Neck. There is opacification of the aortic arch, great vessels from the aortic arch and carotid arteries and vertebral arteries. There is no stenosis identified of the great vessels from the aortic arch. On the basis of NASCET criteria there is no significant stenosis at the carotid bifurcations. There is no significant stenosis along the course of the vertebral arteries. Atherosclerotic calcifications are present at the carotid bifurcations. There are multilevel degenerative changes present in the cervical spine with endplate and uncovertebral osteophytes at C3-4, C4-5, C5-6 and 67 as well as C7-T1 with associated loss of disc space height. Appears to be worse at C5-6 where there are findings suggestive of spinal stenosis. Brain. There is a 3mm pseudoaneurysm along the superior lobule branch of the right facial artery. There is opacification of the distal internal carotid arteries, the distal vertebral arteries and the proximal anterior middle and posterior cerebral arteries. No aneurysms or intracranial stenosis is appreciated. The anterior communicating artery and the posterior communicating arteries are identified and are intact. The CSF spaces are appropriate for the patients stated age with no midline shift. There is marked soft tissue swelling and infiltration of the cheeks bilaterally right more than left. There is redemonstration of bilateral fractures of the lateral walls of the maxillary sinuses and fractures of the medial walls of the maxillary sinuses and fractures along the pterygoid plates bilaterally in a pattern similar to LeFort type I, however, the alveolar ridges are minimally involved. There is minimal displacement on the left and the left sided fractures do not involve the entire length of the left lateral maxillary sinus wall ni continuity. Periventricular and subcortical white matter hypodensities of a moderate degree are present. Atherosclerotic calcifications are present along the distal internal carotid arteries. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma. The visualized portions of the paranasal sinuses are opacified with hyperdense material. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. The right eye lens is thin
anatomical entity_fin: {'aortic arch': {}, 'arteries': {}, 'vertebral arteries': {}}clinical findings_fin: {'opacification': {'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'}}anatomical entity_fin: {'aortic arch': {}}clinical findings_fin: {'stenosis': {'clinical finding': 'stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'observation': 'stenosis'}}clinical findings_fin: {'nascet': {'clinical finding': 'nascet', 'existence': 'unc_dx', 'observation': 'nascet'}, 'significant stenosis': {'clinical finding': 'significant stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'stenosis'}}anatomical entity_fin: {'vertebral arteries': {}}clinical findings_fin: {'significant stenosis': {'clinical finding': 'significant stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'stenosis'}}clinical findings_fin: {'atherosclerotic calcifications': {'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}anatomical entity_fin: {'cervical spine': {}, 'endplate': {}, 'disc': {}}clinical findings_fin: {'multilevel degenerative changes': {'clinical finding': 'multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative', 'observation': 'change'}, 'endplate and uncovertebral osteophytes': {'clinical finding': 'endplate and uncovertebral osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'endplate and uncovertebral', 'observation': 'osteophyte'}, 'disc space height': {'clinical finding': 'disc space height', 'existence': 'pos_dx', 'descriptive_term': 'disc space', 'observation': 'height'}}anatomical entity_fin: {'spinal': {}}clinical findings_fin: {'spinal stenosis': {'clinical finding': 'spinal stenosis', 'cf_snomed': {'spinal stenosis': 76107001}, 'existence': 'unc_dx', 'descriptive_term': 'spinal', 'observation': 'stenosis'}}size_fin: [{'size': '3mm', 'size_descriptor': 'pseudoaneurysm'}]anatomical entity_fin: {'lobule': {'location descriptor': 'superior'}, 'facial artery': {'location descriptor': 'right'}}location descriptor_fin: ['superior', 'right']clinical findings_fin: {'3mm pseudoaneurysm': {'clinical finding': '3mm pseudoaneurysm', 'cf_snomed': {'pseudoaneurysm': 443089001}, 'existence': 'pos_dx', 'descriptive_term': '3mm', 'observation': 'pseudoaneurysm'}}anatomical entity_fin: {'internal carotid arteries': {'location descriptor': 'distal'}, 'vertebral arteries': {'location descriptor': 'distal'}, 'middle': {'location descriptor': 'proximal anterior'}, 'posterior cerebral arteries': {}}location descriptor_fin: ['distal', 'proximal', 'anterior']clinical findings_fin: {'opacification': {'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'}}clinical findings_fin: {'aneurysms': {'clinical finding': 'aneurysms', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'neg_dx', 'observation': 'aneurysm'}, 'intracranial stenosis': {'clinical finding': 'intracranial stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'stenosis'}}anatomical entity_fin: {'anterior communicating artery': {}, 'posterior communicating arteries': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}location descriptor_fin: ['midline']clinical findings_fin: {'midline shift': {'clinical finding': 'midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'}}anatomical entity_fin: {'cheeks': {}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'marked soft tissue swelling': {'clinical finding': 'marked soft tissue swelling', 'cf_snomed': {'soft tissue swelling': 298349001}, 'existence': 'pos_dx', 'descriptive_term': 'marked soft tissue', 'observation': 'swell'}}anatomical entity_fin: {'walls': {'location descriptor': 'medial'}}location descriptor_fin: ['bilateral', 'lateral', 'medial']clinical findings_fin: {'bilateral fractures': {'clinical finding': 'bilateral fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral', 'observation': 'fracture'}, 'fractures_1': {'clinical finding': 'fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'observation': 'fracture'}, 'fractures_2': {'clinical finding': 'fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'observation': 'fracture'}, 'alveolar ridges': {'clinical finding': 'alveolar ridges', 'existence': 'pos_dx', 'descriptive_term': 'alveolar', 'observation': 'ridges'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'left lateral'}, 'wall': {}}location descriptor_fin: ['left', 'lateral']clinical findings_fin: {'minimal displacement': {'clinical finding': 'minimal displacement', 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'displacement', 'strength_term': 'minimal', 'quantity_term': 'minimal'}, 'left sided fractures': {'clinical finding': 'left sided fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'left sided', 'observation': 'fracture'}, 'left lateral maxillary sinus wall ni continuity': {'clinical finding': 'left lateral maxillary sinus wall ni continuity', 'cf_snomed': {'sinus': 419351001}, 'existence': 'unc_dx', 'descriptive_term': 'left lateral maxillary sinus wall ni', 'observation': 'continuity'}}clinical findings_fin: {'periventricular and subcortical white matter hypodensities': {'clinical finding': 'periventricular and subcortical white matter hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'periventricular and subcortical white matter', 'observation': 'hypodensity'}}anatomical entity_fin: {'internal carotid arteries': {'location descriptor': 'distal'}}location descriptor_fin: ['distal']clinical findings_fin: {'atherosclerotic calcifications': {'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}clinical findings_fin: {'abnormal mass lesions': {'clinical finding': 'abnormal mass lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'abnormal mass', 'observation': 'lesion'}}clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}anatomical entity_fin: {'brain': {}, 'parenchyma': {}}clinical findings_fin: {'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'observation': 'edema'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'hyperdense material': {'clinical finding': 'hyperdense material', 'existence': 'pos_dx', 'descriptive_term': 'hyperdense', 'observation': 'material'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'eye': {'location descriptor': 'right'}, 'lens': {}}location descriptor_fin: ['right']clinical findings_fin: {'right eye lens is thin': {'clinical finding': 'right eye lens is thin'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'aortic arch': {}, 'arteries': {}, 'vertebral arteries': {}}clinical findings_fin: {'opacification': {'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'}}anatomical entity_fin: {'aortic arch': {}}clinical findings_fin: {'stenosis': {'clinical finding': 'stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'observation': 'stenosis'}}clinical findings_fin: {'nascet': {'clinical finding': 'nascet', 'existence': 'unc_dx', 'observation': 'nascet'}, 'significant stenosis': {'clinical finding': 'significant stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'stenosis'}}anatomical entity_fin: {'vertebral arteries': {}}clinical findings_fin: {'significant stenosis': {'clinical finding': 'significant stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'stenosis'}}clinical findings_fin: {'atherosclerotic calcifications': {'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}anatomical entity_fin: {'cervical spine': {}, 'endplate': {}, 'disc': {}}clinical findings_fin: {'multilevel degenerative changes': {'clinical finding': 'multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative', 'observation': 'change'}, 'endplate and uncovertebral osteophytes': {'clinical finding': 'endplate and uncovertebral osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'endplate and uncovertebral', 'observation': 'osteophyte'}, 'disc space height': {'clinical finding': 'disc space height', 'existence': 'pos_dx', 'descriptive_term': 'disc space', 'observation': 'height'}}anatomical entity_fin: {'spinal': {}}clinical findings_fin: {'spinal stenosis': {'clinical finding': 'spinal stenosis', 'cf_snomed': {'spinal stenosis': 76107001}, 'existence': 'unc_dx', 'descriptive_term': 'spinal', 'observation': 'stenosis'}}size_fin: [{'size': '3mm', 'size_descriptor': 'pseudoaneurysm'}]anatomical entity_fin: {'lobule': {'location descriptor': 'superior'}, 'facial artery': {'location descriptor': 'right'}}location descriptor_fin: ['superior', 'right']clinical findings_fin: {'3mm pseudoaneurysm': {'clinical finding': '3mm pseudoaneurysm', 'cf_snomed': {'pseudoaneurysm': 443089001}, 'existence': 'pos_dx', 'descriptive_term': '3mm', 'observation': 'pseudoaneurysm'}}anatomical entity_fin: {'internal carotid arteries': {'location descriptor': 'distal'}, 'vertebral arteries': {'location descriptor': 'distal'}, 'middle': {'location descriptor': 'proximal anterior'}, 'posterior cerebral arteries': {}}location descriptor_fin: ['distal', 'proximal', 'anterior']clinical findings_fin: {'opacification': {'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'}}clinical findings_fin: {'aneurysms': {'clinical finding': 'aneurysms', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'neg_dx', 'observation': 'aneurysm'}, 'intracranial stenosis': {'clinical finding': 'intracranial stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'stenosis'}}anatomical entity_fin: {'anterior communicating artery': {}, 'posterior communicating arteries': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}location descriptor_fin: ['midline']clinical findings_fin: {'midline shift': {'clinical finding': 'midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'}}anatomical entity_fin: {'cheeks': {}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'marked soft tissue swelling': {'clinical finding': 'marked soft tissue swelling', 'cf_snomed': {'soft tissue swelling': 298349001}, 'existence': 'pos_dx', 'descriptive_term': 'marked soft tissue', 'observation': 'swell'}}anatomical entity_fin: {'walls': {'location descriptor': 'medial'}}location descriptor_fin: ['bilateral', 'lateral', 'medial']clinical findings_fin: {'bilateral fractures': {'clinical finding': 'bilateral fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral', 'observation': 'fracture'}, 'fractures_1': {'clinical finding': 'fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'observation': 'fracture'}, 'fractures_2': {'clinical finding': 'fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'observation': 'fracture'}, 'alveolar ridges': {'clinical finding': 'alveolar ridges', 'existence': 'pos_dx', 'descriptive_term': 'alveolar', 'observation': 'ridges'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'left lateral'}, 'wall': {}}location descriptor_fin: ['left', 'lateral']clinical findings_fin: {'minimal displacement': {'clinical finding': 'minimal displacement', 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'displacement', 'strength_term': 'minimal', 'quantity_term': 'minimal'}, 'left sided fractures': {'clinical finding': 'left sided fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'left sided', 'observation': 'fracture'}, 'left lateral maxillary sinus wall ni continuity': {'clinical finding': 'left lateral maxillary sinus wall ni continuity', 'cf_snomed': {'sinus': 419351001}, 'existence': 'unc_dx', 'descriptive_term': 'left lateral maxillary sinus wall ni', 'observation': 'continuity'}}clinical findings_fin: {'periventricular and subcortical white matter hypodensities': {'clinical finding': 'periventricular and subcortical white matter hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'periventricular and subcortical white matter', 'observation': 'hypodensity'}}anatomical entity_fin: {'internal carotid arteries': {'location descriptor': 'distal'}}location descriptor_fin: ['distal']clinical findings_fin: {'atherosclerotic calcifications': {'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}clinical findings_fin: {'abnormal mass lesions': {'clinical finding': 'abnormal mass lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'abnormal mass', 'observation': 'lesion'}}clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}anatomical entity_fin: {'brain': {}, 'parenchyma': {}}clinical findings_fin: {'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'observation': 'edema'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'hyperdense material': {'clinical finding': 'hyperdense material', 'existence': 'pos_dx', 'descriptive_term': 'hyperdense', 'observation': 'material'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'eye': {'location descriptor': 'right'}, 'lens': {}}location descriptor_fin: ['right']clinical findings_fin: {'right eye lens is thin': {'clinical finding': 'right eye lens is thin'}} [/INST] Neck. There is opacification of the aortic arch, great vessels from the aortic arch and carotid arteries and vertebral arteries. There is no stenosis identified of the great vessels from the aortic arch. On the basis of NASCET criteria there is no significant stenosis at the carotid bifurcations. There is no significant stenosis along the course of the vertebral arteries. Atherosclerotic calcifications are present at the carotid bifurcations. There are multilevel degenerative changes present in the cervical spine with endplate and uncovertebral osteophytes at C3-4, C4-5, C5-6 and 67 as well as C7-T1 with associated loss of disc space height. Appears to be worse at C5-6 where there are findings suggestive of spinal stenosis. Brain. There is a 3mm pseudoaneurysm along the superior lobule branch of the right facial artery. There is opacification of the distal internal carotid arteries, the distal vertebral arteries and the proximal anterior middle and posterior cerebral arteries. No aneurysms or intracranial stenosis is appreciated. The anterior communicating artery and the posterior communicating arteries are identified and are intact. The CSF spaces are appropriate for the patients stated age with no midline shift. There is marked soft tissue swelling and infiltration of the cheeks bilaterally right more than left. There is redemonstration of bilateral fractures of the lateral walls of the maxillary sinuses and fractures of the medial walls of the maxillary sinuses and fractures along the pterygoid plates bilaterally in a pattern similar to LeFort type I, however, the alveolar ridges are minimally involved. There is minimal displacement on the left and the left sided fractures do not involve the entire length of the left lateral maxillary sinus wall ni continuity. Periventricular and subcortical white matter hypodensities of a moderate degree are present. Atherosclerotic calcifications are present along the distal internal carotid arteries. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma. The visualized portions of the paranasal sinuses are opacified with hyperdense material. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. The right eye lens is thin </s>