There are postoperative findings of right frontal burr hole and deep brain stimulator with the lead tip near the right globus pallidus. There is new hypoattenuation along the course of the stimulator lead in the ACA and lenticulostriate territories involving the anterior and posterior limbs of the internal capsule as well as the basal ganglia. There is moderate mass effect resulting in effacement of the frontal sulci and anterior horn of the right lateral ventricle as well as minimal leftward midline shift. There is no associated hemorrhagic foci. Constellation of above findings suggest acute ischemic infarction, however, differential diagnosis include non hemorrhagic venous congestion, inflammation or infection including cerebritis. Tumorous condition is less likely. Brain MRI with and without contrast is recommended for further imaging evaluation. The basal cisterns remain open. There is no evidence of intracranial hemorrhage. There is minimal soft tissue density posteriorly within the left maxillary sinus, unchanged. The remaining paranasal sinuses and mastoid air cells are clear.
anatomical entity_fin: {'right globus pallidus': {}}location descriptor_fin: ['right']non-anatomical substance_fin: ['lead']object_fin: ['deep brain stimulator']clinical findings_fin: {'postoperative': {'clinical finding': 'postoperative', 'existence': 'pos_dx', 'observation': 'postoperative'}, 'right frontal burr hole': {'clinical finding': 'right frontal burr hole', 'existence': 'pos_dx', 'descriptive_term': 'right frontal burr', 'observation': 'hole'}, 'deep brain stimulator': {'clinical finding': 'deep brain stimulator', 'existence': 'pos_dx', 'descriptive_term': 'deep brain', 'observation': 'stimulator'}}anatomical entity_fin: {'internal capsule': {}, 'basal ganglia': {}}location descriptor_fin: ['anterior', 'posterior']non-anatomical substance_fin: ['lead']clinical findings_fin: {'new hypoattenuation': {'clinical finding': 'new hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'new', 'observation': 'hypoattenuation', 'temporal_term': 'new'}}anatomical entity_fin: {'right lateral ventricle': {}}location descriptor_fin: ['anterior', 'midline']clinical findings_fin: {'moderate mass effect': {'clinical finding': 'moderate mass effect', 'existence': 'pos_dx', 'descriptive_term': 'moderate mass', 'observation': 'effect', 'strength_term': 'moderate'}, 'effacement': {'clinical finding': 'effacement', 'existence': 'pos_dx', 'observation': 'effacement'}, 'minimal leftward midline shift': {'clinical finding': 'minimal leftward midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'pos_dx', 'descriptive_term': 'minimal leftward midline', 'observation': 'shift', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}imaging observation_fin: ['foci']clinical findings_fin: {'associated hemorrhagic foci': {'clinical finding': 'associated hemorrhagic foci', 'existence': 'neg_dx', 'descriptive_term': 'associated hemorrhagic', 'observation': 'foci'}}clinical findings_fin: {'acute ischemic infarction': {'clinical finding': 'acute ischemic infarction', 'existence': 'unc_dx', 'descriptive_term': 'acute ischemic', 'observation': 'infarction', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'non hemorrhagic venous congestion': {'clinical finding': 'non hemorrhagic venous congestion', 'cf_snomed': {'congestion': 85804007}, 'existence': 'unc_dx', 'descriptive_term': 'non hemorrhagic venous', 'observation': 'congestion'}, 'inflammation': {'clinical finding': 'inflammation', 'existence': 'unc_dx', 'observation': 'inflammation'}, 'infection': {'clinical finding': 'infection', 'existence': 'unc_dx', 'observation': 'infection'}, 'cerebritis': {'clinical finding': 'cerebritis', 'existence': 'pos_dx', 'observation': 'cerebritis'}}clinical findings_fin: {'tumorous': {'clinical finding': 'tumorous', 'existence': 'unc_dx', 'observation': 'tumorous'}}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: {'maxillary sinus': {'location descriptor': 'left'}}imaging observation_fin: ['soft tissue density']location descriptor_fin: ['left']clinical findings_fin: {'minimal soft tissue density': {'clinical finding': 'minimal soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'minimal soft tissue', 'observation': 'density', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'right globus pallidus': {}}location descriptor_fin: ['right']non-anatomical substance_fin: ['lead']object_fin: ['deep brain stimulator']clinical findings_fin: {'postoperative': {'clinical finding': 'postoperative', 'existence': 'pos_dx', 'observation': 'postoperative'}, 'right frontal burr hole': {'clinical finding': 'right frontal burr hole', 'existence': 'pos_dx', 'descriptive_term': 'right frontal burr', 'observation': 'hole'}, 'deep brain stimulator': {'clinical finding': 'deep brain stimulator', 'existence': 'pos_dx', 'descriptive_term': 'deep brain', 'observation': 'stimulator'}}anatomical entity_fin: {'internal capsule': {}, 'basal ganglia': {}}location descriptor_fin: ['anterior', 'posterior']non-anatomical substance_fin: ['lead']clinical findings_fin: {'new hypoattenuation': {'clinical finding': 'new hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'new', 'observation': 'hypoattenuation', 'temporal_term': 'new'}}anatomical entity_fin: {'right lateral ventricle': {}}location descriptor_fin: ['anterior', 'midline']clinical findings_fin: {'moderate mass effect': {'clinical finding': 'moderate mass effect', 'existence': 'pos_dx', 'descriptive_term': 'moderate mass', 'observation': 'effect', 'strength_term': 'moderate'}, 'effacement': {'clinical finding': 'effacement', 'existence': 'pos_dx', 'observation': 'effacement'}, 'minimal leftward midline shift': {'clinical finding': 'minimal leftward midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'pos_dx', 'descriptive_term': 'minimal leftward midline', 'observation': 'shift', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}imaging observation_fin: ['foci']clinical findings_fin: {'associated hemorrhagic foci': {'clinical finding': 'associated hemorrhagic foci', 'existence': 'neg_dx', 'descriptive_term': 'associated hemorrhagic', 'observation': 'foci'}}clinical findings_fin: {'acute ischemic infarction': {'clinical finding': 'acute ischemic infarction', 'existence': 'unc_dx', 'descriptive_term': 'acute ischemic', 'observation': 'infarction', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'non hemorrhagic venous congestion': {'clinical finding': 'non hemorrhagic venous congestion', 'cf_snomed': {'congestion': 85804007}, 'existence': 'unc_dx', 'descriptive_term': 'non hemorrhagic venous', 'observation': 'congestion'}, 'inflammation': {'clinical finding': 'inflammation', 'existence': 'unc_dx', 'observation': 'inflammation'}, 'infection': {'clinical finding': 'infection', 'existence': 'unc_dx', 'observation': 'infection'}, 'cerebritis': {'clinical finding': 'cerebritis', 'existence': 'pos_dx', 'observation': 'cerebritis'}}clinical findings_fin: {'tumorous': {'clinical finding': 'tumorous', 'existence': 'unc_dx', 'observation': 'tumorous'}}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: {'maxillary sinus': {'location descriptor': 'left'}}imaging observation_fin: ['soft tissue density']location descriptor_fin: ['left']clinical findings_fin: {'minimal soft tissue density': {'clinical finding': 'minimal soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'minimal soft tissue', 'observation': 'density', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}} [/INST] There are postoperative findings of right frontal burr hole and deep brain stimulator with the lead tip near the right globus pallidus. There is new hypoattenuation along the course of the stimulator lead in the ACA and lenticulostriate territories involving the anterior and posterior limbs of the internal capsule as well as the basal ganglia. There is moderate mass effect resulting in effacement of the frontal sulci and anterior horn of the right lateral ventricle as well as minimal leftward midline shift. There is no associated hemorrhagic foci. Constellation of above findings suggest acute ischemic infarction, however, differential diagnosis include non hemorrhagic venous congestion, inflammation or infection including cerebritis. Tumorous condition is less likely. Brain MRI with and without contrast is recommended for further imaging evaluation. The basal cisterns remain open. There is no evidence of intracranial hemorrhage. There is minimal soft tissue density posteriorly within the left maxillary sinus, unchanged. The remaining paranasal sinuses and mastoid air cells are clear. </s>