There are extensive right facial inflammatory changes, with diffuse infiltration of the fat which also involves to a lesser degree the left lower face. There is thickening of the platysma, right greater than left side. Fat planes surrounding the right submandibular gland are essentially effaced, with additional stranding involving the right parapharyngeal space. The right submandibular gland may be slightly enlarged due to inflammatory changes. Best seen on coronal images, there is asymmetric increased density and expansion of the fat along the right inferolateral mandibular body most yearly as seen on 80296/29 and 10227/39. This measures 27 Hounsfield units, greater than simple fluid. No definite peripheral enhancement is appreciated to suggest a focal abscess, although this may be an early developing focal fluid collection. Laterally, there is an incidental vessel which marginates this area of abnormality. There is a trace right retropharyngeal effusion measuring approximately 4 mm in greatest thickness, probably spanning the C2 level. There is an enlarged right level 1B lymph node measuring 1.4 cm. Although it has a fatty hilum, it appears to be hyperenhancing. The right pterygoid muscles are slightly enlarged, likely relating to inflammatory change. There is associated mass effect upon the right lateral aspect of the airway with subtle leftward deviation, although it remains widely patent. The base of tongue and right floor of mouth fat planes also appear slightly effaced, suggesting extension of inflammatory changes. On bone windows, there is a large dental carie in the ADA #31, with associated periapical lucency. Incidental note is made of additional partial absence of ADA #1 and 16. There is also minimal periapical lucency associated with ADA #16. There is diffuse sclerosis of the right posterior mandibular body, consistent with condensing osteitis. No definite periosteal reaction is appreciated at this time. PHARYNX/. There is slight asymmetric effacement of the right piriform sinus. The nasopharynx, oropharynx, hypopharynx, and larynx are otherwise unremarkable. The upper trachea and esophagus are unremarkable. There is no abnormal soft tissue mass or pathological enhancement. The postcontrast appearance of the remaining salivary glands is unremarkable. The thyroid gland is unremarkable. The oral tongue and floor of mouth are otherwise unremarkable. There are no other pathologically enlarged cervical lymph nodes. There are diffuse emphysematous changes throughout the lungs. The cervical vessels appear patent, without evidence of gross thrombus.
anatomical entity_fin: {'face': {'location descriptor': 'left lower'}}imaging observation_fin: ['fat']location descriptor_fin: ['right', 'left', 'lower']clinical findings_fin: {'extensive right facial inflammatory changes': {'clinical finding': 'extensive right facial inflammatory changes', 'existence': 'pos_dx', 'descriptive_term': 'extensive right facial inflammatory', 'observation': 'change', 'strength_term': 'extensive'}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}}anatomical entity_fin: {'right submandibular gland': {}, 'parapharyngeal space': {'location descriptor': 'right'}}imaging observation_fin: ['fat']location descriptor_fin: ['right']clinical findings_fin: {'effaced': {'clinical finding': 'effaced', 'existence': 'pos_dx', 'observation': 'effaced'}, 'additional stranding': {'clinical finding': 'additional stranding', 'existence': 'pos_dx', 'descriptive_term': 'additional', 'observation': 'strand'}}anatomical entity_fin: {'right submandibular gland': {}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'unc_dx', 'observation': 'enlarged'}, 'inflammatory changes': {'clinical finding': 'inflammatory changes', 'existence': 'unc_dx', 'descriptive_term': 'inflammatory', 'observation': 'change'}}anatomical entity_fin: {'body': {}}imaging observation_fin: ['fat']location descriptor_fin: ['right', 'inferolateral']clinical findings_fin: {'asymmetric increased density': {'clinical finding': 'asymmetric increased density', 'cf_snomed': {'increased density': 125149003}, 'existence': 'pos_dx', 'descriptive_term': 'asymmetric increased', 'observation': 'density', 'strength_term': 'increased', 'change_term': 'increased'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'hounsfield units , greater than simple fluid': {'clinical finding': 'hounsfield units , greater than simple fluid', 'change_term': 'greater'}}location descriptor_fin: ['peripheral']clinical findings_fin: {'definite peripheral enhancement': {'clinical finding': 'definite peripheral enhancement', 'existence': 'neg_dx', 'descriptive_term': 'definite peripheral', 'observation': 'enhancement'}, 'focal abscess': {'clinical finding': 'focal abscess', 'cf_snomed': {'abscess': 128477000}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'abscess'}, 'early developing focal fluid collection': {'clinical finding': 'early developing focal fluid collection', 'existence': 'unc_dx', 'descriptive_term': 'early developing focal fluid', 'observation': 'collection', 'strength_term': 'developing', 'change_term': 'developing'}}clinical findings_fin: {'incidental': {'clinical finding': 'incidental', 'existence': 'pos_dx', 'observation': 'incidental'}, 'abnormality': {'clinical finding': 'abnormality', 'existence': 'pos_dx', 'observation': 'abnormality'}}size_fin: [{'size': '4 mm', 'size_descriptor': 'effusion'}]anatomical entity_fin: {'retropharyngeal': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'trace right retropharyngeal effusion': {'clinical finding': 'trace right retropharyngeal effusion', 'cf_snomed': {'effusion': 41699000}, 'existence': 'pos_dx', 'descriptive_term': 'trace right retropharyngeal', 'observation': 'effusion'}}size_fin: [{'size': '1.4 cm', 'size_descriptor': 'node'}]location descriptor_fin: ['right']clinical findings_fin: {'enlarged right level 1b lymph node': {'clinical finding': 'enlarged right level 1b lymph node', 'existence': 'pos_dx', 'descriptive_term': 'enlarged right level 1b lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}anatomical entity_fin: {'hilum': {}}clinical findings_fin: {'fatty': {'clinical finding': 'fatty', 'existence': 'pos_dx', 'observation': 'fatty'}, 'hyperenhancing': {'clinical finding': 'hyperenhancing', 'existence': 'pos_dx', 'observation': 'hyperenhancing'}}location descriptor_fin: ['right']clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}, 'inflammatory change': {'clinical finding': 'inflammatory change', 'existence': 'unc_dx', 'descriptive_term': 'inflammatory', 'observation': 'change'}}anatomical entity_fin: {'airway': {}}location descriptor_fin: ['right', 'lateral']clinical findings_fin: {'associated mass effect': {'clinical finding': 'associated mass effect', 'existence': 'pos_dx', 'descriptive_term': 'associated mass', 'observation': 'effect'}, 'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}anatomical entity_fin: {'base': {}, 'tongue': {}, 'floor': {'location descriptor': 'right'}, 'mouth': {}}imaging observation_fin: ['fat']location descriptor_fin: ['right']clinical findings_fin: {'effaced': {'clinical finding': 'effaced', 'existence': 'pos_dx', 'observation': 'effaced'}, 'inflammatory changes': {'clinical finding': 'inflammatory changes', 'existence': 'unc_dx', 'descriptive_term': 'inflammatory', 'observation': 'change'}}clinical findings_fin: {'large dental carie': {'clinical finding': 'large dental carie', 'existence': 'pos_dx', 'descriptive_term': 'large dental', 'observation': 'carie', 'strength_term': 'large'}}clinical findings_fin: {'incidental note is made of additional partial absence of ada # 1 and 16': {'clinical finding': 'incidental note is made of additional partial absence of ada # 1 and 16', 'cf_snomed': {'absence': 418560003}}}clinical findings_fin: {'minimal periapical lucency associated with ada #': {'clinical finding': 'minimal periapical lucency associated with ada #'}}anatomical entity_fin: {'body': {}}location descriptor_fin: ['right', 'posterior']clinical findings_fin: {'diffuse sclerosis': {'clinical finding': 'diffuse sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse', 'observation': 'sclerosis'}, 'condensing osteitis': {'clinical finding': 'condensing osteitis', 'cf_snomed': {'osteitis': 274144001}, 'existence': 'pos_dx', 'descriptive_term': 'condensing', 'observation': 'osteitis'}}clinical findings_fin: {'definite periosteal reaction': {'clinical finding': 'definite periosteal reaction', 'existence': 'neg_dx', 'descriptive_term': 'definite periosteal', 'observation': 'reaction'}}location descriptor_fin: ['right']clinical findings_fin: {'slight asymmetric effacement': {'clinical finding': 'slight asymmetric effacement', 'existence': 'pos_dx', 'descriptive_term': 'slight asymmetric', 'observation': 'effacement'}}anatomical entity_fin: {'nasopharynx': {}, 'oropharynx': {}, 'hypopharynx': {}, 'larynx': {}}clinical findings_fin: {'nasopharynx , oropharynx , hypopharynx , and larynx are otherwise unremarkable': {'clinical finding': 'nasopharynx , oropharynx , hypopharynx , and larynx are otherwise unremarkable'}}anatomical entity_fin: {'trachea': {'location descriptor': 'upper'}, 'esophagus': {}}location descriptor_fin: ['upper']clinical findings_fin: {'upper trachea and esophagus are unremarkable': {'clinical finding': 'upper trachea and esophagus are unremarkable'}}clinical findings_fin: {'abnormal soft tissue mass': {'clinical finding': 'abnormal soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'neg_dx', 'descriptive_term': 'abnormal soft tissue', 'observation': 'mass'}, 'pathological enhancement': {'clinical finding': 'pathological enhancement', 'existence': 'neg_dx', 'descriptive_term': 'pathological', 'observation': 'enhancement'}}anatomical entity_fin: {'salivary glands': {}}clinical findings_fin: {'postcontrast appearance of the remaining salivary glands is unremarkable': {'clinical finding': 'postcontrast appearance of the remaining salivary glands is unremarkable'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'thyroid gland is unremarkable': {'clinical finding': 'thyroid gland is unremarkable'}}anatomical entity_fin: {'tongue': {}, 'floor': {}, 'mouth': {}}clinical findings_fin: {'oral tongue and floor of mouth are otherwise unremarkable': {'clinical finding': 'oral tongue and floor of mouth are otherwise unremarkable'}}clinical findings_fin: {'other pathologically enlarged cervical lymph nodes': {'clinical finding': 'other pathologically enlarged cervical lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'other pathologically enlarged cervical lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}anatomical entity_fin: {'lungs': {}}clinical findings_fin: {'diffuse emphysematous changes': {'clinical finding': 'diffuse emphysematous changes', 'existence': 'pos_dx', 'descriptive_term': 'diffuse emphysematous', 'observation': 'change'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}, 'gross thrombus': {'clinical finding': 'gross thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'thrombus'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'face': {'location descriptor': 'left lower'}}imaging observation_fin: ['fat']location descriptor_fin: ['right', 'left', 'lower']clinical findings_fin: {'extensive right facial inflammatory changes': {'clinical finding': 'extensive right facial inflammatory changes', 'existence': 'pos_dx', 'descriptive_term': 'extensive right facial inflammatory', 'observation': 'change', 'strength_term': 'extensive'}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}}anatomical entity_fin: {'right submandibular gland': {}, 'parapharyngeal space': {'location descriptor': 'right'}}imaging observation_fin: ['fat']location descriptor_fin: ['right']clinical findings_fin: {'effaced': {'clinical finding': 'effaced', 'existence': 'pos_dx', 'observation': 'effaced'}, 'additional stranding': {'clinical finding': 'additional stranding', 'existence': 'pos_dx', 'descriptive_term': 'additional', 'observation': 'strand'}}anatomical entity_fin: {'right submandibular gland': {}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'unc_dx', 'observation': 'enlarged'}, 'inflammatory changes': {'clinical finding': 'inflammatory changes', 'existence': 'unc_dx', 'descriptive_term': 'inflammatory', 'observation': 'change'}}anatomical entity_fin: {'body': {}}imaging observation_fin: ['fat']location descriptor_fin: ['right', 'inferolateral']clinical findings_fin: {'asymmetric increased density': {'clinical finding': 'asymmetric increased density', 'cf_snomed': {'increased density': 125149003}, 'existence': 'pos_dx', 'descriptive_term': 'asymmetric increased', 'observation': 'density', 'strength_term': 'increased', 'change_term': 'increased'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'hounsfield units , greater than simple fluid': {'clinical finding': 'hounsfield units , greater than simple fluid', 'change_term': 'greater'}}location descriptor_fin: ['peripheral']clinical findings_fin: {'definite peripheral enhancement': {'clinical finding': 'definite peripheral enhancement', 'existence': 'neg_dx', 'descriptive_term': 'definite peripheral', 'observation': 'enhancement'}, 'focal abscess': {'clinical finding': 'focal abscess', 'cf_snomed': {'abscess': 128477000}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'abscess'}, 'early developing focal fluid collection': {'clinical finding': 'early developing focal fluid collection', 'existence': 'unc_dx', 'descriptive_term': 'early developing focal fluid', 'observation': 'collection', 'strength_term': 'developing', 'change_term': 'developing'}}clinical findings_fin: {'incidental': {'clinical finding': 'incidental', 'existence': 'pos_dx', 'observation': 'incidental'}, 'abnormality': {'clinical finding': 'abnormality', 'existence': 'pos_dx', 'observation': 'abnormality'}}size_fin: [{'size': '4 mm', 'size_descriptor': 'effusion'}]anatomical entity_fin: {'retropharyngeal': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'trace right retropharyngeal effusion': {'clinical finding': 'trace right retropharyngeal effusion', 'cf_snomed': {'effusion': 41699000}, 'existence': 'pos_dx', 'descriptive_term': 'trace right retropharyngeal', 'observation': 'effusion'}}size_fin: [{'size': '1.4 cm', 'size_descriptor': 'node'}]location descriptor_fin: ['right']clinical findings_fin: {'enlarged right level 1b lymph node': {'clinical finding': 'enlarged right level 1b lymph node', 'existence': 'pos_dx', 'descriptive_term': 'enlarged right level 1b lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}anatomical entity_fin: {'hilum': {}}clinical findings_fin: {'fatty': {'clinical finding': 'fatty', 'existence': 'pos_dx', 'observation': 'fatty'}, 'hyperenhancing': {'clinical finding': 'hyperenhancing', 'existence': 'pos_dx', 'observation': 'hyperenhancing'}}location descriptor_fin: ['right']clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}, 'inflammatory change': {'clinical finding': 'inflammatory change', 'existence': 'unc_dx', 'descriptive_term': 'inflammatory', 'observation': 'change'}}anatomical entity_fin: {'airway': {}}location descriptor_fin: ['right', 'lateral']clinical findings_fin: {'associated mass effect': {'clinical finding': 'associated mass effect', 'existence': 'pos_dx', 'descriptive_term': 'associated mass', 'observation': 'effect'}, 'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}anatomical entity_fin: {'base': {}, 'tongue': {}, 'floor': {'location descriptor': 'right'}, 'mouth': {}}imaging observation_fin: ['fat']location descriptor_fin: ['right']clinical findings_fin: {'effaced': {'clinical finding': 'effaced', 'existence': 'pos_dx', 'observation': 'effaced'}, 'inflammatory changes': {'clinical finding': 'inflammatory changes', 'existence': 'unc_dx', 'descriptive_term': 'inflammatory', 'observation': 'change'}}clinical findings_fin: {'large dental carie': {'clinical finding': 'large dental carie', 'existence': 'pos_dx', 'descriptive_term': 'large dental', 'observation': 'carie', 'strength_term': 'large'}}clinical findings_fin: {'incidental note is made of additional partial absence of ada # 1 and 16': {'clinical finding': 'incidental note is made of additional partial absence of ada # 1 and 16', 'cf_snomed': {'absence': 418560003}}}clinical findings_fin: {'minimal periapical lucency associated with ada #': {'clinical finding': 'minimal periapical lucency associated with ada #'}}anatomical entity_fin: {'body': {}}location descriptor_fin: ['right', 'posterior']clinical findings_fin: {'diffuse sclerosis': {'clinical finding': 'diffuse sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse', 'observation': 'sclerosis'}, 'condensing osteitis': {'clinical finding': 'condensing osteitis', 'cf_snomed': {'osteitis': 274144001}, 'existence': 'pos_dx', 'descriptive_term': 'condensing', 'observation': 'osteitis'}}clinical findings_fin: {'definite periosteal reaction': {'clinical finding': 'definite periosteal reaction', 'existence': 'neg_dx', 'descriptive_term': 'definite periosteal', 'observation': 'reaction'}}location descriptor_fin: ['right']clinical findings_fin: {'slight asymmetric effacement': {'clinical finding': 'slight asymmetric effacement', 'existence': 'pos_dx', 'descriptive_term': 'slight asymmetric', 'observation': 'effacement'}}anatomical entity_fin: {'nasopharynx': {}, 'oropharynx': {}, 'hypopharynx': {}, 'larynx': {}}clinical findings_fin: {'nasopharynx , oropharynx , hypopharynx , and larynx are otherwise unremarkable': {'clinical finding': 'nasopharynx , oropharynx , hypopharynx , and larynx are otherwise unremarkable'}}anatomical entity_fin: {'trachea': {'location descriptor': 'upper'}, 'esophagus': {}}location descriptor_fin: ['upper']clinical findings_fin: {'upper trachea and esophagus are unremarkable': {'clinical finding': 'upper trachea and esophagus are unremarkable'}}clinical findings_fin: {'abnormal soft tissue mass': {'clinical finding': 'abnormal soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'neg_dx', 'descriptive_term': 'abnormal soft tissue', 'observation': 'mass'}, 'pathological enhancement': {'clinical finding': 'pathological enhancement', 'existence': 'neg_dx', 'descriptive_term': 'pathological', 'observation': 'enhancement'}}anatomical entity_fin: {'salivary glands': {}}clinical findings_fin: {'postcontrast appearance of the remaining salivary glands is unremarkable': {'clinical finding': 'postcontrast appearance of the remaining salivary glands is unremarkable'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'thyroid gland is unremarkable': {'clinical finding': 'thyroid gland is unremarkable'}}anatomical entity_fin: {'tongue': {}, 'floor': {}, 'mouth': {}}clinical findings_fin: {'oral tongue and floor of mouth are otherwise unremarkable': {'clinical finding': 'oral tongue and floor of mouth are otherwise unremarkable'}}clinical findings_fin: {'other pathologically enlarged cervical lymph nodes': {'clinical finding': 'other pathologically enlarged cervical lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'other pathologically enlarged cervical lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}anatomical entity_fin: {'lungs': {}}clinical findings_fin: {'diffuse emphysematous changes': {'clinical finding': 'diffuse emphysematous changes', 'existence': 'pos_dx', 'descriptive_term': 'diffuse emphysematous', 'observation': 'change'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}, 'gross thrombus': {'clinical finding': 'gross thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'thrombus'}} [/INST] There are extensive right facial inflammatory changes, with diffuse infiltration of the fat which also involves to a lesser degree the left lower face. There is thickening of the platysma, right greater than left side. Fat planes surrounding the right submandibular gland are essentially effaced, with additional stranding involving the right parapharyngeal space. The right submandibular gland may be slightly enlarged due to inflammatory changes. Best seen on coronal images, there is asymmetric increased density and expansion of the fat along the right inferolateral mandibular body most yearly as seen on 80296/29 and 10227/39. This measures 27 Hounsfield units, greater than simple fluid. No definite peripheral enhancement is appreciated to suggest a focal abscess, although this may be an early developing focal fluid collection. Laterally, there is an incidental vessel which marginates this area of abnormality. There is a trace right retropharyngeal effusion measuring approximately 4 mm in greatest thickness, probably spanning the C2 level. There is an enlarged right level 1B lymph node measuring 1.4 cm. Although it has a fatty hilum, it appears to be hyperenhancing. The right pterygoid muscles are slightly enlarged, likely relating to inflammatory change. There is associated mass effect upon the right lateral aspect of the airway with subtle leftward deviation, although it remains widely patent. The base of tongue and right floor of mouth fat planes also appear slightly effaced, suggesting extension of inflammatory changes. On bone windows, there is a large dental carie in the ADA #31, with associated periapical lucency. Incidental note is made of additional partial absence of ADA #1 and 16. There is also minimal periapical lucency associated with ADA #16. There is diffuse sclerosis of the right posterior mandibular body, consistent with condensing osteitis. No definite periosteal reaction is appreciated at this time. PHARYNX/. There is slight asymmetric effacement of the right piriform sinus. The nasopharynx, oropharynx, hypopharynx, and larynx are otherwise unremarkable. The upper trachea and esophagus are unremarkable. There is no abnormal soft tissue mass or pathological enhancement. The postcontrast appearance of the remaining salivary glands is unremarkable. The thyroid gland is unremarkable. The oral tongue and floor of mouth are otherwise unremarkable. There are no other pathologically enlarged cervical lymph nodes. There are diffuse emphysematous changes throughout the lungs. The cervical vessels appear patent, without evidence of gross thrombus. </s>