NONCONTRAST CT HEADRe-demonstration of right temporal and basal ganglia ICH with surrounding vasogenic edema, no change since prior scan. Focal left superior frontal gyrus chronic ischemic lesion does not show any interval change since prior scan. The ventricles, sulci, and cisterns are symmetric and unremarkable. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear. CTA HEAD AND NECKT this is partial bovine arch. The left vertebral artery arose from the aortic arch directly. Multiple carotid wall calcifications were seen especially around bilateral carotid bulb and proximal extracranial internal carotid arteries. However, there is no evidence of luminal stenosis. Intracranially, again multifocal wall calcifications were seen especially bilateral cavernous sinus and paraclinoid segment of ICAs. However, there is no evidence of significant luminal stenosis. The right MCA branches especially M2 and M3 temporal branches were displaced due to intraparenchymal hemorrhage and surrounding vasogenic edema. However, there is no evidence of increased vascularity, or evidence of arterial aneurysm. Luminal irregularity were seen on vertebrobasilar system without any evidence of luminal stenosis. Right PCA is fetal origin. Left P-comm artery is seen and patent. Anterior communicating artery is patent. There is no evidence of intracranial arterial aneurysm or significant stenosis. No evidence of aneurysm, significant stenosis, occlusive thrombus, dissection, or vascular malformation is noted. There is normal superficial and deep intracranial venous drainage.
anatomical entity_fin: {'basal ganglia': {}}location descriptor_fin: ['right']clinical findings_fin: {'ich': {'clinical finding': 'ich', 'existence': 'unc_dx', 'observation': 'ich'}, 'surrounding vasogenic edema': {'clinical finding': 'surrounding vasogenic edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'surrounding vasogenic', 'observation': 'edema'}, 'change': {'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change'}}anatomical entity_fin: {'left superior frontal gyrus': {}}clinical findings_fin: {'focal left superior frontal gyrus chronic ischemic lesion': {'clinical finding': 'focal left superior frontal gyrus chronic ischemic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'focal left superior frontal gyrus chronic ischemic', 'observation': 'lesion', 'strength_term': 'superior', 'temporal_term': 'chronic'}, 'any interval change': {'clinical finding': 'any interval change', 'existence': 'neg_dx', 'descriptive_term': 'any interval', 'observation': 'change'}}clinical findings_fin: {'symmetric': {'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'}}clinical findings_fin: {'osseous structures are unremarkable': {'clinical finding': 'osseous structures are unremarkable'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}anatomical entity_fin: {'head': {}}clinical findings_fin: {'partial bovine arch': {'clinical finding': 'partial bovine arch', 'existence': 'pos_dx', 'descriptive_term': 'partial bovine', 'observation': 'arch', 'strength_term': 'partial'}}anatomical entity_fin: {'left vertebral artery': {}, 'aortic arch': {}}anatomical entity_fin: {'wall': {}, 'internal carotid arteries': {}}location descriptor_fin: ['bilateral', 'proximal']clinical findings_fin: {'multiple carotid wall calcifications': {'clinical finding': 'multiple carotid wall calcifications', 'existence': 'pos_dx', 'descriptive_term': 'multiple carotid wall', 'observation': 'calcification', 'quantity_term': 'multiple'}}clinical findings_fin: {'luminal stenosis': {'clinical finding': 'luminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'luminal', 'observation': 'stenosis'}}anatomical entity_fin: {'wall': {}, 'cavernous sinus': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'multifocal wall calcifications': {'clinical finding': 'multifocal wall calcifications', 'existence': 'pos_dx', 'descriptive_term': 'multifocal wall', 'observation': 'calcification'}, 'icas': {'clinical finding': 'icas', 'existence': 'pos_dx', 'observation': 'icas'}}clinical findings_fin: {'significant luminal stenosis': {'clinical finding': 'significant luminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'significant luminal', 'observation': 'stenosis'}}location descriptor_fin: ['right', 'displaced']clinical findings_fin: {'intraparenchymal hemorrhage': {'clinical finding': 'intraparenchymal hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'pos_dx', 'descriptive_term': 'intraparenchymal', 'observation': 'hemorrhage'}, 'surrounding vasogenic edema': {'clinical finding': 'surrounding vasogenic edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'surrounding vasogenic', 'observation': 'edema'}}clinical findings_fin: {'increased vascularity': {'clinical finding': 'increased vascularity', 'existence': 'neg_dx', 'descriptive_term': 'increased', 'observation': 'vascularity', 'strength_term': 'increased', 'change_term': 'increased'}, 'arterial aneurysm': {'clinical finding': 'arterial aneurysm', 'cf_snomed': {'arterial aneurysm': 233981004}, 'existence': 'neg_dx', 'descriptive_term': 'arterial', 'observation': 'aneurysm'}}clinical findings_fin: {'luminal irregularity': {'clinical finding': 'luminal irregularity', 'existence': 'pos_dx', 'descriptive_term': 'luminal', 'observation': 'irregularity'}, 'luminal stenosis': {'clinical finding': 'luminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'luminal', 'observation': 'stenosis'}}anatomical entity_fin: {'origin': {}}location descriptor_fin: ['right']clinical findings_fin: {'fetal': {'clinical finding': 'fetal', 'existence': 'pos_dx', 'observation': 'fetal'}}anatomical entity_fin: {'artery': {}}location descriptor_fin: ['left']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}anatomical entity_fin: {'anterior communicating artery': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}clinical findings_fin: {'intracranial arterial aneurysm': {'clinical finding': 'intracranial arterial aneurysm', 'cf_snomed': {'arterial aneurysm': 233981004}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial arterial', 'observation': 'aneurysm'}, 'significant stenosis': {'clinical finding': 'significant stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'stenosis'}}clinical findings_fin: {'aneurysm': {'clinical finding': 'aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'neg_dx', 'observation': 'aneurysm'}, 'significant stenosis': {'clinical finding': 'significant stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'stenosis'}, 'occlusive thrombus': {'clinical finding': 'occlusive thrombus', 'cf_snomed': {'occlusive thrombus': 78195007}, 'existence': 'neg_dx', 'descriptive_term': 'occlusive', 'observation': 'thrombus'}, 'dissection': {'clinical finding': 'dissection', 'existence': 'neg_dx', 'observation': 'dissection'}, 'vascular malformation': {'clinical finding': 'vascular malformation', 'cf_snomed': {'vascular malformation': 783806000}, 'existence': 'neg_dx', 'descriptive_term': 'vascular', 'observation': 'malformation'}}location descriptor_fin: ['superficial']procedure_fin: ['drainage']clinical findings_fin: {'is normal superficial and deep intracranial venous drainage': {'clinical finding': 'is normal superficial and deep intracranial venous drainage'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'basal ganglia': {}}location descriptor_fin: ['right']clinical findings_fin: {'ich': {'clinical finding': 'ich', 'existence': 'unc_dx', 'observation': 'ich'}, 'surrounding vasogenic edema': {'clinical finding': 'surrounding vasogenic edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'surrounding vasogenic', 'observation': 'edema'}, 'change': {'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change'}}anatomical entity_fin: {'left superior frontal gyrus': {}}clinical findings_fin: {'focal left superior frontal gyrus chronic ischemic lesion': {'clinical finding': 'focal left superior frontal gyrus chronic ischemic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'focal left superior frontal gyrus chronic ischemic', 'observation': 'lesion', 'strength_term': 'superior', 'temporal_term': 'chronic'}, 'any interval change': {'clinical finding': 'any interval change', 'existence': 'neg_dx', 'descriptive_term': 'any interval', 'observation': 'change'}}clinical findings_fin: {'symmetric': {'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'}}clinical findings_fin: {'osseous structures are unremarkable': {'clinical finding': 'osseous structures are unremarkable'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}anatomical entity_fin: {'head': {}}clinical findings_fin: {'partial bovine arch': {'clinical finding': 'partial bovine arch', 'existence': 'pos_dx', 'descriptive_term': 'partial bovine', 'observation': 'arch', 'strength_term': 'partial'}}anatomical entity_fin: {'left vertebral artery': {}, 'aortic arch': {}}anatomical entity_fin: {'wall': {}, 'internal carotid arteries': {}}location descriptor_fin: ['bilateral', 'proximal']clinical findings_fin: {'multiple carotid wall calcifications': {'clinical finding': 'multiple carotid wall calcifications', 'existence': 'pos_dx', 'descriptive_term': 'multiple carotid wall', 'observation': 'calcification', 'quantity_term': 'multiple'}}clinical findings_fin: {'luminal stenosis': {'clinical finding': 'luminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'luminal', 'observation': 'stenosis'}}anatomical entity_fin: {'wall': {}, 'cavernous sinus': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'multifocal wall calcifications': {'clinical finding': 'multifocal wall calcifications', 'existence': 'pos_dx', 'descriptive_term': 'multifocal wall', 'observation': 'calcification'}, 'icas': {'clinical finding': 'icas', 'existence': 'pos_dx', 'observation': 'icas'}}clinical findings_fin: {'significant luminal stenosis': {'clinical finding': 'significant luminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'significant luminal', 'observation': 'stenosis'}}location descriptor_fin: ['right', 'displaced']clinical findings_fin: {'intraparenchymal hemorrhage': {'clinical finding': 'intraparenchymal hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'pos_dx', 'descriptive_term': 'intraparenchymal', 'observation': 'hemorrhage'}, 'surrounding vasogenic edema': {'clinical finding': 'surrounding vasogenic edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'surrounding vasogenic', 'observation': 'edema'}}clinical findings_fin: {'increased vascularity': {'clinical finding': 'increased vascularity', 'existence': 'neg_dx', 'descriptive_term': 'increased', 'observation': 'vascularity', 'strength_term': 'increased', 'change_term': 'increased'}, 'arterial aneurysm': {'clinical finding': 'arterial aneurysm', 'cf_snomed': {'arterial aneurysm': 233981004}, 'existence': 'neg_dx', 'descriptive_term': 'arterial', 'observation': 'aneurysm'}}clinical findings_fin: {'luminal irregularity': {'clinical finding': 'luminal irregularity', 'existence': 'pos_dx', 'descriptive_term': 'luminal', 'observation': 'irregularity'}, 'luminal stenosis': {'clinical finding': 'luminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'luminal', 'observation': 'stenosis'}}anatomical entity_fin: {'origin': {}}location descriptor_fin: ['right']clinical findings_fin: {'fetal': {'clinical finding': 'fetal', 'existence': 'pos_dx', 'observation': 'fetal'}}anatomical entity_fin: {'artery': {}}location descriptor_fin: ['left']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}anatomical entity_fin: {'anterior communicating artery': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}clinical findings_fin: {'intracranial arterial aneurysm': {'clinical finding': 'intracranial arterial aneurysm', 'cf_snomed': {'arterial aneurysm': 233981004}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial arterial', 'observation': 'aneurysm'}, 'significant stenosis': {'clinical finding': 'significant stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'stenosis'}}clinical findings_fin: {'aneurysm': {'clinical finding': 'aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'neg_dx', 'observation': 'aneurysm'}, 'significant stenosis': {'clinical finding': 'significant stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'stenosis'}, 'occlusive thrombus': {'clinical finding': 'occlusive thrombus', 'cf_snomed': {'occlusive thrombus': 78195007}, 'existence': 'neg_dx', 'descriptive_term': 'occlusive', 'observation': 'thrombus'}, 'dissection': {'clinical finding': 'dissection', 'existence': 'neg_dx', 'observation': 'dissection'}, 'vascular malformation': {'clinical finding': 'vascular malformation', 'cf_snomed': {'vascular malformation': 783806000}, 'existence': 'neg_dx', 'descriptive_term': 'vascular', 'observation': 'malformation'}}location descriptor_fin: ['superficial']procedure_fin: ['drainage']clinical findings_fin: {'is normal superficial and deep intracranial venous drainage': {'clinical finding': 'is normal superficial and deep intracranial venous drainage'}} [/INST] NONCONTRAST CT HEADRe-demonstration of right temporal and basal ganglia ICH with surrounding vasogenic edema, no change since prior scan. Focal left superior frontal gyrus chronic ischemic lesion does not show any interval change since prior scan. The ventricles, sulci, and cisterns are symmetric and unremarkable. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear. CTA HEAD AND NECKT this is partial bovine arch. The left vertebral artery arose from the aortic arch directly. Multiple carotid wall calcifications were seen especially around bilateral carotid bulb and proximal extracranial internal carotid arteries. However, there is no evidence of luminal stenosis. Intracranially, again multifocal wall calcifications were seen especially bilateral cavernous sinus and paraclinoid segment of ICAs. However, there is no evidence of significant luminal stenosis. The right MCA branches especially M2 and M3 temporal branches were displaced due to intraparenchymal hemorrhage and surrounding vasogenic edema. However, there is no evidence of increased vascularity, or evidence of arterial aneurysm. Luminal irregularity were seen on vertebrobasilar system without any evidence of luminal stenosis. Right PCA is fetal origin. Left P-comm artery is seen and patent. Anterior communicating artery is patent. There is no evidence of intracranial arterial aneurysm or significant stenosis. No evidence of aneurysm, significant stenosis, occlusive thrombus, dissection, or vascular malformation is noted. There is normal superficial and deep intracranial venous drainage. </s>