 'existence': 'pos_dx', 'descriptive_term': 'multiple chest wall', 'observation': 'collateral', 'quantity_term': 'multiple'}}clinical findings_fin: {'significant axillary, subpectoral, internal mammary, cardiophrenic, or retrocrural lymphadenopathy': {'clinical finding': 'significant axillary, subpectoral, internal mammary, cardiophrenic, or retrocrural lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant axillary subpectoral internal mammary cardiophrenic or retrocrural', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'increased attenuation': {'clinical finding': 'increased attenuation', 'existence': 'pos_dx', 'descriptive_term': 'increased', 'observation': 'attenuation', 'strength_term': 'increased', 'change_term': 'increased'}, 'hemosiderin deposition': {'clinical finding': 'hemosiderin deposition', 'cf_snomed': {'deposition': 46595003}, 'existence': 'pos_dx', 'descriptive_term': 'hemosiderin', 'observation': 'deposition'}} | 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: {'airways': {'location descriptor': 'central'}}location descriptor_fin: ['central']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}}location descriptor_fin: ['left', 'subsegmental']clinical findings_fin: {'small left pleural effusion': {'clinical finding': 'small left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'small left pleural', 'observation': 'effusion', 'strength_term': 'small'}, 'subsegmental atelectasis': {'clinical finding': 'subsegmental atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'subsegmental', 'observation': 'atelectasis'}}anatomical entity_fin: {'lungs': {'location descriptor': 'anterior'}}location descriptor_fin: ['bilateral', 'anterior']clinical findings_fin: {'bilateral diffuse groundglass opacities': {'clinical finding': 'bilateral diffuse groundglass opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral diffuse groundglass', 'observation': 'opacity'}}anatomical entity_fin: {'lobes': {'location descriptor': 'bilateral upper'}}location descriptor_fin: ['bilateral', 'upper']clinical findings_fin: {'unchanged stippled calcifications': {'clinical finding': 'unchanged stippled calcifications', 'existence': 'pos_dx', 'descriptive_term': 'unchanged stippled', 'observation': 'calcification', 'strength_term': 'unchanged', 'change_term': 'unchanged'}, 'metastatic calcification': {'clinical finding': 'metastatic calcification', 'cf_snomed': {'metastatic calcification': 309760004}, 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'calcification'}, 'renal failure': {'clinical finding': 'renal failure', 'cf_snomed': {'failure': 76797004}, 'existence': 'pos_dx', 'descriptive_term': 'renal', 'observation': 'failure'}}anatomical entity_fin: {'lung': {}, 'bases': {}}clinical findings_fin: {'persistent bronchial wall thickening': {'clinical finding': 'persistent bronchial wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'persistent bronchial wall', 'observation': 'thickening', 'temporal_term': 'persistent'}, 'intralobular septal thickening': {'clinical finding': 'intralobular septal thickening', 'existence': 'pos_dx', 'descriptive_term': 'intralobular septal', 'observation': 'thickening'}}anatomical entity_fin: {'lung': {}, 'bases': {}}clinical findings_fin: {'air trapping': {'clinical finding': 'air trapping', 'cf_snomed': {'air trapping': 76171001}, 'existence': 'pos_dx', 'descriptive_term': 'air', 'observation': 'trapping'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}imaging observation_fin: ['wedge']location descriptor_fin: ['right', 'upper']object_fin: ['suture']imaging observation_fin: ['blood']clinical findings_fin: {'relative hypoattenuation': {'clinical finding': 'relative hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'relative', 'observation': 'hypoattenuation'}, 'anemia': {'clinical finding': 'anemia', 'cf_snomed': {'anemia': 271737000}, 'existence': 'unc_dx', 'observation': 'anemia'}}clinical findings_fin: {'mild cardiomegaly': {'clinical finding': 'mild cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'cardiomegaly', 'strength_term': 'mild'}, 'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}clinical findings_fin: {'scattered subcentimeter mediastinal and hilar lymph nodes': {'clinical finding': 'scattered subcentimeter mediastinal and hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered subcentimeter mediastinal and hilar lymph', 'observation': 'node'}}size_fin: [{'size': '10 mm', 'size_descriptor': 'node'}]clinical findings_fin: {'unchanged reference precarinal lymph node': {'clinical finding': 'unchanged reference precarinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'unchanged reference precarinal lymph', 'observation': 'node', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}anatomical entity_fin: {'right atrium': {}}location descriptor_fin: ['right']object_fin: ['central venous catheter']clinical findings_fin: {'right internal jugular central venous catheter': {'clinical finding': 'right internal jugular central venous catheter', 'existence': 'pos_dx', 'descriptive_term': 'right internal jugular central venous', 'observation': 'catheter'}}anatomical entity_fin: {'coronary artery': {}}clinical findings_fin: {'coronary artery stent': {'clinical finding': 'coronary artery stent', 'existence': 'pos_dx', 'descriptive_term': 'coronary artery', 'observation': 'stent'}}anatomical entity_fin: {'rib': {}}location descriptor_fin: ['right']clinical findings_fin: {'sclerotic focus': {'clinical finding': 'sclerotic focus', 'existence': 'pos_dx', 'descriptive_term': 'sclerotic', 'observation': 'focus'}}anatomical entity_fin: {'chest wall': {}}clinical findings_fin: {'multiple chest wall collaterals': {'clinical finding': 'multiple chest wall collaterals', 'existence': 'pos_dx', 'descriptive_term': 'multiple chest wall', 'observation': 'collateral', 'quantity_term': 'multiple'}}clinical findings_fin: {'significant axillary, subpectoral, internal mammary, cardiophrenic, or retrocrural lymphadenopathy': {'clinical finding': 'significant axillary, subpectoral, internal mammary, cardiophrenic, or retrocrural lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant axillary subpectoral internal mammary cardiophrenic or retrocrural', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'increased attenuation': {'clinical finding': 'increased attenuation', 'existence': 'pos_dx', 'descriptive_term': 'increased', 'observation': 'attenuation', 'strength_term': 'increased', 'change_term': 'increased'}, 'hemosiderin deposition': {'clinical finding': 'hemosiderin deposition', 'cf_snomed': {'deposition': 46595003}, 'existence': 'pos_dx', 'descriptive_term': 'hemosiderin', 'observation': 'deposition'}} [/INST] . Central airways are patent. No pneumothorax. Small left pleural effusion overlying subsegmental atelectasis. Bilateral diffuse groundglass opacities with mild sparing in the anterior lungs, progressed since the prior exam. Unchanged stippled calcifications in bilateral upper lobes compatible with metastatic calcification from patients underlying renal failure. There is persistent bronchial wall thickening and intralobular septal thickening primarily at the lung bases. Focal areas of air trapping are noted at lung bases. Suture material in the right upper lobe from prior wedge resection. Relative hypoattenuation of the blood pool is suggestive of anemia. Mild cardiomegaly without pericardial effusion. Scattered subcentimeter mediastinal and hilar lymph nodes, some of which are of higher CT attenuation than soft tissue. Unchanged reference precarinal lymph node measuring 10 mm. Right internal jugular central venous catheter tip is in the right atrium. Severe. Coronary artery stent is again noted. Sclerotic focus in the right sixth rib is unchanged. Multiple chest wall collaterals are again noted. No significant axillary, subpectoral, internal mammary, cardiophrenic, or retrocrural lymphadenopathy. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Increased attenuation of the liver may reflect hemosiderin deposition. </s> |
The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. There is a small chronic left cerebellar stroke. There is no abnormal enhancement. There is no extraaxial fluid collection. The visualized portions of the paranasal sinuses and mastoids or middle ears are grossly clear. There are no osseous abnormalities. | clinical findings_fin: {'ventricles and sulci are within normal limits': {'clinical finding': 'ventricles and sulci are within normal limits'}}location descriptor_fin: ['midline']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}location descriptor_fin: ['left']clinical findings_fin: {'small chronic left cerebellar stroke': {'clinical finding': 'small chronic left cerebellar stroke', 'cf_snomed': {'cerebellar stroke': 16371781000119100}, 'existence': 'pos_dx', 'descriptive_term': 'small chronic left cerebellar', 'observation': 'stroke', 'strength_term': 'small', 'temporal_term': 'chronic'}}clinical findings_fin: {'abnormal enhancement': {'clinical finding': 'abnormal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement'}}clinical findings_fin: {'extraaxial fluid collection': {'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'}}anatomical entity_fin: {'paranasal sinuses': {}, 'middle ears': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}clinical findings_fin: {'osseous abnormalities': {'clinical finding': 'osseous abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'osseous', '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: {'ventricles and sulci are within normal limits': {'clinical finding': 'ventricles and sulci are within normal limits'}}location descriptor_fin: ['midline']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}location descriptor_fin: ['left']clinical findings_fin: {'small chronic left cerebellar stroke': {'clinical finding': 'small chronic left cerebellar stroke', 'cf_snomed': {'cerebellar stroke': 16371781000119100}, 'existence': 'pos_dx', 'descriptive_term': 'small chronic left cerebellar', 'observation': 'stroke', 'strength_term': 'small', 'temporal_term': 'chronic'}}clinical findings_fin: {'abnormal enhancement': {'clinical finding': 'abnormal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement'}}clinical findings_fin: {'extraaxial fluid collection': {'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'}}anatomical entity_fin: {'paranasal sinuses': {}, 'middle ears': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}clinical findings_fin: {'osseous abnormalities': {'clinical finding': 'osseous abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'osseous', 'observation': 'abnormality'}} [/INST] The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. There is a small chronic left cerebellar stroke. There is no abnormal enhancement. There is no extraaxial fluid collection. The visualized portions of the paranasal sinuses and mastoids or middle ears are grossly clear. There are no osseous abnormalities. </s> |
Comparing to prior scan, the amount of acute SAH appears to be slightly decreased. Remained SAH are more likely located on the left middle cerebellar peduncle and cerebellar hemisphere especially posterior aspect. There is also contrast materials seen posterior aspect of the vermis which could represent stagnant occipital sinus. The 4th ventricle appears to be slightly prominent comparing to prior scan. However, other ventricular system including bilateral lateral ventricle and 3rd ventricle appear to be stable. No change of multiple nBCA casts since prior scan. No evidence of acute ischemic lesion. No evidence of parenchymal hemorrhage. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear. | clinical findings_fin: {'acute sah': {'clinical finding': 'acute sah', 'existence': 'pos_dx', 'descriptive_term': 'acute', 'observation': 'sah', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'decreased': {'clinical finding': 'decreased', 'existence': 'pos_dx', 'observation': 'decrease'}}anatomical entity_fin: {'left middle cerebellar peduncle': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'remained sah': {'clinical finding': 'remained sah', 'existence': 'unc_dx', 'descriptive_term': 'remained', 'observation': 'sah'}}anatomical entity_fin: {'occipital sinus': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'contrast materials': {'clinical finding': 'contrast materials', 'existence': 'pos_dx', 'descriptive_term': 'contrast', 'observation': 'material'}, 'stagnant occipital sinus': {'clinical finding': 'stagnant occipital sinus', 'cf_snomed': {'sinus': 419351001}, 'existence': 'unc_dx', 'descriptive_term': 'stagnant occipital', 'observation': 'sinus'}}clinical findings_fin: {'prominent': {'clinical finding': 'prominent', 'existence': 'pos_dx', 'observation': 'prominent'}}anatomical entity_fin: {'lateral ventricle': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'stable': {'clinical finding': 'stable', 'existence': 'pos_dx', 'observation': 'stable'}}clinical findings_fin: {'change': {'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change'}, 'multiple nbca casts': {'clinical finding': 'multiple nbca casts', 'existence': 'neg_dx', 'descriptive_term': 'multiple nbca', 'observation': 'cast', 'quantity_term': 'multiple'}}clinical findings_fin: {'acute ischemic lesion': {'clinical finding': 'acute ischemic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'acute ischemic', 'observation': 'lesion', 'strength_term': 'acute', 'temporal_term': 'acute'}}clinical findings_fin: {'parenchymal hemorrhage': {'clinical finding': 'parenchymal hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'neg_dx', 'descriptive_term': 'parenchymal', 'observation': 'hemorrhage'}}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: {'acute sah': {'clinical finding': 'acute sah', 'existence': 'pos_dx', 'descriptive_term': 'acute', 'observation': 'sah', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'decreased': {'clinical finding': 'decreased', 'existence': 'pos_dx', 'observation': 'decrease'}}anatomical entity_fin: {'left middle cerebellar peduncle': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'remained sah': {'clinical finding': 'remained sah', 'existence': 'unc_dx', 'descriptive_term': 'remained', 'observation': 'sah'}}anatomical entity_fin: {'occipital sinus': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'contrast materials': {'clinical finding': 'contrast materials', 'existence': 'pos_dx', 'descriptive_term': 'contrast', 'observation': 'material'}, 'stagnant occipital sinus': {'clinical finding': 'stagnant occipital sinus', 'cf_snomed': {'sinus': 419351001}, 'existence': 'unc_dx', 'descriptive_term': 'stagnant occipital', 'observation': 'sinus'}}clinical findings_fin: {'prominent': {'clinical finding': 'prominent', 'existence': 'pos_dx', 'observation': 'prominent'}}anatomical entity_fin: {'lateral ventricle': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'stable': {'clinical finding': 'stable', 'existence': 'pos_dx', 'observation': 'stable'}}clinical findings_fin: {'change': {'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change'}, 'multiple nbca casts': {'clinical finding': 'multiple nbca casts', 'existence': 'neg_dx', 'descriptive_term': 'multiple nbca', 'observation': 'cast', 'quantity_term': 'multiple'}}clinical findings_fin: {'acute ischemic lesion': {'clinical finding': 'acute ischemic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'acute ischemic', 'observation': 'lesion', 'strength_term': 'acute', 'temporal_term': 'acute'}}clinical findings_fin: {'parenchymal hemorrhage': {'clinical finding': 'parenchymal hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'neg_dx', 'descriptive_term': 'parenchymal', 'observation': 'hemorrhage'}}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] Comparing to prior scan, the amount of acute SAH appears to be slightly decreased. Remained SAH are more likely located on the left middle cerebellar peduncle and cerebellar hemisphere especially posterior aspect. There is also contrast materials seen posterior aspect of the vermis which could represent stagnant occipital sinus. The 4th ventricle appears to be slightly prominent comparing to prior scan. However, other ventricular system including bilateral lateral ventricle and 3rd ventricle appear to be stable. No change of multiple nBCA casts since prior scan. No evidence of acute ischemic lesion. No evidence of parenchymal hemorrhage. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear. </s> |
. Bilateral pleural effusions, right greater than left. No suspicious pulmonary nodules or masses. Status post cholecystectomy. Mild biliary ductal dilatation, likely postoperative in etiology. Portal and hepatic veins appear patent. Several nonspecific hypodense foci in the spleen are again seen with the previously described referenced lesion again measuring 1.5 cm. No significant abnormality noted. No significant abnormality noted. Nonobstructing right renal calculus, unchanged. A subcentimeter hypodensity in the left renal cortex appears similar to the prior. No significant abnormality noted. Mild. Midline abdominal wall defect is again seen now with multiple loops of bowel protruding through it, with no evidence of obstruction or incarceration. No significant abnormality noted. Bilateral abdominal fluid collections are again seen with percutaneous drains positioned in both. The collection in the right hemiabdomen measures 17.3 x 5.2 cm , previously 18.9 x 4.7 cm. This collection extends along the subhepatic space. This collection contains a small amount of contrast in a dependent position which is likely from the patients recent IR drain placement. There is no definite evidence of communication between this fluid collection and the bowel. The collection in the left hemiabdomen measures 6.9 x 2.9 cm , previously 17.9 x 9.9 cm. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted | location descriptor_fin: ['bilateral', 'right', 'left']clinical findings_fin: {'bilateral pleural effusions': {'clinical finding': 'bilateral pleural effusions', 'cf_snomed': {'bilateral pleural effusion': 425802001}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral pleural', 'observation': 'effusion'}}clinical findings_fin: {'suspicious pulmonary nodules': {'clinical finding': 'suspicious pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}procedure_fin: ['cholecystectomy']clinical findings_fin: {'mild biliary ductal dilatation': {'clinical finding': 'mild biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'pos_dx', 'descriptive_term': 'mild biliary ductal', 'observation': 'dilatation', 'strength_term': 'mild'}}anatomical entity_fin: {'hepatic veins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}size_fin: [{'size': '1.5 cm'}]anatomical entity_fin: {'spleen': {}}imaging observation_fin: ['foci']clinical findings_fin: {'several nonspecific hypodense foci': {'clinical finding': 'several nonspecific hypodense foci', 'existence': 'pos_dx', 'descriptive_term': 'several nonspecific hypodense', 'observation': 'foci', 'quantity_term': 'several'}, 'previously described referenced lesion': {'clinical finding': 'previously described referenced lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'previously described referenced', 'observation': 'lesion'}}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'}}location descriptor_fin: ['right']clinical findings_fin: {'right renal calculus': {'clinical finding': 'right renal calculus', 'cf_snomed': {'calculus': 56381008}, 'existence': 'pos_dx', 'descriptive_term': 'right renal', 'observation': 'calculus'}}anatomical entity_fin: {'cortex': {}}location descriptor_fin: ['left']clinical findings_fin: {'subcentimeter hypodensity': {'clinical finding': 'subcentimeter hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter', 'observation': 'hypodensity'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {'location descriptor': 'midline'}, 'wall': {}, 'bowel': {}}location descriptor_fin: ['midline']clinical findings_fin: {'midline abdominal wall defect': {'clinical finding': 'midline abdominal wall defect', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'descriptive_term': 'midline abdominal wall', 'observation': 'defect'}, 'multiple loops': {'clinical finding': 'multiple loops', 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'loop', 'quantity_term': 'multiple'}, 'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}, 'incarceration': {'clinical finding': 'incarceration', 'existence': 'neg_dx', 'observation': 'incarceration'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {'location descriptor': 'bilateral'}, 'fluid': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'again seen with percutaneous drains positioned': {'clinical finding': 'again seen with percutaneous drains positioned'}}size_fin: [{'size': '17.3 x 5.2 cm'}, {'size': '18.9 x 4.7 cm'}]location descriptor_fin: ['right']anatomical entity_fin: {'subhepatic space': {}}clinical findings_fin: {'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'communication': {'clinical finding': 'communication', 'existence': 'neg_dx', 'observation': 'communication'}, 'this fluid collection': {'clinical finding': 'this fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'this fluid', 'observation': 'collection'}}size_fin: [{'size': '6.9 x 2.9 cm'}, {'size': '17.9 x 9.9 cm'}]location descriptor_fin: ['left']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'}} | 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: ['bilateral', 'right', 'left']clinical findings_fin: {'bilateral pleural effusions': {'clinical finding': 'bilateral pleural effusions', 'cf_snomed': {'bilateral pleural effusion': 425802001}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral pleural', 'observation': 'effusion'}}clinical findings_fin: {'suspicious pulmonary nodules': {'clinical finding': 'suspicious pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}procedure_fin: ['cholecystectomy']clinical findings_fin: {'mild biliary ductal dilatation': {'clinical finding': 'mild biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'pos_dx', 'descriptive_term': 'mild biliary ductal', 'observation': 'dilatation', 'strength_term': 'mild'}}anatomical entity_fin: {'hepatic veins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}size_fin: [{'size': '1.5 cm'}]anatomical entity_fin: {'spleen': {}}imaging observation_fin: ['foci']clinical findings_fin: {'several nonspecific hypodense foci': {'clinical finding': 'several nonspecific hypodense foci', 'existence': 'pos_dx', 'descriptive_term': 'several nonspecific hypodense', 'observation': 'foci', 'quantity_term': 'several'}, 'previously described referenced lesion': {'clinical finding': 'previously described referenced lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'previously described referenced', 'observation': 'lesion'}}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'}}location descriptor_fin: ['right']clinical findings_fin: {'right renal calculus': {'clinical finding': 'right renal calculus', 'cf_snomed': {'calculus': 56381008}, 'existence': 'pos_dx', 'descriptive_term': 'right renal', 'observation': 'calculus'}}anatomical entity_fin: {'cortex': {}}location descriptor_fin: ['left']clinical findings_fin: {'subcentimeter hypodensity': {'clinical finding': 'subcentimeter hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter', 'observation': 'hypodensity'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {'location descriptor': 'midline'}, 'wall': {}, 'bowel': {}}location descriptor_fin: ['midline']clinical findings_fin: {'midline abdominal wall defect': {'clinical finding': 'midline abdominal wall defect', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'descriptive_term': 'midline abdominal wall', 'observation': 'defect'}, 'multiple loops': {'clinical finding': 'multiple loops', 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'loop', 'quantity_term': 'multiple'}, 'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}, 'incarceration': {'clinical finding': 'incarceration', 'existence': 'neg_dx', 'observation': 'incarceration'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {'location descriptor': 'bilateral'}, 'fluid': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'again seen with percutaneous drains positioned': {'clinical finding': 'again seen with percutaneous drains positioned'}}size_fin: [{'size': '17.3 x 5.2 cm'}, {'size': '18.9 x 4.7 cm'}]location descriptor_fin: ['right']anatomical entity_fin: {'subhepatic space': {}}clinical findings_fin: {'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'communication': {'clinical finding': 'communication', 'existence': 'neg_dx', 'observation': 'communication'}, 'this fluid collection': {'clinical finding': 'this fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'this fluid', 'observation': 'collection'}}size_fin: [{'size': '6.9 x 2.9 cm'}, {'size': '17.9 x 9.9 cm'}]location descriptor_fin: ['left']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'}} [/INST] . Bilateral pleural effusions, right greater than left. No suspicious pulmonary nodules or masses. Status post cholecystectomy. Mild biliary ductal dilatation, likely postoperative in etiology. Portal and hepatic veins appear patent. Several nonspecific hypodense foci in the spleen are again seen with the previously described referenced lesion again measuring 1.5 cm. No significant abnormality noted. No significant abnormality noted. Nonobstructing right renal calculus, unchanged. A subcentimeter hypodensity in the left renal cortex appears similar to the prior. No significant abnormality noted. Mild. Midline abdominal wall defect is again seen now with multiple loops of bowel protruding through it, with no evidence of obstruction or incarceration. No significant abnormality noted. Bilateral abdominal fluid collections are again seen with percutaneous drains positioned in both. The collection in the right hemiabdomen measures 17.3 x 5.2 cm , previously 18.9 x 4.7 cm. This collection extends along the subhepatic space. This collection contains a small amount of contrast in a dependent position which is likely from the patients recent IR drain placement. There is no definite evidence of communication between this fluid collection and the bowel. The collection in the left hemiabdomen measures 6.9 x 2.9 cm , previously 17.9 x 9.9 cm. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted </s> |
. Increasing subpleural reticulations and subpleural thickening at the upper lobes, right worse than left. Multiple subcentimeter pulmonary nodules. Reference right lower lobe pulmonary nodule measures 4 x 4 mm on image 52/series 4 previously, 4 x 2 mm. The left lower lobe pulmonary nodule has resolved. Heart size is normal. No pericardial effusion. There are multiple mediastinal lymph nodes. Reference precarinal lymph node measures 1.5 x 1.0 cm previously, 1.4 x 1.0 cm. Referenced right hilar lymph node measures 2.0 x 1.2 cm previously, 1.6 x 1.0 cm. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Pancreatic duct is normal in caliber. Mild dilatation of the common bile duct. Right adrenal gland mass measures 4.0 x 3.9 cm previously, 3.5 x 3.3 cm. The more inferior adrenal lesion measures 2.9 x 2.1 cm previously, 3.2 x 2.1 cm. Left adrenal gland mass measures 4.2 x 2.8 cm previously, 4.2 x 2.5 cm. Status post left nephrectomy. Right kidney has a simple cyst at the lower pole. Calcific arteriosclerotic disease affects the aorta. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Destructive right acetabular lesion measures 5.7 x 4.5 cm previously, 6.1 x 4.5 cm. No significant abnormality noted | anatomical entity_fin: {'lobes': {'location descriptor': 'upper'}}imaging observation_fin: ['reticulations']location descriptor_fin: ['upper', 'right', 'left']clinical findings_fin: {'increasing subpleural reticulations': {'clinical finding': 'increasing subpleural reticulations', 'existence': 'pos_dx', 'descriptive_term': 'increasing subpleural', 'observation': 'reticulation', 'strength_term': 'increasing', 'change_term': 'increasing'}, 'subpleural thickening': {'clinical finding': 'subpleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'subpleural', 'observation': 'thickening'}}clinical findings_fin: {'multiple subcentimeter pulmonary nodules': {'clinical finding': 'multiple subcentimeter pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'multiple subcentimeter pulmonary', 'observation': 'nodule', 'quantity_term': 'multiple'}}size_fin: [{'size': '4 x 4 mm'}, {'size': '4 x 2 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'reference right lower lobe pulmonary nodule': {'clinical finding': 'reference right lower lobe pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right lower lobe pulmonary', 'observation': 'nodule'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'left lower lobe pulmonary nodule': {'clinical finding': 'left lower lobe pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'left lower lobe pulmonary', 'observation': 'nodule'}}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'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'multiple mediastinal lymph nodes': {'clinical finding': 'multiple mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple mediastinal lymph', 'observation': 'node', 'quantity_term': 'multiple'}}size_fin: [{'size': '1.5 x 1.0 cm'}, {'size': '1.4 x 1.0 cm'}]clinical findings_fin: {'reference precarinal lymph node': {'clinical finding': 'reference precarinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference precarinal lymph', 'observation': 'node'}}size_fin: [{'size': '2.0 x 1.2 cm'}, {'size': '1.6 x 1.0 cm'}]location descriptor_fin: ['right']clinical findings_fin: {'referenced right hilar lymph node': {'clinical finding': 'referenced right hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'referenced right hilar lymph', 'observation': 'node'}}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: {'pancreatic duct': {}}clinical findings_fin: {'pancreatic duct is normal in caliber': {'clinical finding': 'pancreatic duct is normal in caliber'}}anatomical entity_fin: {'common bile duct': {}}clinical findings_fin: {'mild dilatation of the common bile duct': {'clinical finding': 'mild dilatation of the common bile duct', 'cf_snomed': {'dilatation': 25322007}}}size_fin: [{'size': '4.0 x 3.9 cm'}, {'size': '3.5 x 3.3 cm'}]anatomical entity_fin: {'right adrenal gland': {}}clinical findings_fin: {'right adrenal gland mass': {'clinical finding': 'right adrenal gland mass', 'existence': 'pos_dx', 'descriptive_term': 'right adrenal gland', 'observation': 'mass'}}size_fin: [{'size': '2.9 x 2.1 cm'}, {'size': '3.2 x 2.1 cm'}]location descriptor_fin: ['inferior']clinical findings_fin: {'more inferior adrenal lesion': {'clinical finding': 'more inferior adrenal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'more inferior adrenal', 'observation': 'lesion', 'quantity_term': 'more'}}size_fin: [{'size': '4.2 x 2.8 cm'}, {'size': '4.2 x 2.5 cm'}]anatomical entity_fin: {'left adrenal gland': {}}clinical findings_fin: {'left adrenal gland mass': {'clinical finding': 'left adrenal gland mass', 'existence': 'pos_dx', 'descriptive_term': 'left adrenal gland', 'observation': 'mass'}}location descriptor_fin: ['left']procedure_fin: ['nephrectomy']anatomical entity_fin: {'right kidney': {}, 'pole': {'location descriptor': 'lower'}}location descriptor_fin: ['lower']clinical findings_fin: {'simple cyst': {'clinical finding': 'simple cyst', 'cf_snomed': {'simple cyst': 367644007}, 'existence': 'pos_dx', 'descriptive_term': 'simple', 'observation': 'cyst'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'calcific arteriosclerotic disease': {'clinical finding': 'calcific arteriosclerotic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'calcific arteriosclerotic', 'observation': 'disease'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}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': '5.7 x 4.5 cm'}, {'size': '6.1 x 4.5 cm'}]location descriptor_fin: ['right']clinical findings_fin: {'destructive right acetabular lesion': {'clinical finding': 'destructive right acetabular lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'destructive right acetabular', 'observation': 'lesion'}}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: anatomical entity_fin: {'lobes': {'location descriptor': 'upper'}}imaging observation_fin: ['reticulations']location descriptor_fin: ['upper', 'right', 'left']clinical findings_fin: {'increasing subpleural reticulations': {'clinical finding': 'increasing subpleural reticulations', 'existence': 'pos_dx', 'descriptive_term': 'increasing subpleural', 'observation': 'reticulation', 'strength_term': 'increasing', 'change_term': 'increasing'}, 'subpleural thickening': {'clinical finding': 'subpleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'subpleural', 'observation': 'thickening'}}clinical findings_fin: {'multiple subcentimeter pulmonary nodules': {'clinical finding': 'multiple subcentimeter pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'multiple subcentimeter pulmonary', 'observation': 'nodule', 'quantity_term': 'multiple'}}size_fin: [{'size': '4 x 4 mm'}, {'size': '4 x 2 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'reference right lower lobe pulmonary nodule': {'clinical finding': 'reference right lower lobe pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right lower lobe pulmonary', 'observation': 'nodule'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'left lower lobe pulmonary nodule': {'clinical finding': 'left lower lobe pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'left lower lobe pulmonary', 'observation': 'nodule'}}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'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'multiple mediastinal lymph nodes': {'clinical finding': 'multiple mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple mediastinal lymph', 'observation': 'node', 'quantity_term': 'multiple'}}size_fin: [{'size': '1.5 x 1.0 cm'}, {'size': '1.4 x 1.0 cm'}]clinical findings_fin: {'reference precarinal lymph node': {'clinical finding': 'reference precarinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference precarinal lymph', 'observation': 'node'}}size_fin: [{'size': '2.0 x 1.2 cm'}, {'size': '1.6 x 1.0 cm'}]location descriptor_fin: ['right']clinical findings_fin: {'referenced right hilar lymph node': {'clinical finding': 'referenced right hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'referenced right hilar lymph', 'observation': 'node'}}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: {'pancreatic duct': {}}clinical findings_fin: {'pancreatic duct is normal in caliber': {'clinical finding': 'pancreatic duct is normal in caliber'}}anatomical entity_fin: {'common bile duct': {}}clinical findings_fin: {'mild dilatation of the common bile duct': {'clinical finding': 'mild dilatation of the common bile duct', 'cf_snomed': {'dilatation': 25322007}}}size_fin: [{'size': '4.0 x 3.9 cm'}, {'size': '3.5 x 3.3 cm'}]anatomical entity_fin: {'right adrenal gland': {}}clinical findings_fin: {'right adrenal gland mass': {'clinical finding': 'right adrenal gland mass', 'existence': 'pos_dx', 'descriptive_term': 'right adrenal gland', 'observation': 'mass'}}size_fin: [{'size': '2.9 x 2.1 cm'}, {'size': '3.2 x 2.1 cm'}]location descriptor_fin: ['inferior']clinical findings_fin: {'more inferior adrenal lesion': {'clinical finding': 'more inferior adrenal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'more inferior adrenal', 'observation': 'lesion', 'quantity_term': 'more'}}size_fin: [{'size': '4.2 x 2.8 cm'}, {'size': '4.2 x 2.5 cm'}]anatomical entity_fin: {'left adrenal gland': {}}clinical findings_fin: {'left adrenal gland mass': {'clinical finding': 'left adrenal gland mass', 'existence': 'pos_dx', 'descriptive_term': 'left adrenal gland', 'observation': 'mass'}}location descriptor_fin: ['left']procedure_fin: ['nephrectomy']anatomical entity_fin: {'right kidney': {}, 'pole': {'location descriptor': 'lower'}}location descriptor_fin: ['lower']clinical findings_fin: {'simple cyst': {'clinical finding': 'simple cyst', 'cf_snomed': {'simple cyst': 367644007}, 'existence': 'pos_dx', 'descriptive_term': 'simple', 'observation': 'cyst'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'calcific arteriosclerotic disease': {'clinical finding': 'calcific arteriosclerotic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'calcific arteriosclerotic', 'observation': 'disease'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}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': '5.7 x 4.5 cm'}, {'size': '6.1 x 4.5 cm'}]location descriptor_fin: ['right']clinical findings_fin: {'destructive right acetabular lesion': {'clinical finding': 'destructive right acetabular lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'destructive right acetabular', 'observation': 'lesion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Increasing subpleural reticulations and subpleural thickening at the upper lobes, right worse than left. Multiple subcentimeter pulmonary nodules. Reference right lower lobe pulmonary nodule measures 4 x 4 mm on image 52/series 4 previously, 4 x 2 mm. The left lower lobe pulmonary nodule has resolved. Heart size is normal. No pericardial effusion. There are multiple mediastinal lymph nodes. Reference precarinal lymph node measures 1.5 x 1.0 cm previously, 1.4 x 1.0 cm. Referenced right hilar lymph node measures 2.0 x 1.2 cm previously, 1.6 x 1.0 cm. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Pancreatic duct is normal in caliber. Mild dilatation of the common bile duct. Right adrenal gland mass measures 4.0 x 3.9 cm previously, 3.5 x 3.3 cm. The more inferior adrenal lesion measures 2.9 x 2.1 cm previously, 3.2 x 2.1 cm. Left adrenal gland mass measures 4.2 x 2.8 cm previously, 4.2 x 2.5 cm. Status post left nephrectomy. Right kidney has a simple cyst at the lower pole. Calcific arteriosclerotic disease affects the aorta. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Destructive right acetabular lesion measures 5.7 x 4.5 cm previously, 6.1 x 4.5 cm. No significant abnormality noted </s> |
. Multiple low density masses in the right lung consistent with metastases. Reference right paramediastinal or apica lesionl , 5.9 x 8.0 cm, increased from 5.3 x 7.5 cm previously. Right lower lobe reference lesion 5.6 x 4.5 cm, minimally increased from 5.5 x 4.2 cm previously. Reference lesion adjacent to the IVC 4.1 x 3.9 cm, slightly increased from 3.8 x 3.3 cm previously. Moderately enlarged mediastinal lymph nodes. Reference lower right paratracheal node 8 mm in short axis, slightly increased from 6 mm previously. Subcarinal lymph node 18 mm in short axis, not significantly changed when using comparable measurement parameters. Reference right hilar lymph node 14 mm in short axis, slightly increased from 12 mm previously. No pericardial effusion. None. Postsurgical abnormalities in the right anterior chest wall. Absence of enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. | anatomical entity_fin: {'right lung': {}}clinical findings_fin: {'multiple low density masses': {'clinical finding': 'multiple low density masses', 'existence': 'pos_dx', 'descriptive_term': 'multiple low density', 'observation': 'mass', 'quantity_term': 'multiple'}, 'metastases': {'clinical finding': 'metastases', 'existence': 'pos_dx', 'observation': 'metastase'}}size_fin: [{'size': '5.9 x 8.0 cm'}, {'size': '5.3 x 7.5 cm'}]location descriptor_fin: ['right']clinical findings_fin: {'reference right paramediastinal or apica lesionl': {'clinical finding': 'reference right paramediastinal or apica lesionl', 'existence': 'pos_dx', 'descriptive_term': 'reference right paramediastinal or apica', 'observation': 'lesionl'}}size_fin: [{'size': '5.6 x 4.5 cm'}, {'size': '5.5 x 4.2 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'right lower lobe reference lesion': {'clinical finding': 'right lower lobe reference lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right lower lobe reference', 'observation': 'lesion'}}size_fin: [{'size': '4.1 x 3.9 cm'}, {'size': '3.8 x 3.3 cm'}]location descriptor_fin: ['adjacent']clinical findings_fin: {'reference lesion': {'clinical finding': 'reference lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference', 'observation': 'lesion'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'moderately enlarged mediastinal lymph nodes': {'clinical finding': 'moderately enlarged mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'moderately enlarged mediastinal lymph', 'observation': 'node', 'strength_term': 'moderately - enlarged', 'change_term': 'enlarged'}}size_fin: [{'size': '8 mm'}, {'size': '6 mm'}]anatomical entity_fin: {'axis': {}}location descriptor_fin: ['lower', 'right']clinical findings_fin: {'reference lower right paratracheal node': {'clinical finding': 'reference lower right paratracheal node', 'existence': 'pos_dx', 'descriptive_term': 'reference lower right paratracheal', 'observation': 'node'}}size_fin: [{'size': '18 mm', 'size_descriptor': 'node'}]anatomical entity_fin: {'subcarinal lymph node': {}, 'axis': {}}clinical findings_fin: {'subcarinal lymph node': {'clinical finding': 'subcarinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'subcarinal lymph', 'observation': 'node'}, 'changed': {'clinical finding': 'changed', 'existence': 'neg_dx', 'observation': 'change'}}size_fin: [{'size': '14 mm'}, {'size': '12 mm'}]anatomical entity_fin: {'axis': {}}location descriptor_fin: ['right']clinical findings_fin: {'reference right hilar lymph node': {'clinical finding': 'reference right hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference right hilar lymph', 'observation': 'node'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'anterior chest wall': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'postsurgical abnormalities': {'clinical finding': 'postsurgical abnormalities', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}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: anatomical entity_fin: {'right lung': {}}clinical findings_fin: {'multiple low density masses': {'clinical finding': 'multiple low density masses', 'existence': 'pos_dx', 'descriptive_term': 'multiple low density', 'observation': 'mass', 'quantity_term': 'multiple'}, 'metastases': {'clinical finding': 'metastases', 'existence': 'pos_dx', 'observation': 'metastase'}}size_fin: [{'size': '5.9 x 8.0 cm'}, {'size': '5.3 x 7.5 cm'}]location descriptor_fin: ['right']clinical findings_fin: {'reference right paramediastinal or apica lesionl': {'clinical finding': 'reference right paramediastinal or apica lesionl', 'existence': 'pos_dx', 'descriptive_term': 'reference right paramediastinal or apica', 'observation': 'lesionl'}}size_fin: [{'size': '5.6 x 4.5 cm'}, {'size': '5.5 x 4.2 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'right lower lobe reference lesion': {'clinical finding': 'right lower lobe reference lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right lower lobe reference', 'observation': 'lesion'}}size_fin: [{'size': '4.1 x 3.9 cm'}, {'size': '3.8 x 3.3 cm'}]location descriptor_fin: ['adjacent']clinical findings_fin: {'reference lesion': {'clinical finding': 'reference lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference', 'observation': 'lesion'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'moderately enlarged mediastinal lymph nodes': {'clinical finding': 'moderately enlarged mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'moderately enlarged mediastinal lymph', 'observation': 'node', 'strength_term': 'moderately - enlarged', 'change_term': 'enlarged'}}size_fin: [{'size': '8 mm'}, {'size': '6 mm'}]anatomical entity_fin: {'axis': {}}location descriptor_fin: ['lower', 'right']clinical findings_fin: {'reference lower right paratracheal node': {'clinical finding': 'reference lower right paratracheal node', 'existence': 'pos_dx', 'descriptive_term': 'reference lower right paratracheal', 'observation': 'node'}}size_fin: [{'size': '18 mm', 'size_descriptor': 'node'}]anatomical entity_fin: {'subcarinal lymph node': {}, 'axis': {}}clinical findings_fin: {'subcarinal lymph node': {'clinical finding': 'subcarinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'subcarinal lymph', 'observation': 'node'}, 'changed': {'clinical finding': 'changed', 'existence': 'neg_dx', 'observation': 'change'}}size_fin: [{'size': '14 mm'}, {'size': '12 mm'}]anatomical entity_fin: {'axis': {}}location descriptor_fin: ['right']clinical findings_fin: {'reference right hilar lymph node': {'clinical finding': 'reference right hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference right hilar lymph', 'observation': 'node'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'anterior chest wall': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'postsurgical abnormalities': {'clinical finding': 'postsurgical abnormalities', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Multiple low density masses in the right lung consistent with metastases. Reference right paramediastinal or apica lesionl , 5.9 x 8.0 cm, increased from 5.3 x 7.5 cm previously. Right lower lobe reference lesion 5.6 x 4.5 cm, minimally increased from 5.5 x 4.2 cm previously. Reference lesion adjacent to the IVC 4.1 x 3.9 cm, slightly increased from 3.8 x 3.3 cm previously. Moderately enlarged mediastinal lymph nodes. Reference lower right paratracheal node 8 mm in short axis, slightly increased from 6 mm previously. Subcarinal lymph node 18 mm in short axis, not significantly changed when using comparable measurement parameters. Reference right hilar lymph node 14 mm in short axis, slightly increased from 12 mm previously. No pericardial effusion. None. Postsurgical abnormalities in the right anterior chest wall. Absence of enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. </s> |
. Unchanged moderate diffuse but largely upper lobe predominant centrilobular emphysema. Scattered stable calcified and noncalcified micronodules without suspicious superimposed new nodules or masses. No effusions. Unchanged lymphadenopathy. Reference lesions include right hilar 1.9 cm lymph node or conglomerate mass and the 1.2 cm subcarinal lymph nodes. Unchanged. Cardiac and pericardium are within limits of an moderate coronary calcificationsSmall hiatal hernia. Moderate. Scattered degenerative changes without suspicious new lytic or blastic lesions observed. Absence of enteric contrast material limits sensitivity for abdominal pathology. Cholelithiasis without additional hepatic abnormality. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. Scattered degenerative changes unchanged. No significant abnormality noted. | anatomical entity_fin: {'lobe': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'unchanged moderate diffuse but largely upper lobe predominant centrilobular emphysema': {'clinical finding': 'unchanged moderate diffuse but largely upper lobe predominant centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged moderate diffuse but largely upper lobe predominant centrilobular', 'observation': 'emphysema', 'strength_term': 'unchanged - moderate', 'change_term': 'unchanged'}}clinical findings_fin: {'stable calcified and noncalcified micronodules': {'clinical finding': 'stable calcified and noncalcified micronodules', 'existence': 'pos_dx', 'descriptive_term': 'stable calcified and noncalcified', 'observation': 'micronodule', 'strength_term': 'stable', 'change_term': 'stable - calcified'}, 'suspicious superimposed new nodules': {'clinical finding': 'suspicious superimposed new nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious superimposed new', 'observation': 'nodule', 'temporal_term': 'new'}, 'masses': {'clinical finding': 'masses', 'existence': 'unc_dx', 'observation': 'mass'}}clinical findings_fin: {'effusions': {'clinical finding': 'effusions', 'cf_snomed': {'effusion': 41699000}, 'existence': 'neg_dx', 'observation': 'effusion'}}clinical findings_fin: {'unchanged lymphadenopathy': {'clinical finding': 'unchanged lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged', 'observation': 'lymphadenopathy', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}size_fin: [{'size': '1.9 cm', 'size_descriptor': 'node'}, {'size': '1.2 cm', 'size_descriptor': 'nodes'}]anatomical entity_fin: {'subcarinal lymph nodes': {}}location descriptor_fin: ['right']clinical findings_fin: {'reference lesions': {'clinical finding': 'reference lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference', 'observation': 'lesion'}, 'right hilar 1.9 cm lymph node or conglomerate mass': {'clinical finding': 'right hilar 1.9 cm lymph node or conglomerate mass', 'existence': 'pos_dx', 'descriptive_term': 'right hilar 1 9 cm lymph node or conglomerate', 'observation': 'mass'}, '1.2 cm subcarinal lymph nodes': {'clinical finding': '1.2 cm subcarinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': '1 2 cm subcarinal lymph', 'observation': 'node'}}anatomical entity_fin: {'pericardium': {}}clinical findings_fin: {'moderate coronary calcificationssmall hiatal hernia': {'clinical finding': 'moderate coronary calcificationssmall hiatal hernia', 'cf_snomed': {'hiatal hernia': 84089009}, 'existence': 'pos_dx', 'descriptive_term': 'moderate coronary calcificationssmall hiatal', 'observation': 'hernia', 'strength_term': 'moderate'}}clinical findings_fin: {'scattered degenerative changes': {'clinical finding': 'scattered degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'scattered degenerative', 'observation': 'change'}, 'suspicious new lytic or blastic lesions': {'clinical finding': 'suspicious new lytic or blastic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious new lytic or blastic', 'observation': 'lesion', 'temporal_term': 'new'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'}, 'additional hepatic abnormality': {'clinical finding': 'additional hepatic abnormality', 'existence': 'neg_dx', 'descriptive_term': 'additional hepatic', '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: {'gross abnormalities': {'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'}}clinical findings_fin: {'scattered degenerative changes': {'clinical finding': 'scattered degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'scattered degenerative', 'observation': 'change'}}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: anatomical entity_fin: {'lobe': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'unchanged moderate diffuse but largely upper lobe predominant centrilobular emphysema': {'clinical finding': 'unchanged moderate diffuse but largely upper lobe predominant centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged moderate diffuse but largely upper lobe predominant centrilobular', 'observation': 'emphysema', 'strength_term': 'unchanged - moderate', 'change_term': 'unchanged'}}clinical findings_fin: {'stable calcified and noncalcified micronodules': {'clinical finding': 'stable calcified and noncalcified micronodules', 'existence': 'pos_dx', 'descriptive_term': 'stable calcified and noncalcified', 'observation': 'micronodule', 'strength_term': 'stable', 'change_term': 'stable - calcified'}, 'suspicious superimposed new nodules': {'clinical finding': 'suspicious superimposed new nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious superimposed new', 'observation': 'nodule', 'temporal_term': 'new'}, 'masses': {'clinical finding': 'masses', 'existence': 'unc_dx', 'observation': 'mass'}}clinical findings_fin: {'effusions': {'clinical finding': 'effusions', 'cf_snomed': {'effusion': 41699000}, 'existence': 'neg_dx', 'observation': 'effusion'}}clinical findings_fin: {'unchanged lymphadenopathy': {'clinical finding': 'unchanged lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged', 'observation': 'lymphadenopathy', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}size_fin: [{'size': '1.9 cm', 'size_descriptor': 'node'}, {'size': '1.2 cm', 'size_descriptor': 'nodes'}]anatomical entity_fin: {'subcarinal lymph nodes': {}}location descriptor_fin: ['right']clinical findings_fin: {'reference lesions': {'clinical finding': 'reference lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference', 'observation': 'lesion'}, 'right hilar 1.9 cm lymph node or conglomerate mass': {'clinical finding': 'right hilar 1.9 cm lymph node or conglomerate mass', 'existence': 'pos_dx', 'descriptive_term': 'right hilar 1 9 cm lymph node or conglomerate', 'observation': 'mass'}, '1.2 cm subcarinal lymph nodes': {'clinical finding': '1.2 cm subcarinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': '1 2 cm subcarinal lymph', 'observation': 'node'}}anatomical entity_fin: {'pericardium': {}}clinical findings_fin: {'moderate coronary calcificationssmall hiatal hernia': {'clinical finding': 'moderate coronary calcificationssmall hiatal hernia', 'cf_snomed': {'hiatal hernia': 84089009}, 'existence': 'pos_dx', 'descriptive_term': 'moderate coronary calcificationssmall hiatal', 'observation': 'hernia', 'strength_term': 'moderate'}}clinical findings_fin: {'scattered degenerative changes': {'clinical finding': 'scattered degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'scattered degenerative', 'observation': 'change'}, 'suspicious new lytic or blastic lesions': {'clinical finding': 'suspicious new lytic or blastic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious new lytic or blastic', 'observation': 'lesion', 'temporal_term': 'new'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'}, 'additional hepatic abnormality': {'clinical finding': 'additional hepatic abnormality', 'existence': 'neg_dx', 'descriptive_term': 'additional hepatic', '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: {'gross abnormalities': {'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'}}clinical findings_fin: {'scattered degenerative changes': {'clinical finding': 'scattered degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'scattered degenerative', 'observation': 'change'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Unchanged moderate diffuse but largely upper lobe predominant centrilobular emphysema. Scattered stable calcified and noncalcified micronodules without suspicious superimposed new nodules or masses. No effusions. Unchanged lymphadenopathy. Reference lesions include right hilar 1.9 cm lymph node or conglomerate mass and the 1.2 cm subcarinal lymph nodes. Unchanged. Cardiac and pericardium are within limits of an moderate coronary calcificationsSmall hiatal hernia. Moderate. Scattered degenerative changes without suspicious new lytic or blastic lesions observed. Absence of enteric contrast material limits sensitivity for abdominal pathology. Cholelithiasis without additional hepatic abnormality. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. Scattered degenerative changes unchanged. No significant abnormality noted. </s> |
There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles and sulci are unchanged in size and configuration. There is no midline shift or herniation. There is left phthisis bulbi and intraocular silicone oil. There is mucosal thickening of the sphenoid sinus opacification of the bilateral mastoid air cells. | 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': 'neg_dx', 'observation': 'intact'}}clinical findings_fin: {'ventricles and sulci are unchanged in size and configuration': {'clinical finding': 'ventricles and sulci are unchanged in size and configuration', 'change_term': 'unchanged'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}location descriptor_fin: ['left']clinical findings_fin: {'left phthisis bulbi': {'clinical finding': 'left phthisis bulbi', 'cf_snomed': {'phthisis bulbi': 111510002}, 'existence': 'pos_dx', 'descriptive_term': 'left phthisis', 'observation': 'bulbi'}, 'intraocular silicone oil': {'clinical finding': 'intraocular silicone oil', 'existence': 'pos_dx', 'descriptive_term': 'intraocular silicone', 'observation': 'oil'}}anatomical entity_fin: {'sphenoid sinus': {}, 'mastoid air cells': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'mucosal thickening': {'clinical finding': 'mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'thickening'}, 'sphenoid sinus opacification': {'clinical finding': 'sphenoid sinus opacification', 'cf_snomed': {'sinus': 419351001}, 'existence': 'pos_dx', 'descriptive_term': 'sphenoid sinus', 'observation': 'opacification'}} | 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 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': 'neg_dx', 'observation': 'intact'}}clinical findings_fin: {'ventricles and sulci are unchanged in size and configuration': {'clinical finding': 'ventricles and sulci are unchanged in size and configuration', 'change_term': 'unchanged'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}location descriptor_fin: ['left']clinical findings_fin: {'left phthisis bulbi': {'clinical finding': 'left phthisis bulbi', 'cf_snomed': {'phthisis bulbi': 111510002}, 'existence': 'pos_dx', 'descriptive_term': 'left phthisis', 'observation': 'bulbi'}, 'intraocular silicone oil': {'clinical finding': 'intraocular silicone oil', 'existence': 'pos_dx', 'descriptive_term': 'intraocular silicone', 'observation': 'oil'}}anatomical entity_fin: {'sphenoid sinus': {}, 'mastoid air cells': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'mucosal thickening': {'clinical finding': 'mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'thickening'}, 'sphenoid sinus opacification': {'clinical finding': 'sphenoid sinus opacification', 'cf_snomed': {'sinus': 419351001}, 'existence': 'pos_dx', 'descriptive_term': 'sphenoid sinus', 'observation': 'opacification'}} [/INST] There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles and sulci are unchanged in size and configuration. There is no midline shift or herniation. There is left phthisis bulbi and intraocular silicone oil. There is mucosal thickening of the sphenoid sinus opacification of the bilateral mastoid air cells. </s> |
. No significant abnormality noted. Stable aneurysmal dilatation of ascending aorta, measuring 4.1 cm. Stable 2 x 1.5 cm prevascular soft tissue hypoattenuation, image 57 series 3, may reflect residual thymic tissue but underlying adenopathy a consideration and continued follow-up recommended. Additional subcentimeter mediastinal and hilar lymph nodes present. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Unchanged subcentimeter hypoattenuating renal lesions, too small to characterize but most likely cysts. Mild asymmetric prominence of left intrarenal collecting system with 4 mm proximal ureteral stone, image 134 series Symmetric nephrograms, no perinephric stranding or fluid. Interval decrease in size of reference portacaval lymph node, measuring 2.5 x 0.8 cm, image 119 series 3, previously measured 3 x 1.1 cm. Additional subcentimeter retroperitoneal or left paraaortic lymph nodes present. Incidentally seen retroaortic left renal vein. Pelvic postsurgical changes seen, stable in appearance to prior study, including presacral edema or soft tissue attenuation and mild preanastomotic colon prominence seen, small anorectal fluid and circumferential wall prominence seen distally. Additional sites of postsurgical change seen, e. g., in left upper quadrant and lower abdomen. Enlarged calcification-containing prostate gland, measuring 5.3 cm in transverse dimension. No significant abnormality noted. Multilevel degenerative changes of spine. Ventral abdominal subcutaneous scarring noted. | clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '4.1 cm', 'size_descriptor': 'dilatation'}]anatomical entity_fin: {'ascending aorta': {}}clinical findings_fin: {'stable aneurysmal dilatation of ascending aorta': {'clinical finding': 'stable aneurysmal dilatation of ascending aorta', 'cf_snomed': {'dilatation': 25322007}, 'change_term': 'stable'}}size_fin: [{'size': '2 x 1.5 cm', 'size_descriptor': 'hypoattenuation'}]clinical findings_fin: {'stable 2 x 1.5 cm prevascular soft tissue hypoattenuation': {'clinical finding': 'stable 2 x 1.5 cm prevascular soft tissue hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'stable 2 x 1 5 cm prevascular soft tissue', 'observation': 'hypoattenuation', 'strength_term': 'stable', 'change_term': 'stable'}, 'adenopathy': {'clinical finding': 'adenopathy', 'existence': 'unc_dx', 'observation': 'adenopathy'}}follow-up_fin: follow-up recommendedclinical findings_fin: {'additional subcentimeter mediastinal and hilar lymph nodes': {'clinical finding': 'additional subcentimeter mediastinal and hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'additional subcentimeter mediastinal and hilar lymph', 'observation': 'node'}}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: {'unchanged subcentimeter hypoattenuating renal lesions': {'clinical finding': 'unchanged subcentimeter hypoattenuating renal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged subcentimeter hypoattenuating renal', 'observation': 'lesion', 'strength_term': 'unchanged', 'change_term': 'unchanged'}, 'likely cysts': {'clinical finding': 'likely cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'likely', 'observation': 'cyst'}}size_fin: [{'size': '4 mm', 'size_descriptor': 'stone'}]anatomical entity_fin: {'fluid': {}}location descriptor_fin: ['left', 'proximal']clinical findings_fin: {'4 mm proximal ureteral stone': {'clinical finding': '4 mm proximal ureteral stone', 'existence': 'pos_dx', 'descriptive_term': '4 mm proximal ureteral', 'observation': 'stone'}, 'perinephric stranding': {'clinical finding': 'perinephric stranding', 'existence': 'neg_dx', 'descriptive_term': 'perinephric', 'observation': 'strand'}}size_fin: [{'size': '2.5 x 0.8 cm'}, {'size': '3 x 1.1 cm'}]clinical findings_fin: {'reference portacaval lymph node': {'clinical finding': 'reference portacaval lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference portacaval lymph', 'observation': 'node'}}location descriptor_fin: ['left']clinical findings_fin: {'additional subcentimeter retroperitoneal or left paraaortic lymph nodes': {'clinical finding': 'additional subcentimeter retroperitoneal or left paraaortic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'additional subcentimeter retroperitoneal or left paraaortic lymph', 'observation': 'node'}}anatomical entity_fin: {'left renal vein': {}}clinical findings_fin: {'incidentally seen retroaortic left renal vein': {'clinical finding': 'incidentally seen retroaortic left renal vein'}}anatomical entity_fin: {'fluid': {}, 'wall': {}}imaging observation_fin: ['colon']clinical findings_fin: {'pelvic postsurgical changes': {'clinical finding': 'pelvic postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'pelvic postsurgical', 'observation': 'change'}, 'presacral edema': {'clinical finding': 'presacral edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'unc_dx', 'descriptive_term': 'presacral', 'observation': 'edema'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'left upper'}, 'lower abdomen': {}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'postsurgical change': {'clinical finding': 'postsurgical change', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}}size_fin: [{'size': '5.3 cm', 'size_descriptor': 'gland'}]anatomical entity_fin: {'prostate': {}, 'gland': {}}clinical findings_fin: {'enlarged calcification': {'clinical finding': 'enlarged calcification', 'existence': 'pos_dx', 'descriptive_term': 'enlarged', 'observation': 'calcification', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'multilevel degenerative changes': {'clinical finding': 'multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative', 'observation': 'change'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'ventral abdominal subcutaneous scarring': {'clinical finding': 'ventral abdominal subcutaneous scarring', 'existence': 'pos_dx', 'descriptive_term': 'ventral abdominal subcutaneous', 'observation': 'scarr'}} | 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'}}size_fin: [{'size': '4.1 cm', 'size_descriptor': 'dilatation'}]anatomical entity_fin: {'ascending aorta': {}}clinical findings_fin: {'stable aneurysmal dilatation of ascending aorta': {'clinical finding': 'stable aneurysmal dilatation of ascending aorta', 'cf_snomed': {'dilatation': 25322007}, 'change_term': 'stable'}}size_fin: [{'size': '2 x 1.5 cm', 'size_descriptor': 'hypoattenuation'}]clinical findings_fin: {'stable 2 x 1.5 cm prevascular soft tissue hypoattenuation': {'clinical finding': 'stable 2 x 1.5 cm prevascular soft tissue hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'stable 2 x 1 5 cm prevascular soft tissue', 'observation': 'hypoattenuation', 'strength_term': 'stable', 'change_term': 'stable'}, 'adenopathy': {'clinical finding': 'adenopathy', 'existence': 'unc_dx', 'observation': 'adenopathy'}}follow-up_fin: follow-up recommendedclinical findings_fin: {'additional subcentimeter mediastinal and hilar lymph nodes': {'clinical finding': 'additional subcentimeter mediastinal and hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'additional subcentimeter mediastinal and hilar lymph', 'observation': 'node'}}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: {'unchanged subcentimeter hypoattenuating renal lesions': {'clinical finding': 'unchanged subcentimeter hypoattenuating renal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged subcentimeter hypoattenuating renal', 'observation': 'lesion', 'strength_term': 'unchanged', 'change_term': 'unchanged'}, 'likely cysts': {'clinical finding': 'likely cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'likely', 'observation': 'cyst'}}size_fin: [{'size': '4 mm', 'size_descriptor': 'stone'}]anatomical entity_fin: {'fluid': {}}location descriptor_fin: ['left', 'proximal']clinical findings_fin: {'4 mm proximal ureteral stone': {'clinical finding': '4 mm proximal ureteral stone', 'existence': 'pos_dx', 'descriptive_term': '4 mm proximal ureteral', 'observation': 'stone'}, 'perinephric stranding': {'clinical finding': 'perinephric stranding', 'existence': 'neg_dx', 'descriptive_term': 'perinephric', 'observation': 'strand'}}size_fin: [{'size': '2.5 x 0.8 cm'}, {'size': '3 x 1.1 cm'}]clinical findings_fin: {'reference portacaval lymph node': {'clinical finding': 'reference portacaval lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference portacaval lymph', 'observation': 'node'}}location descriptor_fin: ['left']clinical findings_fin: {'additional subcentimeter retroperitoneal or left paraaortic lymph nodes': {'clinical finding': 'additional subcentimeter retroperitoneal or left paraaortic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'additional subcentimeter retroperitoneal or left paraaortic lymph', 'observation': 'node'}}anatomical entity_fin: {'left renal vein': {}}clinical findings_fin: {'incidentally seen retroaortic left renal vein': {'clinical finding': 'incidentally seen retroaortic left renal vein'}}anatomical entity_fin: {'fluid': {}, 'wall': {}}imaging observation_fin: ['colon']clinical findings_fin: {'pelvic postsurgical changes': {'clinical finding': 'pelvic postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'pelvic postsurgical', 'observation': 'change'}, 'presacral edema': {'clinical finding': 'presacral edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'unc_dx', 'descriptive_term': 'presacral', 'observation': 'edema'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'left upper'}, 'lower abdomen': {}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'postsurgical change': {'clinical finding': 'postsurgical change', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}}size_fin: [{'size': '5.3 cm', 'size_descriptor': 'gland'}]anatomical entity_fin: {'prostate': {}, 'gland': {}}clinical findings_fin: {'enlarged calcification': {'clinical finding': 'enlarged calcification', 'existence': 'pos_dx', 'descriptive_term': 'enlarged', 'observation': 'calcification', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'multilevel degenerative changes': {'clinical finding': 'multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative', 'observation': 'change'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'ventral abdominal subcutaneous scarring': {'clinical finding': 'ventral abdominal subcutaneous scarring', 'existence': 'pos_dx', 'descriptive_term': 'ventral abdominal subcutaneous', 'observation': 'scarr'}} [/INST] . No significant abnormality noted. Stable aneurysmal dilatation of ascending aorta, measuring 4.1 cm. Stable 2 x 1.5 cm prevascular soft tissue hypoattenuation, image 57 series 3, may reflect residual thymic tissue but underlying adenopathy a consideration and continued follow-up recommended. Additional subcentimeter mediastinal and hilar lymph nodes present. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Unchanged subcentimeter hypoattenuating renal lesions, too small to characterize but most likely cysts. Mild asymmetric prominence of left intrarenal collecting system with 4 mm proximal ureteral stone, image 134 series Symmetric nephrograms, no perinephric stranding or fluid. Interval decrease in size of reference portacaval lymph node, measuring 2.5 x 0.8 cm, image 119 series 3, previously measured 3 x 1.1 cm. Additional subcentimeter retroperitoneal or left paraaortic lymph nodes present. Incidentally seen retroaortic left renal vein. Pelvic postsurgical changes seen, stable in appearance to prior study, including presacral edema or soft tissue attenuation and mild preanastomotic colon prominence seen, small anorectal fluid and circumferential wall prominence seen distally. Additional sites of postsurgical change seen, e. g., in left upper quadrant and lower abdomen. Enlarged calcification-containing prostate gland, measuring 5.3 cm in transverse dimension. No significant abnormality noted. Multilevel degenerative changes of spine. Ventral abdominal subcutaneous scarring noted. </s> |
. No significant abnormality noted. There is an ill-defined, enhancing soft tissue density mass noted within the liver primarily in segment 5/8 with extension to segment 4A which measures 7 x 5 cm. The mass appears to be mildly compressing the portal vein without obvious invasion. There is associated upstream intrahepatic ductal dilatation. The mass cannot definitively be separate from the gallbladder, suggesting that this may be gallbladder adenocarcinoma rather than a primary hepatic malignancy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. There is an equivocally enhancing exophytic lesions noted within the lower pole of the left kidneywhich measures 1.7 x 1.5 cm. A small renal cell carcinoma cannot be excluded and follow-up is recommended. Fluid attenuating lesion within the midpole of the left kidney likely represents a benign simple cyst. No hydronephrosis. No significant abnormality noted. None. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. 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'}}size_fin: [{'size': '7 x 5 cm', 'size_descriptor': 'mass'}]anatomical entity_fin: {'liver': {}}imaging observation_fin: ['enhancing', 'soft tissue density']clinical findings_fin: {'ill-defined, enhancing soft tissue density mass': {'clinical finding': 'ill-defined, enhancing soft tissue density mass', 'existence': 'pos_dx', 'descriptive_term': 'ill-defined enhancing soft tissue density', 'observation': 'mass', 'strength_term': 'ill-defined'}}anatomical entity_fin: {'portal vein': {}}clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}, 'compressing': {'clinical finding': 'compressing', 'existence': 'pos_dx', 'observation': 'compress'}, 'obvious invasion': {'clinical finding': 'obvious invasion', 'existence': 'pos_dx', 'descriptive_term': 'obvious', 'observation': 'invasion'}}clinical findings_fin: {'is associated upstream intrahepatic ductal dilatation': {'clinical finding': 'is associated upstream intrahepatic ductal dilatation', 'cf_snomed': {'dilatation': 25322007}}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'unc_dx', 'observation': 'mass'}, 'gallbladder adenocarcinoma': {'clinical finding': 'gallbladder adenocarcinoma', 'cf_snomed': {'adenocarcinoma': 1187332001}, 'existence': 'unc_dx', 'descriptive_term': 'gallbladder', 'observation': 'adenocarcinoma'}, 'primary hepatic malignancy': {'clinical finding': 'primary hepatic malignancy', 'existence': 'unc_dx', 'descriptive_term': 'primary hepatic', 'observation': 'malignancy'}}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': '1.7 x 1.5 cm', 'size_descriptor': 'lesions'}]anatomical entity_fin: {'pole': {'location descriptor': 'lower'}}imaging observation_fin: ['enhancing']location descriptor_fin: ['lower', 'left']clinical findings_fin: {'equivocally enhancing exophytic lesions': {'clinical finding': 'equivocally enhancing exophytic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'equivocally enhancing exophytic', 'observation': 'lesion'}}anatomical entity_fin: {'cell': {}}clinical findings_fin: {'small renal cell carcinoma': {'clinical finding': 'small renal cell carcinoma', 'cf_snomed': {'renal cell carcinoma': 702391001}, 'existence': 'unc_dx', 'descriptive_term': 'small renal cell', 'observation': 'carcinoma', 'strength_term': 'small'}}follow-up_fin: follow-up recommendedanatomical entity_fin: {'fluid': {}, 'left kidney': {}}clinical findings_fin: {'fluid attenuating lesion': {'clinical finding': 'fluid attenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'fluid attenuating', 'observation': 'lesion'}, 'benign simple cyst': {'clinical finding': 'benign simple cyst', 'cf_snomed': {'simple cyst': 367644007}, 'existence': 'unc_dx', 'descriptive_term': 'benign simple', 'observation': 'cyst', 'strength_term': 'benign'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}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'}}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'}}size_fin: [{'size': '7 x 5 cm', 'size_descriptor': 'mass'}]anatomical entity_fin: {'liver': {}}imaging observation_fin: ['enhancing', 'soft tissue density']clinical findings_fin: {'ill-defined, enhancing soft tissue density mass': {'clinical finding': 'ill-defined, enhancing soft tissue density mass', 'existence': 'pos_dx', 'descriptive_term': 'ill-defined enhancing soft tissue density', 'observation': 'mass', 'strength_term': 'ill-defined'}}anatomical entity_fin: {'portal vein': {}}clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}, 'compressing': {'clinical finding': 'compressing', 'existence': 'pos_dx', 'observation': 'compress'}, 'obvious invasion': {'clinical finding': 'obvious invasion', 'existence': 'pos_dx', 'descriptive_term': 'obvious', 'observation': 'invasion'}}clinical findings_fin: {'is associated upstream intrahepatic ductal dilatation': {'clinical finding': 'is associated upstream intrahepatic ductal dilatation', 'cf_snomed': {'dilatation': 25322007}}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'unc_dx', 'observation': 'mass'}, 'gallbladder adenocarcinoma': {'clinical finding': 'gallbladder adenocarcinoma', 'cf_snomed': {'adenocarcinoma': 1187332001}, 'existence': 'unc_dx', 'descriptive_term': 'gallbladder', 'observation': 'adenocarcinoma'}, 'primary hepatic malignancy': {'clinical finding': 'primary hepatic malignancy', 'existence': 'unc_dx', 'descriptive_term': 'primary hepatic', 'observation': 'malignancy'}}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': '1.7 x 1.5 cm', 'size_descriptor': 'lesions'}]anatomical entity_fin: {'pole': {'location descriptor': 'lower'}}imaging observation_fin: ['enhancing']location descriptor_fin: ['lower', 'left']clinical findings_fin: {'equivocally enhancing exophytic lesions': {'clinical finding': 'equivocally enhancing exophytic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'equivocally enhancing exophytic', 'observation': 'lesion'}}anatomical entity_fin: {'cell': {}}clinical findings_fin: {'small renal cell carcinoma': {'clinical finding': 'small renal cell carcinoma', 'cf_snomed': {'renal cell carcinoma': 702391001}, 'existence': 'unc_dx', 'descriptive_term': 'small renal cell', 'observation': 'carcinoma', 'strength_term': 'small'}}follow-up_fin: follow-up recommendedanatomical entity_fin: {'fluid': {}, 'left kidney': {}}clinical findings_fin: {'fluid attenuating lesion': {'clinical finding': 'fluid attenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'fluid attenuating', 'observation': 'lesion'}, 'benign simple cyst': {'clinical finding': 'benign simple cyst', 'cf_snomed': {'simple cyst': 367644007}, 'existence': 'unc_dx', 'descriptive_term': 'benign simple', 'observation': 'cyst', 'strength_term': 'benign'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}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'}}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. There is an ill-defined, enhancing soft tissue density mass noted within the liver primarily in segment 5/8 with extension to segment 4A which measures 7 x 5 cm. The mass appears to be mildly compressing the portal vein without obvious invasion. There is associated upstream intrahepatic ductal dilatation. The mass cannot definitively be separate from the gallbladder, suggesting that this may be gallbladder adenocarcinoma rather than a primary hepatic malignancy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. There is an equivocally enhancing exophytic lesions noted within the lower pole of the left kidneywhich measures 1.7 x 1.5 cm. A small renal cell carcinoma cannot be excluded and follow-up is recommended. Fluid attenuating lesion within the midpole of the left kidney likely represents a benign simple cyst. No hydronephrosis. No significant abnormality noted. None. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted </s> |
. There is no evidence of intracranial mass or abnormal intracranial enhancement. The grey-white matter differentiation appears to be intact. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. The orbits, skull, and scalp soft tissues are grossly unremarkable. There is partially imaged mild left maxillary sinus mucosal thickening. There are post-treatment findings in the neck. There are enlarged right lower paratracheal lymph nodes, which are not significantly changed. However, there are multiple pleural based and pulmonary nodules within the partially imaged right chest, which have increased in size. There is no measurable mass lesion in the left tonsillar region. The thyroid and major salivary glands appear unchanged. The major cervical vessels are patent. There is a right internal jugular venous catheter. The osseous structures are unchanged. The airways are patent. | clinical findings_fin: {'intracranial mass': {'clinical finding': 'intracranial mass', 'cf_snomed': {'intracranial mass': 85974009}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'mass'}, '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': 'neg_dx', 'observation': 'intact'}}clinical findings_fin: {'ventricles and basal cisterns are unchanged in size and configuration': {'clinical finding': 'ventricles and basal cisterns are unchanged in size and configuration', 'change_term': 'unchanged'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'orbits': {}, 'skull': {}, 'scalp': {}}clinical findings_fin: {'orbits , skull , and scalp soft tissues are grossly unremarkable': {'clinical finding': 'orbits , skull , and scalp soft tissues are grossly unremarkable'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'partially imaged mild left maxillary sinus mucosal thickening': {'clinical finding': 'partially imaged mild left maxillary sinus mucosal thickening', 'cf_snomed': {'sinus': 419351001}, 'existence': 'pos_dx', 'descriptive_term': 'partially imaged mild left maxillary sinus mucosal', 'observation': 'thickening', 'strength_term': 'partially - mild'}}anatomical entity_fin: {'neck': {}}procedure_fin: ['treatment']clinical findings_fin: {'post-treatment': {'clinical finding': 'post-treatment', 'existence': 'pos_dx', 'observation': 'post'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'enlarged right lower paratracheal lymph nodes': {'clinical finding': 'enlarged right lower paratracheal lymph nodes', 'cf_snomed': {'right lower paratracheal lymph node': 127935009}, 'existence': 'pos_dx', 'descriptive_term': 'enlarged right lower paratracheal lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}anatomical entity_fin: {'chest': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'multiple pleural based and pulmonary nodules': {'clinical finding': 'multiple pleural based and pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'multiple pleural based and pulmonary', 'observation': 'nodule', 'quantity_term': 'multiple'}}location descriptor_fin: ['left']clinical findings_fin: {'measurable mass lesion': {'clinical finding': 'measurable mass lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'measurable mass', 'observation': 'lesion'}}anatomical entity_fin: {'major salivary glands': {}}clinical findings_fin: {'thyroid and major salivary glands appear unchanged': {'clinical finding': 'thyroid and major salivary glands appear unchanged', 'change_term': 'unchanged'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}location descriptor_fin: ['right']object_fin: ['catheter']clinical findings_fin: {'osseous structures are unchanged': {'clinical finding': 'osseous structures are unchanged', 'change_term': 'unchanged'}}anatomical entity_fin: {'airways': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}} | 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': {'clinical finding': 'intracranial mass', 'cf_snomed': {'intracranial mass': 85974009}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'mass'}, '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': 'neg_dx', 'observation': 'intact'}}clinical findings_fin: {'ventricles and basal cisterns are unchanged in size and configuration': {'clinical finding': 'ventricles and basal cisterns are unchanged in size and configuration', 'change_term': 'unchanged'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'orbits': {}, 'skull': {}, 'scalp': {}}clinical findings_fin: {'orbits , skull , and scalp soft tissues are grossly unremarkable': {'clinical finding': 'orbits , skull , and scalp soft tissues are grossly unremarkable'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'partially imaged mild left maxillary sinus mucosal thickening': {'clinical finding': 'partially imaged mild left maxillary sinus mucosal thickening', 'cf_snomed': {'sinus': 419351001}, 'existence': 'pos_dx', 'descriptive_term': 'partially imaged mild left maxillary sinus mucosal', 'observation': 'thickening', 'strength_term': 'partially - mild'}}anatomical entity_fin: {'neck': {}}procedure_fin: ['treatment']clinical findings_fin: {'post-treatment': {'clinical finding': 'post-treatment', 'existence': 'pos_dx', 'observation': 'post'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'enlarged right lower paratracheal lymph nodes': {'clinical finding': 'enlarged right lower paratracheal lymph nodes', 'cf_snomed': {'right lower paratracheal lymph node': 127935009}, 'existence': 'pos_dx', 'descriptive_term': 'enlarged right lower paratracheal lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}anatomical entity_fin: {'chest': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'multiple pleural based and pulmonary nodules': {'clinical finding': 'multiple pleural based and pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'multiple pleural based and pulmonary', 'observation': 'nodule', 'quantity_term': 'multiple'}}location descriptor_fin: ['left']clinical findings_fin: {'measurable mass lesion': {'clinical finding': 'measurable mass lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'measurable mass', 'observation': 'lesion'}}anatomical entity_fin: {'major salivary glands': {}}clinical findings_fin: {'thyroid and major salivary glands appear unchanged': {'clinical finding': 'thyroid and major salivary glands appear unchanged', 'change_term': 'unchanged'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}location descriptor_fin: ['right']object_fin: ['catheter']clinical findings_fin: {'osseous structures are unchanged': {'clinical finding': 'osseous structures are unchanged', 'change_term': 'unchanged'}}anatomical entity_fin: {'airways': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}} [/INST] . There is no evidence of intracranial mass or abnormal intracranial enhancement. The grey-white matter differentiation appears to be intact. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. The orbits, skull, and scalp soft tissues are grossly unremarkable. There is partially imaged mild left maxillary sinus mucosal thickening. There are post-treatment findings in the neck. There are enlarged right lower paratracheal lymph nodes, which are not significantly changed. However, there are multiple pleural based and pulmonary nodules within the partially imaged right chest, which have increased in size. There is no measurable mass lesion in the left tonsillar region. The thyroid and major salivary glands appear unchanged. The major cervical vessels are patent. There is a right internal jugular venous catheter. The osseous structures are unchanged. The airways are patent. </s> |
No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or herniation. Gray-white differentiation is maintained. There appears to be mild global parenchymal volume loss which appears slightly prominent for patients age. No hydrocephalus or extra-axial collections. Cerebellar tonsils are in normal position. The visualized portions of the paranasal sinuses are clear. Mastoid air cells are clear. Calvarium is intact. | clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}clinical findings_fin: {'intracranial mass': {'clinical finding': 'intracranial mass', 'cf_snomed': {'intracranial mass': 85974009}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'mass'}, 'mass-effect': {'clinical finding': 'mass-effect', 'existence': 'neg_dx', 'observation': 'mass'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}clinical findings_fin: {'gray-white differentiation is maintained': {'clinical finding': 'gray-white differentiation is maintained', 'change_term': 'maintained'}}clinical findings_fin: {'mild global parenchymal volume loss': {'clinical finding': 'mild global parenchymal volume loss', 'existence': 'pos_dx', 'descriptive_term': 'mild global parenchymal volume', 'observation': 'loss', 'strength_term': 'mild'}}clinical findings_fin: {'hydrocephalus': {'clinical finding': 'hydrocephalus', 'cf_snomed': {'hydrocephalus': 230745008}, 'existence': 'neg_dx', 'observation': 'hydrocephalus'}}anatomical entity_fin: {'tonsils': {}}clinical findings_fin: {'cerebellar tonsils are in normal position': {'clinical finding': 'cerebellar tonsils are in normal position', 'cf_snomed': {'normal position': 86134005}}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}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: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}clinical findings_fin: {'intracranial mass': {'clinical finding': 'intracranial mass', 'cf_snomed': {'intracranial mass': 85974009}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'mass'}, 'mass-effect': {'clinical finding': 'mass-effect', 'existence': 'neg_dx', 'observation': 'mass'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}clinical findings_fin: {'gray-white differentiation is maintained': {'clinical finding': 'gray-white differentiation is maintained', 'change_term': 'maintained'}}clinical findings_fin: {'mild global parenchymal volume loss': {'clinical finding': 'mild global parenchymal volume loss', 'existence': 'pos_dx', 'descriptive_term': 'mild global parenchymal volume', 'observation': 'loss', 'strength_term': 'mild'}}clinical findings_fin: {'hydrocephalus': {'clinical finding': 'hydrocephalus', 'cf_snomed': {'hydrocephalus': 230745008}, 'existence': 'neg_dx', 'observation': 'hydrocephalus'}}anatomical entity_fin: {'tonsils': {}}clinical findings_fin: {'cerebellar tonsils are in normal position': {'clinical finding': 'cerebellar tonsils are in normal position', 'cf_snomed': {'normal position': 86134005}}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}} [/INST] No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or herniation. Gray-white differentiation is maintained. There appears to be mild global parenchymal volume loss which appears slightly prominent for patients age. No hydrocephalus or extra-axial collections. Cerebellar tonsils are in normal position. The visualized portions of the paranasal sinuses are clear. Mastoid air cells are clear. Calvarium is intact. </s> |
. Reference 3.1 x 1.7 cm right lower lobe mass , compared to 3.1 x 1.1 cm previously. Multiple additional bilateral perihilar and subpleural masses are again noted and are mildly increased in size. Left lower lobe consolidation, unchanged. No pleural effusions. Bilateral breast prostheses. The reference right hepatic lobe segment 6 lesion is difficult to accurately measure without intravenous contrast but appears increased in size compared to the prior contrast-enhanced study. Today it measures 2.6 x 2.1 cm , compared to 1.2 x 1.2 cm previously. Additional liver lesions are noted and are new from the prior study. No significant abnormality noted. No significant abnormality noted. Mild left adrenal thickening. No hydroureteronephrosis. Bilateral renal hypodense lesions are unchanged and likely cysts. Left periaortic lymphadenopathy measuring 2.2 x 2.0 cm , new from the prior. Moderate atherosclerotic calcification of the abdominal aorta without aneurysmal dilatation. Tortuous aorta. Moderate. No significant abnormality noted. Nonspecific right posterolateral rib lesion. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted | size_fin: [{'size': '3.1 x 1.7 cm'}, {'size': '3.1 x 1.1 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'reference 3.1 x 1.7 cm right lower lobe mass': {'clinical finding': 'reference 3.1 x 1.7 cm right lower lobe mass', 'existence': 'pos_dx', 'descriptive_term': 'reference 3 1 x 1 7 cm right lower lobe', 'observation': 'mass'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'multiple additional bilateral perihilar and subpleural masses': {'clinical finding': 'multiple additional bilateral perihilar and subpleural masses', 'existence': 'pos_dx', 'descriptive_term': 'multiple additional bilateral perihilar and subpleural', 'observation': 'mass', 'quantity_term': 'multiple'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'lower lobe consolidation': {'clinical finding': 'lower lobe consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'descriptive_term': 'lower lobe', '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: {'breast': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral breast prostheses': {'clinical finding': 'bilateral breast prostheses', 'existence': 'pos_dx', 'descriptive_term': 'bilateral breast', 'observation': 'prosthes'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'reference right hepatic lobe segment 6 lesion': {'clinical finding': 'reference right hepatic lobe segment 6 lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference right hepatic lobe segment 6', 'observation': 'lesion'}, 'intravenous contrast': {'clinical finding': 'intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'}, 'prior contrast': {'clinical finding': 'prior contrast', 'existence': 'unc_dx', 'descriptive_term': 'prior', 'observation': 'contrast'}}size_fin: [{'size': '2.6 x 2.1 cm'}, {'size': '1.2 x 1.2 cm'}]anatomical entity_fin: {'liver': {}}clinical findings_fin: {'additional liver lesions': {'clinical finding': 'additional liver lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'additional liver', 'observation': 'lesion'}}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'}}location descriptor_fin: ['left']clinical findings_fin: {'mild left adrenal thickening': {'clinical finding': 'mild left adrenal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild left adrenal', 'observation': 'thickening', 'strength_term': 'mild'}}clinical findings_fin: {'hydroureteronephrosis': {'clinical finding': 'hydroureteronephrosis', 'cf_snomed': {'hydroureteronephrosis': 40068008}, 'existence': 'neg_dx', 'observation': 'hydroureteronephrosis'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral renal hypodense lesions': {'clinical finding': 'bilateral renal hypodense lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral renal hypodense', 'observation': 'lesion'}, 'cysts': {'clinical finding': 'cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'observation': 'cyst'}}size_fin: [{'size': '2.2 x 2.0 cm'}]location descriptor_fin: ['left']clinical findings_fin: {'left periaortic lymphadenopathy': {'clinical finding': 'left periaortic lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'descriptive_term': 'left periaortic', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'abdominal aorta': {}}clinical findings_fin: {'atherosclerotic calcification of the abdominal aorta': {'clinical finding': 'atherosclerotic calcification of the abdominal aorta', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic calcification of the abdominal', 'observation': 'aorta'}, 'aneurysmal': {'clinical finding': 'aneurysmal', 'existence': 'neg_dx', 'observation': 'aneurysmal'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'tortuous aorta': {'clinical finding': 'tortuous aorta'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'rib': {}}location descriptor_fin: ['right']clinical findings_fin: {'nonspecific right posterolateral rib lesion': {'clinical finding': 'nonspecific right posterolateral rib lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'nonspecific right posterolateral rib', 'observation': 'lesion'}}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'}}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': '3.1 x 1.7 cm'}, {'size': '3.1 x 1.1 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'reference 3.1 x 1.7 cm right lower lobe mass': {'clinical finding': 'reference 3.1 x 1.7 cm right lower lobe mass', 'existence': 'pos_dx', 'descriptive_term': 'reference 3 1 x 1 7 cm right lower lobe', 'observation': 'mass'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'multiple additional bilateral perihilar and subpleural masses': {'clinical finding': 'multiple additional bilateral perihilar and subpleural masses', 'existence': 'pos_dx', 'descriptive_term': 'multiple additional bilateral perihilar and subpleural', 'observation': 'mass', 'quantity_term': 'multiple'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'lower lobe consolidation': {'clinical finding': 'lower lobe consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'descriptive_term': 'lower lobe', '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: {'breast': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral breast prostheses': {'clinical finding': 'bilateral breast prostheses', 'existence': 'pos_dx', 'descriptive_term': 'bilateral breast', 'observation': 'prosthes'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'reference right hepatic lobe segment 6 lesion': {'clinical finding': 'reference right hepatic lobe segment 6 lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference right hepatic lobe segment 6', 'observation': 'lesion'}, 'intravenous contrast': {'clinical finding': 'intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'}, 'prior contrast': {'clinical finding': 'prior contrast', 'existence': 'unc_dx', 'descriptive_term': 'prior', 'observation': 'contrast'}}size_fin: [{'size': '2.6 x 2.1 cm'}, {'size': '1.2 x 1.2 cm'}]anatomical entity_fin: {'liver': {}}clinical findings_fin: {'additional liver lesions': {'clinical finding': 'additional liver lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'additional liver', 'observation': 'lesion'}}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'}}location descriptor_fin: ['left']clinical findings_fin: {'mild left adrenal thickening': {'clinical finding': 'mild left adrenal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild left adrenal', 'observation': 'thickening', 'strength_term': 'mild'}}clinical findings_fin: {'hydroureteronephrosis': {'clinical finding': 'hydroureteronephrosis', 'cf_snomed': {'hydroureteronephrosis': 40068008}, 'existence': 'neg_dx', 'observation': 'hydroureteronephrosis'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral renal hypodense lesions': {'clinical finding': 'bilateral renal hypodense lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral renal hypodense', 'observation': 'lesion'}, 'cysts': {'clinical finding': 'cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'observation': 'cyst'}}size_fin: [{'size': '2.2 x 2.0 cm'}]location descriptor_fin: ['left']clinical findings_fin: {'left periaortic lymphadenopathy': {'clinical finding': 'left periaortic lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'descriptive_term': 'left periaortic', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'abdominal aorta': {}}clinical findings_fin: {'atherosclerotic calcification of the abdominal aorta': {'clinical finding': 'atherosclerotic calcification of the abdominal aorta', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic calcification of the abdominal', 'observation': 'aorta'}, 'aneurysmal': {'clinical finding': 'aneurysmal', 'existence': 'neg_dx', 'observation': 'aneurysmal'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'tortuous aorta': {'clinical finding': 'tortuous aorta'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'rib': {}}location descriptor_fin: ['right']clinical findings_fin: {'nonspecific right posterolateral rib lesion': {'clinical finding': 'nonspecific right posterolateral rib lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'nonspecific right posterolateral rib', 'observation': 'lesion'}}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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Reference 3.1 x 1.7 cm right lower lobe mass , compared to 3.1 x 1.1 cm previously. Multiple additional bilateral perihilar and subpleural masses are again noted and are mildly increased in size. Left lower lobe consolidation, unchanged. No pleural effusions. Bilateral breast prostheses. The reference right hepatic lobe segment 6 lesion is difficult to accurately measure without intravenous contrast but appears increased in size compared to the prior contrast-enhanced study. Today it measures 2.6 x 2.1 cm , compared to 1.2 x 1.2 cm previously. Additional liver lesions are noted and are new from the prior study. No significant abnormality noted. No significant abnormality noted. Mild left adrenal thickening. No hydroureteronephrosis. Bilateral renal hypodense lesions are unchanged and likely cysts. Left periaortic lymphadenopathy measuring 2.2 x 2.0 cm , new from the prior. Moderate atherosclerotic calcification of the abdominal aorta without aneurysmal dilatation. Tortuous aorta. Moderate. No significant abnormality noted. Nonspecific right posterolateral rib lesion. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted </s> |
. Bandlike consolidation or atelectasis of the left lower lobe. Few stable prominent pericardial or epiphrenic lymph nodes. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Stable subcentimeter mid left renal hypodensity is too small to accurately characterize. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. PROSTATE/. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. 2.6 x 4.5 x 3.7cm rim-enhancing fluid collection adjacent to the loop of bowel in the right lower quadrant. Other scattered smaller pockets of fluid are seen. Interval improvement in induration from prior study. Interval appendectomy with residual inflammation and induration that involves the adjacent loops of bowel and the right ureter as it courses through. Postsurgical midline anterior abdominal wall defect. Scattered locules of air throughout the anterior abdominal wall and pelvis likely postsurgical. No significant abnormality noted. | anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'bandlike consolidation': {'clinical finding': 'bandlike consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'descriptive_term': 'bandlike', 'observation': 'consolidation'}, 'atelectasis': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'observation': 'atelectasis'}}clinical findings_fin: {'few stable prominent pericardial or epiphrenic lymph nodes': {'clinical finding': 'few stable prominent pericardial or epiphrenic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'few stable prominent pericardial or epiphrenic lymph', 'observation': 'node', 'strength_term': 'stable - prominent', 'quantity_term': 'few', 'change_term': 'stable'}}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'}}location descriptor_fin: ['left']clinical findings_fin: {'stable subcentimeter mid left renal hypodensity': {'clinical finding': 'stable subcentimeter mid left renal hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'stable subcentimeter mid left renal', 'observation': 'hypodensity', 'strength_term': 'stable', 'change_term': 'stable'}}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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '2.6 x 4.5 x 3.7cm', 'size_descriptor': 'collection'}]anatomical entity_fin: {'rim': {}, 'bowel': {}, 'quadrant': {'location descriptor': 'right lower'}}imaging observation_fin: ['enhancing']location descriptor_fin: ['adjacent', 'right', 'lower']clinical findings_fin: {'2.6 x 4.5 x 3.7cm rim-enhancing fluid collection': {'clinical finding': '2.6 x 4.5 x 3.7cm rim-enhancing fluid collection', 'existence': 'pos_dx', 'descriptive_term': '2 6 x 4 5 x 3 7cm rim-enhancing fluid', 'observation': 'collection'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'other scattered smaller pockets of fluid are seen': {'clinical finding': 'other scattered smaller pockets of fluid are seen'}}anatomical entity_fin: {'bowel': {}, 'right ureter': {}}location descriptor_fin: ['adjacent']procedure_fin: ['appendectomy']clinical findings_fin: {'residual inflammation': {'clinical finding': 'residual inflammation', 'existence': 'pos_dx', 'descriptive_term': 'residual', 'observation': 'inflammation', 'temporal_term': 'residual'}}anatomical entity_fin: {'anterior abdominal wall': {'location descriptor': 'midline'}}location descriptor_fin: ['midline']clinical findings_fin: {'postsurgical midline anterior abdominal wall defect': {'clinical finding': 'postsurgical midline anterior abdominal wall defect', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'descriptive_term': 'postsurgical midline anterior abdominal wall', 'observation': 'defect'}}anatomical entity_fin: {'anterior abdominal wall': {}, 'pelvis': {}}clinical findings_fin: {'scattered locules': {'clinical finding': 'scattered locules', 'existence': 'pos_dx', 'descriptive_term': 'scattered', 'observation': 'locule'}}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: anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'bandlike consolidation': {'clinical finding': 'bandlike consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'descriptive_term': 'bandlike', 'observation': 'consolidation'}, 'atelectasis': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'observation': 'atelectasis'}}clinical findings_fin: {'few stable prominent pericardial or epiphrenic lymph nodes': {'clinical finding': 'few stable prominent pericardial or epiphrenic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'few stable prominent pericardial or epiphrenic lymph', 'observation': 'node', 'strength_term': 'stable - prominent', 'quantity_term': 'few', 'change_term': 'stable'}}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'}}location descriptor_fin: ['left']clinical findings_fin: {'stable subcentimeter mid left renal hypodensity': {'clinical finding': 'stable subcentimeter mid left renal hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'stable subcentimeter mid left renal', 'observation': 'hypodensity', 'strength_term': 'stable', 'change_term': 'stable'}}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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '2.6 x 4.5 x 3.7cm', 'size_descriptor': 'collection'}]anatomical entity_fin: {'rim': {}, 'bowel': {}, 'quadrant': {'location descriptor': 'right lower'}}imaging observation_fin: ['enhancing']location descriptor_fin: ['adjacent', 'right', 'lower']clinical findings_fin: {'2.6 x 4.5 x 3.7cm rim-enhancing fluid collection': {'clinical finding': '2.6 x 4.5 x 3.7cm rim-enhancing fluid collection', 'existence': 'pos_dx', 'descriptive_term': '2 6 x 4 5 x 3 7cm rim-enhancing fluid', 'observation': 'collection'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'other scattered smaller pockets of fluid are seen': {'clinical finding': 'other scattered smaller pockets of fluid are seen'}}anatomical entity_fin: {'bowel': {}, 'right ureter': {}}location descriptor_fin: ['adjacent']procedure_fin: ['appendectomy']clinical findings_fin: {'residual inflammation': {'clinical finding': 'residual inflammation', 'existence': 'pos_dx', 'descriptive_term': 'residual', 'observation': 'inflammation', 'temporal_term': 'residual'}}anatomical entity_fin: {'anterior abdominal wall': {'location descriptor': 'midline'}}location descriptor_fin: ['midline']clinical findings_fin: {'postsurgical midline anterior abdominal wall defect': {'clinical finding': 'postsurgical midline anterior abdominal wall defect', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'descriptive_term': 'postsurgical midline anterior abdominal wall', 'observation': 'defect'}}anatomical entity_fin: {'anterior abdominal wall': {}, 'pelvis': {}}clinical findings_fin: {'scattered locules': {'clinical finding': 'scattered locules', 'existence': 'pos_dx', 'descriptive_term': 'scattered', 'observation': 'locule'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Bandlike consolidation or atelectasis of the left lower lobe. Few stable prominent pericardial or epiphrenic lymph nodes. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Stable subcentimeter mid left renal hypodensity is too small to accurately characterize. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. PROSTATE/. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. 2.6 x 4.5 x 3.7cm rim-enhancing fluid collection adjacent to the loop of bowel in the right lower quadrant. Other scattered smaller pockets of fluid are seen. Interval improvement in induration from prior study. Interval appendectomy with residual inflammation and induration that involves the adjacent loops of bowel and the right ureter as it courses through. Postsurgical midline anterior abdominal wall defect. Scattered locules of air throughout the anterior abdominal wall and pelvis likely postsurgical. No significant abnormality noted. </s> |
. No significant abnormality noted. No significant abnormality noted. Subcentimeter left thyroid nodule. No suspicious hepatic lesions. Subcentimeter hypodense focus in segment 7 of the liver was present on the study dated 12/21/2013 and is probably benign. The hepatic and portal veins are patent. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Postsurgical changes in the anorectal junction. No significant abnormality noted. No significant abnormality noted. Status post hysterectomy. Probable small amount of fluid within the vaginal cuff. No significant abnormality noted. No significant abnormality noted. Surgical changes in the anorectal junction. 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'}}location descriptor_fin: ['left']clinical findings_fin: {'subcentimeter left thyroid nodule': {'clinical finding': 'subcentimeter left thyroid nodule', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter left thyroid', 'observation': 'nodule'}}clinical findings_fin: {'suspicious hepatic lesions': {'clinical finding': 'suspicious hepatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious hepatic', 'observation': 'lesion'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'subcentimeter hypodense focus': {'clinical finding': 'subcentimeter hypodense focus', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter hypodense', 'observation': 'focus'}}anatomical entity_fin: {'portal veins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}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: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}procedure_fin: ['hysterectomy']anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'probable small amount of fluid within the vaginal cuff': {'clinical finding': 'probable small amount of fluid within the vaginal cuff', 'cf_snomed': {'vaginal cuff': 438074005}}}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 changes': {'clinical finding': 'surgical changes', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'change'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} | 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'}}location descriptor_fin: ['left']clinical findings_fin: {'subcentimeter left thyroid nodule': {'clinical finding': 'subcentimeter left thyroid nodule', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter left thyroid', 'observation': 'nodule'}}clinical findings_fin: {'suspicious hepatic lesions': {'clinical finding': 'suspicious hepatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious hepatic', 'observation': 'lesion'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'subcentimeter hypodense focus': {'clinical finding': 'subcentimeter hypodense focus', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter hypodense', 'observation': 'focus'}}anatomical entity_fin: {'portal veins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}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: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}procedure_fin: ['hysterectomy']anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'probable small amount of fluid within the vaginal cuff': {'clinical finding': 'probable small amount of fluid within the vaginal cuff', 'cf_snomed': {'vaginal cuff': 438074005}}}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 changes': {'clinical finding': 'surgical changes', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'change'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . No significant abnormality noted. No significant abnormality noted. Subcentimeter left thyroid nodule. No suspicious hepatic lesions. Subcentimeter hypodense focus in segment 7 of the liver was present on the study dated 12/21/2013 and is probably benign. The hepatic and portal veins are patent. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Postsurgical changes in the anorectal junction. No significant abnormality noted. No significant abnormality noted. Status post hysterectomy. Probable small amount of fluid within the vaginal cuff. No significant abnormality noted. No significant abnormality noted. Surgical changes in the anorectal junction. No significant abnormality noted. No significant abnormality noted. </s> |
. Right calcified granuloma. Cholelithiasis. No secondary signs of acute cholecystitis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Mild to moderate renal cortical thinning. Stable infrarenal abdominal aortic aneurysm, measuring 4.5 cm in transverse dimension x 4.3 cm at level of IMA. Aneurysmal dilatation of right common iliac artery, measuring 2 cm, and ectatic right internal iliac artery, appearance similar to prior study. Markedly asymmetrically smaller left common iliac artery, likely secondary to chronic occlusion. Moderate aortobiiliac calcified atherosclerotic disease. No significant abnormality noted. PROSTATE/. Status post prostatectomy. Status post cystectomy with neobladder formation. Neobladder distended, configuration similar to earlier study. Visualized osseous structures stable in appearance, including left acetabular sclerotic focus. Multilevel spinal degenerative disease. | location descriptor_fin: ['right']clinical findings_fin: {'right calcified granuloma': {'clinical finding': 'right calcified granuloma', 'cf_snomed': {'calcified granuloma': 48391002}, 'existence': 'pos_dx', 'descriptive_term': 'right calcified', 'observation': 'granuloma', 'change_term': 'calcified'}}clinical findings_fin: {'acute cholecystitis': {'clinical finding': 'acute cholecystitis', 'cf_snomed': {'acute cholecystitis': 65275009}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'cholecystitis', 'strength_term': 'acute', 'temporal_term': 'acute'}}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: {'mild to moderate renal cortical thinning': {'clinical finding': 'mild to moderate renal cortical thinning', 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate renal cortical', 'observation': 'thinning', 'strength_term': 'mild - moderate'}}size_fin: [{'size': '4.5 cm'}, {'size': '4.3 cm'}]anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'stable infrarenal abdominal aortic aneurysm': {'clinical finding': 'stable infrarenal abdominal aortic aneurysm', 'cf_snomed': {'abdominal aortic aneurysm': 233985008}, 'existence': 'pos_dx', 'descriptive_term': 'stable infrarenal abdominal aortic', 'observation': 'aneurysm', 'strength_term': 'stable', 'change_term': 'stable'}}size_fin: [{'size': '2 cm', 'size_descriptor': 'dilatation'}]anatomical entity_fin: {'common iliac artery': {'location descriptor': 'right'}, 'internal iliac artery': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'ectatic': {'clinical finding': 'ectatic', 'existence': 'pos_dx', 'observation': 'ectatic'}}anatomical entity_fin: {'common iliac artery': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'chronic occlusion': {'clinical finding': 'chronic occlusion', 'existence': 'pos_dx', 'descriptive_term': 'chronic', 'observation': 'occlusion', 'temporal_term': 'chronic'}}clinical findings_fin: {'moderate aortobiiliac calcified atherosclerotic disease': {'clinical finding': 'moderate aortobiiliac calcified atherosclerotic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'moderate aortobiiliac calcified atherosclerotic', 'observation': 'disease', 'strength_term': 'moderate', 'change_term': 'calcified'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}procedure_fin: ['prostatectomy']procedure_fin: ['cystectomy']clinical findings_fin: {'neobladder': {'clinical finding': 'neobladder', 'existence': 'pos_dx', 'observation': 'neobladder'}}clinical findings_fin: {'distended': {'clinical finding': 'distended', 'existence': 'pos_dx', 'observation': 'distended'}}location descriptor_fin: ['left']clinical findings_fin: {'left acetabular sclerotic': {'clinical finding': 'left acetabular sclerotic', 'existence': 'pos_dx', 'descriptive_term': 'left acetabular', 'observation': 'sclerotic'}}clinical findings_fin: {'multilevel spinal degenerative disease': {'clinical finding': 'multilevel spinal degenerative disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'multilevel spinal degenerative', 'observation': 'disease'}} | 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: ['right']clinical findings_fin: {'right calcified granuloma': {'clinical finding': 'right calcified granuloma', 'cf_snomed': {'calcified granuloma': 48391002}, 'existence': 'pos_dx', 'descriptive_term': 'right calcified', 'observation': 'granuloma', 'change_term': 'calcified'}}clinical findings_fin: {'acute cholecystitis': {'clinical finding': 'acute cholecystitis', 'cf_snomed': {'acute cholecystitis': 65275009}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'cholecystitis', 'strength_term': 'acute', 'temporal_term': 'acute'}}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: {'mild to moderate renal cortical thinning': {'clinical finding': 'mild to moderate renal cortical thinning', 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate renal cortical', 'observation': 'thinning', 'strength_term': 'mild - moderate'}}size_fin: [{'size': '4.5 cm'}, {'size': '4.3 cm'}]anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'stable infrarenal abdominal aortic aneurysm': {'clinical finding': 'stable infrarenal abdominal aortic aneurysm', 'cf_snomed': {'abdominal aortic aneurysm': 233985008}, 'existence': 'pos_dx', 'descriptive_term': 'stable infrarenal abdominal aortic', 'observation': 'aneurysm', 'strength_term': 'stable', 'change_term': 'stable'}}size_fin: [{'size': '2 cm', 'size_descriptor': 'dilatation'}]anatomical entity_fin: {'common iliac artery': {'location descriptor': 'right'}, 'internal iliac artery': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'ectatic': {'clinical finding': 'ectatic', 'existence': 'pos_dx', 'observation': 'ectatic'}}anatomical entity_fin: {'common iliac artery': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'chronic occlusion': {'clinical finding': 'chronic occlusion', 'existence': 'pos_dx', 'descriptive_term': 'chronic', 'observation': 'occlusion', 'temporal_term': 'chronic'}}clinical findings_fin: {'moderate aortobiiliac calcified atherosclerotic disease': {'clinical finding': 'moderate aortobiiliac calcified atherosclerotic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'moderate aortobiiliac calcified atherosclerotic', 'observation': 'disease', 'strength_term': 'moderate', 'change_term': 'calcified'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}procedure_fin: ['prostatectomy']procedure_fin: ['cystectomy']clinical findings_fin: {'neobladder': {'clinical finding': 'neobladder', 'existence': 'pos_dx', 'observation': 'neobladder'}}clinical findings_fin: {'distended': {'clinical finding': 'distended', 'existence': 'pos_dx', 'observation': 'distended'}}location descriptor_fin: ['left']clinical findings_fin: {'left acetabular sclerotic': {'clinical finding': 'left acetabular sclerotic', 'existence': 'pos_dx', 'descriptive_term': 'left acetabular', 'observation': 'sclerotic'}}clinical findings_fin: {'multilevel spinal degenerative disease': {'clinical finding': 'multilevel spinal degenerative disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'multilevel spinal degenerative', 'observation': 'disease'}} [/INST] . Right calcified granuloma. Cholelithiasis. No secondary signs of acute cholecystitis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Mild to moderate renal cortical thinning. Stable infrarenal abdominal aortic aneurysm, measuring 4.5 cm in transverse dimension x 4.3 cm at level of IMA. Aneurysmal dilatation of right common iliac artery, measuring 2 cm, and ectatic right internal iliac artery, appearance similar to prior study. Markedly asymmetrically smaller left common iliac artery, likely secondary to chronic occlusion. Moderate aortobiiliac calcified atherosclerotic disease. No significant abnormality noted. PROSTATE/. Status post prostatectomy. Status post cystectomy with neobladder formation. Neobladder distended, configuration similar to earlier study. Visualized osseous structures stable in appearance, including left acetabular sclerotic focus. Multilevel spinal degenerative disease. </s> |
There is an outpouching from the lateral aspect of the upper cervical esophagus, which corresponds to a Zenker diverticulum. There is a heterogeneous thyroid gland with a dominant left thyroid nodules that measures up to nearly 5 cm. There is associated mild narrowing and deviation of the trachea and mass effect upon the esophagus. There is no evidence of significant cervical lymphadenopathy based on size criteria. The salivary glands are unremarkable. The major cervical vessels are patent. The osseous structures are unremarkable. The imaged intracranial structures are unremarkable. The imaged portions of the lungs are clear. | anatomical entity_fin: {'esophagus': {}}location descriptor_fin: ['lateral', 'upper']clinical findings_fin: {'zenker diverticulum': {'clinical finding': 'zenker diverticulum', 'cf_snomed': {'diverticulum': 31113003}, 'existence': 'pos_dx', 'descriptive_term': 'zenker', 'observation': 'diverticulum'}}size_fin: [{'size': '5 cm', 'size_descriptor': 'gland'}]anatomical entity_fin: {'thyroid gland': {}}location descriptor_fin: ['left']clinical findings_fin: {'heterogeneous thyroid gland': {'clinical finding': 'heterogeneous thyroid gland', 'existence': 'pos_dx', 'descriptive_term': 'heterogeneous thyroid', 'observation': 'gland'}, 'dominant left thyroid nodules': {'clinical finding': 'dominant left thyroid nodules', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'dominant left thyroid', 'observation': 'nodule'}}anatomical entity_fin: {'trachea': {}, 'esophagus': {}}clinical findings_fin: {'associated mild narrowing': {'clinical finding': 'associated mild narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'associated mild', 'observation': 'narrowing', 'strength_term': 'mild'}, 'trachea and mass effect': {'clinical finding': 'trachea and mass effect', 'existence': 'pos_dx', 'descriptive_term': 'trachea and mass', 'observation': 'effect'}}clinical findings_fin: {'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: {'salivary glands': {}}clinical findings_fin: {'salivary glands are unremarkable': {'clinical finding': 'salivary glands are unremarkable'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'osseous structures are unremarkable': {'clinical finding': 'osseous structures are unremarkable'}}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': '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: anatomical entity_fin: {'esophagus': {}}location descriptor_fin: ['lateral', 'upper']clinical findings_fin: {'zenker diverticulum': {'clinical finding': 'zenker diverticulum', 'cf_snomed': {'diverticulum': 31113003}, 'existence': 'pos_dx', 'descriptive_term': 'zenker', 'observation': 'diverticulum'}}size_fin: [{'size': '5 cm', 'size_descriptor': 'gland'}]anatomical entity_fin: {'thyroid gland': {}}location descriptor_fin: ['left']clinical findings_fin: {'heterogeneous thyroid gland': {'clinical finding': 'heterogeneous thyroid gland', 'existence': 'pos_dx', 'descriptive_term': 'heterogeneous thyroid', 'observation': 'gland'}, 'dominant left thyroid nodules': {'clinical finding': 'dominant left thyroid nodules', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'dominant left thyroid', 'observation': 'nodule'}}anatomical entity_fin: {'trachea': {}, 'esophagus': {}}clinical findings_fin: {'associated mild narrowing': {'clinical finding': 'associated mild narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'associated mild', 'observation': 'narrowing', 'strength_term': 'mild'}, 'trachea and mass effect': {'clinical finding': 'trachea and mass effect', 'existence': 'pos_dx', 'descriptive_term': 'trachea and mass', 'observation': 'effect'}}clinical findings_fin: {'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: {'salivary glands': {}}clinical findings_fin: {'salivary glands are unremarkable': {'clinical finding': 'salivary glands are unremarkable'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'osseous structures are unremarkable': {'clinical finding': 'osseous structures are unremarkable'}}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': 'neg_dx', 'observation': 'clear'}} [/INST] There is an outpouching from the lateral aspect of the upper cervical esophagus, which corresponds to a Zenker diverticulum. There is a heterogeneous thyroid gland with a dominant left thyroid nodules that measures up to nearly 5 cm. There is associated mild narrowing and deviation of the trachea and mass effect upon the esophagus. There is no evidence of significant cervical lymphadenopathy based on size criteria. The salivary glands are unremarkable. The major cervical vessels are patent. The osseous structures are unremarkable. The imaged intracranial structures are unremarkable. The imaged portions of the lungs are clear. </s> |
There are postoperative findings related to tracheostomy tube insertion. There is no residual mass in the right supraglottic region. There is now diffuse hyperattenuation of the mucosal in the upper aerodigestive track diffusely. There has been interval decrease in size of a right level 3 lymph, which measures approximately 9 x 10 mm, previously 10 x 12 mm. In addition, the lymph nodes now display peripheral calcifications. There are numerous sclerotic lesions throughout the imaged axial skeleton. The vertebral body heights are otherwise intact. There is a midline thyroidotomy, but the thyroid tissue otherwise appears unremarkable. The major salivary glands are unchanged. There is atherosclerotic plaque at the bilateral carotid bifurcations. There is aright internal jugular venous catheter. There are multiple dental caries of the remaining teeth. The imaged intracranial structures are unremarkable. There are emphysematous changes in the partially imaged lungs. | anatomical entity_fin: {'insertion': {}}object_fin: ['tracheostomy tube']clinical findings_fin: {'postoperative': {'clinical finding': 'postoperative', 'existence': 'pos_dx', 'observation': 'postoperative'}, 'tracheostomy tube': {'clinical finding': 'tracheostomy tube', 'existence': 'pos_dx', 'descriptive_term': 'tracheostomy', 'observation': 'tube'}}location descriptor_fin: ['right']clinical findings_fin: {'residual mass': {'clinical finding': 'residual mass', 'existence': 'neg_dx', 'descriptive_term': 'residual', 'observation': 'mass', 'temporal_term': 'residual'}}location descriptor_fin: ['upper']clinical findings_fin: {'diffuse hyperattenuation': {'clinical finding': 'diffuse hyperattenuation', 'existence': 'pos_dx', 'descriptive_term': 'diffuse', 'observation': 'hyperattenuation'}}size_fin: [{'size': '9 x 10 mm'}, {'size': '10 x 12 mm'}]location descriptor_fin: ['right']clinical findings_fin: {'right level 3 lymph': {'clinical finding': 'right level 3 lymph', 'existence': 'pos_dx', 'descriptive_term': 'right level 3', 'observation': 'lymph'}}clinical findings_fin: {'lymph nodes': {'clinical finding': 'lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'lymph', 'observation': 'node'}, 'peripheral calcifications': {'clinical finding': 'peripheral calcifications', 'existence': 'pos_dx', 'descriptive_term': 'peripheral', 'observation': 'calcification'}}anatomical entity_fin: {'axial skeleton': {}}clinical findings_fin: {'numerous sclerotic lesions': {'clinical finding': 'numerous sclerotic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'numerous sclerotic', 'observation': 'lesion', 'quantity_term': 'numerous'}}anatomical entity_fin: {'vertebral body': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}location descriptor_fin: ['midline']clinical findings_fin: {'midline thyroidotomy': {'clinical finding': 'midline thyroidotomy', 'existence': 'pos_dx', 'descriptive_term': 'midline', 'observation': 'thyroidotomy'}}anatomical entity_fin: {'major salivary glands': {}}clinical findings_fin: {'major salivary glands are unchanged': {'clinical finding': 'major salivary glands are unchanged', 'change_term': 'unchanged'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'atherosclerotic plaque': {'clinical finding': 'atherosclerotic plaque', 'cf_snomed': {'plaque': 1522000}, 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'plaque'}}object_fin: ['catheter']imaging observation_fin: ['teeth']clinical findings_fin: {'imaged intracranial structures are unremarkable': {'clinical finding': 'imaged intracranial structures are unremarkable'}}anatomical entity_fin: {'lungs': {}}clinical findings_fin: {'emphysematous changes': {'clinical finding': 'emphysematous changes', 'existence': 'pos_dx', 'descriptive_term': 'emphysematous', 'observation': 'change'}} | 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: {'insertion': {}}object_fin: ['tracheostomy tube']clinical findings_fin: {'postoperative': {'clinical finding': 'postoperative', 'existence': 'pos_dx', 'observation': 'postoperative'}, 'tracheostomy tube': {'clinical finding': 'tracheostomy tube', 'existence': 'pos_dx', 'descriptive_term': 'tracheostomy', 'observation': 'tube'}}location descriptor_fin: ['right']clinical findings_fin: {'residual mass': {'clinical finding': 'residual mass', 'existence': 'neg_dx', 'descriptive_term': 'residual', 'observation': 'mass', 'temporal_term': 'residual'}}location descriptor_fin: ['upper']clinical findings_fin: {'diffuse hyperattenuation': {'clinical finding': 'diffuse hyperattenuation', 'existence': 'pos_dx', 'descriptive_term': 'diffuse', 'observation': 'hyperattenuation'}}size_fin: [{'size': '9 x 10 mm'}, {'size': '10 x 12 mm'}]location descriptor_fin: ['right']clinical findings_fin: {'right level 3 lymph': {'clinical finding': 'right level 3 lymph', 'existence': 'pos_dx', 'descriptive_term': 'right level 3', 'observation': 'lymph'}}clinical findings_fin: {'lymph nodes': {'clinical finding': 'lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'lymph', 'observation': 'node'}, 'peripheral calcifications': {'clinical finding': 'peripheral calcifications', 'existence': 'pos_dx', 'descriptive_term': 'peripheral', 'observation': 'calcification'}}anatomical entity_fin: {'axial skeleton': {}}clinical findings_fin: {'numerous sclerotic lesions': {'clinical finding': 'numerous sclerotic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'numerous sclerotic', 'observation': 'lesion', 'quantity_term': 'numerous'}}anatomical entity_fin: {'vertebral body': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}location descriptor_fin: ['midline']clinical findings_fin: {'midline thyroidotomy': {'clinical finding': 'midline thyroidotomy', 'existence': 'pos_dx', 'descriptive_term': 'midline', 'observation': 'thyroidotomy'}}anatomical entity_fin: {'major salivary glands': {}}clinical findings_fin: {'major salivary glands are unchanged': {'clinical finding': 'major salivary glands are unchanged', 'change_term': 'unchanged'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'atherosclerotic plaque': {'clinical finding': 'atherosclerotic plaque', 'cf_snomed': {'plaque': 1522000}, 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'plaque'}}object_fin: ['catheter']imaging observation_fin: ['teeth']clinical findings_fin: {'imaged intracranial structures are unremarkable': {'clinical finding': 'imaged intracranial structures are unremarkable'}}anatomical entity_fin: {'lungs': {}}clinical findings_fin: {'emphysematous changes': {'clinical finding': 'emphysematous changes', 'existence': 'pos_dx', 'descriptive_term': 'emphysematous', 'observation': 'change'}} [/INST] There are postoperative findings related to tracheostomy tube insertion. There is no residual mass in the right supraglottic region. There is now diffuse hyperattenuation of the mucosal in the upper aerodigestive track diffusely. There has been interval decrease in size of a right level 3 lymph, which measures approximately 9 x 10 mm, previously 10 x 12 mm. In addition, the lymph nodes now display peripheral calcifications. There are numerous sclerotic lesions throughout the imaged axial skeleton. The vertebral body heights are otherwise intact. There is a midline thyroidotomy, but the thyroid tissue otherwise appears unremarkable. The major salivary glands are unchanged. There is atherosclerotic plaque at the bilateral carotid bifurcations. There is aright internal jugular venous catheter. There are multiple dental caries of the remaining teeth. The imaged intracranial structures are unremarkable. There are emphysematous changes in the partially imaged lungs. </s> |
. Stable biapical scarring. Stable micronodules. No significant abnormality noted. None. No significant abnormality noted. Stable left lobe subcentimeter low-attenuation foci. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Stable bilateral renal cysts. Stable aortic ectasia. Mild. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Stable prostatic hypertrophy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted | clinical findings_fin: {'stable biapical scarring': {'clinical finding': 'stable biapical scarring', 'existence': 'pos_dx', 'descriptive_term': 'stable biapical', 'observation': 'scarr', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'stable micronodules': {'clinical finding': 'stable micronodules', 'existence': 'pos_dx', 'descriptive_term': 'stable', 'observation': 'micronodule', 'strength_term': 'stable', 'change_term': 'stable'}}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: {'lobe': {'location descriptor': 'left'}}imaging observation_fin: ['foci']location descriptor_fin: ['left']clinical findings_fin: {'stable left lobe subcentimeter low-attenuation foci': {'clinical finding': 'stable left lobe subcentimeter low-attenuation foci', 'existence': 'pos_dx', 'descriptive_term': 'stable left lobe subcentimeter low-attenuation', 'observation': 'foci', 'strength_term': 'stable', 'change_term': 'stable'}}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'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'stable bilateral renal cysts': {'clinical finding': 'stable bilateral renal cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'stable bilateral renal', 'observation': 'cyst', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'stable aortic ectasia': {'clinical finding': 'stable aortic ectasia', 'existence': 'pos_dx', 'descriptive_term': 'stable aortic', 'observation': 'ectasia', 'strength_term': 'stable', 'change_term': 'stable'}}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: {'stable prostatic hypertrophy': {'clinical finding': 'stable prostatic hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'stable prostatic', 'observation': 'hypertrophy', 'strength_term': 'stable', 'change_term': 'stable'}}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'}} | 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: {'stable biapical scarring': {'clinical finding': 'stable biapical scarring', 'existence': 'pos_dx', 'descriptive_term': 'stable biapical', 'observation': 'scarr', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'stable micronodules': {'clinical finding': 'stable micronodules', 'existence': 'pos_dx', 'descriptive_term': 'stable', 'observation': 'micronodule', 'strength_term': 'stable', 'change_term': 'stable'}}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: {'lobe': {'location descriptor': 'left'}}imaging observation_fin: ['foci']location descriptor_fin: ['left']clinical findings_fin: {'stable left lobe subcentimeter low-attenuation foci': {'clinical finding': 'stable left lobe subcentimeter low-attenuation foci', 'existence': 'pos_dx', 'descriptive_term': 'stable left lobe subcentimeter low-attenuation', 'observation': 'foci', 'strength_term': 'stable', 'change_term': 'stable'}}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'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'stable bilateral renal cysts': {'clinical finding': 'stable bilateral renal cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'stable bilateral renal', 'observation': 'cyst', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'stable aortic ectasia': {'clinical finding': 'stable aortic ectasia', 'existence': 'pos_dx', 'descriptive_term': 'stable aortic', 'observation': 'ectasia', 'strength_term': 'stable', 'change_term': 'stable'}}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: {'stable prostatic hypertrophy': {'clinical finding': 'stable prostatic hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'stable prostatic', 'observation': 'hypertrophy', 'strength_term': 'stable', 'change_term': 'stable'}}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'}} [/INST] . Stable biapical scarring. Stable micronodules. No significant abnormality noted. None. No significant abnormality noted. Stable left lobe subcentimeter low-attenuation foci. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Stable bilateral renal cysts. Stable aortic ectasia. Mild. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Stable prostatic hypertrophy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted </s> |
. Right lower lobe necrotic centrally located mass producing mild compression of the left atrium and obstruction and effacement of the right inferior pulmonary vein and obstruction of the right lower lobe bronchus. This mass is difficult to accurately measure due to adjacent and postobstructive atelectasis. There is extension into the mediastinum. Best estimate of size of this mass is 5.5 cm x 4 cm. No additional suspicious pulmonary nodule or masses. Mild nonspecific groundglass opacities noted in both apices. No pleural effusions. Is not above there is extension of the left tumor into the mediastinum. Large subcarinal lymph node measuring 20 mm in its short axis. Right paratracheal lymph node measuring 18 mm in short axis. Cardiac size is normal without evidence of a pericardial effusion. Calcified mediastinal lymph nodes compatible with prior granulomatous disease. None. Right supraclavicular or low enlarged cervical lymph node measuring 17 mm. No axillary lymphadenopathy. Degenerative changes in the thoracic spine. Absence of enteric contrast material limits sensitivity for abdominal pathology. Status post cholecystectomy. No significant abnormality noted. Left adrenal nodule measuring 24 mm x 18 mm. Punctate nonobstructing left renal calculus. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. No significant abnormality noted. | anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}, 'left atrium': {}, 'pulmonary vein': {'location descriptor': 'right inferior'}, 'right lower lobe bronchus': {}}location descriptor_fin: ['right', 'lower', 'inferior']clinical findings_fin: {'right lower lobe necrotic centrally located mass': {'clinical finding': 'right lower lobe necrotic centrally located mass', 'existence': 'pos_dx', 'descriptive_term': 'right lower lobe necrotic centrally located', 'observation': 'mass'}, 'mild compression': {'clinical finding': 'mild compression', 'cf_snomed': {'compression': 71173004}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'compression', 'strength_term': 'mild'}, 'obstruction_1': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'pos_dx', 'observation': 'obstruction'}, 'effacement': {'clinical finding': 'effacement', 'existence': 'pos_dx', 'observation': 'effacement'}, 'obstruction_2': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'pos_dx', 'observation': 'obstruction'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'this mass': {'clinical finding': 'this mass', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'mass'}, 'adjacent and postobstructive atelectasis': {'clinical finding': 'adjacent and postobstructive atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'adjacent and postobstructive', 'observation': 'atelectasis'}}anatomical entity_fin: {'mediastinum': {}}size_fin: [{'size': '5.5 cm x 4 cm', 'size_descriptor': 'estimate'}]clinical findings_fin: {'this mass': {'clinical finding': 'this mass', 'existence': 'unc_dx', 'descriptive_term': 'this', 'observation': 'mass'}}clinical findings_fin: {'additional suspicious pulmonary nodule': {'clinical finding': 'additional suspicious pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'additional suspicious pulmonary', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}anatomical entity_fin: {'apices': {}}clinical findings_fin: {'mild nonspecific groundglass opacities': {'clinical finding': 'mild nonspecific groundglass opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'mild nonspecific groundglass', 'observation': 'opacity', 'strength_term': 'mild'}}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: {'mediastinum': {}}location descriptor_fin: ['left']clinical findings_fin: {'left tumor': {'clinical finding': 'left tumor', 'existence': 'pos_dx', 'descriptive_term': 'left', 'observation': 'tumor'}}size_fin: [{'size': '20 mm', 'size_descriptor': 'node'}]anatomical entity_fin: {'subcarinal lymph node': {}, 'axis': {}}clinical findings_fin: {'large subcarinal lymph node': {'clinical finding': 'large subcarinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'large subcarinal lymph', 'observation': 'node', 'strength_term': 'large'}}size_fin: [{'size': '18 mm', 'size_descriptor': 'node'}]anatomical entity_fin: {'axis': {}}location descriptor_fin: ['right']clinical findings_fin: {'right paratracheal lymph node': {'clinical finding': 'right paratracheal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right paratracheal lymph', 'observation': 'node'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'calcified mediastinal lymph nodes': {'clinical finding': 'calcified mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'calcified mediastinal lymph', 'observation': 'node', 'change_term': 'calcified'}, 'prior granulomatous disease': {'clinical finding': 'prior granulomatous disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'disease'}}size_fin: [{'size': '17 mm', 'size_descriptor': 'node'}]location descriptor_fin: ['right']clinical findings_fin: {'right supraclavicular or low enlarged cervical lymph node': {'clinical finding': 'right supraclavicular or low enlarged cervical lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right supraclavicular or low enlarged cervical lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}clinical findings_fin: {'axillary lymphadenopathy': {'clinical finding': 'axillary lymphadenopathy', 'cf_snomed': {'axillary lymphadenopathy': 127189005}, 'existence': 'neg_dx', 'descriptive_term': 'axillary', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}procedure_fin: ['cholecystectomy']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '24 mm x 18 mm'}]location descriptor_fin: ['left']clinical findings_fin: {'left adrenal nodule': {'clinical finding': 'left adrenal nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'left adrenal', 'observation': 'nodule'}}location descriptor_fin: ['left']clinical findings_fin: {'punctate nonobstructing left renal calculus': {'clinical finding': 'punctate nonobstructing left renal calculus', 'cf_snomed': {'calculus': 56381008}, 'existence': 'pos_dx', 'descriptive_term': 'punctate nonobstructing left renal', 'observation': 'calculus'}}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: {'gi': {'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'}}clinical findings_fin: {'gross abnormalities': {'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', '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: anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}, 'left atrium': {}, 'pulmonary vein': {'location descriptor': 'right inferior'}, 'right lower lobe bronchus': {}}location descriptor_fin: ['right', 'lower', 'inferior']clinical findings_fin: {'right lower lobe necrotic centrally located mass': {'clinical finding': 'right lower lobe necrotic centrally located mass', 'existence': 'pos_dx', 'descriptive_term': 'right lower lobe necrotic centrally located', 'observation': 'mass'}, 'mild compression': {'clinical finding': 'mild compression', 'cf_snomed': {'compression': 71173004}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'compression', 'strength_term': 'mild'}, 'obstruction_1': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'pos_dx', 'observation': 'obstruction'}, 'effacement': {'clinical finding': 'effacement', 'existence': 'pos_dx', 'observation': 'effacement'}, 'obstruction_2': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'pos_dx', 'observation': 'obstruction'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'this mass': {'clinical finding': 'this mass', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'mass'}, 'adjacent and postobstructive atelectasis': {'clinical finding': 'adjacent and postobstructive atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'adjacent and postobstructive', 'observation': 'atelectasis'}}anatomical entity_fin: {'mediastinum': {}}size_fin: [{'size': '5.5 cm x 4 cm', 'size_descriptor': 'estimate'}]clinical findings_fin: {'this mass': {'clinical finding': 'this mass', 'existence': 'unc_dx', 'descriptive_term': 'this', 'observation': 'mass'}}clinical findings_fin: {'additional suspicious pulmonary nodule': {'clinical finding': 'additional suspicious pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'additional suspicious pulmonary', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}anatomical entity_fin: {'apices': {}}clinical findings_fin: {'mild nonspecific groundglass opacities': {'clinical finding': 'mild nonspecific groundglass opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'mild nonspecific groundglass', 'observation': 'opacity', 'strength_term': 'mild'}}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: {'mediastinum': {}}location descriptor_fin: ['left']clinical findings_fin: {'left tumor': {'clinical finding': 'left tumor', 'existence': 'pos_dx', 'descriptive_term': 'left', 'observation': 'tumor'}}size_fin: [{'size': '20 mm', 'size_descriptor': 'node'}]anatomical entity_fin: {'subcarinal lymph node': {}, 'axis': {}}clinical findings_fin: {'large subcarinal lymph node': {'clinical finding': 'large subcarinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'large subcarinal lymph', 'observation': 'node', 'strength_term': 'large'}}size_fin: [{'size': '18 mm', 'size_descriptor': 'node'}]anatomical entity_fin: {'axis': {}}location descriptor_fin: ['right']clinical findings_fin: {'right paratracheal lymph node': {'clinical finding': 'right paratracheal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right paratracheal lymph', 'observation': 'node'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'calcified mediastinal lymph nodes': {'clinical finding': 'calcified mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'calcified mediastinal lymph', 'observation': 'node', 'change_term': 'calcified'}, 'prior granulomatous disease': {'clinical finding': 'prior granulomatous disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'disease'}}size_fin: [{'size': '17 mm', 'size_descriptor': 'node'}]location descriptor_fin: ['right']clinical findings_fin: {'right supraclavicular or low enlarged cervical lymph node': {'clinical finding': 'right supraclavicular or low enlarged cervical lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right supraclavicular or low enlarged cervical lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}clinical findings_fin: {'axillary lymphadenopathy': {'clinical finding': 'axillary lymphadenopathy', 'cf_snomed': {'axillary lymphadenopathy': 127189005}, 'existence': 'neg_dx', 'descriptive_term': 'axillary', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}procedure_fin: ['cholecystectomy']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '24 mm x 18 mm'}]location descriptor_fin: ['left']clinical findings_fin: {'left adrenal nodule': {'clinical finding': 'left adrenal nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'left adrenal', 'observation': 'nodule'}}location descriptor_fin: ['left']clinical findings_fin: {'punctate nonobstructing left renal calculus': {'clinical finding': 'punctate nonobstructing left renal calculus', 'cf_snomed': {'calculus': 56381008}, 'existence': 'pos_dx', 'descriptive_term': 'punctate nonobstructing left renal', 'observation': 'calculus'}}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: {'gi': {'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'}}clinical findings_fin: {'gross abnormalities': {'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', '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] . Right lower lobe necrotic centrally located mass producing mild compression of the left atrium and obstruction and effacement of the right inferior pulmonary vein and obstruction of the right lower lobe bronchus. This mass is difficult to accurately measure due to adjacent and postobstructive atelectasis. There is extension into the mediastinum. Best estimate of size of this mass is 5.5 cm x 4 cm. No additional suspicious pulmonary nodule or masses. Mild nonspecific groundglass opacities noted in both apices. No pleural effusions. Is not above there is extension of the left tumor into the mediastinum. Large subcarinal lymph node measuring 20 mm in its short axis. Right paratracheal lymph node measuring 18 mm in short axis. Cardiac size is normal without evidence of a pericardial effusion. Calcified mediastinal lymph nodes compatible with prior granulomatous disease. None. Right supraclavicular or low enlarged cervical lymph node measuring 17 mm. No axillary lymphadenopathy. Degenerative changes in the thoracic spine. Absence of enteric contrast material limits sensitivity for abdominal pathology. Status post cholecystectomy. No significant abnormality noted. Left adrenal nodule measuring 24 mm x 18 mm. Punctate nonobstructing left renal calculus. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. No significant abnormality noted. </s> |
There is reticulation of the lateral subcutaneous fat of the hip, pelvis and upper thigh. There is also a crescent of low density deep to the tensor fascia lata and iliotibial band and superficial to the vastus lateralis which may represent confluent edema or an elongated collection of fluid. This collection measures no more than 1 cm in thickness and approximately 9 cm in AP dimension and extends from the lesser trochanter to inferiorly off the field of view of this study. There is also swelling and low density of the gluteus medius which is nonspecific but could represent a myositis. We see no underlying osteomyelitis nor do we see a hip joint effusion. Osteoarthritis affects the hip, right sacroiliac joint and lower lumbar spine. There is a transitional L5 vertebrae with scattered arterial calcifications. Minimal fat stranding along the right paracolic gutter is of questionable clinical significance. | anatomical entity_fin: {'subcutaneous fat': {'location descriptor': 'lateral'}, 'hip': {}, 'pelvis': {}, 'thigh': {'location descriptor': 'upper'}}imaging observation_fin: ['reticulation']location descriptor_fin: ['lateral', 'upper']clinical findings_fin: {'reticulation': {'clinical finding': 'reticulation', 'existence': 'pos_dx', 'observation': 'reticulation'}}anatomical entity_fin: {'fascia': {}, 'vastus lateralis': {}, 'fluid': {}}imaging observation_fin: ['crescent']location descriptor_fin: ['superficial']clinical findings_fin: {'low density': {'clinical finding': 'low density', 'existence': 'pos_dx', 'descriptive_term': 'low', 'observation': 'density'}, 'confluent edema': {'clinical finding': 'confluent edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'unc_dx', 'descriptive_term': 'confluent', 'observation': 'edema'}}size_fin: [{'size': '1 cm'}, {'size': '9 cm'}]clinical findings_fin: {'swelling': {'clinical finding': 'swelling', 'cf_snomed': {'swelling': 65124004}, 'existence': 'pos_dx', 'observation': 'swell'}, 'low density': {'clinical finding': 'low density', 'existence': 'pos_dx', 'descriptive_term': 'low', 'observation': 'density'}, 'myositis': {'clinical finding': 'myositis', 'cf_snomed': {'myositis': 26889001}, 'existence': 'unc_dx', 'observation': 'myositis'}}anatomical entity_fin: {'hip joint': {}}clinical findings_fin: {'underlying osteomyelitis': {'clinical finding': 'underlying osteomyelitis', 'cf_snomed': {'osteomyelitis': 60168000}, 'existence': 'neg_dx', 'descriptive_term': 'underlying', 'observation': 'osteomyelitis'}, 'hip joint effusion': {'clinical finding': 'hip joint effusion', 'cf_snomed': {'hip joint effusion': 202379000}, 'existence': 'neg_dx', 'descriptive_term': 'hip joint', 'observation': 'effusion'}}anatomical entity_fin: {'hip': {}, 'sacroiliac joint': {'location descriptor': 'right'}, 'spine': {}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'osteoarthritis': {'clinical finding': 'osteoarthritis', 'cf_snomed': {'osteoarthritis': 396275006}, 'existence': 'pos_dx', 'observation': 'osteoarthritis'}}anatomical entity_fin: {'vertebrae': {}, 'arterial': {}}clinical findings_fin: {'scattered arterial calcifications': {'clinical finding': 'scattered arterial calcifications', 'existence': 'pos_dx', 'descriptive_term': 'scattered arterial', 'observation': 'calcification'}}anatomical entity_fin: {'paracolic gutter': {'location descriptor': 'right'}}imaging observation_fin: ['fat']location descriptor_fin: ['right']clinical findings_fin: {'minimal fat stranding': {'clinical finding': 'minimal fat stranding', 'existence': 'unc_dx', 'descriptive_term': 'minimal fat', 'observation': 'strand', 'strength_term': 'minimal', 'quantity_term': 'minimal'}} | 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: {'subcutaneous fat': {'location descriptor': 'lateral'}, 'hip': {}, 'pelvis': {}, 'thigh': {'location descriptor': 'upper'}}imaging observation_fin: ['reticulation']location descriptor_fin: ['lateral', 'upper']clinical findings_fin: {'reticulation': {'clinical finding': 'reticulation', 'existence': 'pos_dx', 'observation': 'reticulation'}}anatomical entity_fin: {'fascia': {}, 'vastus lateralis': {}, 'fluid': {}}imaging observation_fin: ['crescent']location descriptor_fin: ['superficial']clinical findings_fin: {'low density': {'clinical finding': 'low density', 'existence': 'pos_dx', 'descriptive_term': 'low', 'observation': 'density'}, 'confluent edema': {'clinical finding': 'confluent edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'unc_dx', 'descriptive_term': 'confluent', 'observation': 'edema'}}size_fin: [{'size': '1 cm'}, {'size': '9 cm'}]clinical findings_fin: {'swelling': {'clinical finding': 'swelling', 'cf_snomed': {'swelling': 65124004}, 'existence': 'pos_dx', 'observation': 'swell'}, 'low density': {'clinical finding': 'low density', 'existence': 'pos_dx', 'descriptive_term': 'low', 'observation': 'density'}, 'myositis': {'clinical finding': 'myositis', 'cf_snomed': {'myositis': 26889001}, 'existence': 'unc_dx', 'observation': 'myositis'}}anatomical entity_fin: {'hip joint': {}}clinical findings_fin: {'underlying osteomyelitis': {'clinical finding': 'underlying osteomyelitis', 'cf_snomed': {'osteomyelitis': 60168000}, 'existence': 'neg_dx', 'descriptive_term': 'underlying', 'observation': 'osteomyelitis'}, 'hip joint effusion': {'clinical finding': 'hip joint effusion', 'cf_snomed': {'hip joint effusion': 202379000}, 'existence': 'neg_dx', 'descriptive_term': 'hip joint', 'observation': 'effusion'}}anatomical entity_fin: {'hip': {}, 'sacroiliac joint': {'location descriptor': 'right'}, 'spine': {}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'osteoarthritis': {'clinical finding': 'osteoarthritis', 'cf_snomed': {'osteoarthritis': 396275006}, 'existence': 'pos_dx', 'observation': 'osteoarthritis'}}anatomical entity_fin: {'vertebrae': {}, 'arterial': {}}clinical findings_fin: {'scattered arterial calcifications': {'clinical finding': 'scattered arterial calcifications', 'existence': 'pos_dx', 'descriptive_term': 'scattered arterial', 'observation': 'calcification'}}anatomical entity_fin: {'paracolic gutter': {'location descriptor': 'right'}}imaging observation_fin: ['fat']location descriptor_fin: ['right']clinical findings_fin: {'minimal fat stranding': {'clinical finding': 'minimal fat stranding', 'existence': 'unc_dx', 'descriptive_term': 'minimal fat', 'observation': 'strand', 'strength_term': 'minimal', 'quantity_term': 'minimal'}} [/INST] There is reticulation of the lateral subcutaneous fat of the hip, pelvis and upper thigh. There is also a crescent of low density deep to the tensor fascia lata and iliotibial band and superficial to the vastus lateralis which may represent confluent edema or an elongated collection of fluid. This collection measures no more than 1 cm in thickness and approximately 9 cm in AP dimension and extends from the lesser trochanter to inferiorly off the field of view of this study. There is also swelling and low density of the gluteus medius which is nonspecific but could represent a myositis. We see no underlying osteomyelitis nor do we see a hip joint effusion. Osteoarthritis affects the hip, right sacroiliac joint and lower lumbar spine. There is a transitional L5 vertebrae with scattered arterial calcifications. Minimal fat stranding along the right paracolic gutter is of questionable clinical significance. </s> |
.The patient is status post left radical neck dissection and myocutaneous flap placement. No significant change in the infiltration of the fat planes along the left neck. Within the suprahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated. Within the infrahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated. Within the visceral space the thyroid gland appears intact. The airway appears patent. The parotid and the submandibular glands appear intact. The visualized lung apices demonstrate a stable large right-sided pleural effusion. Stable nodule in the left lung apex posteriorly and medially adjacent to the T5 vertebral body which currently measures 20 x 21 mm , previously this lesion measured 22 x 20 mm in axial dimensions. The carotid and vertebral vasculature visualized on this exam appears intact. The cervical vertebral bodies in general are intact with no evidence for central canal stenosis. The CSF spaces are appropriate for the patients stated age with no midline shift. No abnormal enhancing mass lesions are appreciated intracranially. No acute intracranial hemorrhage is identified. No edema is identified within the brain parenchyma. The visualized portions of the paranasal sinuses demonstrate minor opacities. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. | anatomical entity_fin: {'neck': {}}location descriptor_fin: ['left']clinical findings_fin: {'status post left radical neck dissection': {'clinical finding': 'status post left radical neck dissection', 'existence': 'pos_dx', 'descriptive_term': 'status post left radical neck', 'observation': 'dissection'}, 'myocutaneous flap': {'clinical finding': 'myocutaneous flap', 'existence': 'pos_dx', 'descriptive_term': 'myocutaneous', 'observation': 'flap'}}anatomical entity_fin: {'neck': {'location descriptor': 'left'}}imaging observation_fin: ['fat']location descriptor_fin: ['left']clinical findings_fin: {'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}}anatomical entity_fin: {'suprahyoid neck': {}}clinical findings_fin: {'lymphadenopathy_1': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'unc_dx', 'observation': 'lymphadenopathy'}, 'lymphadenopathy_2': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'infrahyoid neck': {}}clinical findings_fin: {'lymphadenopathy_1': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'unc_dx', 'observation': 'lymphadenopathy'}, 'lymphadenopathy_2': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'visceral space': {}, 'thyroid gland': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'airway': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'submandibular glands': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'lung': {}, 'apices': {}}location descriptor_fin: ['right']clinical findings_fin: {'stable large right-sided pleural effusion': {'clinical finding': 'stable large right-sided pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'stable large right-sided pleural', 'observation': 'effusion', 'strength_term': 'stable - large', 'change_term': 'stable'}}size_fin: [{'size': '20 x 21 mm'}, {'size': '22 x 20 mm'}]anatomical entity_fin: {'left lung': {}, 'apex': {}, 't5 vertebral body': {}}location descriptor_fin: ['adjacent']clinical findings_fin: {'stable nodule': {'clinical finding': 'stable nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'stable', 'observation': 'nodule', 'strength_term': 'stable', 'change_term': 'stable'}, 'this lesion': {'clinical finding': 'this lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'lesion'}}anatomical entity_fin: {'vasculature': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'cervical vertebral bodies': {}}location descriptor_fin: ['central']clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}, 'central canal stenosis': {'clinical finding': 'central canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'central canal', 'observation': 'stenosis'}}location descriptor_fin: ['midline']clinical findings_fin: {'midline shift': {'clinical finding': 'midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'}}imaging observation_fin: ['enhancing']clinical findings_fin: {'abnormal enhancing mass lesions': {'clinical finding': 'abnormal enhancing mass lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'abnormal enhancing mass', 'observation': 'lesion'}}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'}}anatomical entity_fin: {'brain': {}, 'parenchyma': {}}clinical findings_fin: {'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'observation': 'edema'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'minor opacities': {'clinical finding': 'minor opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'minor', 'observation': 'opacity'}}anatomical entity_fin: {'mastoid air cells': {}}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: anatomical entity_fin: {'neck': {}}location descriptor_fin: ['left']clinical findings_fin: {'status post left radical neck dissection': {'clinical finding': 'status post left radical neck dissection', 'existence': 'pos_dx', 'descriptive_term': 'status post left radical neck', 'observation': 'dissection'}, 'myocutaneous flap': {'clinical finding': 'myocutaneous flap', 'existence': 'pos_dx', 'descriptive_term': 'myocutaneous', 'observation': 'flap'}}anatomical entity_fin: {'neck': {'location descriptor': 'left'}}imaging observation_fin: ['fat']location descriptor_fin: ['left']clinical findings_fin: {'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}}anatomical entity_fin: {'suprahyoid neck': {}}clinical findings_fin: {'lymphadenopathy_1': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'unc_dx', 'observation': 'lymphadenopathy'}, 'lymphadenopathy_2': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'infrahyoid neck': {}}clinical findings_fin: {'lymphadenopathy_1': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'unc_dx', 'observation': 'lymphadenopathy'}, 'lymphadenopathy_2': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'visceral space': {}, 'thyroid gland': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'airway': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'submandibular glands': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'lung': {}, 'apices': {}}location descriptor_fin: ['right']clinical findings_fin: {'stable large right-sided pleural effusion': {'clinical finding': 'stable large right-sided pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'stable large right-sided pleural', 'observation': 'effusion', 'strength_term': 'stable - large', 'change_term': 'stable'}}size_fin: [{'size': '20 x 21 mm'}, {'size': '22 x 20 mm'}]anatomical entity_fin: {'left lung': {}, 'apex': {}, 't5 vertebral body': {}}location descriptor_fin: ['adjacent']clinical findings_fin: {'stable nodule': {'clinical finding': 'stable nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'stable', 'observation': 'nodule', 'strength_term': 'stable', 'change_term': 'stable'}, 'this lesion': {'clinical finding': 'this lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'lesion'}}anatomical entity_fin: {'vasculature': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'cervical vertebral bodies': {}}location descriptor_fin: ['central']clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}, 'central canal stenosis': {'clinical finding': 'central canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'central canal', 'observation': 'stenosis'}}location descriptor_fin: ['midline']clinical findings_fin: {'midline shift': {'clinical finding': 'midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'}}imaging observation_fin: ['enhancing']clinical findings_fin: {'abnormal enhancing mass lesions': {'clinical finding': 'abnormal enhancing mass lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'abnormal enhancing mass', 'observation': 'lesion'}}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'}}anatomical entity_fin: {'brain': {}, 'parenchyma': {}}clinical findings_fin: {'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'observation': 'edema'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'minor opacities': {'clinical finding': 'minor opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'minor', 'observation': 'opacity'}}anatomical entity_fin: {'mastoid air cells': {}}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 patient is status post left radical neck dissection and myocutaneous flap placement. No significant change in the infiltration of the fat planes along the left neck. Within the suprahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated. Within the infrahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated. Within the visceral space the thyroid gland appears intact. The airway appears patent. The parotid and the submandibular glands appear intact. The visualized lung apices demonstrate a stable large right-sided pleural effusion. Stable nodule in the left lung apex posteriorly and medially adjacent to the T5 vertebral body which currently measures 20 x 21 mm , previously this lesion measured 22 x 20 mm in axial dimensions. The carotid and vertebral vasculature visualized on this exam appears intact. The cervical vertebral bodies in general are intact with no evidence for central canal stenosis. The CSF spaces are appropriate for the patients stated age with no midline shift. No abnormal enhancing mass lesions are appreciated intracranially. No acute intracranial hemorrhage is identified. No edema is identified within the brain parenchyma. The visualized portions of the paranasal sinuses demonstrate minor opacities. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. </s> |
.There continues to be new gray-white matter loss of differentiation. The ventricles and the other CSF containing spaces are normal in size. There is no intracranial hemorrhage, mass effect or midline shift. There is no gross orbital abnormality. There is very minimal sphenoidal mucosal thickening without fluid, most likely of no significance. Otherwise, the imaged paranasal sinuses and mastoid air cells are clear. There is no skull fracture. Pedunculated, midline nasopharyngeal soft tissue thickening has not changed and may represent lymphoid tissue enlargement as described previously. The sella is mildly expanded with a thin rim of pituitary tissue along its floor. The petrous, cavernous, and supraclinoid segments of the internal carotid arteries are of preserved caliber and contrast opacification. Also, the paired anterior and middle cerebral arteries are unremarkable. The basilar artery is dominantly supplied by the right vertebral artery. Accounting for that, the intradural vertebral arteries are without significant narrowing. The bilateral posterior cerebral arteries are predominantly supplied by large posterior, communicating arteries which is a common variation of fetal origin. Anterior and two posterior communicating arteries are present. The dural venous sinuses are patent as well as the internal cerebral veins. There is partial obscuration of the right brachiocephalic artery and the very proximal right common carotid artery by artifact related to dense contrast in the right innominate vein. Otherwise, the aortic arch shows conventional branching pattern without significant ostial narrowing. The cervical common and internal carotid arteries are also of preserved, symmetric caliber and contrast opacification. The vertebral arteries arise from their respective subclavian arteries and also show no significant narrowing. The internal jugular veins are patent. Major salivary glands show no significant focality. The thyroid gland is also nonfocal. The airway is preserved accounting for nasopharyngeal soft tissue thickening as described above which does extend inferiorly to involve the right palatine tonsil. Small lymph nodes are present on both sides of the neck but are not enlarged and show no foci of necrosis or other suspicious features. Imaged lung apices show no suspicious opacity. | clinical findings_fin: {'continues to be new gray - white matter loss of differentiation': {'clinical finding': 'continues to be new gray - white matter loss of differentiation'}}clinical findings_fin: {'ventricles and the other csf containing spaces are normal in size': {'clinical finding': 'ventricles and the other csf containing spaces are normal in size'}}location descriptor_fin: ['midline']clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'midline shift': {'clinical finding': 'midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'}}clinical findings_fin: {'gross orbital abnormality': {'clinical finding': 'gross orbital abnormality', 'existence': 'neg_dx', 'descriptive_term': 'gross orbital', 'observation': 'abnormality'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'very minimal sphenoidal mucosal thickening': {'clinical finding': 'very minimal sphenoidal mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'very minimal sphenoidal mucosal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'skull': {}}clinical findings_fin: {'skull fracture': {'clinical finding': 'skull fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'skull', 'observation': 'fracture'}}anatomical entity_fin: {'lymphoid tissue': {}}location descriptor_fin: ['midline']clinical findings_fin: {'pedunculated, midline nasopharyngeal soft tissue thickening': {'clinical finding': 'pedunculated, midline nasopharyngeal soft tissue thickening', 'existence': 'neg_dx', 'descriptive_term': 'pedunculated midline nasopharyngeal soft tissue', 'observation': 'thickening'}}anatomical entity_fin: {'floor': {}}imaging observation_fin: ['thin rim']clinical findings_fin: {'expanded': {'clinical finding': 'expanded', 'existence': 'pos_dx', 'observation': 'expand'}, 'pituitary tissue': {'clinical finding': 'pituitary tissue', 'existence': 'pos_dx', 'descriptive_term': 'pituitary', 'observation': 'tissue'}}anatomical entity_fin: {'internal carotid arteries': {}}clinical findings_fin: {'preserved caliber and contrast opacification': {'clinical finding': 'preserved caliber and contrast opacification', 'existence': 'pos_dx', 'descriptive_term': 'preserved caliber and contrast', 'observation': 'opacification', 'change_term': 'preserved'}}anatomical entity_fin: {'middle cerebral arteries': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'also , the paired anterior and middle cerebral arteries are unremarkable': {'clinical finding': 'also , the paired anterior and middle cerebral arteries are unremarkable'}}anatomical entity_fin: {'basilar artery': {}, 'right vertebral artery': {}}anatomical entity_fin: {'vertebral arteries': {}}clinical findings_fin: {'significant narrowing': {'clinical finding': 'significant narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'significant', 'observation': 'narrowing'}}anatomical entity_fin: {'posterior cerebral arteries': {}, 'arteries': {}, 'origin': {}}location descriptor_fin: ['bilateral', 'posterior']anatomical entity_fin: {'posterior communicating arteries': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'anterior and two posterior communicating arteries are present': {'clinical finding': 'anterior and two posterior communicating arteries are present'}}anatomical entity_fin: {'internal cerebral veins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'brachiocephalic artery': {'location descriptor': 'right'}, 'common carotid artery': {'location descriptor': 'proximal right'}, 'vein': {}}location descriptor_fin: ['right', 'proximal']clinical findings_fin: {'artifact': {'clinical finding': 'artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'observation': 'artifact'}, 'dense contrast': {'clinical finding': 'dense contrast', 'existence': 'pos_dx', 'descriptive_term': 'dense', 'observation': 'contrast'}}anatomical entity_fin: {'aortic arch': {}}clinical findings_fin: {'conventional branching': {'clinical finding': 'conventional branching', 'existence': 'pos_dx', 'descriptive_term': 'conventional', 'observation': 'branching'}, 'significant ostial narrowing': {'clinical finding': 'significant ostial narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'neg_dx', 'descriptive_term': 'significant ostial', 'observation': 'narrowing'}}anatomical entity_fin: {'internal carotid arteries': {}}clinical findings_fin: {'preserved, symmetric caliber and contrast opacification': {'clinical finding': 'preserved, symmetric caliber and contrast opacification', 'existence': 'pos_dx', 'descriptive_term': 'preserved symmetric caliber and contrast', 'observation': 'opacification', 'change_term': 'preserved'}}anatomical entity_fin: {'vertebral arteries': {}, 'subclavian arteries': {}}clinical findings_fin: {'significant narrowing': {'clinical finding': 'significant narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'narrowing'}}anatomical entity_fin: {'internal jugular veins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'major salivary glands': {}}clinical findings_fin: {'significant focality': {'clinical finding': 'significant focality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'focality'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'nonfocal': {'clinical finding': 'nonfocal', 'existence': 'pos_dx', 'observation': 'nonfocal'}}anatomical entity_fin: {'airway': {}, 'palatine tonsil': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'nasopharyngeal soft tissue thickening': {'clinical finding': 'nasopharyngeal soft tissue thickening', 'existence': 'pos_dx', 'descriptive_term': 'nasopharyngeal soft tissue', 'observation': 'thickening'}}anatomical entity_fin: {'neck': {}}imaging observation_fin: ['foci']clinical findings_fin: {'small lymph nodes': {'clinical finding': 'small lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small lymph', 'observation': 'node', 'strength_term': 'small'}, 'enlarged': {'clinical finding': 'enlarged', 'existence': 'neg_dx', 'observation': 'enlarged'}, 'necrosis': {'clinical finding': 'necrosis', 'cf_snomed': {'necrosis': 6574001}, 'existence': 'neg_dx', 'observation': 'necrosis'}}anatomical entity_fin: {'lung': {}, 'apices': {}}clinical findings_fin: {'suspicious opacity': {'clinical finding': 'suspicious opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious', 'observation': 'opacity'}} | 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: {'continues to be new gray - white matter loss of differentiation': {'clinical finding': 'continues to be new gray - white matter loss of differentiation'}}clinical findings_fin: {'ventricles and the other csf containing spaces are normal in size': {'clinical finding': 'ventricles and the other csf containing spaces are normal in size'}}location descriptor_fin: ['midline']clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'midline shift': {'clinical finding': 'midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'}}clinical findings_fin: {'gross orbital abnormality': {'clinical finding': 'gross orbital abnormality', 'existence': 'neg_dx', 'descriptive_term': 'gross orbital', 'observation': 'abnormality'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'very minimal sphenoidal mucosal thickening': {'clinical finding': 'very minimal sphenoidal mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'very minimal sphenoidal mucosal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'skull': {}}clinical findings_fin: {'skull fracture': {'clinical finding': 'skull fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'skull', 'observation': 'fracture'}}anatomical entity_fin: {'lymphoid tissue': {}}location descriptor_fin: ['midline']clinical findings_fin: {'pedunculated, midline nasopharyngeal soft tissue thickening': {'clinical finding': 'pedunculated, midline nasopharyngeal soft tissue thickening', 'existence': 'neg_dx', 'descriptive_term': 'pedunculated midline nasopharyngeal soft tissue', 'observation': 'thickening'}}anatomical entity_fin: {'floor': {}}imaging observation_fin: ['thin rim']clinical findings_fin: {'expanded': {'clinical finding': 'expanded', 'existence': 'pos_dx', 'observation': 'expand'}, 'pituitary tissue': {'clinical finding': 'pituitary tissue', 'existence': 'pos_dx', 'descriptive_term': 'pituitary', 'observation': 'tissue'}}anatomical entity_fin: {'internal carotid arteries': {}}clinical findings_fin: {'preserved caliber and contrast opacification': {'clinical finding': 'preserved caliber and contrast opacification', 'existence': 'pos_dx', 'descriptive_term': 'preserved caliber and contrast', 'observation': 'opacification', 'change_term': 'preserved'}}anatomical entity_fin: {'middle cerebral arteries': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'also , the paired anterior and middle cerebral arteries are unremarkable': {'clinical finding': 'also , the paired anterior and middle cerebral arteries are unremarkable'}}anatomical entity_fin: {'basilar artery': {}, 'right vertebral artery': {}}anatomical entity_fin: {'vertebral arteries': {}}clinical findings_fin: {'significant narrowing': {'clinical finding': 'significant narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'significant', 'observation': 'narrowing'}}anatomical entity_fin: {'posterior cerebral arteries': {}, 'arteries': {}, 'origin': {}}location descriptor_fin: ['bilateral', 'posterior']anatomical entity_fin: {'posterior communicating arteries': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'anterior and two posterior communicating arteries are present': {'clinical finding': 'anterior and two posterior communicating arteries are present'}}anatomical entity_fin: {'internal cerebral veins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'brachiocephalic artery': {'location descriptor': 'right'}, 'common carotid artery': {'location descriptor': 'proximal right'}, 'vein': {}}location descriptor_fin: ['right', 'proximal']clinical findings_fin: {'artifact': {'clinical finding': 'artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'observation': 'artifact'}, 'dense contrast': {'clinical finding': 'dense contrast', 'existence': 'pos_dx', 'descriptive_term': 'dense', 'observation': 'contrast'}}anatomical entity_fin: {'aortic arch': {}}clinical findings_fin: {'conventional branching': {'clinical finding': 'conventional branching', 'existence': 'pos_dx', 'descriptive_term': 'conventional', 'observation': 'branching'}, 'significant ostial narrowing': {'clinical finding': 'significant ostial narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'neg_dx', 'descriptive_term': 'significant ostial', 'observation': 'narrowing'}}anatomical entity_fin: {'internal carotid arteries': {}}clinical findings_fin: {'preserved, symmetric caliber and contrast opacification': {'clinical finding': 'preserved, symmetric caliber and contrast opacification', 'existence': 'pos_dx', 'descriptive_term': 'preserved symmetric caliber and contrast', 'observation': 'opacification', 'change_term': 'preserved'}}anatomical entity_fin: {'vertebral arteries': {}, 'subclavian arteries': {}}clinical findings_fin: {'significant narrowing': {'clinical finding': 'significant narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'narrowing'}}anatomical entity_fin: {'internal jugular veins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'major salivary glands': {}}clinical findings_fin: {'significant focality': {'clinical finding': 'significant focality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'focality'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'nonfocal': {'clinical finding': 'nonfocal', 'existence': 'pos_dx', 'observation': 'nonfocal'}}anatomical entity_fin: {'airway': {}, 'palatine tonsil': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'nasopharyngeal soft tissue thickening': {'clinical finding': 'nasopharyngeal soft tissue thickening', 'existence': 'pos_dx', 'descriptive_term': 'nasopharyngeal soft tissue', 'observation': 'thickening'}}anatomical entity_fin: {'neck': {}}imaging observation_fin: ['foci']clinical findings_fin: {'small lymph nodes': {'clinical finding': 'small lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small lymph', 'observation': 'node', 'strength_term': 'small'}, 'enlarged': {'clinical finding': 'enlarged', 'existence': 'neg_dx', 'observation': 'enlarged'}, 'necrosis': {'clinical finding': 'necrosis', 'cf_snomed': {'necrosis': 6574001}, 'existence': 'neg_dx', 'observation': 'necrosis'}}anatomical entity_fin: {'lung': {}, 'apices': {}}clinical findings_fin: {'suspicious opacity': {'clinical finding': 'suspicious opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious', 'observation': 'opacity'}} [/INST] .There continues to be new gray-white matter loss of differentiation. The ventricles and the other CSF containing spaces are normal in size. There is no intracranial hemorrhage, mass effect or midline shift. There is no gross orbital abnormality. There is very minimal sphenoidal mucosal thickening without fluid, most likely of no significance. Otherwise, the imaged paranasal sinuses and mastoid air cells are clear. There is no skull fracture. Pedunculated, midline nasopharyngeal soft tissue thickening has not changed and may represent lymphoid tissue enlargement as described previously. The sella is mildly expanded with a thin rim of pituitary tissue along its floor. The petrous, cavernous, and supraclinoid segments of the internal carotid arteries are of preserved caliber and contrast opacification. Also, the paired anterior and middle cerebral arteries are unremarkable. The basilar artery is dominantly supplied by the right vertebral artery. Accounting for that, the intradural vertebral arteries are without significant narrowing. The bilateral posterior cerebral arteries are predominantly supplied by large posterior, communicating arteries which is a common variation of fetal origin. Anterior and two posterior communicating arteries are present. The dural venous sinuses are patent as well as the internal cerebral veins. There is partial obscuration of the right brachiocephalic artery and the very proximal right common carotid artery by artifact related to dense contrast in the right innominate vein. Otherwise, the aortic arch shows conventional branching pattern without significant ostial narrowing. The cervical common and internal carotid arteries are also of preserved, symmetric caliber and contrast opacification. The vertebral arteries arise from their respective subclavian arteries and also show no significant narrowing. The internal jugular veins are patent. Major salivary glands show no significant focality. The thyroid gland is also nonfocal. The airway is preserved accounting for nasopharyngeal soft tissue thickening as described above which does extend inferiorly to involve the right palatine tonsil. Small lymph nodes are present on both sides of the neck but are not enlarged and show no foci of necrosis or other suspicious features. Imaged lung apices show no suspicious opacity. </s> |
The patient status post recent right frontal lobe surgery and a right frontal craniotomy. There is redemonstration of an extra-axial collection which currently measures 7 mm in thickness. The amount of air in this extra-axial collection has decreased compared to the prior exam. There is redemonstration of a surgical cavity in the right frontal lobe measuring 59 x 43 mm axial dimensions. The amount of air within this surgical cavity has also decreased. Intraventricular air is also slightly smaller on the current exam. There is redemonstration of vasogenic edema in the right frontal lobe and the right external capsule. There is redemonstration of midline shift with shift of the septum pellucidum approximately 7 mm to the left of midline. This is approximately 9 mm on the prior exam there is redemonstration of compression of the right lateral ventricle. There is also mild right-sided uncal herniation present which has not changed substantially. The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. | anatomical entity_fin: {'right frontal lobe': {}}location descriptor_fin: ['right']size_fin: [{'size': '7 mm', 'size_descriptor': 'redemonstration'}]clinical findings_fin: {'amount of air in this extra-axial collection has decreased compared to the prior exam': {'clinical finding': 'amount of air in this extra-axial collection has decreased compared to the prior exam', 'change_term': 'decreased'}}size_fin: [{'size': '59 x 43 mm', 'size_descriptor': 'dimensions'}]anatomical entity_fin: {'right frontal lobe': {}}clinical findings_fin: {'surgical cavity': {'clinical finding': 'surgical cavity', 'cf_snomed': {'cavity': 2483006}, 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'cavity'}}clinical findings_fin: {'this surgical cavity': {'clinical finding': 'this surgical cavity', 'cf_snomed': {'cavity': 2483006}, 'existence': 'pos_dx', 'descriptive_term': 'this surgical', 'observation': 'cavity'}}clinical findings_fin: {'also slightly smaller on the current exam': {'clinical finding': 'also slightly smaller on the current exam'}}anatomical entity_fin: {'right frontal lobe': {}, 'right external capsule': {}}clinical findings_fin: {'vasogenic edema': {'clinical finding': 'vasogenic edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'vasogenic', 'observation': 'edema'}}size_fin: [{'size': '7 mm', 'size_descriptor': 'redemonstration'}]anatomical entity_fin: {'septum pellucidum': {}}location descriptor_fin: ['midline', 'left']size_fin: [{'size': '9 mm', 'size_descriptor': 'redemonstration'}]anatomical entity_fin: {'right lateral ventricle': {}}clinical findings_fin: {'compression': {'clinical finding': 'compression', 'cf_snomed': {'compression': 71173004}, 'existence': 'pos_dx', 'observation': 'compression'}}location descriptor_fin: ['right']clinical findings_fin: {'mild right-sided uncal herniation': {'clinical finding': 'mild right-sided uncal herniation', 'existence': 'pos_dx', 'descriptive_term': 'mild right-sided uncal', 'observation': 'herniation', 'strength_term': 'mild'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'mastoid air cells': {}}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: anatomical entity_fin: {'right frontal lobe': {}}location descriptor_fin: ['right']size_fin: [{'size': '7 mm', 'size_descriptor': 'redemonstration'}]clinical findings_fin: {'amount of air in this extra-axial collection has decreased compared to the prior exam': {'clinical finding': 'amount of air in this extra-axial collection has decreased compared to the prior exam', 'change_term': 'decreased'}}size_fin: [{'size': '59 x 43 mm', 'size_descriptor': 'dimensions'}]anatomical entity_fin: {'right frontal lobe': {}}clinical findings_fin: {'surgical cavity': {'clinical finding': 'surgical cavity', 'cf_snomed': {'cavity': 2483006}, 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'cavity'}}clinical findings_fin: {'this surgical cavity': {'clinical finding': 'this surgical cavity', 'cf_snomed': {'cavity': 2483006}, 'existence': 'pos_dx', 'descriptive_term': 'this surgical', 'observation': 'cavity'}}clinical findings_fin: {'also slightly smaller on the current exam': {'clinical finding': 'also slightly smaller on the current exam'}}anatomical entity_fin: {'right frontal lobe': {}, 'right external capsule': {}}clinical findings_fin: {'vasogenic edema': {'clinical finding': 'vasogenic edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'vasogenic', 'observation': 'edema'}}size_fin: [{'size': '7 mm', 'size_descriptor': 'redemonstration'}]anatomical entity_fin: {'septum pellucidum': {}}location descriptor_fin: ['midline', 'left']size_fin: [{'size': '9 mm', 'size_descriptor': 'redemonstration'}]anatomical entity_fin: {'right lateral ventricle': {}}clinical findings_fin: {'compression': {'clinical finding': 'compression', 'cf_snomed': {'compression': 71173004}, 'existence': 'pos_dx', 'observation': 'compression'}}location descriptor_fin: ['right']clinical findings_fin: {'mild right-sided uncal herniation': {'clinical finding': 'mild right-sided uncal herniation', 'existence': 'pos_dx', 'descriptive_term': 'mild right-sided uncal', 'observation': 'herniation', 'strength_term': 'mild'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'mastoid air cells': {}}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 patient status post recent right frontal lobe surgery and a right frontal craniotomy. There is redemonstration of an extra-axial collection which currently measures 7 mm in thickness. The amount of air in this extra-axial collection has decreased compared to the prior exam. There is redemonstration of a surgical cavity in the right frontal lobe measuring 59 x 43 mm axial dimensions. The amount of air within this surgical cavity has also decreased. Intraventricular air is also slightly smaller on the current exam. There is redemonstration of vasogenic edema in the right frontal lobe and the right external capsule. There is redemonstration of midline shift with shift of the septum pellucidum approximately 7 mm to the left of midline. This is approximately 9 mm on the prior exam there is redemonstration of compression of the right lateral ventricle. There is also mild right-sided uncal herniation present which has not changed substantially. The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. </s> |
. A linear filling defect is present in a segmental branch supplying the left lower lobe. No other pulmonary emboli are seen. No focal lung opacity is present. A triangular defect within the superior vena cava inferior to the level of the azygos vein is present. The heart size is normal. There is no evidence of right ventricular strain. Right thoracic and left thoracolumbar curves are noted. A gastrostomy tube is present. There may be a calculus in the upper pole of the left kidney. | anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'linear filling defect': {'clinical finding': 'linear filling defect', 'cf_snomed': {'filling defect': 43468004}, 'existence': 'pos_dx', 'descriptive_term': 'linear filling', 'observation': 'defect'}}clinical findings_fin: {'other pulmonary emboli': {'clinical finding': 'other pulmonary emboli', 'existence': 'neg_dx', 'descriptive_term': 'other pulmonary', 'observation': 'emboli'}}anatomical entity_fin: {'lung': {}}clinical findings_fin: {'focal lung opacity': {'clinical finding': 'focal lung opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'neg_dx', 'descriptive_term': 'focal lung', 'observation': 'opacity'}}anatomical entity_fin: {'superior vena cava': {}, 'azygos vein': {}}imaging observation_fin: ['triangular']location descriptor_fin: ['inferior']clinical findings_fin: {'triangular defect': {'clinical finding': 'triangular defect', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'descriptive_term': 'triangular', 'observation': 'defect'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'heart size is normal': {'clinical finding': 'heart size is normal'}}location descriptor_fin: ['right']clinical findings_fin: {'right ventricular strain': {'clinical finding': 'right ventricular strain', 'existence': 'neg_dx', 'descriptive_term': 'right ventricular', 'observation': 'strain'}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'right thoracic and left thoracolumbar curves are noted': {'clinical finding': 'right thoracic and left thoracolumbar curves are noted'}}object_fin: ['tube']procedure_fin: ['gastrostomy']clinical findings_fin: {'gastrostomy tube is present': {'clinical finding': 'gastrostomy tube is present'}}anatomical entity_fin: {'pole': {'location descriptor': 'upper'}, 'left kidney': {}}location descriptor_fin: ['upper']clinical findings_fin: {'calculus': {'clinical finding': 'calculus', 'cf_snomed': {'calculus': 56381008}, 'existence': 'unc_dx', 'observation': 'calculus'}} | 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: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'linear filling defect': {'clinical finding': 'linear filling defect', 'cf_snomed': {'filling defect': 43468004}, 'existence': 'pos_dx', 'descriptive_term': 'linear filling', 'observation': 'defect'}}clinical findings_fin: {'other pulmonary emboli': {'clinical finding': 'other pulmonary emboli', 'existence': 'neg_dx', 'descriptive_term': 'other pulmonary', 'observation': 'emboli'}}anatomical entity_fin: {'lung': {}}clinical findings_fin: {'focal lung opacity': {'clinical finding': 'focal lung opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'neg_dx', 'descriptive_term': 'focal lung', 'observation': 'opacity'}}anatomical entity_fin: {'superior vena cava': {}, 'azygos vein': {}}imaging observation_fin: ['triangular']location descriptor_fin: ['inferior']clinical findings_fin: {'triangular defect': {'clinical finding': 'triangular defect', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'descriptive_term': 'triangular', 'observation': 'defect'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'heart size is normal': {'clinical finding': 'heart size is normal'}}location descriptor_fin: ['right']clinical findings_fin: {'right ventricular strain': {'clinical finding': 'right ventricular strain', 'existence': 'neg_dx', 'descriptive_term': 'right ventricular', 'observation': 'strain'}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'right thoracic and left thoracolumbar curves are noted': {'clinical finding': 'right thoracic and left thoracolumbar curves are noted'}}object_fin: ['tube']procedure_fin: ['gastrostomy']clinical findings_fin: {'gastrostomy tube is present': {'clinical finding': 'gastrostomy tube is present'}}anatomical entity_fin: {'pole': {'location descriptor': 'upper'}, 'left kidney': {}}location descriptor_fin: ['upper']clinical findings_fin: {'calculus': {'clinical finding': 'calculus', 'cf_snomed': {'calculus': 56381008}, 'existence': 'unc_dx', 'observation': 'calculus'}} [/INST] . A linear filling defect is present in a segmental branch supplying the left lower lobe. No other pulmonary emboli are seen. No focal lung opacity is present. A triangular defect within the superior vena cava inferior to the level of the azygos vein is present. The heart size is normal. There is no evidence of right ventricular strain. Right thoracic and left thoracolumbar curves are noted. A gastrostomy tube is present. There may be a calculus in the upper pole of the left kidney. </s> |
The lateral ventricles remain mildly dilated. Biventricular diameter on coronal imaging at the level of foramen of Monro remains at 40 mm. Sulci remain mildly effaced. There is no evidence for acute intracranial hemorrhage. The patient is status post endovascular occlusion of a giant vertebrobasilar aneurysm. There is still some contrast in the aneurysm. An air bubble in the left vertebral artery has decreased in caliber. The visualized portions of the paranasal sinuses demonstrate fluid in the maxillary sinuses. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. | anatomical entity_fin: {'lateral ventricles': {}}clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}}size_fin: [{'size': '40 mm', 'size_descriptor': 'diameter'}]anatomical entity_fin: {'foramen': {}}clinical findings_fin: {'effaced': {'clinical finding': 'effaced', 'existence': 'pos_dx', 'observation': 'effaced'}}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'}}clinical findings_fin: {'post endovascular occlusion': {'clinical finding': 'post endovascular occlusion', 'existence': 'pos_dx', 'descriptive_term': 'post endovascular', 'observation': 'occlusion'}, 'giant vertebrobasilar aneurysm': {'clinical finding': 'giant vertebrobasilar aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'pos_dx', 'descriptive_term': 'giant vertebrobasilar', 'observation': 'aneurysm'}}clinical findings_fin: {'some contrast': {'clinical finding': 'some contrast', 'existence': 'pos_dx', 'descriptive_term': 'some', 'observation': 'contrast', 'quantity_term': 'some'}, 'aneurysm': {'clinical finding': 'aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'pos_dx', 'observation': 'aneurysm'}}anatomical entity_fin: {'left vertebral artery': {}}clinical findings_fin: {'air bubble': {'clinical finding': 'air bubble', 'existence': 'pos_dx', 'descriptive_term': 'air', 'observation': 'bubble'}, 'decreased': {'clinical finding': 'decreased', 'existence': 'pos_dx', 'observation': 'decrease'}}anatomical entity_fin: {'paranasal sinuses': {}, 'fluid': {}}clinical findings_fin: {'visualized portions of the paranasal sinuses demonstrate fluid in the maxillary sinuses': {'clinical finding': 'visualized portions of the paranasal sinuses demonstrate fluid in the maxillary sinuses', 'cf_snomed': {'sinus': 419351001}}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_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: anatomical entity_fin: {'lateral ventricles': {}}clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}}size_fin: [{'size': '40 mm', 'size_descriptor': 'diameter'}]anatomical entity_fin: {'foramen': {}}clinical findings_fin: {'effaced': {'clinical finding': 'effaced', 'existence': 'pos_dx', 'observation': 'effaced'}}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'}}clinical findings_fin: {'post endovascular occlusion': {'clinical finding': 'post endovascular occlusion', 'existence': 'pos_dx', 'descriptive_term': 'post endovascular', 'observation': 'occlusion'}, 'giant vertebrobasilar aneurysm': {'clinical finding': 'giant vertebrobasilar aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'pos_dx', 'descriptive_term': 'giant vertebrobasilar', 'observation': 'aneurysm'}}clinical findings_fin: {'some contrast': {'clinical finding': 'some contrast', 'existence': 'pos_dx', 'descriptive_term': 'some', 'observation': 'contrast', 'quantity_term': 'some'}, 'aneurysm': {'clinical finding': 'aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'pos_dx', 'observation': 'aneurysm'}}anatomical entity_fin: {'left vertebral artery': {}}clinical findings_fin: {'air bubble': {'clinical finding': 'air bubble', 'existence': 'pos_dx', 'descriptive_term': 'air', 'observation': 'bubble'}, 'decreased': {'clinical finding': 'decreased', 'existence': 'pos_dx', 'observation': 'decrease'}}anatomical entity_fin: {'paranasal sinuses': {}, 'fluid': {}}clinical findings_fin: {'visualized portions of the paranasal sinuses demonstrate fluid in the maxillary sinuses': {'clinical finding': 'visualized portions of the paranasal sinuses demonstrate fluid in the maxillary sinuses', 'cf_snomed': {'sinus': 419351001}}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}} [/INST] The lateral ventricles remain mildly dilated. Biventricular diameter on coronal imaging at the level of foramen of Monro remains at 40 mm. Sulci remain mildly effaced. There is no evidence for acute intracranial hemorrhage. The patient is status post endovascular occlusion of a giant vertebrobasilar aneurysm. There is still some contrast in the aneurysm. An air bubble in the left vertebral artery has decreased in caliber. The visualized portions of the paranasal sinuses demonstrate fluid in the maxillary sinuses. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. </s> |