. There is diffuse subcutaneous edema involving the right foot and ankle. Although edema becomes confluent within the ankle and dorsum of the foot, within the limitations of a noncontrast exam we see no discrete fluid collection to suggest abscess. Focal soft tissue density of the heel pad extends to the plantar fascia and calcaneus, though there is no evidence of osteomyelitis. Degenerative arthritic changes affect the right foot and ankle. Chronic appearing periosteal reaction and deformity of the distal tibia and fibula is suggestive of old trauma. There is also mild postoperative deformity of and two pins affixing the first metatarsal head. A metallic foreign body is seen within the soft tissues plantar to the first metatarsal diaphysis. Diffuse subcutaneous edema involves the left foot and ankle. Although edema becomes confluent within the ankle and dorsum of the foot, within the limitations of a noncontrast exam we see no discrete fluid collection to suggest abscess. There is no evidence of osteolysis to suggest osteomyelitis. Degenerative arthritic changes affect the foot and ankle. Amputation through the proximal phalanx of the left great toe is again noted. There is also mild postoperative deformity of and two pins affixing the first metatarsal head. A linear metallic foreign body plantar to the fourth and fifth proximal phalanges may represent a broken needle tip.
anatomical entity_fin: {'foot': {'location descriptor': 'right'}, 'ankle': {}}location descriptor_fin: ['right']clinical findings_fin: {'diffuse subcutaneous edema': {'clinical finding': 'diffuse subcutaneous edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse subcutaneous', 'observation': 'edema'}}anatomical entity_fin: {'ankle': {}, 'foot': {}}clinical findings_fin: {'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'observation': 'edema'}, 'discrete fluid collection': {'clinical finding': 'discrete fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'discrete fluid', 'observation': 'collection'}, 'abscess': {'clinical finding': 'abscess', 'cf_snomed': {'abscess': 128477000}, 'existence': 'unc_dx', 'observation': 'abscess'}}anatomical entity_fin: {'plantar fascia': {}, 'calcaneus': {}}imaging observation_fin: ['soft tissue density', 'heel pad']clinical findings_fin: {'focal soft tissue density': {'clinical finding': 'focal soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'focal soft tissue', 'observation': 'density'}, 'heel pad': {'clinical finding': 'heel pad', 'existence': 'pos_dx', 'descriptive_term': 'heel', 'observation': 'pad'}, 'osteomyelitis': {'clinical finding': 'osteomyelitis', 'cf_snomed': {'osteomyelitis': 60168000}, 'existence': 'neg_dx', 'observation': 'osteomyelitis'}}anatomical entity_fin: {'foot': {'location descriptor': 'right'}, 'ankle': {}}location descriptor_fin: ['right']clinical findings_fin: {'degenerative arthritic changes': {'clinical finding': 'degenerative arthritic changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative arthritic', 'observation': 'change'}}anatomical entity_fin: {'tibia': {'location descriptor': 'distal'}, 'fibula': {}}location descriptor_fin: ['distal']clinical findings_fin: {'chronic appearing periosteal reaction': {'clinical finding': 'chronic appearing periosteal reaction', 'existence': 'pos_dx', 'descriptive_term': 'chronic appearing periosteal', 'observation': 'reaction', 'temporal_term': 'chronic'}, 'deformity': {'clinical finding': 'deformity', 'cf_snomed': {'deformity': 417893002}, 'existence': 'pos_dx', 'observation': 'deformity'}, 'old trauma': {'clinical finding': 'old trauma', 'existence': 'unc_dx', 'descriptive_term': 'old', 'observation': 'trauma', 'temporal_term': 'old'}}anatomical entity_fin: {'metatarsal': {}, 'head': {}}clinical findings_fin: {'mild postoperative deformity': {'clinical finding': 'mild postoperative deformity', 'cf_snomed': {'deformity': 417893002}, 'existence': 'pos_dx', 'descriptive_term': 'mild postoperative', 'observation': 'deformity', 'strength_term': 'mild'}, 'two pins': {'clinical finding': 'two pins', 'existence': 'pos_dx', 'descriptive_term': 'two', 'observation': 'pin'}}anatomical entity_fin: {'metatarsal': {}, 'diaphysis': {}}object_fin: ['foreign body']clinical findings_fin: {'metallic foreign body': {'clinical finding': 'metallic foreign body', 'cf_snomed': {'metallic foreign body': 422321007}, 'existence': 'pos_dx', 'descriptive_term': 'metallic foreign', 'observation': 'body'}}anatomical entity_fin: {'foot': {'location descriptor': 'left'}, 'ankle': {}}location descriptor_fin: ['left']clinical findings_fin: {'diffuse subcutaneous edema': {'clinical finding': 'diffuse subcutaneous edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse subcutaneous', 'observation': 'edema'}}anatomical entity_fin: {'ankle': {}, 'foot': {}}clinical findings_fin: {'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'observation': 'edema'}, 'discrete fluid collection': {'clinical finding': 'discrete fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'discrete fluid', 'observation': 'collection'}, 'abscess': {'clinical finding': 'abscess', 'cf_snomed': {'abscess': 128477000}, 'existence': 'unc_dx', 'observation': 'abscess'}}clinical findings_fin: {'osteolysis': {'clinical finding': 'osteolysis', 'cf_snomed': {'osteolysis': 203522001}, 'existence': 'neg_dx', 'observation': 'osteolysis'}, 'osteomyelitis': {'clinical finding': 'osteomyelitis', 'cf_snomed': {'osteomyelitis': 60168000}, 'existence': 'unc_dx', 'observation': 'osteomyelitis'}}anatomical entity_fin: {'foot': {}, 'ankle': {}}clinical findings_fin: {'degenerative arthritic changes': {'clinical finding': 'degenerative arthritic changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative arthritic', 'observation': 'change'}}anatomical entity_fin: {'great toe': {'location descriptor': 'left'}}location descriptor_fin: ['proximal', 'left']clinical findings_fin: {'amputation through the proximal phalanx of the left great toe is again noted': {'clinical finding': 'amputation through the proximal phalanx of the left great toe is again noted'}}anatomical entity_fin: {'metatarsal': {}, 'head': {}}clinical findings_fin: {'mild postoperative deformity': {'clinical finding': 'mild postoperative deformity', 'cf_snomed': {'deformity': 417893002}, 'existence': 'pos_dx', 'descriptive_term': 'mild postoperative', 'observation': 'deformity', 'strength_term': 'mild'}, 'two pins': {'clinical finding': 'two pins', 'existence': 'pos_dx', 'descriptive_term': 'two', 'observation': 'pin'}}location descriptor_fin: ['proximal']object_fin: ['foreign body', 'needle tip']clinical findings_fin: {'linear metallic foreign body': {'clinical finding': 'linear metallic foreign body', 'cf_snomed': {'metallic foreign body': 422321007}, 'existence': 'pos_dx', 'descriptive_term': 'linear metallic foreign', 'observation': 'body'}, 'broken needle': {'clinical finding': 'broken needle', 'existence': 'unc_dx', 'descriptive_term': 'broken', 'observation': 'needle'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'foot': {'location descriptor': 'right'}, 'ankle': {}}location descriptor_fin: ['right']clinical findings_fin: {'diffuse subcutaneous edema': {'clinical finding': 'diffuse subcutaneous edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse subcutaneous', 'observation': 'edema'}}anatomical entity_fin: {'ankle': {}, 'foot': {}}clinical findings_fin: {'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'observation': 'edema'}, 'discrete fluid collection': {'clinical finding': 'discrete fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'discrete fluid', 'observation': 'collection'}, 'abscess': {'clinical finding': 'abscess', 'cf_snomed': {'abscess': 128477000}, 'existence': 'unc_dx', 'observation': 'abscess'}}anatomical entity_fin: {'plantar fascia': {}, 'calcaneus': {}}imaging observation_fin: ['soft tissue density', 'heel pad']clinical findings_fin: {'focal soft tissue density': {'clinical finding': 'focal soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'focal soft tissue', 'observation': 'density'}, 'heel pad': {'clinical finding': 'heel pad', 'existence': 'pos_dx', 'descriptive_term': 'heel', 'observation': 'pad'}, 'osteomyelitis': {'clinical finding': 'osteomyelitis', 'cf_snomed': {'osteomyelitis': 60168000}, 'existence': 'neg_dx', 'observation': 'osteomyelitis'}}anatomical entity_fin: {'foot': {'location descriptor': 'right'}, 'ankle': {}}location descriptor_fin: ['right']clinical findings_fin: {'degenerative arthritic changes': {'clinical finding': 'degenerative arthritic changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative arthritic', 'observation': 'change'}}anatomical entity_fin: {'tibia': {'location descriptor': 'distal'}, 'fibula': {}}location descriptor_fin: ['distal']clinical findings_fin: {'chronic appearing periosteal reaction': {'clinical finding': 'chronic appearing periosteal reaction', 'existence': 'pos_dx', 'descriptive_term': 'chronic appearing periosteal', 'observation': 'reaction', 'temporal_term': 'chronic'}, 'deformity': {'clinical finding': 'deformity', 'cf_snomed': {'deformity': 417893002}, 'existence': 'pos_dx', 'observation': 'deformity'}, 'old trauma': {'clinical finding': 'old trauma', 'existence': 'unc_dx', 'descriptive_term': 'old', 'observation': 'trauma', 'temporal_term': 'old'}}anatomical entity_fin: {'metatarsal': {}, 'head': {}}clinical findings_fin: {'mild postoperative deformity': {'clinical finding': 'mild postoperative deformity', 'cf_snomed': {'deformity': 417893002}, 'existence': 'pos_dx', 'descriptive_term': 'mild postoperative', 'observation': 'deformity', 'strength_term': 'mild'}, 'two pins': {'clinical finding': 'two pins', 'existence': 'pos_dx', 'descriptive_term': 'two', 'observation': 'pin'}}anatomical entity_fin: {'metatarsal': {}, 'diaphysis': {}}object_fin: ['foreign body']clinical findings_fin: {'metallic foreign body': {'clinical finding': 'metallic foreign body', 'cf_snomed': {'metallic foreign body': 422321007}, 'existence': 'pos_dx', 'descriptive_term': 'metallic foreign', 'observation': 'body'}}anatomical entity_fin: {'foot': {'location descriptor': 'left'}, 'ankle': {}}location descriptor_fin: ['left']clinical findings_fin: {'diffuse subcutaneous edema': {'clinical finding': 'diffuse subcutaneous edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse subcutaneous', 'observation': 'edema'}}anatomical entity_fin: {'ankle': {}, 'foot': {}}clinical findings_fin: {'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'observation': 'edema'}, 'discrete fluid collection': {'clinical finding': 'discrete fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'discrete fluid', 'observation': 'collection'}, 'abscess': {'clinical finding': 'abscess', 'cf_snomed': {'abscess': 128477000}, 'existence': 'unc_dx', 'observation': 'abscess'}}clinical findings_fin: {'osteolysis': {'clinical finding': 'osteolysis', 'cf_snomed': {'osteolysis': 203522001}, 'existence': 'neg_dx', 'observation': 'osteolysis'}, 'osteomyelitis': {'clinical finding': 'osteomyelitis', 'cf_snomed': {'osteomyelitis': 60168000}, 'existence': 'unc_dx', 'observation': 'osteomyelitis'}}anatomical entity_fin: {'foot': {}, 'ankle': {}}clinical findings_fin: {'degenerative arthritic changes': {'clinical finding': 'degenerative arthritic changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative arthritic', 'observation': 'change'}}anatomical entity_fin: {'great toe': {'location descriptor': 'left'}}location descriptor_fin: ['proximal', 'left']clinical findings_fin: {'amputation through the proximal phalanx of the left great toe is again noted': {'clinical finding': 'amputation through the proximal phalanx of the left great toe is again noted'}}anatomical entity_fin: {'metatarsal': {}, 'head': {}}clinical findings_fin: {'mild postoperative deformity': {'clinical finding': 'mild postoperative deformity', 'cf_snomed': {'deformity': 417893002}, 'existence': 'pos_dx', 'descriptive_term': 'mild postoperative', 'observation': 'deformity', 'strength_term': 'mild'}, 'two pins': {'clinical finding': 'two pins', 'existence': 'pos_dx', 'descriptive_term': 'two', 'observation': 'pin'}}location descriptor_fin: ['proximal']object_fin: ['foreign body', 'needle tip']clinical findings_fin: {'linear metallic foreign body': {'clinical finding': 'linear metallic foreign body', 'cf_snomed': {'metallic foreign body': 422321007}, 'existence': 'pos_dx', 'descriptive_term': 'linear metallic foreign', 'observation': 'body'}, 'broken needle': {'clinical finding': 'broken needle', 'existence': 'unc_dx', 'descriptive_term': 'broken', 'observation': 'needle'}} [/INST] . There is diffuse subcutaneous edema involving the right foot and ankle. Although edema becomes confluent within the ankle and dorsum of the foot, within the limitations of a noncontrast exam we see no discrete fluid collection to suggest abscess. Focal soft tissue density of the heel pad extends to the plantar fascia and calcaneus, though there is no evidence of osteomyelitis. Degenerative arthritic changes affect the right foot and ankle. Chronic appearing periosteal reaction and deformity of the distal tibia and fibula is suggestive of old trauma. There is also mild postoperative deformity of and two pins affixing the first metatarsal head. A metallic foreign body is seen within the soft tissues plantar to the first metatarsal diaphysis. Diffuse subcutaneous edema involves the left foot and ankle. Although edema becomes confluent within the ankle and dorsum of the foot, within the limitations of a noncontrast exam we see no discrete fluid collection to suggest abscess. There is no evidence of osteolysis to suggest osteomyelitis. Degenerative arthritic changes affect the foot and ankle. Amputation through the proximal phalanx of the left great toe is again noted. There is also mild postoperative deformity of and two pins affixing the first metatarsal head. A linear metallic foreign body plantar to the fourth and fifth proximal phalanges may represent a broken needle tip. </s>