There is no evidence of acute ischemic or hemorrhagic lesion on this scan. The right parieto-temporal ischemic infarction lesion seen on prior scan is now showing encephalomalacia with ex vacuo changes of right lateral ventricle. Minimal non specific small vessel disease, no change since prior scan. The ventricles, sulci, and cisterns are unremarkable. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection or acute hemorrhage. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear.
clinical findings_fin: {'acute ischemic or hemorrhagic lesion': {'clinical finding': 'acute ischemic or hemorrhagic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'acute ischemic or hemorrhagic', 'observation': 'lesion', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'right lateral ventricle': {}}location descriptor_fin: ['right']clinical findings_fin: {'right parieto-temporal ischemic infarction lesion': {'clinical finding': 'right parieto-temporal ischemic infarction lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right parieto-temporal ischemic infarction', 'observation': 'lesion'}, 'encephalomalacia': {'clinical finding': 'encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'pos_dx', 'observation': 'encephalomalacia'}, 'ex vacuo changes': {'clinical finding': 'ex vacuo changes', 'existence': 'pos_dx', 'descriptive_term': 'ex vacuo', 'observation': 'change'}}clinical findings_fin: {'minimal non specific small vessel disease': {'clinical finding': 'minimal non specific small vessel disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'minimal non specific small vessel', 'observation': 'disease', 'strength_term': 'minimal - small', 'quantity_term': 'minimal'}, 'change': {'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change'}}clinical findings_fin: {'ventricles , sulci , and cisterns are unremarkable': {'clinical finding': 'ventricles , sulci , and cisterns are unremarkable'}}location descriptor_fin: ['midline']clinical findings_fin: {'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'observation': 'edema'}, 'intra- or extra-axial fluid collection': {'clinical finding': 'intra- or extra-axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'intra- or extra-axial fluid', 'observation': 'collection'}, 'acute hemorrhage': {'clinical finding': 'acute hemorrhage', 'cf_snomed': {'acute hemorrhage': 8573003}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'}}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'}}
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'acute ischemic or hemorrhagic lesion': {'clinical finding': 'acute ischemic or hemorrhagic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'acute ischemic or hemorrhagic', 'observation': 'lesion', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'right lateral ventricle': {}}location descriptor_fin: ['right']clinical findings_fin: {'right parieto-temporal ischemic infarction lesion': {'clinical finding': 'right parieto-temporal ischemic infarction lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right parieto-temporal ischemic infarction', 'observation': 'lesion'}, 'encephalomalacia': {'clinical finding': 'encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'pos_dx', 'observation': 'encephalomalacia'}, 'ex vacuo changes': {'clinical finding': 'ex vacuo changes', 'existence': 'pos_dx', 'descriptive_term': 'ex vacuo', 'observation': 'change'}}clinical findings_fin: {'minimal non specific small vessel disease': {'clinical finding': 'minimal non specific small vessel disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'minimal non specific small vessel', 'observation': 'disease', 'strength_term': 'minimal - small', 'quantity_term': 'minimal'}, 'change': {'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change'}}clinical findings_fin: {'ventricles , sulci , and cisterns are unremarkable': {'clinical finding': 'ventricles , sulci , and cisterns are unremarkable'}}location descriptor_fin: ['midline']clinical findings_fin: {'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'observation': 'edema'}, 'intra- or extra-axial fluid collection': {'clinical finding': 'intra- or extra-axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'intra- or extra-axial fluid', 'observation': 'collection'}, 'acute hemorrhage': {'clinical finding': 'acute hemorrhage', 'cf_snomed': {'acute hemorrhage': 8573003}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'}}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'}} [/INST] There is no evidence of acute ischemic or hemorrhagic lesion on this scan. The right parieto-temporal ischemic infarction lesion seen on prior scan is now showing encephalomalacia with ex vacuo changes of right lateral ventricle. Minimal non specific small vessel disease, no change since prior scan. The ventricles, sulci, and cisterns are unremarkable. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection or acute hemorrhage. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear. </s>