Redemonstrated is an intraparenchymal hematoma at the anterior and inferior aspect of the left frontal lobe associated with a thin subdural hematoma and subarachnoid blood. The patient is status post right sided craniectomy. There is encephalomalacia and surgery of much of the right frontal lobe and anterior aspect of the right temporal lobe as well as a small portion of the right parietal lobe associated with ex-vacuo effect on the adjacent lateral ventricle and midline shift. There is atrophy of the right cerebral peduncle from Wallerian degeneration. There is a hyperdensity at the right subcentral lobule at the margin of encephalomalacia as well as a hyperdensity at lateral aspect the left cerebellar hemisphere. The left tentorial leaf is hyperdense and thick. The visualized portions of the paranasal sinuses are partially opacified. The visualized portions of the mastoid air cells demonstrate scattered opacities. There are old nasal fractures present. The above findings are unchanged in appearance.
anatomical entity_fin: {'left frontal lobe': {}}imaging observation_fin: ['hematoma', 'blood']location descriptor_fin: ['anterior', 'inferior']clinical findings_fin: {'intraparenchymal hematoma': {'clinical finding': 'intraparenchymal hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'pos_dx', 'descriptive_term': 'intraparenchymal', 'observation': 'hematoma'}, 'thin subdural hematoma': {'clinical finding': 'thin subdural hematoma', 'cf_snomed': {'subdural hematoma': 95453001}, 'existence': 'pos_dx', 'descriptive_term': 'thin subdural', 'observation': 'hematoma'}, 'subarachnoid blood': {'clinical finding': 'subarachnoid blood', 'existence': 'pos_dx', 'descriptive_term': 'subarachnoid', 'observation': 'blood'}}location descriptor_fin: ['right']clinical findings_fin: {'status post right sided craniectomy': {'clinical finding': 'status post right sided craniectomy', 'existence': 'pos_dx', 'descriptive_term': 'status post right sided', 'observation': 'craniectomy'}}anatomical entity_fin: {'right frontal lobe': {}, 'right temporal lobe': {}, 'right parietal lobe': {}, 'lateral ventricle': {'location descriptor': 'adjacent'}}location descriptor_fin: ['anterior', 'adjacent', 'midline']clinical findings_fin: {'encephalomalacia': {'clinical finding': 'encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'pos_dx', 'observation': 'encephalomalacia'}, 'ex-vacuo effect': {'clinical finding': 'ex-vacuo effect', 'existence': 'pos_dx', 'descriptive_term': 'ex-vacuo', 'observation': 'effect'}, 'adjacent lateral ventricle and midline shift': {'clinical finding': 'adjacent lateral ventricle and midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'unc_dx', 'descriptive_term': 'adjacent lateral ventricle and midline', 'observation': 'shift'}}anatomical entity_fin: {'right cerebral peduncle': {}}clinical findings_fin: {'atrophy': {'clinical finding': 'atrophy', 'cf_snomed': {'atrophy': 13331008}, 'existence': 'pos_dx', 'observation': 'atrophy'}, 'wallerian degeneration': {'clinical finding': 'wallerian degeneration', 'cf_snomed': {'wallerian degeneration': 36161006}, 'existence': 'pos_dx', 'descriptive_term': 'wallerian', 'observation': 'degeneration'}}anatomical entity_fin: {'lobule': {}}imaging observation_fin: ['margin']location descriptor_fin: ['right', 'lateral', 'left']clinical findings_fin: {'hyperdensity_1': {'clinical finding': 'hyperdensity', 'existence': 'pos_dx', 'observation': 'hyperdensity'}, 'encephalomalacia': {'clinical finding': 'encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'pos_dx', 'observation': 'encephalomalacia'}, 'hyperdensity_2': {'clinical finding': 'hyperdensity', 'existence': 'pos_dx', 'observation': 'hyperdensity'}}location descriptor_fin: ['left']clinical findings_fin: {'hyperdense': {'clinical finding': 'hyperdense', 'existence': 'pos_dx', 'observation': 'hyperdense'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'visualized portions of the paranasal sinuses are partially opacified': {'clinical finding': 'visualized portions of the paranasal sinuses are partially opacified', 'change_term': 'opacified'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'scattered opacities': {'clinical finding': 'scattered opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'unc_dx', 'descriptive_term': 'scattered', 'observation': 'opacity'}}clinical findings_fin: {'old nasal fractures': {'clinical finding': 'old nasal fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'old nasal', 'observation': 'fracture', 'temporal_term': 'old'}}clinical findings_fin: {'above findings are unchanged in appearance': {'clinical finding': 'above findings are unchanged in appearance', 'change_term': 'unchanged'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'left frontal lobe': {}}imaging observation_fin: ['hematoma', 'blood']location descriptor_fin: ['anterior', 'inferior']clinical findings_fin: {'intraparenchymal hematoma': {'clinical finding': 'intraparenchymal hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'pos_dx', 'descriptive_term': 'intraparenchymal', 'observation': 'hematoma'}, 'thin subdural hematoma': {'clinical finding': 'thin subdural hematoma', 'cf_snomed': {'subdural hematoma': 95453001}, 'existence': 'pos_dx', 'descriptive_term': 'thin subdural', 'observation': 'hematoma'}, 'subarachnoid blood': {'clinical finding': 'subarachnoid blood', 'existence': 'pos_dx', 'descriptive_term': 'subarachnoid', 'observation': 'blood'}}location descriptor_fin: ['right']clinical findings_fin: {'status post right sided craniectomy': {'clinical finding': 'status post right sided craniectomy', 'existence': 'pos_dx', 'descriptive_term': 'status post right sided', 'observation': 'craniectomy'}}anatomical entity_fin: {'right frontal lobe': {}, 'right temporal lobe': {}, 'right parietal lobe': {}, 'lateral ventricle': {'location descriptor': 'adjacent'}}location descriptor_fin: ['anterior', 'adjacent', 'midline']clinical findings_fin: {'encephalomalacia': {'clinical finding': 'encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'pos_dx', 'observation': 'encephalomalacia'}, 'ex-vacuo effect': {'clinical finding': 'ex-vacuo effect', 'existence': 'pos_dx', 'descriptive_term': 'ex-vacuo', 'observation': 'effect'}, 'adjacent lateral ventricle and midline shift': {'clinical finding': 'adjacent lateral ventricle and midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'unc_dx', 'descriptive_term': 'adjacent lateral ventricle and midline', 'observation': 'shift'}}anatomical entity_fin: {'right cerebral peduncle': {}}clinical findings_fin: {'atrophy': {'clinical finding': 'atrophy', 'cf_snomed': {'atrophy': 13331008}, 'existence': 'pos_dx', 'observation': 'atrophy'}, 'wallerian degeneration': {'clinical finding': 'wallerian degeneration', 'cf_snomed': {'wallerian degeneration': 36161006}, 'existence': 'pos_dx', 'descriptive_term': 'wallerian', 'observation': 'degeneration'}}anatomical entity_fin: {'lobule': {}}imaging observation_fin: ['margin']location descriptor_fin: ['right', 'lateral', 'left']clinical findings_fin: {'hyperdensity_1': {'clinical finding': 'hyperdensity', 'existence': 'pos_dx', 'observation': 'hyperdensity'}, 'encephalomalacia': {'clinical finding': 'encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'pos_dx', 'observation': 'encephalomalacia'}, 'hyperdensity_2': {'clinical finding': 'hyperdensity', 'existence': 'pos_dx', 'observation': 'hyperdensity'}}location descriptor_fin: ['left']clinical findings_fin: {'hyperdense': {'clinical finding': 'hyperdense', 'existence': 'pos_dx', 'observation': 'hyperdense'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'visualized portions of the paranasal sinuses are partially opacified': {'clinical finding': 'visualized portions of the paranasal sinuses are partially opacified', 'change_term': 'opacified'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'scattered opacities': {'clinical finding': 'scattered opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'unc_dx', 'descriptive_term': 'scattered', 'observation': 'opacity'}}clinical findings_fin: {'old nasal fractures': {'clinical finding': 'old nasal fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'old nasal', 'observation': 'fracture', 'temporal_term': 'old'}}clinical findings_fin: {'above findings are unchanged in appearance': {'clinical finding': 'above findings are unchanged in appearance', 'change_term': 'unchanged'}} [/INST] Redemonstrated is an intraparenchymal hematoma at the anterior and inferior aspect of the left frontal lobe associated with a thin subdural hematoma and subarachnoid blood. The patient is status post right sided craniectomy. There is encephalomalacia and surgery of much of the right frontal lobe and anterior aspect of the right temporal lobe as well as a small portion of the right parietal lobe associated with ex-vacuo effect on the adjacent lateral ventricle and midline shift. There is atrophy of the right cerebral peduncle from Wallerian degeneration. There is a hyperdensity at the right subcentral lobule at the margin of encephalomalacia as well as a hyperdensity at lateral aspect the left cerebellar hemisphere. The left tentorial leaf is hyperdense and thick. The visualized portions of the paranasal sinuses are partially opacified. The visualized portions of the mastoid air cells demonstrate scattered opacities. There are old nasal fractures present. The above findings are unchanged in appearance. </s>