Again seen is evidence of hemorrhagic conversion of previously seen infarct in the right middle cerebral artery territory. Compared to 9 hours prior, this is slight increase in size of intraparenchymal hematoma measuring approximately 68 mm in the AP dimension, 32 mm in the transverse dimensions, and 50 mm in the craniocaudal dimension. There is surrounding edema and mass effect including complete effacement of the right lateral and third ventricles and leftward midline shift measuring 12 at the foramen of Monro, previously 10 mm. Large right middle cerebral artery territory infarct demonstrates evolution with increasing areas of hypoattenuation. There is effacement of the right cerebral hemispheric sulci similar to prior. Intraventricular hemorrhagic extension is again noted with blood products layering within the occipital horns. Small left parietal subarachnoid blood also again noted. No hydrocephalus. No uncal herniation.
anatomical entity_fin: {'right middle cerebral artery': {}}clinical findings_fin: {'hemorrhagic': {'clinical finding': 'hemorrhagic', 'existence': 'pos_dx', 'observation': 'hemorrhagic'}, 'previously seen infarct': {'clinical finding': 'previously seen infarct', 'cf_snomed': {'infarct': 55641003}, 'existence': 'pos_dx', 'descriptive_term': 'previously seen', 'observation': 'infarct'}}size_fin: [{'size': '68 mm'}, {'size': '32 mm'}, {'size': '50 mm'}]imaging observation_fin: ['hematoma']clinical findings_fin: {'intraparenchymal hematoma': {'clinical finding': 'intraparenchymal hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'pos_dx', 'descriptive_term': 'intraparenchymal', 'observation': 'hematoma'}}size_fin: [{'size': '10 mm'}]anatomical entity_fin: {'third ventricles': {}, 'foramen': {}}location descriptor_fin: ['right', 'lateral', 'midline']clinical findings_fin: {'surrounding edema': {'clinical finding': 'surrounding edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'surrounding', 'observation': 'edema'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'complete effacement': {'clinical finding': 'complete effacement', 'existence': 'pos_dx', 'descriptive_term': 'complete', 'observation': 'effacement'}}anatomical entity_fin: {'right middle cerebral artery': {}}clinical findings_fin: {'large right middle cerebral artery territory infarct': {'clinical finding': 'large right middle cerebral artery territory infarct', 'cf_snomed': {'infarct': 55641003}, 'existence': 'pos_dx', 'descriptive_term': 'large right middle cerebral artery territory', 'observation': 'infarct', 'strength_term': 'large'}, 'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}}location descriptor_fin: ['right']clinical findings_fin: {'effacement': {'clinical finding': 'effacement', 'existence': 'pos_dx', 'observation': 'effacement'}, 'right cerebral hemispheric sulci': {'clinical finding': 'right cerebral hemispheric sulci', 'existence': 'pos_dx', 'descriptive_term': 'right cerebral hemispheric', 'observation': 'sulci'}}imaging observation_fin: ['blood products']clinical findings_fin: {'intraventricular hemorrhagic': {'clinical finding': 'intraventricular hemorrhagic', 'existence': 'pos_dx', 'descriptive_term': 'intraventricular', 'observation': 'hemorrhagic'}, 'blood products': {'clinical finding': 'blood products', 'existence': 'pos_dx', 'descriptive_term': 'blood', 'observation': 'product'}}imaging observation_fin: ['blood']location descriptor_fin: ['left']clinical findings_fin: {'small left parietal subarachnoid blood': {'clinical finding': 'small left parietal subarachnoid blood', 'existence': 'pos_dx', 'descriptive_term': 'small left parietal subarachnoid', 'observation': 'blood', 'strength_term': 'small'}}clinical findings_fin: {'hydrocephalus': {'clinical finding': 'hydrocephalus', 'cf_snomed': {'hydrocephalus': 230745008}, 'existence': 'neg_dx', 'observation': 'hydrocephalus'}}clinical findings_fin: {'uncal herniation': {'clinical finding': 'uncal herniation', 'existence': 'neg_dx', 'descriptive_term': 'uncal', 'observation': 'herniation'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'right middle cerebral artery': {}}clinical findings_fin: {'hemorrhagic': {'clinical finding': 'hemorrhagic', 'existence': 'pos_dx', 'observation': 'hemorrhagic'}, 'previously seen infarct': {'clinical finding': 'previously seen infarct', 'cf_snomed': {'infarct': 55641003}, 'existence': 'pos_dx', 'descriptive_term': 'previously seen', 'observation': 'infarct'}}size_fin: [{'size': '68 mm'}, {'size': '32 mm'}, {'size': '50 mm'}]imaging observation_fin: ['hematoma']clinical findings_fin: {'intraparenchymal hematoma': {'clinical finding': 'intraparenchymal hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'pos_dx', 'descriptive_term': 'intraparenchymal', 'observation': 'hematoma'}}size_fin: [{'size': '10 mm'}]anatomical entity_fin: {'third ventricles': {}, 'foramen': {}}location descriptor_fin: ['right', 'lateral', 'midline']clinical findings_fin: {'surrounding edema': {'clinical finding': 'surrounding edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'surrounding', 'observation': 'edema'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'complete effacement': {'clinical finding': 'complete effacement', 'existence': 'pos_dx', 'descriptive_term': 'complete', 'observation': 'effacement'}}anatomical entity_fin: {'right middle cerebral artery': {}}clinical findings_fin: {'large right middle cerebral artery territory infarct': {'clinical finding': 'large right middle cerebral artery territory infarct', 'cf_snomed': {'infarct': 55641003}, 'existence': 'pos_dx', 'descriptive_term': 'large right middle cerebral artery territory', 'observation': 'infarct', 'strength_term': 'large'}, 'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}}location descriptor_fin: ['right']clinical findings_fin: {'effacement': {'clinical finding': 'effacement', 'existence': 'pos_dx', 'observation': 'effacement'}, 'right cerebral hemispheric sulci': {'clinical finding': 'right cerebral hemispheric sulci', 'existence': 'pos_dx', 'descriptive_term': 'right cerebral hemispheric', 'observation': 'sulci'}}imaging observation_fin: ['blood products']clinical findings_fin: {'intraventricular hemorrhagic': {'clinical finding': 'intraventricular hemorrhagic', 'existence': 'pos_dx', 'descriptive_term': 'intraventricular', 'observation': 'hemorrhagic'}, 'blood products': {'clinical finding': 'blood products', 'existence': 'pos_dx', 'descriptive_term': 'blood', 'observation': 'product'}}imaging observation_fin: ['blood']location descriptor_fin: ['left']clinical findings_fin: {'small left parietal subarachnoid blood': {'clinical finding': 'small left parietal subarachnoid blood', 'existence': 'pos_dx', 'descriptive_term': 'small left parietal subarachnoid', 'observation': 'blood', 'strength_term': 'small'}}clinical findings_fin: {'hydrocephalus': {'clinical finding': 'hydrocephalus', 'cf_snomed': {'hydrocephalus': 230745008}, 'existence': 'neg_dx', 'observation': 'hydrocephalus'}}clinical findings_fin: {'uncal herniation': {'clinical finding': 'uncal herniation', 'existence': 'neg_dx', 'descriptive_term': 'uncal', 'observation': 'herniation'}} [/INST] Again seen is evidence of hemorrhagic conversion of previously seen infarct in the right middle cerebral artery territory. Compared to 9 hours prior, this is slight increase in size of intraparenchymal hematoma measuring approximately 68 mm in the AP dimension, 32 mm in the transverse dimensions, and 50 mm in the craniocaudal dimension. There is surrounding edema and mass effect including complete effacement of the right lateral and third ventricles and leftward midline shift measuring 12 at the foramen of Monro, previously 10 mm. Large right middle cerebral artery territory infarct demonstrates evolution with increasing areas of hypoattenuation. There is effacement of the right cerebral hemispheric sulci similar to prior. Intraventricular hemorrhagic extension is again noted with blood products layering within the occipital horns. Small left parietal subarachnoid blood also again noted. No hydrocephalus. No uncal herniation. </s>