No intracranial hemorrhage is identified. No intracranial mass, evidence of mass-effect or significant midline shift is present. There is encephalomalacia in the left basal ganglia and mild ex vacuo dilatation of the anterior horn of the left lateral ventricle, consistent with prior left lacunar infarct, which is more prominent than on previous exam. There are scattered areas of hypoattenuation in the periventricular and subcortical white matter, which are nonspecific, but favored to represent age-indeterminant small vessel ischemic changes. The ventricles and sulci are within normal limits for age. No extra-axial collections are identified. The paranasal sinuses and mastoid air cells are clear. The calvarium is intact.
clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}location descriptor_fin: ['midline']clinical findings_fin: {'intracranial mass': {'clinical finding': 'intracranial mass', 'cf_snomed': {'intracranial mass': 85974009}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'mass'}, 'mass-effect': {'clinical finding': 'mass-effect', 'existence': 'neg_dx', 'observation': 'mass'}}anatomical entity_fin: {'basal ganglia': {'location descriptor': 'left'}, 'left lateral ventricle': {}}location descriptor_fin: ['left', 'anterior']clinical findings_fin: {'encephalomalacia': {'clinical finding': 'encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'pos_dx', 'observation': 'encephalomalacia'}, 'prior left lacunar infarct': {'clinical finding': 'prior left lacunar infarct', 'cf_snomed': {'lacunar infarct': 81037000}, 'existence': 'pos_dx', 'descriptive_term': 'prior left lacunar', 'observation': 'infarct'}}clinical findings_fin: {'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}, 'age-indeterminant small vessel ischemic changes': {'clinical finding': 'age-indeterminant small vessel ischemic changes', 'existence': 'unc_dx', 'descriptive_term': 'age-indeterminant small vessel ischemic', 'observation': 'change', 'strength_term': 'small'}}clinical findings_fin: {'normal limits for age': {'clinical finding': 'normal limits for age'}}clinical findings_fin: {'extra-axial collections are identified': {'clinical finding': 'extra-axial collections are identified'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}location descriptor_fin: ['midline']clinical findings_fin: {'intracranial mass': {'clinical finding': 'intracranial mass', 'cf_snomed': {'intracranial mass': 85974009}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'mass'}, 'mass-effect': {'clinical finding': 'mass-effect', 'existence': 'neg_dx', 'observation': 'mass'}}anatomical entity_fin: {'basal ganglia': {'location descriptor': 'left'}, 'left lateral ventricle': {}}location descriptor_fin: ['left', 'anterior']clinical findings_fin: {'encephalomalacia': {'clinical finding': 'encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'pos_dx', 'observation': 'encephalomalacia'}, 'prior left lacunar infarct': {'clinical finding': 'prior left lacunar infarct', 'cf_snomed': {'lacunar infarct': 81037000}, 'existence': 'pos_dx', 'descriptive_term': 'prior left lacunar', 'observation': 'infarct'}}clinical findings_fin: {'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}, 'age-indeterminant small vessel ischemic changes': {'clinical finding': 'age-indeterminant small vessel ischemic changes', 'existence': 'unc_dx', 'descriptive_term': 'age-indeterminant small vessel ischemic', 'observation': 'change', 'strength_term': 'small'}}clinical findings_fin: {'normal limits for age': {'clinical finding': 'normal limits for age'}}clinical findings_fin: {'extra-axial collections are identified': {'clinical finding': 'extra-axial collections are identified'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}} [/INST] No intracranial hemorrhage is identified. No intracranial mass, evidence of mass-effect or significant midline shift is present. There is encephalomalacia in the left basal ganglia and mild ex vacuo dilatation of the anterior horn of the left lateral ventricle, consistent with prior left lacunar infarct, which is more prominent than on previous exam. There are scattered areas of hypoattenuation in the periventricular and subcortical white matter, which are nonspecific, but favored to represent age-indeterminant small vessel ischemic changes. The ventricles and sulci are within normal limits for age. No extra-axial collections are identified. The paranasal sinuses and mastoid air cells are clear. The calvarium is intact. </s>