There are post-operative changes involving the left facial bones. There is surgical mesh seen along the left orbital floor, relating to reconstruction of previous fracture. The left maxillary sinus is completely distorted with multiple small fracture fragments, and opacified. The residual left maxillary wall is fragmented and screws are noted along the superior margin of the left maxillary alveolar process. The expected location of the mid anterior wall of the left maxillary sinus is angulated with inward apex. The medial wall of the left maxillary sinus is absent. Bullet fragments are seen extending from the left masticator space inferolaterally to overly the left mandibular ramus. The mandible is not fractured. Prominent rounded lucency is seen in the left zygoma near the junction with the maxillary bone, of uncertain etiology, possibly post-traumatic or developmental. The left pterygopalatine fossa and the left pterygomaxillary fissure are widened, likely related to the anterior displacement of maxillary sinus wall fragments. The anterior left middle turbinate is absent, with the remainder of the turbinates in normal configuration. The residual portion of the left middle turbinate appears to curve laterally, likely post-traumatic. The orbits are symmetric in volume bilaterally. There is a chronic left lamina papyracea fracture with orbital fat extending through the fracture defect. A repaired fracture is seen in the left nasal bone. There is a comminuted fracture of the nasal septum with rightward deviation of the superior septum and leftward deviation of the inferior portion of the septum. All of the paranasal sinuses demonstrate mild mucosal thickening except the left ethmoid sinus that is partly opacified. Prominent soft tissue is seen of the posterior nasopharynx and the soft palate relate to Waldeyers ring hyperplasia. There is no evidence of collection or an abscess. There are reactive enlarged lymph nodes along the internal jugular chain bilaterally. The endotracheal tube appears to be in the trachea. Nasogastric tube is seen.
location descriptor_fin: ['left']clinical findings_fin: {'post-operative changes': {'clinical finding': 'post-operative changes', 'existence': 'pos_dx', 'descriptive_term': 'post-operative', 'observation': 'change'}}anatomical entity_fin: {'floor': {}}location descriptor_fin: ['left']clinical findings_fin: {'surgical mesh': {'clinical finding': 'surgical mesh', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'mesh'}, 'previous fracture': {'clinical finding': 'previous fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'previous', 'observation': 'fracture', 'temporal_term': 'previous'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'multiple small fracture fragments': {'clinical finding': 'multiple small fracture fragments', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'multiple small fracture', 'observation': 'fragment', 'strength_term': 'small', 'quantity_term': 'multiple'}}anatomical entity_fin: {'wall': {}}imaging observation_fin: ['margin']location descriptor_fin: ['left', 'superior']clinical findings_fin: {'residual': {'clinical finding': 'residual', 'existence': 'pos_dx', 'observation': 'residual'}, 'fragmented': {'clinical finding': 'fragmented', 'existence': 'pos_dx', 'observation': 'fragmented'}, 'left maxillary alveolar process': {'clinical finding': 'left maxillary alveolar process', 'cf_snomed': {'alveolar process': 129143008}, 'existence': 'pos_dx', 'descriptive_term': 'left maxillary alveolar', 'observation': 'process'}}anatomical entity_fin: {'wall': {'location descriptor': 'anterior'}, 'maxillary sinus': {'location descriptor': 'left'}, 'apex': {}}location descriptor_fin: ['anterior', 'left']clinical findings_fin: {'angulated': {'clinical finding': 'angulated', 'existence': 'pos_dx', 'observation': 'angulated'}}anatomical entity_fin: {'wall': {'location descriptor': 'medial'}, 'maxillary sinus': {'location descriptor': 'left'}}location descriptor_fin: ['medial', 'left']clinical findings_fin: {'absent': {'clinical finding': 'absent', 'existence': 'pos_dx', 'observation': 'absent'}}anatomical entity_fin: {'masticator space': {'location descriptor': 'left'}}location descriptor_fin: ['left']object_fin: ['bullet']clinical findings_fin: {'bullet fragments are seen': {'clinical finding': 'bullet fragments are seen'}}anatomical entity_fin: {'mandible': {}}clinical findings_fin: {'fractured': {'clinical finding': 'fractured', 'existence': 'neg_dx', 'observation': 'fractured'}}location descriptor_fin: ['left']clinical findings_fin: {'post-traumatic': {'clinical finding': 'post-traumatic', 'existence': 'unc_dx', 'observation': 'post'}}anatomical entity_fin: {'pterygopalatine fossa': {'location descriptor': 'left'}, 'pterygomaxillary fissure': {'location descriptor': 'left'}, 'maxillary sinus': {}, 'wall': {}}location descriptor_fin: ['left', 'anterior']clinical findings_fin: {'widened': {'clinical finding': 'widened', 'existence': 'pos_dx', 'observation': 'widen'}, 'anterior displacement': {'clinical finding': 'anterior displacement', 'existence': 'unc_dx', 'descriptive_term': 'anterior', 'observation': 'displacement'}}anatomical entity_fin: {'middle': {'location descriptor': 'anterior left'}}location descriptor_fin: ['anterior', 'left']clinical findings_fin: {'absent': {'clinical finding': 'absent', 'existence': 'pos_dx', 'observation': 'absent'}, 'normal configuration': {'clinical finding': 'normal configuration', 'existence': 'pos_dx', 'descriptive_term': 'normal', 'observation': 'configuration', 'strength_term': 'normal'}}anatomical entity_fin: {'middle': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'residual': {'clinical finding': 'residual', 'existence': 'pos_dx', 'observation': 'residual'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'symmetric': {'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'}}imaging observation_fin: ['fat']location descriptor_fin: ['left']clinical findings_fin: {'chronic left lamina papyracea fracture': {'clinical finding': 'chronic left lamina papyracea fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'chronic left lamina papyracea', 'observation': 'fracture', 'temporal_term': 'chronic'}, 'orbital fat': {'clinical finding': 'orbital fat', 'existence': 'pos_dx', 'descriptive_term': 'orbital', 'observation': 'fat'}, 'fracture defect': {'clinical finding': 'fracture defect', 'cf_snomed': {'fracture': 72704001, 'defect': 6920004}, 'existence': 'pos_dx', 'descriptive_term': 'fracture', 'observation': 'defect'}}anatomical entity_fin: {'nasal bone': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'repaired fracture': {'clinical finding': 'repaired fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'repaired', 'observation': 'fracture'}}location descriptor_fin: ['superior', 'inferior']clinical findings_fin: {'comminuted fracture': {'clinical finding': 'comminuted fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'comminuted', 'observation': 'fracture'}, 'nasal septum': {'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum'}, 'rightward deviation': {'clinical finding': 'rightward deviation', 'existence': 'pos_dx', 'descriptive_term': 'rightward', 'observation': 'deviation'}}anatomical entity_fin: {'paranasal sinuses': {}, 'ethmoid sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'mild mucosal thickening': {'clinical finding': 'mild mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild mucosal', 'observation': 'thickening', 'strength_term': 'mild'}}anatomical entity_fin: {'nasopharynx': {'location descriptor': 'posterior'}, 'soft palate': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'prominent soft tissue': {'clinical finding': 'prominent soft tissue', 'existence': 'pos_dx', 'descriptive_term': 'prominent soft', 'observation': 'tissue', 'strength_term': 'prominent'}, 'waldeyers ring hyperplasia': {'clinical finding': 'waldeyers ring hyperplasia', 'cf_snomed': {'hyperplasia': 76197007}, 'existence': 'pos_dx', 'descriptive_term': 'waldeyers ring', 'observation': 'hyperplasia'}}clinical findings_fin: {'abscess': {'clinical finding': 'abscess', 'cf_snomed': {'abscess': 128477000}, 'existence': 'neg_dx', 'observation': 'abscess'}}clinical findings_fin: {'reactive enlarged lymph nodes': {'clinical finding': 'reactive enlarged lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'reactive enlarged lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}anatomical entity_fin: {'trachea': {}}object_fin: ['endotracheal tube']clinical findings_fin: {'endotracheal tube': {'clinical finding': 'endotracheal tube', 'existence': 'pos_dx', 'descriptive_term': 'endotracheal', 'observation': 'tube'}}object_fin: ['nasogastric tube']clinical findings_fin: {'nasogastric tube': {'clinical finding': 'nasogastric tube', 'existence': 'pos_dx', 'descriptive_term': 'nasogastric', 'observation': 'tube'}}
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['left']clinical findings_fin: {'post-operative changes': {'clinical finding': 'post-operative changes', 'existence': 'pos_dx', 'descriptive_term': 'post-operative', 'observation': 'change'}}anatomical entity_fin: {'floor': {}}location descriptor_fin: ['left']clinical findings_fin: {'surgical mesh': {'clinical finding': 'surgical mesh', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'mesh'}, 'previous fracture': {'clinical finding': 'previous fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'previous', 'observation': 'fracture', 'temporal_term': 'previous'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'multiple small fracture fragments': {'clinical finding': 'multiple small fracture fragments', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'multiple small fracture', 'observation': 'fragment', 'strength_term': 'small', 'quantity_term': 'multiple'}}anatomical entity_fin: {'wall': {}}imaging observation_fin: ['margin']location descriptor_fin: ['left', 'superior']clinical findings_fin: {'residual': {'clinical finding': 'residual', 'existence': 'pos_dx', 'observation': 'residual'}, 'fragmented': {'clinical finding': 'fragmented', 'existence': 'pos_dx', 'observation': 'fragmented'}, 'left maxillary alveolar process': {'clinical finding': 'left maxillary alveolar process', 'cf_snomed': {'alveolar process': 129143008}, 'existence': 'pos_dx', 'descriptive_term': 'left maxillary alveolar', 'observation': 'process'}}anatomical entity_fin: {'wall': {'location descriptor': 'anterior'}, 'maxillary sinus': {'location descriptor': 'left'}, 'apex': {}}location descriptor_fin: ['anterior', 'left']clinical findings_fin: {'angulated': {'clinical finding': 'angulated', 'existence': 'pos_dx', 'observation': 'angulated'}}anatomical entity_fin: {'wall': {'location descriptor': 'medial'}, 'maxillary sinus': {'location descriptor': 'left'}}location descriptor_fin: ['medial', 'left']clinical findings_fin: {'absent': {'clinical finding': 'absent', 'existence': 'pos_dx', 'observation': 'absent'}}anatomical entity_fin: {'masticator space': {'location descriptor': 'left'}}location descriptor_fin: ['left']object_fin: ['bullet']clinical findings_fin: {'bullet fragments are seen': {'clinical finding': 'bullet fragments are seen'}}anatomical entity_fin: {'mandible': {}}clinical findings_fin: {'fractured': {'clinical finding': 'fractured', 'existence': 'neg_dx', 'observation': 'fractured'}}location descriptor_fin: ['left']clinical findings_fin: {'post-traumatic': {'clinical finding': 'post-traumatic', 'existence': 'unc_dx', 'observation': 'post'}}anatomical entity_fin: {'pterygopalatine fossa': {'location descriptor': 'left'}, 'pterygomaxillary fissure': {'location descriptor': 'left'}, 'maxillary sinus': {}, 'wall': {}}location descriptor_fin: ['left', 'anterior']clinical findings_fin: {'widened': {'clinical finding': 'widened', 'existence': 'pos_dx', 'observation': 'widen'}, 'anterior displacement': {'clinical finding': 'anterior displacement', 'existence': 'unc_dx', 'descriptive_term': 'anterior', 'observation': 'displacement'}}anatomical entity_fin: {'middle': {'location descriptor': 'anterior left'}}location descriptor_fin: ['anterior', 'left']clinical findings_fin: {'absent': {'clinical finding': 'absent', 'existence': 'pos_dx', 'observation': 'absent'}, 'normal configuration': {'clinical finding': 'normal configuration', 'existence': 'pos_dx', 'descriptive_term': 'normal', 'observation': 'configuration', 'strength_term': 'normal'}}anatomical entity_fin: {'middle': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'residual': {'clinical finding': 'residual', 'existence': 'pos_dx', 'observation': 'residual'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'symmetric': {'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'}}imaging observation_fin: ['fat']location descriptor_fin: ['left']clinical findings_fin: {'chronic left lamina papyracea fracture': {'clinical finding': 'chronic left lamina papyracea fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'chronic left lamina papyracea', 'observation': 'fracture', 'temporal_term': 'chronic'}, 'orbital fat': {'clinical finding': 'orbital fat', 'existence': 'pos_dx', 'descriptive_term': 'orbital', 'observation': 'fat'}, 'fracture defect': {'clinical finding': 'fracture defect', 'cf_snomed': {'fracture': 72704001, 'defect': 6920004}, 'existence': 'pos_dx', 'descriptive_term': 'fracture', 'observation': 'defect'}}anatomical entity_fin: {'nasal bone': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'repaired fracture': {'clinical finding': 'repaired fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'repaired', 'observation': 'fracture'}}location descriptor_fin: ['superior', 'inferior']clinical findings_fin: {'comminuted fracture': {'clinical finding': 'comminuted fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'comminuted', 'observation': 'fracture'}, 'nasal septum': {'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum'}, 'rightward deviation': {'clinical finding': 'rightward deviation', 'existence': 'pos_dx', 'descriptive_term': 'rightward', 'observation': 'deviation'}}anatomical entity_fin: {'paranasal sinuses': {}, 'ethmoid sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'mild mucosal thickening': {'clinical finding': 'mild mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild mucosal', 'observation': 'thickening', 'strength_term': 'mild'}}anatomical entity_fin: {'nasopharynx': {'location descriptor': 'posterior'}, 'soft palate': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'prominent soft tissue': {'clinical finding': 'prominent soft tissue', 'existence': 'pos_dx', 'descriptive_term': 'prominent soft', 'observation': 'tissue', 'strength_term': 'prominent'}, 'waldeyers ring hyperplasia': {'clinical finding': 'waldeyers ring hyperplasia', 'cf_snomed': {'hyperplasia': 76197007}, 'existence': 'pos_dx', 'descriptive_term': 'waldeyers ring', 'observation': 'hyperplasia'}}clinical findings_fin: {'abscess': {'clinical finding': 'abscess', 'cf_snomed': {'abscess': 128477000}, 'existence': 'neg_dx', 'observation': 'abscess'}}clinical findings_fin: {'reactive enlarged lymph nodes': {'clinical finding': 'reactive enlarged lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'reactive enlarged lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}anatomical entity_fin: {'trachea': {}}object_fin: ['endotracheal tube']clinical findings_fin: {'endotracheal tube': {'clinical finding': 'endotracheal tube', 'existence': 'pos_dx', 'descriptive_term': 'endotracheal', 'observation': 'tube'}}object_fin: ['nasogastric tube']clinical findings_fin: {'nasogastric tube': {'clinical finding': 'nasogastric tube', 'existence': 'pos_dx', 'descriptive_term': 'nasogastric', 'observation': 'tube'}} [/INST] There are post-operative changes involving the left facial bones. There is surgical mesh seen along the left orbital floor, relating to reconstruction of previous fracture. The left maxillary sinus is completely distorted with multiple small fracture fragments, and opacified. The residual left maxillary wall is fragmented and screws are noted along the superior margin of the left maxillary alveolar process. The expected location of the mid anterior wall of the left maxillary sinus is angulated with inward apex. The medial wall of the left maxillary sinus is absent. Bullet fragments are seen extending from the left masticator space inferolaterally to overly the left mandibular ramus. The mandible is not fractured. Prominent rounded lucency is seen in the left zygoma near the junction with the maxillary bone, of uncertain etiology, possibly post-traumatic or developmental. The left pterygopalatine fossa and the left pterygomaxillary fissure are widened, likely related to the anterior displacement of maxillary sinus wall fragments. The anterior left middle turbinate is absent, with the remainder of the turbinates in normal configuration. The residual portion of the left middle turbinate appears to curve laterally, likely post-traumatic. The orbits are symmetric in volume bilaterally. There is a chronic left lamina papyracea fracture with orbital fat extending through the fracture defect. A repaired fracture is seen in the left nasal bone. There is a comminuted fracture of the nasal septum with rightward deviation of the superior septum and leftward deviation of the inferior portion of the septum. All of the paranasal sinuses demonstrate mild mucosal thickening except the left ethmoid sinus that is partly opacified. Prominent soft tissue is seen of the posterior nasopharynx and the soft palate relate to Waldeyers ring hyperplasia. There is no evidence of collection or an abscess. There are reactive enlarged lymph nodes along the internal jugular chain bilaterally. The endotracheal tube appears to be in the trachea. Nasogastric tube is seen. </s>