Postoperative changes within the neck relating to previous total thyroidectomy and neck dissection remain unchanged without sign of recurrence in the thyroidectomy bed. No significant cervical lymphadenopathy. The postoperative changes related to the more recent mediastinal mass resection show expected evolution. The soft tissue thickening in the superior mediastinum right anterolateral to the trachea between the right common carotid artery and the innominate venous confluence is partially imaged. The lipoma anterior lateral to the right parotid gland is unchanged. There is mild atherosclerotic calcification of the carotid bifurcations. Multilevel spondylotic changes are unchanged most prominent at C6-C7 where there is at least moderate central spinal canal stenosis. Multilevel high-grade foraminal narrowing is also present throughout the cervical spine. There is a a small torus palatinus.
anatomical entity_fin: {'neck': {}}clinical findings_fin: {'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}, 'previous total thyroidectomy': {'clinical finding': 'previous total thyroidectomy', 'existence': 'pos_dx', 'descriptive_term': 'previous total', 'observation': 'thyroidectomy', 'temporal_term': 'previous'}, 'neck dissection': {'clinical finding': 'neck dissection', 'existence': 'pos_dx', 'descriptive_term': 'neck', 'observation': 'dissection'}, 'recurrence': {'clinical finding': 'recurrence', 'existence': 'neg_dx', 'observation': 'recurrence'}, 'thyroidectomy': {'clinical finding': 'thyroidectomy', 'existence': 'pos_dx', 'observation': 'thyroidectomy'}}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'}}clinical findings_fin: {'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}, 'more recent mediastinal mass': {'clinical finding': 'more recent mediastinal mass', 'cf_snomed': {'mediastinal mass': 94147001}, 'existence': 'pos_dx', 'descriptive_term': 'more recent mediastinal', 'observation': 'mass', 'quantity_term': 'more'}}anatomical entity_fin: {'superior mediastinum': {}, 'trachea': {}, 'common carotid artery': {'location descriptor': 'right'}}location descriptor_fin: ['right', 'anterolateral']clinical findings_fin: {'soft tissue thickening': {'clinical finding': 'soft tissue thickening', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'thickening'}}anatomical entity_fin: {'right parotid gland': {}}location descriptor_fin: ['anterior', 'lateral']clinical findings_fin: {'lipoma': {'clinical finding': 'lipoma', 'cf_snomed': {'lipoma': 134328007}, 'existence': 'pos_dx', 'observation': 'lipoma'}}clinical findings_fin: {'mild atherosclerotic calcification': {'clinical finding': 'mild atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild atherosclerotic', 'observation': 'calcification', 'strength_term': 'mild'}}anatomical entity_fin: {'spinal canal': {'location descriptor': 'central'}}location descriptor_fin: ['central']clinical findings_fin: {'multilevel spondylotic changes': {'clinical finding': 'multilevel spondylotic changes', 'existence': 'pos_dx', 'descriptive_term': 'multilevel spondylotic', 'observation': 'change'}, 'at least moderate central spinal canal stenosis': {'clinical finding': 'at least moderate central spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'at least moderate central spinal canal', 'observation': 'stenosis', 'strength_term': 'moderate'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'multilevel high-grade foraminal narrowing': {'clinical finding': 'multilevel high-grade foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'multilevel high-grade foraminal', 'observation': 'narrowing'}}clinical findings_fin: {'a small torus palatinus': {'clinical finding': 'a small torus palatinus', 'cf_snomed': {'torus': 70033004}, 'existence': 'pos_dx', 'descriptive_term': 'a small torus', 'observation': 'palatinus', 'strength_term': 'small'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'neck': {}}clinical findings_fin: {'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}, 'previous total thyroidectomy': {'clinical finding': 'previous total thyroidectomy', 'existence': 'pos_dx', 'descriptive_term': 'previous total', 'observation': 'thyroidectomy', 'temporal_term': 'previous'}, 'neck dissection': {'clinical finding': 'neck dissection', 'existence': 'pos_dx', 'descriptive_term': 'neck', 'observation': 'dissection'}, 'recurrence': {'clinical finding': 'recurrence', 'existence': 'neg_dx', 'observation': 'recurrence'}, 'thyroidectomy': {'clinical finding': 'thyroidectomy', 'existence': 'pos_dx', 'observation': 'thyroidectomy'}}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'}}clinical findings_fin: {'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}, 'more recent mediastinal mass': {'clinical finding': 'more recent mediastinal mass', 'cf_snomed': {'mediastinal mass': 94147001}, 'existence': 'pos_dx', 'descriptive_term': 'more recent mediastinal', 'observation': 'mass', 'quantity_term': 'more'}}anatomical entity_fin: {'superior mediastinum': {}, 'trachea': {}, 'common carotid artery': {'location descriptor': 'right'}}location descriptor_fin: ['right', 'anterolateral']clinical findings_fin: {'soft tissue thickening': {'clinical finding': 'soft tissue thickening', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'thickening'}}anatomical entity_fin: {'right parotid gland': {}}location descriptor_fin: ['anterior', 'lateral']clinical findings_fin: {'lipoma': {'clinical finding': 'lipoma', 'cf_snomed': {'lipoma': 134328007}, 'existence': 'pos_dx', 'observation': 'lipoma'}}clinical findings_fin: {'mild atherosclerotic calcification': {'clinical finding': 'mild atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild atherosclerotic', 'observation': 'calcification', 'strength_term': 'mild'}}anatomical entity_fin: {'spinal canal': {'location descriptor': 'central'}}location descriptor_fin: ['central']clinical findings_fin: {'multilevel spondylotic changes': {'clinical finding': 'multilevel spondylotic changes', 'existence': 'pos_dx', 'descriptive_term': 'multilevel spondylotic', 'observation': 'change'}, 'at least moderate central spinal canal stenosis': {'clinical finding': 'at least moderate central spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'at least moderate central spinal canal', 'observation': 'stenosis', 'strength_term': 'moderate'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'multilevel high-grade foraminal narrowing': {'clinical finding': 'multilevel high-grade foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'multilevel high-grade foraminal', 'observation': 'narrowing'}}clinical findings_fin: {'a small torus palatinus': {'clinical finding': 'a small torus palatinus', 'cf_snomed': {'torus': 70033004}, 'existence': 'pos_dx', 'descriptive_term': 'a small torus', 'observation': 'palatinus', 'strength_term': 'small'}} [/INST] Postoperative changes within the neck relating to previous total thyroidectomy and neck dissection remain unchanged without sign of recurrence in the thyroidectomy bed. No significant cervical lymphadenopathy. The postoperative changes related to the more recent mediastinal mass resection show expected evolution. The soft tissue thickening in the superior mediastinum right anterolateral to the trachea between the right common carotid artery and the innominate venous confluence is partially imaged. The lipoma anterior lateral to the right parotid gland is unchanged. There is mild atherosclerotic calcification of the carotid bifurcations. Multilevel spondylotic changes are unchanged most prominent at C6-C7 where there is at least moderate central spinal canal stenosis. Multilevel high-grade foraminal narrowing is also present throughout the cervical spine. There is a a small torus palatinus. </s>