No intracranial hemorrhage is identified. No intracranial mass, evidence of mass-effect or significant midline shift is present. The gray-white differentiation is maintained. The ventricles and sulci are prominent, consistent with moderate age-related volume loss, most pronounced in the frontotemporoparietal region. No extra-axial collections are identified. Evaluation of acute ischemia is limited secondary to extensive patchy and confluent areas of hypoattenuation in the periventricular and subcortical white matter, which are nonspecific, but favored to represent age-indeterminant small vessel ischemic changes. A small retention cyst is present in the lateral left maxillary sinus. The right maxillary sinus appears asymmetrically smaller than the left, which is likely developmental. The mastoid air cells are clear. The skull and scalp soft tissues are unremarkable.
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'}}clinical findings_fin: {'prominent': {'clinical finding': 'prominent', 'existence': 'pos_dx', 'observation': 'prominent'}, 'moderate age-related volume loss': {'clinical finding': 'moderate age-related volume loss', 'cf_snomed': {'related': 262094002}, 'existence': 'pos_dx', 'descriptive_term': 'moderate age-related volume', 'observation': 'loss', 'strength_term': 'moderate'}}clinical findings_fin: {'extra-axial collections are identified': {'clinical finding': 'extra-axial collections are identified'}}clinical findings_fin: {'acute ischemia': {'clinical finding': 'acute ischemia', 'cf_snomed': {'ischemia': 52674009}, 'existence': 'unc_dx', 'descriptive_term': 'acute', 'observation': 'ischemia', 'strength_term': 'acute', 'temporal_term': 'acute'}, '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'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'lateral left'}}location descriptor_fin: ['lateral', 'left']clinical findings_fin: {'small retention cyst': {'clinical finding': 'small retention cyst', 'cf_snomed': {'retention': 36850000, 'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'small retention', 'observation': 'cyst', 'strength_term': 'small'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'right'}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'smaller': {'clinical finding': 'smaller', 'existence': 'pos_dx', 'observation': 'small'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'skull': {}, 'scalp': {}}clinical findings_fin: {'skull and scalp soft tissues are unremarkable': {'clinical finding': 'skull and scalp soft tissues are unremarkable'}}
<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'}}clinical findings_fin: {'prominent': {'clinical finding': 'prominent', 'existence': 'pos_dx', 'observation': 'prominent'}, 'moderate age-related volume loss': {'clinical finding': 'moderate age-related volume loss', 'cf_snomed': {'related': 262094002}, 'existence': 'pos_dx', 'descriptive_term': 'moderate age-related volume', 'observation': 'loss', 'strength_term': 'moderate'}}clinical findings_fin: {'extra-axial collections are identified': {'clinical finding': 'extra-axial collections are identified'}}clinical findings_fin: {'acute ischemia': {'clinical finding': 'acute ischemia', 'cf_snomed': {'ischemia': 52674009}, 'existence': 'unc_dx', 'descriptive_term': 'acute', 'observation': 'ischemia', 'strength_term': 'acute', 'temporal_term': 'acute'}, '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'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'lateral left'}}location descriptor_fin: ['lateral', 'left']clinical findings_fin: {'small retention cyst': {'clinical finding': 'small retention cyst', 'cf_snomed': {'retention': 36850000, 'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'small retention', 'observation': 'cyst', 'strength_term': 'small'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'right'}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'smaller': {'clinical finding': 'smaller', 'existence': 'pos_dx', 'observation': 'small'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'skull': {}, 'scalp': {}}clinical findings_fin: {'skull and scalp soft tissues are unremarkable': {'clinical finding': 'skull and scalp soft tissues are unremarkable'}} [/INST] No intracranial hemorrhage is identified. No intracranial mass, evidence of mass-effect or significant midline shift is present. The gray-white differentiation is maintained. The ventricles and sulci are prominent, consistent with moderate age-related volume loss, most pronounced in the frontotemporoparietal region. No extra-axial collections are identified. Evaluation of acute ischemia is limited secondary to extensive patchy and confluent areas of hypoattenuation in the periventricular and subcortical white matter, which are nonspecific, but favored to represent age-indeterminant small vessel ischemic changes. A small retention cyst is present in the lateral left maxillary sinus. The right maxillary sinus appears asymmetrically smaller than the left, which is likely developmental. The mastoid air cells are clear. The skull and scalp soft tissues are unremarkable. </s>