. No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or herniation. Gray-white differentiation is maintained. No extra-axial collections. Again seen are areas of hypoattenuation in the periventricular and subcortical white matter which are nonspecific but compatible with chronic small vessel ischemic changes. Ventricles are within normal limits without evidence of hydrocephalus. The visualized portions of the paranasal sinuses are clear. Mastoid air cells are clear. Calvarium is intact. Bilateral lens implants. No acute fracture or subluxation is demonstrated in the cervical spine. The cervical vertebral bodies are appropriate in height. There are advanced degenerative changes throughout the cervical spine. The craniocervical junction alignment is maintained. There is mild retrolisthesis of C6 on C7 and mild anterolisthesis of C7 on T1. Severe disc space narrowing with vacuum phenomena noted at the C5-C6 and C6-C7 and C7-T1 levels. There are multilevel disc osteophyte complexes with facet arthropathy and uncovertebral hypertrophy. There is up to moderate spinal canal stenosis suspected at C4-C5, C5-C6, and C6-C7. There is also severe right C3-C4, moderate to severe right C4-C5, moderate bilateral C5-C6, moderate left C6-C7, and moderate left C7-T1 neural foraminal stenosis. No suspicious bony lesions are identified in the cervical spine. Prevertebral and paraspinous soft tissues are unremarkable.
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: {'intracranial mass': {'clinical finding': 'intracranial mass', 'cf_snomed': {'intracranial mass': 85974009}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'mass'}, 'mass-effect': {'clinical finding': 'mass-effect', 'existence': 'neg_dx', 'observation': 'mass'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}clinical findings_fin: {'gray-white differentiation is maintained': {'clinical finding': 'gray-white differentiation is maintained', 'change_term': 'maintained'}}clinical findings_fin: {'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}, 'chronic small vessel ischemic changes': {'clinical finding': 'chronic small vessel ischemic changes', 'existence': 'pos_dx', 'descriptive_term': 'chronic small vessel ischemic', 'observation': 'change', 'strength_term': 'small', 'temporal_term': 'chronic'}}clinical findings_fin: {'hydrocephalus': {'clinical finding': 'hydrocephalus', 'cf_snomed': {'hydrocephalus': 230745008}, 'existence': 'neg_dx', 'observation': 'hydrocephalus'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'lens': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']anatomical entity_fin: {'spine': {}}clinical findings_fin: {'acute fracture': {'clinical finding': 'acute fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'subluxation': {'clinical finding': 'subluxation', 'cf_snomed': {'subluxation': 26396009}, 'existence': 'neg_dx', 'observation': 'subluxation'}}anatomical entity_fin: {'cervical vertebral bodies': {}}clinical findings_fin: {'appropriate': {'clinical finding': 'appropriate', 'existence': 'pos_dx', 'observation': 'appropriate'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'advanced degenerative changes': {'clinical finding': 'advanced degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'advanced degenerative', 'observation': 'change', 'strength_term': 'advanced'}}anatomical entity_fin: {'craniocervical junction': {}}clinical findings_fin: {'maintained': {'clinical finding': 'maintained', 'existence': 'pos_dx', 'observation': 'maintain'}}clinical findings_fin: {'mild retrolisthesis': {'clinical finding': 'mild retrolisthesis', 'cf_snomed': {'retrolisthesis': 416981004}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'retrolisthesis', 'strength_term': 'mild'}, 'mild anterolisthesis': {'clinical finding': 'mild anterolisthesis', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'anterolisthesis', 'strength_term': 'mild'}}anatomical entity_fin: {'disc': {}}clinical findings_fin: {'severe disc space narrowing': {'clinical finding': 'severe disc space narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'severe disc space', 'observation': 'narrowing', 'strength_term': 'severe'}, 'vacuum phenomena': {'clinical finding': 'vacuum phenomena', 'existence': 'pos_dx', 'descriptive_term': 'vacuum', 'observation': 'phenomenon'}}anatomical entity_fin: {'facet': {}}clinical findings_fin: {'multilevel disc osteophyte': {'clinical finding': 'multilevel disc osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'multilevel disc', 'observation': 'osteophyte'}, 'uncovertebral hypertrophy': {'clinical finding': 'uncovertebral hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'uncovertebral', 'observation': 'hypertrophy'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'up to moderate spinal canal stenosis': {'clinical finding': 'up to moderate spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'unc_dx', 'descriptive_term': 'up to moderate spinal canal', 'observation': 'stenosis', 'strength_term': 'moderate'}}anatomical entity_fin: {'foraminal': {}}location descriptor_fin: ['right', 'bilateral', 'left']clinical findings_fin: {'moderate left c7-t1 neural foraminal stenosis': {'clinical finding': 'moderate left c7-t1 neural foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate left c7-t1 neural foraminal', 'observation': 'stenosis', 'strength_term': 'moderate'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'suspicious bony lesions': {'clinical finding': 'suspicious bony lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious bony', 'observation': 'lesion'}}clinical findings_fin: {'prevertebral and paraspinous soft tissues are unremarkable': {'clinical finding': 'prevertebral and paraspinous soft tissues are unremarkable'}}
<s>[INST] Write the finding section for a radiology report based on the following information: 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: {'intracranial mass': {'clinical finding': 'intracranial mass', 'cf_snomed': {'intracranial mass': 85974009}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'mass'}, 'mass-effect': {'clinical finding': 'mass-effect', 'existence': 'neg_dx', 'observation': 'mass'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}clinical findings_fin: {'gray-white differentiation is maintained': {'clinical finding': 'gray-white differentiation is maintained', 'change_term': 'maintained'}}clinical findings_fin: {'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}, 'chronic small vessel ischemic changes': {'clinical finding': 'chronic small vessel ischemic changes', 'existence': 'pos_dx', 'descriptive_term': 'chronic small vessel ischemic', 'observation': 'change', 'strength_term': 'small', 'temporal_term': 'chronic'}}clinical findings_fin: {'hydrocephalus': {'clinical finding': 'hydrocephalus', 'cf_snomed': {'hydrocephalus': 230745008}, 'existence': 'neg_dx', 'observation': 'hydrocephalus'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'lens': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']anatomical entity_fin: {'spine': {}}clinical findings_fin: {'acute fracture': {'clinical finding': 'acute fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'subluxation': {'clinical finding': 'subluxation', 'cf_snomed': {'subluxation': 26396009}, 'existence': 'neg_dx', 'observation': 'subluxation'}}anatomical entity_fin: {'cervical vertebral bodies': {}}clinical findings_fin: {'appropriate': {'clinical finding': 'appropriate', 'existence': 'pos_dx', 'observation': 'appropriate'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'advanced degenerative changes': {'clinical finding': 'advanced degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'advanced degenerative', 'observation': 'change', 'strength_term': 'advanced'}}anatomical entity_fin: {'craniocervical junction': {}}clinical findings_fin: {'maintained': {'clinical finding': 'maintained', 'existence': 'pos_dx', 'observation': 'maintain'}}clinical findings_fin: {'mild retrolisthesis': {'clinical finding': 'mild retrolisthesis', 'cf_snomed': {'retrolisthesis': 416981004}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'retrolisthesis', 'strength_term': 'mild'}, 'mild anterolisthesis': {'clinical finding': 'mild anterolisthesis', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'anterolisthesis', 'strength_term': 'mild'}}anatomical entity_fin: {'disc': {}}clinical findings_fin: {'severe disc space narrowing': {'clinical finding': 'severe disc space narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'severe disc space', 'observation': 'narrowing', 'strength_term': 'severe'}, 'vacuum phenomena': {'clinical finding': 'vacuum phenomena', 'existence': 'pos_dx', 'descriptive_term': 'vacuum', 'observation': 'phenomenon'}}anatomical entity_fin: {'facet': {}}clinical findings_fin: {'multilevel disc osteophyte': {'clinical finding': 'multilevel disc osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'multilevel disc', 'observation': 'osteophyte'}, 'uncovertebral hypertrophy': {'clinical finding': 'uncovertebral hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'uncovertebral', 'observation': 'hypertrophy'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'up to moderate spinal canal stenosis': {'clinical finding': 'up to moderate spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'unc_dx', 'descriptive_term': 'up to moderate spinal canal', 'observation': 'stenosis', 'strength_term': 'moderate'}}anatomical entity_fin: {'foraminal': {}}location descriptor_fin: ['right', 'bilateral', 'left']clinical findings_fin: {'moderate left c7-t1 neural foraminal stenosis': {'clinical finding': 'moderate left c7-t1 neural foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate left c7-t1 neural foraminal', 'observation': 'stenosis', 'strength_term': 'moderate'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'suspicious bony lesions': {'clinical finding': 'suspicious bony lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious bony', 'observation': 'lesion'}}clinical findings_fin: {'prevertebral and paraspinous soft tissues are unremarkable': {'clinical finding': 'prevertebral and paraspinous soft tissues are unremarkable'}} [/INST] . No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or herniation. Gray-white differentiation is maintained. No extra-axial collections. Again seen are areas of hypoattenuation in the periventricular and subcortical white matter which are nonspecific but compatible with chronic small vessel ischemic changes. Ventricles are within normal limits without evidence of hydrocephalus. The visualized portions of the paranasal sinuses are clear. Mastoid air cells are clear. Calvarium is intact. Bilateral lens implants. No acute fracture or subluxation is demonstrated in the cervical spine. The cervical vertebral bodies are appropriate in height. There are advanced degenerative changes throughout the cervical spine. The craniocervical junction alignment is maintained. There is mild retrolisthesis of C6 on C7 and mild anterolisthesis of C7 on T1. Severe disc space narrowing with vacuum phenomena noted at the C5-C6 and C6-C7 and C7-T1 levels. There are multilevel disc osteophyte complexes with facet arthropathy and uncovertebral hypertrophy. There is up to moderate spinal canal stenosis suspected at C4-C5, C5-C6, and C6-C7. There is also severe right C3-C4, moderate to severe right C4-C5, moderate bilateral C5-C6, moderate left C6-C7, and moderate left C7-T1 neural foraminal stenosis. No suspicious bony lesions are identified in the cervical spine. Prevertebral and paraspinous soft tissues are unremarkable. </s>