There is redemonstration of degenerative grade 1 anterolisthesis of L4 on L5 which appears to have slightly increased compared to the 8/31/2015 MRI. There is also trace retrolisthesis of L1 with respect to L2. Lumbar spinal alignment is otherwise within normal limits. Vertebral body heights are preserved. There is moderate-severe loss of disc height at L5-S1 as well as mild loss of disc height at L1-L2 and L4-L5. Degenerative endplate changes are present at L5-S1 including a small Schmorls node within the inferior endplate of L5. Degenerative facet arthropathy affects the lower lumbar spine. There is evidence of prior microdiscectomy at L4-L5. Incidental note is made of a bilateral punctate nonobstructive caliceal calculi the largest of which is in the left kidney measuring up to 4 mm. Mildly atherosclerotic calcifications affect the abdominal aorta. No significant central canal or foraminal stenosis. Mild disc bulge without significant central canal or foraminal stenosis. No significant central canal or foraminal stenosis. No significant central canal or foraminal stenosis. Mild disc bulge or uncovering. Advanced left greater than right facet arthropathy. Ligamentum flavum thickening. Posterior epidural lipomatosis. Left facet joint subcentimeter synovial cyst. Moderate spinal canal stenosis. Moderate bilateral foraminal stenosis. Mild disc bulge. Moderate bilateral foraminal stenosis.
clinical findings_fin: {'degenerative grade 1 anterolisthesis': {'clinical finding': 'degenerative grade 1 anterolisthesis', 'existence': 'pos_dx', 'descriptive_term': 'degenerative grade 1', 'observation': 'anterolisthesis'}}clinical findings_fin: {'trace retrolisthesis': {'clinical finding': 'trace retrolisthesis', 'cf_snomed': {'retrolisthesis': 416981004}, 'existence': 'pos_dx', 'descriptive_term': 'trace', 'observation': 'retrolisthesis'}}clinical findings_fin: {'lumbar spinal alignment is otherwise within normal limits': {'clinical finding': 'lumbar spinal alignment is otherwise within normal limits'}}anatomical entity_fin: {'vertebral body': {}}clinical findings_fin: {'vertebral body heights are preserved': {'clinical finding': 'vertebral body heights are preserved', 'change_term': 'preserved'}}anatomical entity_fin: {'disc': {}}clinical findings_fin: {'mild loss of disc height at l1-l2 and l4-l5': {'clinical finding': 'mild loss of disc height at l1-l2 and l4-l5'}}anatomical entity_fin: {'endplate': {'location descriptor': 'inferior'}}location descriptor_fin: ['inferior']clinical findings_fin: {'degenerative endplate changes': {'clinical finding': 'degenerative endplate changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative endplate', 'observation': 'change'}, 'small schmorls node': {'clinical finding': 'small schmorls node', 'existence': 'pos_dx', 'descriptive_term': 'small schmorls', 'observation': 'node', 'strength_term': 'small'}}anatomical entity_fin: {'facet': {}, 'spine': {}}location descriptor_fin: ['lower']clinical findings_fin: {'prior microdiscectomy': {'clinical finding': 'prior microdiscectomy', 'existence': 'pos_dx', 'descriptive_term': 'prior', 'observation': 'microdiscectomy'}}size_fin: [{'size': '4 mm'}]anatomical entity_fin: {'left kidney': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral punctate nonobstructive caliceal calculi': {'clinical finding': 'bilateral punctate nonobstructive caliceal calculi', 'existence': 'pos_dx', 'descriptive_term': 'bilateral punctate nonobstructive caliceal', 'observation': 'calculi'}}anatomical entity_fin: {'abdominal aorta': {}}clinical findings_fin: {'mildly atherosclerotic calcifications': {'clinical finding': 'mildly atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'mildly atherosclerotic', 'observation': 'calcification', 'strength_term': 'mildly'}}location descriptor_fin: ['central']clinical findings_fin: {'significant central canal': {'clinical finding': 'significant central canal', 'existence': 'neg_dx', 'descriptive_term': 'significant central', 'observation': 'canal'}, 'foraminal stenosis': {'clinical finding': 'foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'foraminal', 'observation': 'stenosis'}}location descriptor_fin: ['central']clinical findings_fin: {'mild disc bulge': {'clinical finding': 'mild disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'mild disc', 'observation': 'bulge', 'strength_term': 'mild'}, 'significant central canal': {'clinical finding': 'significant central canal', 'existence': 'neg_dx', 'descriptive_term': 'significant central', 'observation': 'canal'}, 'foraminal stenosis': {'clinical finding': 'foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'foraminal', 'observation': 'stenosis'}}location descriptor_fin: ['central']clinical findings_fin: {'significant central canal': {'clinical finding': 'significant central canal', 'existence': 'neg_dx', 'descriptive_term': 'significant central', 'observation': 'canal'}, 'foraminal stenosis': {'clinical finding': 'foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'foraminal', 'observation': 'stenosis'}}location descriptor_fin: ['central']clinical findings_fin: {'significant central canal': {'clinical finding': 'significant central canal', 'existence': 'neg_dx', 'descriptive_term': 'significant central', 'observation': 'canal'}, 'foraminal stenosis': {'clinical finding': 'foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'foraminal', 'observation': 'stenosis'}}clinical findings_fin: {'mild disc bulge': {'clinical finding': 'mild disc bulge', 'existence': 'unc_dx', 'descriptive_term': 'mild disc', 'observation': 'bulge', 'strength_term': 'mild'}}anatomical entity_fin: {'facet': {'location descriptor': 'right'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'facet arthropathy': {'clinical finding': 'facet arthropathy', 'cf_snomed': {'arthropathy': 399269003}, 'existence': 'pos_dx', 'descriptive_term': 'facet', 'observation': 'arthropathy'}}anatomical entity_fin: {'ligamentum flavum': {}}clinical findings_fin: {'ligamentum flavum thickening': {'clinical finding': 'ligamentum flavum thickening', 'existence': 'pos_dx', 'descriptive_term': 'ligamentum flavum', 'observation': 'thickening'}}location descriptor_fin: ['posterior']clinical findings_fin: {'posterior epidural lipomatosis': {'clinical finding': 'posterior epidural lipomatosis', 'cf_snomed': {'epidural lipomatosis': 426399003}, 'existence': 'pos_dx', 'descriptive_term': 'posterior epidural', 'observation': 'lipomatosis'}}anatomical entity_fin: {'facet': {'location descriptor': 'left'}, 'joint': {}}location descriptor_fin: ['left']clinical findings_fin: {'left facet joint subcentimeter synovial cyst': {'clinical finding': 'left facet joint subcentimeter synovial cyst', 'cf_snomed': {'synovial cyst': 240205003}, 'existence': 'pos_dx', 'descriptive_term': 'left facet joint subcentimeter synovial', 'observation': 'cyst'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'moderate spinal canal stenosis': {'clinical finding': 'moderate spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate spinal canal', 'observation': 'stenosis', 'strength_term': 'moderate'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'moderate bilateral foraminal stenosis': {'clinical finding': 'moderate bilateral foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate bilateral foraminal', 'observation': 'stenosis', 'strength_term': 'moderate'}}clinical findings_fin: {'mild disc bulge': {'clinical finding': 'mild disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'mild disc', 'observation': 'bulge', 'strength_term': 'mild'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'moderate bilateral foraminal stenosis': {'clinical finding': 'moderate bilateral foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate bilateral foraminal', 'observation': 'stenosis', 'strength_term': 'moderate'}}
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'degenerative grade 1 anterolisthesis': {'clinical finding': 'degenerative grade 1 anterolisthesis', 'existence': 'pos_dx', 'descriptive_term': 'degenerative grade 1', 'observation': 'anterolisthesis'}}clinical findings_fin: {'trace retrolisthesis': {'clinical finding': 'trace retrolisthesis', 'cf_snomed': {'retrolisthesis': 416981004}, 'existence': 'pos_dx', 'descriptive_term': 'trace', 'observation': 'retrolisthesis'}}clinical findings_fin: {'lumbar spinal alignment is otherwise within normal limits': {'clinical finding': 'lumbar spinal alignment is otherwise within normal limits'}}anatomical entity_fin: {'vertebral body': {}}clinical findings_fin: {'vertebral body heights are preserved': {'clinical finding': 'vertebral body heights are preserved', 'change_term': 'preserved'}}anatomical entity_fin: {'disc': {}}clinical findings_fin: {'mild loss of disc height at l1-l2 and l4-l5': {'clinical finding': 'mild loss of disc height at l1-l2 and l4-l5'}}anatomical entity_fin: {'endplate': {'location descriptor': 'inferior'}}location descriptor_fin: ['inferior']clinical findings_fin: {'degenerative endplate changes': {'clinical finding': 'degenerative endplate changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative endplate', 'observation': 'change'}, 'small schmorls node': {'clinical finding': 'small schmorls node', 'existence': 'pos_dx', 'descriptive_term': 'small schmorls', 'observation': 'node', 'strength_term': 'small'}}anatomical entity_fin: {'facet': {}, 'spine': {}}location descriptor_fin: ['lower']clinical findings_fin: {'prior microdiscectomy': {'clinical finding': 'prior microdiscectomy', 'existence': 'pos_dx', 'descriptive_term': 'prior', 'observation': 'microdiscectomy'}}size_fin: [{'size': '4 mm'}]anatomical entity_fin: {'left kidney': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral punctate nonobstructive caliceal calculi': {'clinical finding': 'bilateral punctate nonobstructive caliceal calculi', 'existence': 'pos_dx', 'descriptive_term': 'bilateral punctate nonobstructive caliceal', 'observation': 'calculi'}}anatomical entity_fin: {'abdominal aorta': {}}clinical findings_fin: {'mildly atherosclerotic calcifications': {'clinical finding': 'mildly atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'mildly atherosclerotic', 'observation': 'calcification', 'strength_term': 'mildly'}}location descriptor_fin: ['central']clinical findings_fin: {'significant central canal': {'clinical finding': 'significant central canal', 'existence': 'neg_dx', 'descriptive_term': 'significant central', 'observation': 'canal'}, 'foraminal stenosis': {'clinical finding': 'foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'foraminal', 'observation': 'stenosis'}}location descriptor_fin: ['central']clinical findings_fin: {'mild disc bulge': {'clinical finding': 'mild disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'mild disc', 'observation': 'bulge', 'strength_term': 'mild'}, 'significant central canal': {'clinical finding': 'significant central canal', 'existence': 'neg_dx', 'descriptive_term': 'significant central', 'observation': 'canal'}, 'foraminal stenosis': {'clinical finding': 'foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'foraminal', 'observation': 'stenosis'}}location descriptor_fin: ['central']clinical findings_fin: {'significant central canal': {'clinical finding': 'significant central canal', 'existence': 'neg_dx', 'descriptive_term': 'significant central', 'observation': 'canal'}, 'foraminal stenosis': {'clinical finding': 'foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'foraminal', 'observation': 'stenosis'}}location descriptor_fin: ['central']clinical findings_fin: {'significant central canal': {'clinical finding': 'significant central canal', 'existence': 'neg_dx', 'descriptive_term': 'significant central', 'observation': 'canal'}, 'foraminal stenosis': {'clinical finding': 'foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'foraminal', 'observation': 'stenosis'}}clinical findings_fin: {'mild disc bulge': {'clinical finding': 'mild disc bulge', 'existence': 'unc_dx', 'descriptive_term': 'mild disc', 'observation': 'bulge', 'strength_term': 'mild'}}anatomical entity_fin: {'facet': {'location descriptor': 'right'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'facet arthropathy': {'clinical finding': 'facet arthropathy', 'cf_snomed': {'arthropathy': 399269003}, 'existence': 'pos_dx', 'descriptive_term': 'facet', 'observation': 'arthropathy'}}anatomical entity_fin: {'ligamentum flavum': {}}clinical findings_fin: {'ligamentum flavum thickening': {'clinical finding': 'ligamentum flavum thickening', 'existence': 'pos_dx', 'descriptive_term': 'ligamentum flavum', 'observation': 'thickening'}}location descriptor_fin: ['posterior']clinical findings_fin: {'posterior epidural lipomatosis': {'clinical finding': 'posterior epidural lipomatosis', 'cf_snomed': {'epidural lipomatosis': 426399003}, 'existence': 'pos_dx', 'descriptive_term': 'posterior epidural', 'observation': 'lipomatosis'}}anatomical entity_fin: {'facet': {'location descriptor': 'left'}, 'joint': {}}location descriptor_fin: ['left']clinical findings_fin: {'left facet joint subcentimeter synovial cyst': {'clinical finding': 'left facet joint subcentimeter synovial cyst', 'cf_snomed': {'synovial cyst': 240205003}, 'existence': 'pos_dx', 'descriptive_term': 'left facet joint subcentimeter synovial', 'observation': 'cyst'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'moderate spinal canal stenosis': {'clinical finding': 'moderate spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate spinal canal', 'observation': 'stenosis', 'strength_term': 'moderate'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'moderate bilateral foraminal stenosis': {'clinical finding': 'moderate bilateral foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate bilateral foraminal', 'observation': 'stenosis', 'strength_term': 'moderate'}}clinical findings_fin: {'mild disc bulge': {'clinical finding': 'mild disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'mild disc', 'observation': 'bulge', 'strength_term': 'mild'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'moderate bilateral foraminal stenosis': {'clinical finding': 'moderate bilateral foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate bilateral foraminal', 'observation': 'stenosis', 'strength_term': 'moderate'}} [/INST] There is redemonstration of degenerative grade 1 anterolisthesis of L4 on L5 which appears to have slightly increased compared to the 8/31/2015 MRI. There is also trace retrolisthesis of L1 with respect to L2. Lumbar spinal alignment is otherwise within normal limits. Vertebral body heights are preserved. There is moderate-severe loss of disc height at L5-S1 as well as mild loss of disc height at L1-L2 and L4-L5. Degenerative endplate changes are present at L5-S1 including a small Schmorls node within the inferior endplate of L5. Degenerative facet arthropathy affects the lower lumbar spine. There is evidence of prior microdiscectomy at L4-L5. Incidental note is made of a bilateral punctate nonobstructive caliceal calculi the largest of which is in the left kidney measuring up to 4 mm. Mildly atherosclerotic calcifications affect the abdominal aorta. No significant central canal or foraminal stenosis. Mild disc bulge without significant central canal or foraminal stenosis. No significant central canal or foraminal stenosis. No significant central canal or foraminal stenosis. Mild disc bulge or uncovering. Advanced left greater than right facet arthropathy. Ligamentum flavum thickening. Posterior epidural lipomatosis. Left facet joint subcentimeter synovial cyst. Moderate spinal canal stenosis. Moderate bilateral foraminal stenosis. Mild disc bulge. Moderate bilateral foraminal stenosis. </s>