.No mass effect, focal edema or suspicious enhancement is seen to suggest brain parenchymal metastatic disease. The bones of the calvarium and skull base are intact. Post treatment findings are seen including reticulation of the fascial planes, left side more than right, thickening of the platysma, and a retropharyngeal effusion, all appearing similar to prior. Supraglottic mucosal edema is also relatively unchanged. No evidence of any concerning mucosal masslike lesion is seen. No pathologic adenopathy is detected by size criteria. The salivary glands and thyroid are free of focal lesions. Normal vascular opacification is noted. An opacity with ill-defined margins in the right lung apex seems to have increased in size from the prior examination. Multiple scattered additional small pulmonary nodules are seen.
anatomical entity_fin: {'brain': {}}clinical findings_fin: {'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'focal edema': {'clinical finding': 'focal edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'edema'}, 'suspicious enhancement': {'clinical finding': 'suspicious enhancement', 'existence': 'neg_dx', 'descriptive_term': 'suspicious', 'observation': 'enhancement'}, 'brain parenchymal metastatic disease': {'clinical finding': 'brain parenchymal metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'brain parenchymal metastatic', 'observation': 'disease'}}anatomical entity_fin: {'skull': {}, 'base': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}imaging observation_fin: ['reticulation']location descriptor_fin: ['left', 'right']procedure_fin: ['treatment']clinical findings_fin: {'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}, 'retropharyngeal effusion': {'clinical finding': 'retropharyngeal effusion', 'cf_snomed': {'effusion': 41699000}, 'existence': 'pos_dx', 'descriptive_term': 'retropharyngeal', 'observation': 'effusion'}}clinical findings_fin: {'supraglottic mucosal edema': {'clinical finding': 'supraglottic mucosal edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'supraglottic mucosal', 'observation': 'edema'}}clinical findings_fin: {'any concerning mucosal masslike lesion': {'clinical finding': 'any concerning mucosal masslike lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'any concerning mucosal masslike', 'observation': 'lesion'}}clinical findings_fin: {'pathologic adenopathy': {'clinical finding': 'pathologic adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'pathologic', 'observation': 'adenopathy'}}anatomical entity_fin: {'salivary glands': {}}clinical findings_fin: {'focal lesions': {'clinical finding': 'focal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}clinical findings_fin: {'normal vascular opacification': {'clinical finding': 'normal vascular opacification', 'existence': 'pos_dx', 'descriptive_term': 'normal vascular', 'observation': 'opacification', 'strength_term': 'normal'}}anatomical entity_fin: {'right lung': {}, 'apex': {}}imaging observation_fin: ['margins']clinical findings_fin: {'opacity': {'clinical finding': 'opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'observation': 'opacity'}}clinical findings_fin: {'multiple scattered additional small pulmonary nodules': {'clinical finding': 'multiple scattered additional small pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'multiple scattered additional small pulmonary', 'observation': 'nodule', 'strength_term': 'small', 'quantity_term': 'multiple'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'brain': {}}clinical findings_fin: {'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'focal edema': {'clinical finding': 'focal edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'edema'}, 'suspicious enhancement': {'clinical finding': 'suspicious enhancement', 'existence': 'neg_dx', 'descriptive_term': 'suspicious', 'observation': 'enhancement'}, 'brain parenchymal metastatic disease': {'clinical finding': 'brain parenchymal metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'brain parenchymal metastatic', 'observation': 'disease'}}anatomical entity_fin: {'skull': {}, 'base': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}imaging observation_fin: ['reticulation']location descriptor_fin: ['left', 'right']procedure_fin: ['treatment']clinical findings_fin: {'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}, 'retropharyngeal effusion': {'clinical finding': 'retropharyngeal effusion', 'cf_snomed': {'effusion': 41699000}, 'existence': 'pos_dx', 'descriptive_term': 'retropharyngeal', 'observation': 'effusion'}}clinical findings_fin: {'supraglottic mucosal edema': {'clinical finding': 'supraglottic mucosal edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'supraglottic mucosal', 'observation': 'edema'}}clinical findings_fin: {'any concerning mucosal masslike lesion': {'clinical finding': 'any concerning mucosal masslike lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'any concerning mucosal masslike', 'observation': 'lesion'}}clinical findings_fin: {'pathologic adenopathy': {'clinical finding': 'pathologic adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'pathologic', 'observation': 'adenopathy'}}anatomical entity_fin: {'salivary glands': {}}clinical findings_fin: {'focal lesions': {'clinical finding': 'focal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}clinical findings_fin: {'normal vascular opacification': {'clinical finding': 'normal vascular opacification', 'existence': 'pos_dx', 'descriptive_term': 'normal vascular', 'observation': 'opacification', 'strength_term': 'normal'}}anatomical entity_fin: {'right lung': {}, 'apex': {}}imaging observation_fin: ['margins']clinical findings_fin: {'opacity': {'clinical finding': 'opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'observation': 'opacity'}}clinical findings_fin: {'multiple scattered additional small pulmonary nodules': {'clinical finding': 'multiple scattered additional small pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'multiple scattered additional small pulmonary', 'observation': 'nodule', 'strength_term': 'small', 'quantity_term': 'multiple'}} [/INST] .No mass effect, focal edema or suspicious enhancement is seen to suggest brain parenchymal metastatic disease. The bones of the calvarium and skull base are intact. Post treatment findings are seen including reticulation of the fascial planes, left side more than right, thickening of the platysma, and a retropharyngeal effusion, all appearing similar to prior. Supraglottic mucosal edema is also relatively unchanged. No evidence of any concerning mucosal masslike lesion is seen. No pathologic adenopathy is detected by size criteria. The salivary glands and thyroid are free of focal lesions. Normal vascular opacification is noted. An opacity with ill-defined margins in the right lung apex seems to have increased in size from the prior examination. Multiple scattered additional small pulmonary nodules are seen. </s>