The ventricles and sulci are prominent, consistent with moderate age-related volume loss. There is asymmetric prominence of the right occipital horn possibly relating to small area of right occipital lobe encephalomalacia as there is adjacent slight sulcal prominence medially. There is no midline shift. There is no intracranial hemorrhage. There are scattered punctate and confluent areas of abnormal low density in the periventricular and subcortical white matter, consistent with mild age-indeterminate small vessel ischemic changes. There is suggestion of bilateral parietal CSF density extra-axial collections located laterally, with mild mass effect upon the subjacent parenchyma. These measure up to 8 mm in greatest thickness. The visualized portions of the paranasal sinuses and mastoids or middle ears are grossly clear. There is a prosthetic right globe. The right mastoid is underpneumatized. Prominent subgaleal edema and hematoma is noted along the parietal convexity. A few punctate hyperdensities within the anterior parietal scalp may relate to dystrophic calcifications although correlation with physical exam should be made for possible retained foreign bodies. CERVICAL SPINE
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'}}anatomical entity_fin: {'right occipital lobe': {}}location descriptor_fin: ['right', 'adjacent']clinical findings_fin: {'right occipital lobe encephalomalacia': {'clinical finding': 'right occipital lobe encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'unc_dx', 'descriptive_term': 'right occipital lobe', 'observation': 'encephalomalacia'}}location descriptor_fin: ['midline']clinical findings_fin: {'midline shift': {'clinical finding': 'midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'}}clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}clinical findings_fin: {'abnormal low density': {'clinical finding': 'abnormal low density', 'existence': 'pos_dx', 'descriptive_term': 'abnormal low', 'observation': 'density'}, 'mild age-indeterminate small vessel ischemic changes': {'clinical finding': 'mild age-indeterminate small vessel ischemic changes', 'existence': 'pos_dx', 'descriptive_term': 'mild age-indeterminate small vessel ischemic', 'observation': 'change', 'strength_term': 'mild - small'}}anatomical entity_fin: {'parenchyma': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral parietal csf density': {'clinical finding': 'bilateral parietal csf density', 'existence': 'unc_dx', 'descriptive_term': 'bilateral parietal csf', 'observation': 'density'}, 'mild mass effect': {'clinical finding': 'mild mass effect', 'existence': 'unc_dx', 'descriptive_term': 'mild mass', 'observation': 'effect', 'strength_term': 'mild'}}size_fin: [{'size': '8 mm', 'size_descriptor': 'measure'}]anatomical entity_fin: {'paranasal sinuses': {}, 'middle ears': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'globe': {'location descriptor': 'right'}}location descriptor_fin: ['right']location descriptor_fin: ['right']clinical findings_fin: {'right mastoid': {'clinical finding': 'right mastoid', 'existence': 'pos_dx', 'descriptive_term': 'right', 'observation': 'mastoid'}, 'underpneumatized': {'clinical finding': 'underpneumatized', 'existence': 'pos_dx', 'observation': 'underpneumatized'}}anatomical entity_fin: {'convexity': {}}imaging observation_fin: ['hematoma']clinical findings_fin: {'prominent subgaleal edema': {'clinical finding': 'prominent subgaleal edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'prominent subgaleal', 'observation': 'edema', 'strength_term': 'prominent'}, 'hematoma': {'clinical finding': 'hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'pos_dx', 'observation': 'hematoma'}}anatomical entity_fin: {'scalp': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'few punctate hyperdensities': {'clinical finding': 'few punctate hyperdensities', 'existence': 'pos_dx', 'descriptive_term': 'few punctate', 'observation': 'hyperdensity', 'quantity_term': 'few'}, 'dystrophic calcifications': {'clinical finding': 'dystrophic calcifications', 'cf_snomed': {'dystrophic calcification': 129750001}, 'existence': 'unc_dx', 'descriptive_term': 'dystrophic', 'observation': 'calcification'}, 'possible retained foreign bodies': {'clinical finding': 'possible retained foreign bodies', 'cf_snomed': {'retained foreign body': 142661000119102}, 'existence': 'unc_dx', 'descriptive_term': 'possible retained foreign', 'observation': 'body'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'cervical spine': {'clinical finding': 'cervical spine'}}
<s>[INST] Write the finding section for a radiology report based on the following information: 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'}}anatomical entity_fin: {'right occipital lobe': {}}location descriptor_fin: ['right', 'adjacent']clinical findings_fin: {'right occipital lobe encephalomalacia': {'clinical finding': 'right occipital lobe encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'unc_dx', 'descriptive_term': 'right occipital lobe', 'observation': 'encephalomalacia'}}location descriptor_fin: ['midline']clinical findings_fin: {'midline shift': {'clinical finding': 'midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'}}clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}clinical findings_fin: {'abnormal low density': {'clinical finding': 'abnormal low density', 'existence': 'pos_dx', 'descriptive_term': 'abnormal low', 'observation': 'density'}, 'mild age-indeterminate small vessel ischemic changes': {'clinical finding': 'mild age-indeterminate small vessel ischemic changes', 'existence': 'pos_dx', 'descriptive_term': 'mild age-indeterminate small vessel ischemic', 'observation': 'change', 'strength_term': 'mild - small'}}anatomical entity_fin: {'parenchyma': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral parietal csf density': {'clinical finding': 'bilateral parietal csf density', 'existence': 'unc_dx', 'descriptive_term': 'bilateral parietal csf', 'observation': 'density'}, 'mild mass effect': {'clinical finding': 'mild mass effect', 'existence': 'unc_dx', 'descriptive_term': 'mild mass', 'observation': 'effect', 'strength_term': 'mild'}}size_fin: [{'size': '8 mm', 'size_descriptor': 'measure'}]anatomical entity_fin: {'paranasal sinuses': {}, 'middle ears': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'globe': {'location descriptor': 'right'}}location descriptor_fin: ['right']location descriptor_fin: ['right']clinical findings_fin: {'right mastoid': {'clinical finding': 'right mastoid', 'existence': 'pos_dx', 'descriptive_term': 'right', 'observation': 'mastoid'}, 'underpneumatized': {'clinical finding': 'underpneumatized', 'existence': 'pos_dx', 'observation': 'underpneumatized'}}anatomical entity_fin: {'convexity': {}}imaging observation_fin: ['hematoma']clinical findings_fin: {'prominent subgaleal edema': {'clinical finding': 'prominent subgaleal edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'prominent subgaleal', 'observation': 'edema', 'strength_term': 'prominent'}, 'hematoma': {'clinical finding': 'hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'pos_dx', 'observation': 'hematoma'}}anatomical entity_fin: {'scalp': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'few punctate hyperdensities': {'clinical finding': 'few punctate hyperdensities', 'existence': 'pos_dx', 'descriptive_term': 'few punctate', 'observation': 'hyperdensity', 'quantity_term': 'few'}, 'dystrophic calcifications': {'clinical finding': 'dystrophic calcifications', 'cf_snomed': {'dystrophic calcification': 129750001}, 'existence': 'unc_dx', 'descriptive_term': 'dystrophic', 'observation': 'calcification'}, 'possible retained foreign bodies': {'clinical finding': 'possible retained foreign bodies', 'cf_snomed': {'retained foreign body': 142661000119102}, 'existence': 'unc_dx', 'descriptive_term': 'possible retained foreign', 'observation': 'body'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'cervical spine': {'clinical finding': 'cervical spine'}} [/INST] The ventricles and sulci are prominent, consistent with moderate age-related volume loss. There is asymmetric prominence of the right occipital horn possibly relating to small area of right occipital lobe encephalomalacia as there is adjacent slight sulcal prominence medially. There is no midline shift. There is no intracranial hemorrhage. There are scattered punctate and confluent areas of abnormal low density in the periventricular and subcortical white matter, consistent with mild age-indeterminate small vessel ischemic changes. There is suggestion of bilateral parietal CSF density extra-axial collections located laterally, with mild mass effect upon the subjacent parenchyma. These measure up to 8 mm in greatest thickness. The visualized portions of the paranasal sinuses and mastoids or middle ears are grossly clear. There is a prosthetic right globe. The right mastoid is underpneumatized. Prominent subgaleal edema and hematoma is noted along the parietal convexity. A few punctate hyperdensities within the anterior parietal scalp may relate to dystrophic calcifications although correlation with physical exam should be made for possible retained foreign bodies. CERVICAL SPINE </s>