Evaluation of the shoulder is slightly limited secondary to streak artifact from the contralateral shoulder arthroplasty device. Severe osteoarthritis affects the glenohumeral joint with bone-on-bone apposition, osteophyte formation and subchondral cysts. The glenohumeral joint alignment is within normal limits. Faint calcification within the glenohumeral joint may represent chondrocalcinosis. There is slight widening of the acromioclavicular joint which may reflect prior trauma or surgery. Evaluation of the rotator cuff is limited. Calcification within the supraspinatus tendon is consistent with calcific tendinosis. There may be mild atrophy of the supraspinatus muscle but this is equivocal. Degenerative arthritic changes affect the visualized spine. The remaining visualized soft tissue structures are unremarkable.
anatomical entity_fin: {'shoulder': {'location descriptor': 'contralateral'}}location descriptor_fin: ['contralateral']object_fin: ['arthroplasty device']clinical findings_fin: {'streak artifact': {'clinical finding': 'streak artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'streak', 'observation': 'artifact'}, 'contralateral shoulder arthroplasty': {'clinical finding': 'contralateral shoulder arthroplasty', 'existence': 'unc_dx', 'descriptive_term': 'contralateral shoulder', 'observation': 'arthroplasty'}}anatomical entity_fin: {'glenohumeral joint': {}}clinical findings_fin: {'severe osteoarthritis': {'clinical finding': 'severe osteoarthritis', 'cf_snomed': {'osteoarthritis': 396275006}, 'existence': 'pos_dx', 'descriptive_term': 'severe', 'observation': 'osteoarthritis', 'strength_term': 'severe'}, 'osteophyte': {'clinical finding': 'osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'observation': 'osteophyte'}, 'subchondral cysts': {'clinical finding': 'subchondral cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'subchondral', 'observation': 'cyst'}}anatomical entity_fin: {'glenohumeral joint': {}}clinical findings_fin: {'glenohumeral joint alignment is within normal limits': {'clinical finding': 'glenohumeral joint alignment is within normal limits'}}anatomical entity_fin: {'glenohumeral joint': {}}clinical findings_fin: {'faint calcification': {'clinical finding': 'faint calcification', 'existence': 'pos_dx', 'descriptive_term': 'faint', 'observation': 'calcification'}, 'chondrocalcinosis': {'clinical finding': 'chondrocalcinosis', 'cf_snomed': {'chondrocalcinosis': 239838005}, 'existence': 'unc_dx', 'observation': 'chondrocalcinosis'}}anatomical entity_fin: {'acromioclavicular joint': {}}clinical findings_fin: {'slight widening': {'clinical finding': 'slight widening', 'cf_snomed': {'widening': 90522003}, 'existence': 'pos_dx', 'descriptive_term': 'slight', 'observation': 'widening'}, 'prior trauma': {'clinical finding': 'prior trauma', 'existence': 'unc_dx', 'descriptive_term': 'prior', 'observation': 'trauma'}}clinical findings_fin: {'evaluation of the rotator cuff is limited': {'clinical finding': 'evaluation of the rotator cuff is limited'}}anatomical entity_fin: {'supraspinatus tendon': {}}clinical findings_fin: {'calcification': {'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'}, 'calcific tendinosis': {'clinical finding': 'calcific tendinosis', 'cf_snomed': {'tendinosis': 724152009}, 'existence': 'pos_dx', 'descriptive_term': 'calcific', 'observation': 'tendinosis'}}anatomical entity_fin: {'supraspinatus muscle': {}}clinical findings_fin: {'mild atrophy': {'clinical finding': 'mild atrophy', 'cf_snomed': {'atrophy': 13331008}, 'existence': 'unc_dx', 'descriptive_term': 'mild', 'observation': 'atrophy', 'strength_term': 'mild'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative arthritic changes': {'clinical finding': 'degenerative arthritic changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative arthritic', 'observation': 'change'}}clinical findings_fin: {'remaining visualized soft tissue structures are unremarkable': {'clinical finding': 'remaining visualized soft tissue structures are unremarkable'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'shoulder': {'location descriptor': 'contralateral'}}location descriptor_fin: ['contralateral']object_fin: ['arthroplasty device']clinical findings_fin: {'streak artifact': {'clinical finding': 'streak artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'streak', 'observation': 'artifact'}, 'contralateral shoulder arthroplasty': {'clinical finding': 'contralateral shoulder arthroplasty', 'existence': 'unc_dx', 'descriptive_term': 'contralateral shoulder', 'observation': 'arthroplasty'}}anatomical entity_fin: {'glenohumeral joint': {}}clinical findings_fin: {'severe osteoarthritis': {'clinical finding': 'severe osteoarthritis', 'cf_snomed': {'osteoarthritis': 396275006}, 'existence': 'pos_dx', 'descriptive_term': 'severe', 'observation': 'osteoarthritis', 'strength_term': 'severe'}, 'osteophyte': {'clinical finding': 'osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'observation': 'osteophyte'}, 'subchondral cysts': {'clinical finding': 'subchondral cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'subchondral', 'observation': 'cyst'}}anatomical entity_fin: {'glenohumeral joint': {}}clinical findings_fin: {'glenohumeral joint alignment is within normal limits': {'clinical finding': 'glenohumeral joint alignment is within normal limits'}}anatomical entity_fin: {'glenohumeral joint': {}}clinical findings_fin: {'faint calcification': {'clinical finding': 'faint calcification', 'existence': 'pos_dx', 'descriptive_term': 'faint', 'observation': 'calcification'}, 'chondrocalcinosis': {'clinical finding': 'chondrocalcinosis', 'cf_snomed': {'chondrocalcinosis': 239838005}, 'existence': 'unc_dx', 'observation': 'chondrocalcinosis'}}anatomical entity_fin: {'acromioclavicular joint': {}}clinical findings_fin: {'slight widening': {'clinical finding': 'slight widening', 'cf_snomed': {'widening': 90522003}, 'existence': 'pos_dx', 'descriptive_term': 'slight', 'observation': 'widening'}, 'prior trauma': {'clinical finding': 'prior trauma', 'existence': 'unc_dx', 'descriptive_term': 'prior', 'observation': 'trauma'}}clinical findings_fin: {'evaluation of the rotator cuff is limited': {'clinical finding': 'evaluation of the rotator cuff is limited'}}anatomical entity_fin: {'supraspinatus tendon': {}}clinical findings_fin: {'calcification': {'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'}, 'calcific tendinosis': {'clinical finding': 'calcific tendinosis', 'cf_snomed': {'tendinosis': 724152009}, 'existence': 'pos_dx', 'descriptive_term': 'calcific', 'observation': 'tendinosis'}}anatomical entity_fin: {'supraspinatus muscle': {}}clinical findings_fin: {'mild atrophy': {'clinical finding': 'mild atrophy', 'cf_snomed': {'atrophy': 13331008}, 'existence': 'unc_dx', 'descriptive_term': 'mild', 'observation': 'atrophy', 'strength_term': 'mild'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative arthritic changes': {'clinical finding': 'degenerative arthritic changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative arthritic', 'observation': 'change'}}clinical findings_fin: {'remaining visualized soft tissue structures are unremarkable': {'clinical finding': 'remaining visualized soft tissue structures are unremarkable'}} [/INST] Evaluation of the shoulder is slightly limited secondary to streak artifact from the contralateral shoulder arthroplasty device. Severe osteoarthritis affects the glenohumeral joint with bone-on-bone apposition, osteophyte formation and subchondral cysts. The glenohumeral joint alignment is within normal limits. Faint calcification within the glenohumeral joint may represent chondrocalcinosis. There is slight widening of the acromioclavicular joint which may reflect prior trauma or surgery. Evaluation of the rotator cuff is limited. Calcification within the supraspinatus tendon is consistent with calcific tendinosis. There may be mild atrophy of the supraspinatus muscle but this is equivocal. Degenerative arthritic changes affect the visualized spine. The remaining visualized soft tissue structures are unremarkable. </s>