Postoperative changes are again seen from previous bilateral frontotemporal craniotomy. Left parasellar aneurysm clips and a coil mass from prior right carotid aneurysm embolization results in extensive streak artifact obscuring surrounding structures. There is redemonstration of an area of hypodense encephalomalacia involving the lateral aspect of the left inferior frontal lobe and minimally involving the left anterior temporal pole. There is also associated mild ex vacuo dilatation of the left frontal horn. The ventricles and sulci are otherwise within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are no new areas of abnormal attenuation. There is no extraaxial fluid collection. There is minimal left ethmoidal mucosal thickening. The remainder of the visualized portions of the paranasal sinuses and mastoids or middle ears are grossly clear.
location descriptor_fin: ['bilateral']clinical findings_fin: {'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}}location descriptor_fin: ['left', 'right']object_fin: ['clips', 'coil']procedure_fin: ['embolization']clinical findings_fin: {'left parasellar aneurysm': {'clinical finding': 'left parasellar aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'pos_dx', 'descriptive_term': 'left parasellar', 'observation': 'aneurysm'}, 'coil mass': {'clinical finding': 'coil mass', 'existence': 'pos_dx', 'descriptive_term': 'coil', 'observation': 'mass'}, 'prior right carotid aneurysm': {'clinical finding': 'prior right carotid aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'pos_dx', 'descriptive_term': 'prior right carotid', 'observation': 'aneurysm'}, 'extensive streak artifact': {'clinical finding': 'extensive streak artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'extensive streak', 'observation': 'artifact', 'strength_term': 'extensive'}}anatomical entity_fin: {'frontal lobe': {'location descriptor': 'left inferior'}, 'temporal pole': {'location descriptor': 'left anterior'}}location descriptor_fin: ['lateral', 'left', 'inferior', 'anterior']clinical findings_fin: {'hypodense encephalomalacia': {'clinical finding': 'hypodense encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'pos_dx', 'descriptive_term': 'hypodense', 'observation': 'encephalomalacia'}}location descriptor_fin: ['left']clinical findings_fin: {'associated mild ex vacuo dilatation': {'clinical finding': 'associated mild ex vacuo dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'pos_dx', 'descriptive_term': 'associated mild ex vacuo', 'observation': 'dilatation', 'strength_term': 'mild'}}clinical findings_fin: {'ventricles and sulci are otherwise within normal limits': {'clinical finding': 'ventricles and sulci are otherwise 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'}}location descriptor_fin: ['left']clinical findings_fin: {'minimal left ethmoidal mucosal thickening': {'clinical finding': 'minimal left ethmoidal mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'minimal left ethmoidal mucosal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'paranasal sinuses': {}, 'middle ears': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['bilateral']clinical findings_fin: {'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}}location descriptor_fin: ['left', 'right']object_fin: ['clips', 'coil']procedure_fin: ['embolization']clinical findings_fin: {'left parasellar aneurysm': {'clinical finding': 'left parasellar aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'pos_dx', 'descriptive_term': 'left parasellar', 'observation': 'aneurysm'}, 'coil mass': {'clinical finding': 'coil mass', 'existence': 'pos_dx', 'descriptive_term': 'coil', 'observation': 'mass'}, 'prior right carotid aneurysm': {'clinical finding': 'prior right carotid aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'pos_dx', 'descriptive_term': 'prior right carotid', 'observation': 'aneurysm'}, 'extensive streak artifact': {'clinical finding': 'extensive streak artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'extensive streak', 'observation': 'artifact', 'strength_term': 'extensive'}}anatomical entity_fin: {'frontal lobe': {'location descriptor': 'left inferior'}, 'temporal pole': {'location descriptor': 'left anterior'}}location descriptor_fin: ['lateral', 'left', 'inferior', 'anterior']clinical findings_fin: {'hypodense encephalomalacia': {'clinical finding': 'hypodense encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'pos_dx', 'descriptive_term': 'hypodense', 'observation': 'encephalomalacia'}}location descriptor_fin: ['left']clinical findings_fin: {'associated mild ex vacuo dilatation': {'clinical finding': 'associated mild ex vacuo dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'pos_dx', 'descriptive_term': 'associated mild ex vacuo', 'observation': 'dilatation', 'strength_term': 'mild'}}clinical findings_fin: {'ventricles and sulci are otherwise within normal limits': {'clinical finding': 'ventricles and sulci are otherwise 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'}}location descriptor_fin: ['left']clinical findings_fin: {'minimal left ethmoidal mucosal thickening': {'clinical finding': 'minimal left ethmoidal mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'minimal left ethmoidal mucosal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'paranasal sinuses': {}, 'middle ears': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}} [/INST] Postoperative changes are again seen from previous bilateral frontotemporal craniotomy. Left parasellar aneurysm clips and a coil mass from prior right carotid aneurysm embolization results in extensive streak artifact obscuring surrounding structures. There is redemonstration of an area of hypodense encephalomalacia involving the lateral aspect of the left inferior frontal lobe and minimally involving the left anterior temporal pole. There is also associated mild ex vacuo dilatation of the left frontal horn. The ventricles and sulci are otherwise within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are no new areas of abnormal attenuation. There is no extraaxial fluid collection. There is minimal left ethmoidal mucosal thickening. The remainder of the visualized portions of the paranasal sinuses and mastoids or middle ears are grossly clear. </s>