There are rudimentary ribs at L1. There is degenerative spondylosis at L3-4, including vacuum disc phenomenon with a small disc bulge and left facet hypertrophy that results in mild neural foraminal stenosis. There is also degenerative spondylosis at L4-5 with disc space narrowing and disc bulge, as well as uncovertebral and facet hypertrophy with mild bilateral neural foraminal narrowing. In addition, at L5-S1, including vacuum disc and left facet joint phenomenon with disc space narrowing and a disc bulge and facet hypertrophy with mild bilateral neural foraminal narrowing. The lumbar spine alignment is near-anatomic. The vertebral body heights are intact. A punctate sclerotic focus in the L4 vertebral body may represent an enostosis. Otherwise, there appears to be diffuse osteopenia. There is a partially-imaged intrauterine device. There appears to have been cholecystectomy.
anatomical entity_fin: {'ribs': {}}anatomical entity_fin: {'disc': {}, 'facet': {'location descriptor': 'left'}, 'foraminal': {}}location descriptor_fin: ['left']clinical findings_fin: {'degenerative spondylosis': {'clinical finding': 'degenerative spondylosis', 'cf_snomed': {'spondylosis': 8847002}, 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'spondylosis'}, 'vacuum disc phenomenon': {'clinical finding': 'vacuum disc phenomenon', 'existence': 'pos_dx', 'descriptive_term': 'vacuum disc', 'observation': 'phenomenon'}, 'small disc bulge': {'clinical finding': 'small disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'small disc', 'observation': 'bulge', 'strength_term': 'small'}, 'left facet hypertrophy': {'clinical finding': 'left facet hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'left facet', 'observation': 'hypertrophy'}, 'mild neural foraminal stenosis': {'clinical finding': 'mild neural foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'mild neural foraminal', 'observation': 'stenosis', 'strength_term': 'mild'}}anatomical entity_fin: {'disc': {}, 'uncovertebral': {}, 'facet': {}, 'foraminal': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'degenerative spondylosis': {'clinical finding': 'degenerative spondylosis', 'cf_snomed': {'spondylosis': 8847002}, 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'spondylosis'}, 'disc space narrowing': {'clinical finding': 'disc space narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'disc space', 'observation': 'narrowing'}, 'disc bulge': {'clinical finding': 'disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'disc', 'observation': 'bulge'}, 'hypertrophy': {'clinical finding': 'hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'observation': 'hypertrophy'}, 'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}}anatomical entity_fin: {'disc': {}, 'facet joint': {'location descriptor': 'left'}, 'facet': {}, 'foraminal': {}}location descriptor_fin: ['left', 'bilateral']clinical findings_fin: {'vacuum disc': {'clinical finding': 'vacuum disc', 'existence': 'pos_dx', 'descriptive_term': 'vacuum', 'observation': 'disc'}, 'disc space narrowing': {'clinical finding': 'disc space narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'disc space', 'observation': 'narrowing'}, 'bulge': {'clinical finding': 'bulge', 'existence': 'pos_dx', 'observation': 'bulge'}, 'hypertrophy': {'clinical finding': 'hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'observation': 'hypertrophy'}, 'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'near-anatomic': {'clinical finding': 'near-anatomic', 'existence': 'pos_dx', 'observation': 'near'}}anatomical entity_fin: {'vertebral body': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'l4 vertebral body': {}}clinical findings_fin: {'punctate sclerotic focus': {'clinical finding': 'punctate sclerotic focus', 'existence': 'pos_dx', 'descriptive_term': 'punctate sclerotic', 'observation': 'focus'}, 'enostosis': {'clinical finding': 'enostosis', 'cf_snomed': {'enostosis': 782164008}, 'existence': 'unc_dx', 'observation': 'enostosis'}}clinical findings_fin: {'diffuse osteopenia': {'clinical finding': 'diffuse osteopenia', 'cf_snomed': {'osteopenia': 312894000}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse', 'observation': 'osteopenia'}}object_fin: ['intrauterine device']clinical findings_fin: {'partially-imaged intrauterine device': {'clinical finding': 'partially-imaged intrauterine device', 'existence': 'pos_dx', 'descriptive_term': 'partially-imaged intrauterine', 'observation': 'device', 'strength_term': 'partially'}}procedure_fin: ['cholecystectomy']
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'ribs': {}}anatomical entity_fin: {'disc': {}, 'facet': {'location descriptor': 'left'}, 'foraminal': {}}location descriptor_fin: ['left']clinical findings_fin: {'degenerative spondylosis': {'clinical finding': 'degenerative spondylosis', 'cf_snomed': {'spondylosis': 8847002}, 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'spondylosis'}, 'vacuum disc phenomenon': {'clinical finding': 'vacuum disc phenomenon', 'existence': 'pos_dx', 'descriptive_term': 'vacuum disc', 'observation': 'phenomenon'}, 'small disc bulge': {'clinical finding': 'small disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'small disc', 'observation': 'bulge', 'strength_term': 'small'}, 'left facet hypertrophy': {'clinical finding': 'left facet hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'left facet', 'observation': 'hypertrophy'}, 'mild neural foraminal stenosis': {'clinical finding': 'mild neural foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'mild neural foraminal', 'observation': 'stenosis', 'strength_term': 'mild'}}anatomical entity_fin: {'disc': {}, 'uncovertebral': {}, 'facet': {}, 'foraminal': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'degenerative spondylosis': {'clinical finding': 'degenerative spondylosis', 'cf_snomed': {'spondylosis': 8847002}, 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'spondylosis'}, 'disc space narrowing': {'clinical finding': 'disc space narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'disc space', 'observation': 'narrowing'}, 'disc bulge': {'clinical finding': 'disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'disc', 'observation': 'bulge'}, 'hypertrophy': {'clinical finding': 'hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'observation': 'hypertrophy'}, 'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}}anatomical entity_fin: {'disc': {}, 'facet joint': {'location descriptor': 'left'}, 'facet': {}, 'foraminal': {}}location descriptor_fin: ['left', 'bilateral']clinical findings_fin: {'vacuum disc': {'clinical finding': 'vacuum disc', 'existence': 'pos_dx', 'descriptive_term': 'vacuum', 'observation': 'disc'}, 'disc space narrowing': {'clinical finding': 'disc space narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'disc space', 'observation': 'narrowing'}, 'bulge': {'clinical finding': 'bulge', 'existence': 'pos_dx', 'observation': 'bulge'}, 'hypertrophy': {'clinical finding': 'hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'observation': 'hypertrophy'}, 'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'near-anatomic': {'clinical finding': 'near-anatomic', 'existence': 'pos_dx', 'observation': 'near'}}anatomical entity_fin: {'vertebral body': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'l4 vertebral body': {}}clinical findings_fin: {'punctate sclerotic focus': {'clinical finding': 'punctate sclerotic focus', 'existence': 'pos_dx', 'descriptive_term': 'punctate sclerotic', 'observation': 'focus'}, 'enostosis': {'clinical finding': 'enostosis', 'cf_snomed': {'enostosis': 782164008}, 'existence': 'unc_dx', 'observation': 'enostosis'}}clinical findings_fin: {'diffuse osteopenia': {'clinical finding': 'diffuse osteopenia', 'cf_snomed': {'osteopenia': 312894000}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse', 'observation': 'osteopenia'}}object_fin: ['intrauterine device']clinical findings_fin: {'partially-imaged intrauterine device': {'clinical finding': 'partially-imaged intrauterine device', 'existence': 'pos_dx', 'descriptive_term': 'partially-imaged intrauterine', 'observation': 'device', 'strength_term': 'partially'}}procedure_fin: ['cholecystectomy'] [/INST] There are rudimentary ribs at L1. There is degenerative spondylosis at L3-4, including vacuum disc phenomenon with a small disc bulge and left facet hypertrophy that results in mild neural foraminal stenosis. There is also degenerative spondylosis at L4-5 with disc space narrowing and disc bulge, as well as uncovertebral and facet hypertrophy with mild bilateral neural foraminal narrowing. In addition, at L5-S1, including vacuum disc and left facet joint phenomenon with disc space narrowing and a disc bulge and facet hypertrophy with mild bilateral neural foraminal narrowing. The lumbar spine alignment is near-anatomic. The vertebral body heights are intact. A punctate sclerotic focus in the L4 vertebral body may represent an enostosis. Otherwise, there appears to be diffuse osteopenia. There is a partially-imaged intrauterine device. There appears to have been cholecystectomy. </s>